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APPENDIX II - Forms under Chapter II. PREVENTION AND CONTROL OF WATER POLLUTION


3. CONTROLLING POLLUTION THROUGH WASTE DISCHARGE OR OTHER PERMITS OF COMPARABLE SCOPE

3.1 The granting of waste discharge permits

Step Two - Filing of applications

Format of applications

I - MALAWI - Water Resources (Water Pollution Control) Regulations, 1978

Form WRB.7

Application for Minister's Consent to Discharge Waste or Effluent into Public Water

This form is to be submitted in duplicate to the Chairman of the Water Resources Board.

NOTES:

1. This form is not to be used for applications involving discharge of waste and effluent water to a public sewer.

2. All applications must be accompanied by maps or, failing maps, plans to a scale of at least 1:50,000, drawn or copied on good quality drawing or copying paper.

3. A copy of any technical or engineering report relating to and explaining the proposals should be submitted as an addendum to the application for the information of the Water Resources Board.

PART A

I / We hereby apply for consent to discharge waste or effluent as described in this application and shown on the attached drawings.

I / We hereby agree to supply further information which may be required by the Water Resources Board.

I / We enclose herewith crossed Cheque/Postal order/Money Order No(s). ________________ or K _______________ to cover the prescribed fee for this application and undertake to pay the Board on demand the cost of publication in the Government Gazette and in at least two issues of a newspaper circulating in Malawi of a notice in terms of Regulation 6.

Date ______________________

_____________________________

Signature of applicant or his authorized agent

_____________________________________________________________

FOR OFFICIAL USE

Applicant's File N°


N.G.R.


Nature


Max Discharge


Board N°


Consent N°


PART B
(To be completed in all cases)

1. Applicant's full name and address

Tel. N°

2. Agent, if any: Name and profession and address


3. Details of existing and/or proposed works. (Give location, address and/or map number and six figure Grid reference on 1:50,000 Malawi series). Attach drawings as necessary.


4. Period for which works will be required (if temporary, state period)

Permanent/Temporary

5. Nature of the discharge

(a) Sewage effluent

Yes/No


(b) Storm tank effluent or overflow from a foul sewer

Yes/No


(c) Surface water sewer/drain

Yes/No


(d) Trade effluent

Yes/No


(e) Other discharge (give details)

6. Treatment prior to discharge, if any (give details)

PART C
(To be completed for discharge of biologically treated sewage effluent)

1. Volume of discharge in dry weather

m3/d

gal/day

2. Maximum rate of discharge

l/s

gal/hr.

3. Average daily volume of trade effluent, if any, received at the works

m3

gal

4. Population to be served by the works and date this will be reached


5. Method of measurement of flows from the works


PART D
(To be completed for discharge of storm tank effluents and foul sewer overflows)

1. Dry weather flow in associated sewer(s)

m3/d

gal/day

2. Rate of flow in associated sewers at which overflow will commence

l/s

gal/hr.

3. Rate of rainfall if known at which overflow will commence

mm/h

in/hr.

4. If the overflow is situated at a pumping station state what standby equipment is to be provided


PART E
(To be completed for discharge from surface water sewer/drains)

1. Is any oil to be stored or used in the area served by the sewer/drain? If so what precautions are to be taken to prevent discharge of oil (e.g. by bunding of tanks, provision of interceptors, etc.)?


2. Are any poisonous, noxious or polluting substances to be stored or used on the premises served in such a manner that they could contaminate surface water (give brief details)?


PART F
(To be completed for discharge of trade effluent or for any other effluent

1. Trade or process from which discharges will arise


2. Daily volume of discharge -



(a) average
(b) maximum

m3/d gal/day
m3/d gal/day

3. Maximum rate of discharge


4. Method of measurement of discharge


5. Maximum temperature of the discharge


6. maximum concentration of any contaminants known to be present in the discharge


COMMENTS (IF ANY BY THE WATER RESOURCES BOARD) _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________

II - AUSTRALIA - QUEENSLAND - Clean Waters Regulations, 1973

Form 1
Application for Licence to Discharge Waters

1.........., hereby apply for a licence to discharge wastes from premises situated at,.................................................. into waters described as................................................................. at the location shown on the plan attached to this application.

