3.

a)      Name and address of the unit and location of activity

:

b)      Authorization required for (Please tick mark appropriate activity/ activities

i)                  Collection

:

ii)                Reception

:

iii)             Treatment

:

iv)              Transport

:

v)                Storage

:

vi)              Disposal

:

c)       In case of renewal of authorization previous authorization number and date

:

4.

a)      Whether the unit is generating hazardous waste as defined in the hazardous Wastes (Management and Handling) Rules, 1989 and amendments made thereunder;

:

b)      If so the type and quantity of wastes

:

5.

a)    Total capital invested on the project

:

b)    Year of commencement of production

:

c)     Whether the industry works general/2 shifts/ round the clock

:

6.

a)      List and quantum of products and by-products

:

b)      List and quantum of raw material used

:

7.

Furnish a flow diagram of manufacturing process showing input and output in terms of products and waste generated including for captive power generation and dematerialized waster.

8

Quantity and source of water for

a)      Cooling m³/d

:

b)      Process m³/d

:

c)       Domestic use m³/d

:

d)      Others m³/d

:

9.

Sewage and trade effluent discharge;

a)      Quantum of discharge m³/d

:

b)      Is there any effluent treatment plant

:

c)       If yes, a brief description of unit operations with capacity

:

d)      Characteristics of final effluent

:

pH

:

Suspended solids

:

Dissolved solids

:

Chemical Oxygen Demand (COD)

:

Biochemical Oxygen Demand ^a[(BoD₅/20⁰C)/ BoD₃/27⁰C)]

:

e)      Mode of disposal and final discharge point (enclose map showing discharge point)

:

f)        Parameters and Frequency of self monitoring

[*] Read BOD (3 days at 27⁰C

:

10.

a) Number of stacks and vents with height and dia(m)

:

b) Quality and quantity of stack emission from each of the above stacks-particulate matter and Sulphar dioxide (SO₂) (Additional parameters as specified by the concerned Pollution Control Board)

:

c)  A brief account of the air pollution control unit to deal with the emission

:

d) Parameters and Frequency of self monitoring

:

11.

Hazardous Wastes

a)       Type of hazardous wastes generated as defined under the Hazardous Wastes (Management and Handling) Rules, 1989

:

b)       Quantum of hazardous waste generated

:

c)        Mode of storage within the plant, method of disposal and capacity

:

12.

a)       Hazardous Chemicals as defined under the Manufacture, Storage and Import of Hazardous Chemicals Rules, 1989

:

b)       Whether any isolated storage is involved (if yes, attach details)

:

Yes/No

13.

Detailed proposal of the facility (to be attached) to include

:

i)          Location of site (provide map)

:

ii)       Name of waste processing technology

:

iii)     Details of processing technology

:

iv)     Type and quantity of waste to be processed per day

:

v)        Site clearance (from local authority, if any)

:

vi)     Utilization programme for waste processed (Product Utilization)

:

vii)   Method of disposal (details in brief be given)

:

viii)Quantity of waste to be disposed per day

:

ix)     Nature and composition of waste

:

x)        Methodology and operational details of land filling/incineration

:

xi)     Measures to be taken for prevention and control of environmental pollution including treatment of leachates

:

xii)   Investment on Project and expected returns

:

xiii)Measures to be taken for safety of workers working in the plant

: