^{1[FORM I}

(See Rule 9)

Application for Consent for emission/continuation of emission under Section 21 of the Air (Prevention and Control of Pollution) Act, 1981.

From :

To

The Member Secretary,

Central Pollution Control Board,

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Sir,

I/We hereby apply for CONSENT/RENEWAL OF CONSENT under Section 21 of the Air (Prevention and Control of Pollution) Act, 1981 (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 .................................

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FOR OFFICE USE ONLY

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1. Code No. :

2. Whether the unit is situated in a critically :

polluted area as identified by

Ministry of Environment & Forests

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TO BE FILLED IN BY APPLICANT

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PART A - GENERAL

3. (a) Name of Owner/Occupier :

(b) Name and address of the unit and location:

4. (a) Whether the unit is generating hazardous

waste as defined in the Hazardous Wastes

(Management and Handling) Rules, 1989 :

(b) If so the category No. :

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 materials 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 demineralised water :

PART B - Pertaining to sewage and trade effluent

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 (BOD)

Oil and grease 20⁰C

(Additional parameters as specified by the

concerned Pollution Control Board)

(c) Mode of disposal and final discharge point :

(enclose map showing discharge point)

(f) Parameters and Frequency of self-monitoring :

PART C - Pertaining to stack and vent emissions

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 Sulphur 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

PART D - Pertaining to hazardous waste and hazardous chemicals.

11. Solid wastes:

(a) Total quantum of generation :

(b) Quantum of hazardous waste generated :

and its nature, as defined under the

Environment (Protection) Act, 1986. (See the

Hazardous Wastes Management and Handling Rules, 1989)

(c) Mode of storage within the plant, method :

of disposal and any other information sought

by the concerned Pollution Control Board

12. (a) Hazardous Chemicals as defined under :

Environment (Protection) Act, 1986

(See the Manufacture, Storage and Import

of Hazardous Chemicals Rules, 1989)

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

Yes/No

(c) Whether emergency plans are prepared for taking

- on-site measures              Yes/No

- off-site measures              Yes/No

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I/We enclose herewith Receipt No.............................Bank Draft No. .......................................Dated for Rs .....................(Rupees. ...............................................................) in favour of the Central Pollution Control Boad, New Delhi towards the fees payable under Section 25 of the Act.

Yours faithfully,

Name and Signature of applicant

F.No. Q.-15011/1/91-CPW]

T. GEORGE JOSEPH, Jt. Secy.

Note: 1. Any applicant knowingly giving incorrect information or suppressing any information pertaining thereto shall be liable to be punished under the Act.

2 * Strike out which is not relevant.

FOOTNOTE: The principal rules were published in the Gazette of India vide Notification No. G.S.R. 6(E) dated the 21st December, 1983 and subsequently amended vide Notification (1) G.S.R. 350(E) dated the 9th March 1989.

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Source: Gazette of India Extraordinary Part-II Section 3(i), G.S.R. 379(E) dated 31.03.92.

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CENTRAL POLLUTION CONTROL BOARD

FORM II

[See rule 10(2)]

NOTICE OF INSPECTION

Chairman

Member secretary-------------------------------------------------

Shri------------------------------------------------------------------

No.------------------------------------------------------------------

Dated---------------------------------------------------------------

To

Take Notice that for the purpose of enquiry under section 21 the following officers of the Central Board namely -

(i)Shri....................................................................

(ii)Shri...................................................................

(iii)Shri.................................................................

and the persons authorised by the Board to assist them shall inspect-

Any systems of your Industrial Plant.

Any other parts thereof or pertaining thereto under management/control of date (a) ............................. between ...................................... Hours when all facilities requested by them for such inspection should be made available to them on the site. Take Notice that refusal or denial to above stated demand made under the functions of the Central Board shall amount to obstruction punishable under section 37(1) of the Act.

by order of the Board

Member Secretary.