The occupier of the premises for the purpose of the Act - is/will be* ___________________________________________________________________

The address for correspondence will be ___________________________________

The premises - are being/will be* used for ______________, and I attach herewith written evidence from the Local Authority of the Area in which the premises are situated verifying that the use of such premises for the above mentioned purposes will not contravene any town-planning scheme, Order in Council, Ordinance or By-law made by such Local Authority respecting the use or development of land.

The nature of the wastes is/will be ____________________ as fully described in the report attached to this application in Form 1A.

The proposed method of treatment and disposal of the wastes is ____________ and is more fully described in the said report attached to this application.

Written evidence is enclosed from the Local Authority of the Area in which the premises are situated verifying that the Local Authority will not permit the discharge of the wastes into its sewerage.

The prescribed fee of $ __________ is enclosed.

I declare that the statements made in this application are true.

Signed: ______________

Position: _____________

Date: ____________

*Delete whichever is inapplicable

Form 1A
Report Attached to Application for Licence to Discharge Wastes

Complete information is required regarding:

(a) The quantities, the times and the rates of discharge and the physical, chemical, biological and radioactive components and characteristics of the wastes to which it is desired that the licence apply;

(b) The control equipment provided or proposed to be provided in relation to such discharge;

(c) The location or proposed location of such discharge;

(d) Any investigations into the effects of the discharge of such wastes on such location.

(If insufficient space, attach further sheets)

Signed: ___________

Position: __________

Date: ____________

III - AUSTRALIA - NEW SOUTH WALES - Clean Waters Regulations, 1972

Form 2
Application for Approval to Install, Construct or Modify Apparatus, Equipment or Works

FOR OFFICIAL USE
ONLY
Fee:
Date:
Approved:
Notified:
Date:
Checked:

Name of Applicant and address for correspondence:.......................................
............................................................................................................................
................................................... Postcode........................................................

Name and address of premises concerned:......................................................
............................................................................................................................
................................................... Postcode........................................................

I hereby make application, in respect of the abovenamed premises situated at the above address, for the approval of the Under Secretary, Department of Health, in accordance with section 19(1) of the Clean Waters Act, 1970:

*to install or construct apparatus, equipment or works for the discharge of pollutants into waters.

*to modify existing apparatus, equipment or works for the discharge of pollutants into waters.

I am the *owner/occupier of or licensee of the drain on the premises concerned (Licence No..........).

A detailed description of the nature and extent of the proposed work in relation to the discharge of pollutants is submitted with this application.

The estimated total cost of the proposed installation, construction or modification in $ I enclose the prescribed fee of $

Signature...............................................
Official Position.......................................
Authorised on behalf of..........................
Date........................................................

NOTE: This form when completed, together with any relevant plans, specifications and other data, and such additional technical reports as may be required or requested by the Under Secretary, comprises the application.

*Delete where not appropriate

To:

The Under Secretary,


Department of Health

Payment of filing fees

IV - UGANDA - The Water (Waste Discharge) Regulations, 1998

FOURTH SCHEDULE
THE REPUBLIC OF UGANDA
THE WATER STATUTE, 1995

The Water (Waste Discharge) Regulations, 1998

Regulation 6 (c)

FEES

FORM B


FEES

AMOUNT

1. For processing application for:



(a) Registration of existing works

100,000

(b) Discharge permit

650,000

(c) Renewal of permit

650,000

(d) A copy of entry from Register

5,000

(e) Works approval

650,000

2. Annual monitoring

650,000

WASTE DISCHARGE FEES

BOD LOAD

Unit Charge

Annual Charge

10kg Oxygen/year

(U.Shs. Per Kg Oxygen

(U.Shs.)


demand


100 and less

not charged

not charged

I 00 - 400

2.0

500,000

400 - 600

2.0

1,000,000

600 - 1,800

2.1

2,500,000

1,800 - 3,000

2.1

5,000,000

3,000 - 3,800

2.2

7,500,000

3,800 - 5,200

2.2

10,000,000

5,200 and over

2.5

13,000,000

Notes:

1. Threshold Load: 50m3/day; BOD5 50mg/L

2. Values in table are 1.3% of the operation costs of treating wastes (based on 1994 operational costs of NWSC treatment work at Bugolobi).

