LONGFORD COUNTY COUNCIL
ENVIRONMENT DEPARTMENT
WASTE MANAGEMENT ACT 1996
WASTE MANAGEMENT (PERMIT) REGULATIONS 1998
APPLICATION FOR PERMIT
I hereby make application for a permit under article 4 of the Waste Management (Permit) Regulations 1998 in respect of an activity of a type which is listed on Part 1 of the First Schedule to the regulations in accordance with the plans and other particulars attached. I declare to the best of my knowledge and belief, that the information submitted in this application is correct.
Signed ____________________________________ Date ________________________
On behalf of _____________________________________________________________
(Please complete the application form in block capitals or type. Alternatively, the form is available in electronic form by e-mail)
(a) Name of applicant: _______________________________________________(b) Address: _______________________________________________________
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(c) Telephone Number: ___________________ (d) Telefax No. ______________
(e) E-Mail: _______________________________
(f) Address to which correspondence is to be sent (if different from above):
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(g) Company Registration Number: _____________________________________
(h) Telephone Number: __________________(i) Telefax No. ________________
(j) E-Mail: ______________________________
(k) Address of Body Corporate00 registered or Principle Office (if appropriate)
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(a) Location of facility _________________________________________________________________________________________________________________
(b)Planning Permission Reference Numbers: _____________________________
Description of facility _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
(a) Class or Classes of Activity Concerned is outlined in the Third or FourthSchedule of the Waste Management Act, 1996.
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(b) Wastes to be Managed
Waste Description EWC Catalogue No. Quantity(tonnes per annum)
State whether Recycling, Recovery or Disposal. Proposed days and hours of operation. Days:Hours:
Description of Plant(a) Plant installed:
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__________________________________________________________________ __________________________________________________________________
(b) Methods Description:
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(c) Unit Processes Involved
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(d) List of Operating Procedures
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Emissions and Discharges:(a) Air. Complete table 1 attached to this form in full
(b) Waters, Ground or Groundwaters. Complete table 2 attached to this form in
full.
MonitoringTable 3 attached to this form should be completed fully
Emission or Discharge Treatment Facilities.Details of all end of pipe treatment facilities should be included in tables 1 and 2 attached.
Off-Site Recycling/Recovery/DisposalDetails of all wastes dispatched off site should be included in table 4 attached.
Emergency Procedures and facilities available to respond to unexpected incidents.__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Details of Pest Control Plans ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Details of litter and dust controls ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Details of Site Staffing
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Proposed commencement date for facility ________________________________ Names and addresses of principle firms or organisations delivering or likely to deliver waste to the facility.______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
LONGFORD COUNTY COUNCIL
ENVIRONEMNT DEPARTMENT
WSATE MANAGEMENT (PERMIT) REGULATIONS 1998
TABLE 1 00DETAILS OF ATMOSPHERIC EMISSIONS
EMISSION POINT REFERENCE NO. SOURCE LOCATION NATURE AND FREQUENCY COMPOSITION TREATMENT FACILITIES QUANTITY(Kgs./Annum)
LEVEL(m.O.D.)
RATE(m3/Hour)
A/ A/ A/ A/ A/ A/ TABLE 2 00DETAILS OF DISCHARGES TO WATERS, GROUND OR GROUNDWATERS EMISSION POINT REFERENCE SOURCE LOCATION NATURE AND FREQUENCY COMPOSITION TREATMENT FACILITY QUANTITY(Kgs./Annum)
LEVEL(m.O.D)
RATE(m3/Hour)
W/ W/ W/ W/ W/ W/LONGFORD COUNTY COUNCIL
ENVIRONMENTAL DEPARTMENT
WASTE MANAGEMNT (PERMIT) REGULATIONS 1998
TABLE 3 00ENVIRONMENTAL MONITORING
POINT REFERENCE NUMBER LOCATION EQUIPMENT IN PLACE PARAMETERSMONITORED
FREQUENCY OF MONITORING IMPACTS Atmospheric Waters Groundwater Noise Biological
LONGFORD COUNTY COUNCIL
ENVIRONEMNT DEPARTMENT
WASTE MANAGEMNT (PERMIT) REGULATIONS 1998
TABLE 4 00OFF SITE MOVEMENT OF WASTE
WASTE DESCRIPTION EWC CATALOGUE NUMBER QUANTITY (TONNES PER ANNUM) NAME OF SITE ACCEPTING WASTE REFERENCE NUMBER OF SITE ENVIRONMENT LICENCE STATE WHETHER RECYCING, RECOVERY OR DISPOSAL