Copy to:

1. ---------------------------

2. ---------------------------

3. ---------------------------

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CENTRAL POLLUTION CONTROL BOARD

FORM III

Notice of intention to have sample analyzed

(See Rule 13)

To

Take notice that it is intended to have analyzed the sample of Air emission from your premises which is being taken today............................day of.....................19..................................from (i)

Name and designation of the person

who takes the sample

(i) Here specify the stack, Oiimney or any other emission outlets.

To------------------------

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CENTRAL POLLUTION CONTROL BOARD

Form IV

Report by the Central Board Analyst

(See rule 14)

Report No. --------------------------------------

Dated the ----------------------------------------

I hereby certify that I, (I) ............................................................................ Central Board analyst duly appointed under sub-section 3 of section 26 of the Air (Prevention and Contmi of Pollution) Act 1981, received on the (II) ...................................................... day of .......................... 19 ........................from (III) .............................................................. a sample of............................ for analysis. The sample was in a condition fit for analysis.

I further certify that I have analysed the aforementioned sample on (IV) ........................................................ and declare the result of the analysis to be as follows :-

(V) ....................................................................................................................................................

...........................................................................................................................................................

The condition of the seals, fastening and container on receipt was as follows :-

.....................................................................................................................................................................

.........................................................................................................................................................

Signed this ................................................................................ day of...............................19 ..........

Address ----------------------------------------------                                                                                 (Signature)

----------------------------------------------------                                                                             Central Board Analyst

To

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(I)Here write the full name of the Central Board analyst.

(II)Here write the date of receipt of the sample.

(III)Here write the name of the Board or person or body or persons or officer from whom the sample was received.

(IV)Here write the date of analysis.

(V)Here write the details of the analysis and refer to the method of analysis. If the space is not adequate the details may be given on a separate sheet of paper.

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FORM V

REPORT BY THE GOVERNMENT ANALYST

[See Rule 14(2)]

Report No.............................

Dated the ...............................

I hereby certify that I, (I) .....................................................................Government analyst duly appointed under sub-section 1 of section 27 of the Air (Prevention and Control of Pollution) Act 1981, received on the (II) ............................................................ day of 19 .............. from (III) ........................................................ a sample of ........................ .................................... for analysis. The sample was in a condition fit for analysis reported below.

I further certify that I have analysed the aforementioned sample on (IV) ................................................ and declare the, result of the analysis to be as follows : -

(V) ...................................................................................................................................................

............................................................................................................................................................

Signed this ................................................................ day of .......................................19 .................

Address ...........................                                                                                                                  (Signature)

---------------------------                                                                                                             (Government Analyst)

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To

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(I) Here write the full name of the Government analyst.

(II) Here write the date of receipt of the sample.

(III) Here write the name of the Board or person or body or persons or officer from whom sample was received.

(IV) Here write the date of analysis.

(V) Here write the details of the analysis and refer to the method of analysis. If the space is not adequate the details may be given on a separate sheet of paper.

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CENTRAL POLLUTION CONTROL BOARD

FORM VI

(Form of consent register)

(See Rule 19)

I. General :

(a)Consent is issued to:......................................................................................................................................(Corporation, Company, Government Agency, Firm etc.)

(b) Postal Address: ................................................................................................................

II. Location of plant or facilities : (Latitude and longitude must be to the nearest of 15 seconds)

(a) Nearest City ........................................ District...............................................................

(b) Latitude .............................................. Longitude ...........................................................

(c) Is it located in air pollution control area - Yes/No.

If yes, Identification of air pollution control area.

III. Type of operation or process :

(a) Name of operation or process

(b) Schedule identification number

IV. Consent classification                                                                       Yes                                    No

(a) Proposed                                                                                       ----------------                  ---------------

(b) Now operating                                                                             ----------------                  -----------------

(c) Modification of existing emission source.                                        ---------------                   ------------------

(d) Location change                                                                            ---------------                   --------------------

(e) Ownership change                                                                          --------------                    ------------------

(f) Present-consent order Number if any .................................................................................