3. Examples

Mbale NWSC sewerage effluent

7,300 m3/day; BODS 89mg/L; Load 2,632x103 kg/year; amount 500,000. Kampala NWSC sewerage effluent

80,800 m3/day; BODS 89mgIL; Load 2,632 and 103 kg/year; amount 5, 000,000.

Step Five - Formatting of waste discharge permits

II - CAYMAN ISLANDS - Water Authority Regulations, 1985

Discharge Permit

1.

Permit No.:

2.

Permit Holder:

3.

Address:

4.

Nature of Discharge:

5.

Location of Discharge:


(a) Parcel No.:


(b) Block No.:

6.

Type of Treatment Works:

7.

Type of Disposal Works:

8.

Maximum Daily Effluent Flow:

9.

Effluent Consent Condition:

10.

Date of Expiration

11.

Fee:

Paid:

This permit is granted subject to the provisions of the Water Authority Law, 1982, and the special conditions specified. Failure to comply with the provisions of the Law, or with the terms and conditions of this permit may result in the penalties specified in Section 51(1) and (3) of the Law, and the modification or revocation of this permit.

Date: ___________

Signature and seal of Authority

III - IRELAND - Local Government (Water Pollution) Regulations, 1978

Form 1

Licence to Discharge Trade or Sewage Effluent to Waters

Local Authority: 1 __________________

Reference N°
in register: ___________

To

______________________


______________________


______________________

The ( )1, in exercise of the powers conferred on it by the Local Government (Water Pollution) Act, 1977 hereby grants a licence 2/a revised licence in substitution for licence dated ___________ reference Nª _____ 2 / to discharge ( )3 effluent from ( )4 located at ( )5 to ( )6 at ( )7/subject to the following conditions8:

Dated this __________ day of _____19.

_____________________

City/County Manager

Order No. ___________

Directions for completing this form

1 Insert name of local authority.
2 Delete words which do not apply.
3 Insert "trade", "sewage" or "trade and sewage".
4 Insert description of premises, works, apparatus, plant or drainage pipe.
5 Insert location of premises, works, apparatus, plant or drainage pipe.
6 Insert description of the waters.
7 Insert description of point(s) of discharge.
8 Delete if not subject to conditions.

VII - UGANDA - The Water (Waste Discharge) Regulations, 1998

FIRST SCHEDULE
THE REPUBLIC OF UGANDA
THE WATER STATUTE 1995
(Statute No.9 of 1995)
The Water (Waste Discharge) Regulations. 1998

PERMIT TO DISCHARGE WASTE
(Under regulation 7 of the Water (Waste Discharge) Regulations, 1997)
To be completed in triplicate (3).

(Regulation 4 (1))

Reference Number Name and Address _________________________________
Date of Application: _________________________________________________
Date of Consent: ___________________________________________________

You are hereby permitted to discharge wastes described and at the place identified below subject 10 the Water Statute 1995 and the regulations made thereunder and the conditions set hereunder:

Description of Discharge: _____________________________________________
Type: __________________________________________________________
From: __________________________________________________________
To: ____________________________________________________________

National grid Reference of

Discharge Point: ___________ Latitude: ___________ Longitude: ___________
District: _________ County: _________ Sub-county: _________ Parish/village: _________

This permit shall not be taken as providing a statutory defence against a charge of pollution in respect of any poisonous, noxious or polluting constituents not specified in the permit.

