FORM - 1

(See Rule 13)

 

APPLICATION FOR

CONSENT FOR EMISSION/CONTINUATION OF EMISSION UNDER SECTION 21 OF THE AIR (PREVENTION AND CONTROL OF POLLUTION) ACT, 1981

 

From :                                                                       Date :

 

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To,

        The Member Secretary,

        Chhattisgarh Environment Conservation Board

 

        I/We hereby apply for Consent/Renewal of Consent under Section 21 of the Air (Prevention and Control of Pollution) Act, 1981 (No. 14 of 1981) to bring into use a new/altered "Stack for the discharge of Emission/to begin to make new discharge of emission/to continue to discharge emission" from stack in Industry owned by.......................................................... the relevant details are as below :-

 

1.     Full name of Applicant, designation with address & Telephone No.

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2.                 Name of Full time Directors with address & Telephone No.

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3.                 Full factory address (with name of plot/premises) & Telephone No.

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4.

Date of commissioning of factory or proposed date of commissioning of factory

:

 

5.

Capital investment made (Rs. in Lakhs)

:

 

6.

Total No. of Employees

:

 

7.

a)    Licensed Annual Capacity of the factory

:

 

 

b)    Attach brief description of the manufacturing process along with a flow, diagram and the position of corresponding Stack on the Plot plan

:

 

8.

State the Number of boilers, heaters, furnaces installed in the factory along with their capacity type/quantity of fuel used and emission from the stacks

 

 

9.

Stack’s details

 

 

 

a)       Number of Stacks

:

 

 

b)       Natural draft/I.D. Fan/ F.D. Fan

:

 

 

c)        Material of construction of Stack

:

 

 

d)       Height of Stacks

:

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