V. Implementation Dates:

(a) In the case of proposed industries Operation expected to begin                                                                                

                                                                                                           ---------            -----------             --------                                                                                                                 (day)                     (month)               (year)

(b) air pollution control equipment and emission

to be installed standards achieved by                                                    ---------         --------------               -------

                                                                                                            (day)                 (month)                    (year)

VI. Emission Standards:

 

 

 

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VII. Consent conditions if any:

FORM VII

(Form of appeal)

[See sub-rule (1) of rule 17]

*(Here mention the name & designation of the authority)

Before* ............................................................................................................................................... Appellate Authority constituted under section 31 of the Air (Prevention & Control of Pollution) Act, 1981 (14 of 1981).

Memorandum of appeal of Shri ...........................................................................................................

(Appellant)

Vs.

The Central Pollution Control Board ............................ (Respondent) The appeal of Shri ....................

Resident of .......................................................................................................................................

District.................................................................................................................................................

against the order ............................................. dated .........................................................................

passed by the Central Pollution Control Board under section 21/22 of the Air (Prevention and Control of Pollution) Act, 1981 as showeth follows :

(1) Under Section 21/22 of the Air (Prevention & Control of Pollution) Act 1981 (14 of 1981) appellant has been granted consent subject to the conditions mentioned in the consent order in respect of the ............................................................................................ company/corporation/municipality/notified area committee etc., noted below:

(a) Name of the plant/company/corporation/ municipality/notified area committee:

(b) Place :

(c) Card No.

(d) Name of the street; and

(e) District

A copy of the consent order in question is attached here to.

(2) The facts of the case are as under:

(here briefly mention the facts of the case)

(3) The grounds on which the appellant relies purpose of this appeal are as below:-

(here mention the grounds on which appeal is made)

1 .

2.

3.

(4) In the light of what is stated above, the appellant respectfully prayeth that

(a) the unreasonable condition(s) .......................................... imposed should be treated as annulled or it/they should be constituted for such other conditions is it appears to be reasonable

or

(b) the unreasonable condition(s) ................................................ should be varied in the following manner (Here mention the manner in which the c,ondition(s) objected) An amount of Rs .................................. as fee for this appel has been paid vide receipt No ........................... dated .................. an authorised copy of which is attached in proof of payment.

                                                                                                                                  Signature of the Applicant

                                                                                                  Name-------------------------

                                                                                                                  (in Block letters)

                                                                                                                                  Occupation--------------------

                                                                                                                                  Address-----------------------

 

Date:                                                                                                                            Verification

I.................. .............................. (appellant's name) in the above Memorandum of appeal/or/duly authorised agent do/does hereby declare that what it stated therein is true to the best of my knowledge and belief and nothing has been hidden thereunder.

                                                                                                                                Signature-------------------------------

                                                                                      Name----------------------------------

                                                                                               (in Block letters)

                                                                                                                                Occupation ---------------------------

                                                                                    Address ------------------------------

                                                                                      ---------------------------------------

Dated:

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*Strike out what is not applicable.

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FORM VIII

Form of Notice

[See Rule 18(1)]

* (Here mention name & designation of the Authority)

Before*.......................................................................................................... Appellate Authority as constituted under Section 31(1) of the Air (Prevention & Control of Pollution) Act, 1981 (14 of 1981).

In the matter of appeal No ................................. ............................ 19 ... filed under section 31 of the Air (Prevention & Control of Pollution) Act, 1981 (14 of 1981) by Shri ...........................................

................................................................................................................................................................

(here mention the name and address of the appellant)

Whereas Shri .....................................................................................................................................

(here mention the name and address of the appellant)

has filed before this Authority a Memorandum of appeal against the order ................................................... dated ................................. passed by the Central Pollution Control Board under Section 20/21/22 of the Act.