In addition to the conditions specified in the Statute and any other law for the time being in force, this permit is subject to the following conditions:

1. General

(a) This permit shall be valid from (date) to (date)

(b) For the purpose of applying the conditions identified in section 3 below, the discharge shall provide and maintain facilities which enable the Director's representatives to take flow measurements of the final waste effluent which is discharged to the outlet.

The discharger shall identify the facility with a clearly visible sign, distinguishing it from any other and provide a visible notch, mark or device indicating the level equivalent to the maximum instantaneous permitted flow.

(c) For the purpose of applying condition 4 the discharger shall provide and maintain facilities which shall enable the Director's representatives to take discrete or composite samples of final waste effluent which is discharged at the outlet. The discharger shall identify the facility with a clearly visible sign distinguishing it from any other.

(d) The discharger shall provide to the Director's satisfaction a drawing showing the precise location of the facilities provided in accordance with sub-conditions (b). and (c) above not later than one month prior to the date of enforcement of this permit.

(e) Facilities shall be provided for the safe and convenient access to enable the Director's representatives at any time to take samples, carry out flow measurements and inspection to ensure that the conditions of this permit are complied with.

2. As to outlet (see attached separate sheet).
3. As to the volume and rate of discharge (see attached separate sheet).
4. As to the discharge composition (see attached separate sheet).
5. As to the pre-treatment before discharge (see attached separate sheet).
6. As to other conditions (see attached separate sheet).

Signature: ______________________________
Full Names: _____________________________

Director of Water Resources

Date:

Official reception seal/stamp

Step Six - Appealing from adverse decisions

III - UGANDA - The Water (Waste Discharge) Regulations, 1998

FOURTH SCHEDULE
THE REPUBLIC OF UGANDA
THE WATER STATUTE, 1995
The Water (Waste Discharge) Regulations 1998

Regulation 12

FORM D.


Official use only

Appeal No.


Date received:


APPEAL AGAINST A DECISION MADE BY THE DIRECTOR OR OTHER AUTHORISED PERSONS MADE UNDER THE WASTE DISPOSAL REGULATIONS

NOTE:

No person may appeal to the Minister against a decision of the Commissioner to grant a waste discharge permit who did not object to the granting of that permit in the prescribed manner and within the time prescribed.

Please complete in triplicate (3) the relevant sections of this form IN BLOCK LETTERS and return to the Director within 30 days of notification of the Director's decision.

I/We* hereby lodge my appeal to the Minister against a decision made by Director or other authorised person as detailed below.

Signature of Appellant.................................... Date....................................
Signed on behalf Of.....................................................................................

1.

NAME AND ADDRESS OF APPELLANT (or agent for company)

(a)

First name


Last name


Address


(b)

Acting for (Company/Public


Corporation/Partnership/


Co-operative Society)*


Address


Address for correspondence


if different from above


* Delete what is not applicable.

TYPE OF DECISION


Indicate the type of decision against which you are appealing

(delete (a), (b) or (c) whichever are not applicable)

(a)

Granting of a permit or conditions attached to permit.

(b)

The granting of a Variation to a permit.

(c)

The decision to include/exclude commercially confidential information,

DETAILS OF DECISION


Please give the following details of the

decision against which you are appealing:

(This information is contained in the letter of notification of the decision sent to you by the Director)

Date of decision:


Reference:


REASONS FOR APPEAL


Please give your reasons

for appealing against the decision of the Director or other

Authorised Person,


OTHER RELEVANT INFORMATION

Please give details of all information relevant to this appeal,

(If there is insufficient room on this form to provide the information please attach the

information 10 this form and list the attachments in the space provided).

I/We certify that the information provided in this form is complete and correct to the best of my/our* knowledge.

Signed.............................. Date.............................. Seal/Stamp..............................

When you have completed this form, you should return it to Directorate of Water Resources, P.O. Box 20026, Kampala together with any attachments indicated above.

The Minister will notify you of the outcome of your appeal within a 3 month period from receipt of the appeal, unless you are notified to the contrary.

Step Seven - Recording of decisions and permits

I - IRELAND - Local Government (Water Pollution) Regulations, 1978

Form 3

Register of Licences under Section 4 for the Discharge of Trade and Sewage Effluents to Waters

Local Authority..................

1. Reference number of the licence...............................................................................................

2. Name and address of applicant..................................................................................................
.........................................................................................................................................................

3. Location of the premises, works, apparatus, plant or drainage pipe from which the effluent is discharged:.....................................................................................................................................

4. Description of waters to which discharge is made.....................................................................
.........................................................................................................................................................

5. Location of point(s) of discharge................................................................................................

6. Description of effluent.................................................................................................................

7. Date of grant of licence...............................................................................................................

8. Conditions attached to licence.....................................................................................................

9. If licence is a revised licence - reference number of previous licence........................................

10. Notification by An Bord Pleanála of appeal

..................................................................................................................... Date............................
................................................................................................ Board's reference............................

11. Result of appeal........................................................................................................................

III - UGANDA - The Water (Waste Discharge) Regulations, 1998

FOURTH SCHEDULE
THE REPUBLIC OF UGANDA
THE WATER STATUTE, 1995
The Water (Waste Discharge) Regulations, 1998

Regulation 20(2)

FORM F.


Official use only

Exemption No.


Date received:


APPLICATION FOR EXEMPTION OF INFORMATION FROM THE PUBLIC REGISTER

NOTE: This form should be used to apply to the Director for the exclusion of commercially sensitive information from the Public Registers on waste discharges.

The completed application form should be submitted to the Director with the application form for a permit to discharge.

Please complete the relevant sections of this form IN BLOCK LETTERS attach it to your application for a permit to discharge and return both forms to the Director.

J/We* hereby request the Director, under the provisions in the Water (Waste Discharge) Regulations, 1998, to exclude commercially sensitive information from the public register on waste discharges. The information for exclusion and the reasons for exclusion are described below or on the listed attachments.

Signature of applicant..............................
Date.........................................................
Signed on behalf of...................................

1.

NAME AND ADDRESS OF APPLICANT (or agent for company)

(a)

First name


Last name


Address


(b)

Acting for CompanyfPartnership/ Public Corporation/Cooperative Society*




Address


Address for correspondence


if different from above.


2.

COMMERCIALLY SENSITIVE INFORMATION FOR EXCLUSION FROM THE REGISTER

Please identify specifically the information, included in the application form for a permit to discharge. which you wish to be excluded from the public register. (NOTE: This information must be kept to an absolute minimum):

3.

REASONS FOR EXCLUSION OF INFORMATION FROM THE REGISTER

Please provide clear justification for each item of information 'you wish to be excluded from the public register. (NqrE: The onus is one the application to justify the exclusion of information. If the Director is not satisfied that your application is justified he will reject your application):

4.

ATTACHMENTS (List any attachments to this form in the space below)

Please attach all infonnation,. relevant to this application, to this form and list the attachments in the' space provided:

I/We* certify that the "information provided in this form is complete and correct to the best of my/our* knowledge.

Signed................................ Seal/Stamp................................. Date................................

When you have completed this form, you should: return it to Director of Water Resources, P.O. Box 20026, Kampala together with any attachments as indicated above.

The Director may require:

- Further information;

- To discuss the exemptions with you. before making a determination as to whether the proposed exemptions justified

*Delete what is not applicable

FIFTH SCHEDULE
REGISTRATION [Regulation 19 (2)]

WATER (WASTE WATER) DISCHARGE

An entry into the register concerning any discharges under regulation 13 for which a permit is granted under regulation 3 relating to water (waste water) discharge, must include:

(a)

Name of person or Company who has registered or to whom the permit has been granted.

(b)

Address of person or Company who has registered or to whom the permit has been granted.

(c)

Location of discharge point

(d)

Name of District where the discharge occurs.

(e)

Name of water way in which the discharge is made.

(f)

The number of the relevant description of discharge chemical content of water (waste water) discharge.

(g)

Land related to the discharge.

(h)

Nature of discharge. (i) Means of discharge.