And whereas under sub - section (4) of Section 31 of the Act, this authority is required to give to the parties in opportunity of being heard. Now, therefore, please take notice that this authority has fixed ............................... as date of hearing of the aforesaid Appeal. The hearing shall take place at ......................... AM/PM on that date in the office of the Board at New Delhi. You are hereby called upon to appear before this Authority at the appointed time and date and place, either in person or through a duly authorised agent, and explain your case. Please take notice that failure on your part to appear on the day of hearing either in person or through authorised agent without showing sufficient cause to the satisfaction of this Authority will make your appeal liable to be dismissed or decided ex-parte.

Given under the hand and seal of the Appellate Authority at ......................................................................... This ...................................... day ..................................................................................................

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¹[FORM IX

(See rule 20B)

FORM OF NOTICE

By Regd. Post

From (1)

Shri ---------------------------

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TO

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Notice under Section 43(1)(b) of the Air (Prevention & Control of Pollution) Act, 1981.

Whereas an offence under the Air (Prevention & Control of Pollution) Act, 1981 has been committed/is being committed by (2) .............................................

I/we hereby give notice of 60 days under Section 43(1)(b) of the Air (Prevention & Control of Pollution) Act, 1981 of my/our intention to file a complaint in the court against (2) .................. for violation of section(s) of the Air (Prevention & Control of Pollution) Act, 1981.

In support of my/our notice, I am/we are enclosing the following documents (3) as evidence of proof of violations of the Air (Prevention & Control of Pollution) Act, 1981.

                                                                                                                                                         .....................................

                                                                                                                                                         .....................................

                                                                                                                                                                Signature(s)

Place ........................

Date .........................

Explanation:

(1) In case the notice is given in the name of a Company, documentary evidence authorising the person to sign the notice on behalf of the Company shall be enclosed to this notice. Company for this means a Company defined in explanation to Section 40 of the Air (Prevention & Control of Pollution) Act, 1981.

(2) Here give the name and address of the alleged offender. In case of a manufacturing/processing & operating unit, indicate the name/location/nature of activity etc.

(3) Documentary evidence shall include photographs/technical reports/health reports of the area etc., enabling enquiry into the alleged violation/offence.]

[No. Q. 15017/4/88-CPA]

K.P. Geethakrishnan, Secy.

Principal rules published vide G.S.R. 6(E) dated 21-12-1983.

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                                                                    CENTRAL POLLUTION CONTROL BOARD

                                                          National Ambient Air Quality Standards

                                                                         NOTIFICATION

                                                                   Delhi, the 11th April, 1994

S.O.384(E)-The Central Pollution Control Board in exercise of its powers conferred under section 16(2) (h)of the Air (Prevention and Control of Pollution)Act, 1981, (14 of 1981) hereby notify the National Ambient Air Quality Standards with immediate effect.

                SCHEDULE - I

* Annual Arithmatic mean of minimum 104 measurements in a year taken twice week 24 hourly at uniform interval.

** 24 hourly/8 hourly values should be met 98% of the time in a year. However, 2% of the time, it may exceed but not on two consecutive days.

NOTE:

1.National Ambient Air Quality Standard-The levels of air quality necessary with an adequate margin of safety, to protect the public health, vegetation and property.

2.Whenever and wherever two consecutive values exceeds the limit specified above for the respective category, it would be considered adequate reason to institute regualr/continuous monitoring and further investigations.

3.The State Government/State Board shall notify the sensitive and other areas inthe respective  states within a period of six months from the date of Notification of National Ambient Air Quality Standards.

                                                                                                                  F.N. B-33014/4/901

                                                                                               D.K. BISWAS, Chairman

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1. Inserted by Rule 3(b) of the Air (Prevention and Control of Pollution) (Union Territories) Amendment Rules, 1989, published in the Gazette notification No. G.S.R.350(E) dated 9.3.1989.