(j)

Frequency and capacity of discharge.

(k)

The permit Number.

(I)

The duration of permit.

(m)

Expiry date of permit.

(n)

Authority that granted the permit.

(0)

The registration folio of the permit.

(p)

The date of registration.

(q)

The authority that registers the permit.

(r)

Any significant changes to the status of the permit. (5) Any relevant conditions attached to the permit.

GERALD M. SENDAULA,

Minister of Natural Resources

3.2 General obligations of permit holders

Changes in the quantity and/or quality of the waste discharged

II - UGANDA - The Water (Waste Discharge) Regulations, 1998

FOURTH SCHEDULE
THE REPUBLIC OF UGANDA
THE WATER STATUTE, 1995
The Water (Waste Discharge) Regulations 1998

Regulation 10(5)

FORM C


Official use only

Charge No.


Date received:


APPLICATION FOR CHANGE IN OPERATION OR DISCHARGE

NOTE:

This form should be used to notify the Director of any proposed changes in operation or discharge which may be relevant or significant as defined in the Regulations. The Director will then determine whether the proposed changes are relevant or significant.

You must have received an amended or new permit to discharge before implementing the proposed changes.

If you know the changes are significant, then you must apply for and be in receipt of a variation to your existing permit to discharge before implementing the proposed changes.

If you fail to notify the Director of significant or relevant changes you will be committing an offence under the Water (Waste Discharge) Regulations and may be liable to a fined or a custodial sentence.

Please complete the relevant sections of this form in triplicate (3) IN BLOCK LETTERS and return to the Director.

I/We hereby notify the Director of a proposal to modify the operation or discharge currently subject to the existing permit to discharge, reference No. and request the Director to determine whether the proposed changes described amount to a significant or relevant change.

Signature of Holder.............................
Date.....................................................
Signed on behalf of.............................

1.

NAME AND ADDRESS OF HOLDER (or agent for company)

(a)

First name


Last name


Address


(b)

Acting for (Company/Public


Corporation/Partnership/


Co-operative Society)*


Address


Address for correspondence


if different from above


2.

PROPOSED CHANGES IN OPERATION OR DISCHARGE

Describe the proposed changes in operation (If necessary attach plans and other information

10 this no/ice)

3. PROPOSED PRE-TREATMENT

Give details of the any proposed pre-treatment or any modifications to the existing system

of pre-treatment. (If necessary attach plans and other information /0 this no/ice)

* Delete what is not applicable.

4.

EFFECT OF PROPOSED CHANGES IN VOLUME AND COMPOSITION OF EFFLUENT



Existing

Proposed


(a)

Discharge rate



m3/d


Maximum daily




Maximum hourly



litre/sec

(b)

Composition




(Provide details of new raw materials, Pollutants, changes in concentration of existing pollutants. attach additional information to this form if necessary)




5

Attachments (List an attachments to this form in the space below)



I/We certify that the information provided in this form is complete and correct to the best of my/our* knowledge.

Signed............................. Date............................. Seal/Stamp

When you have completed this form, you should return it to Directorate of Water Resources, P.O. Box 20026, Kampala together with any attachments indicated above.

The Director may require:

- Further information

- To inspect your premises

- To discuss the proposed changes with you before making a determination as to whether the proposed changes are significant, relevant or not.

3.3 Management of waste discharge permits

I - AUSTRALIA - NEW SOUTH WALES - Clean Waters Regulations, 1972

Form 7

Application for Transfer of a Licence

FOR OFFICIAL USE ONLY
Fee:
Date:
Approved:
Checked:

Name and address of Applicant:
..........................................................................................................................
..................................................... Postcode....................................................
Location and description of drain/activity*.......................................................
..........................................................................................................................
..........................................................................................................................
..........................................................................................................................
Current Licence No.:........................................................................................
*Date of occupation of premises by applicant:.................................................

I hereby apply to the Under Secretary, Department of Health, pursuant to section 20, subsection (8) of the Clean Waters Act, 1970, for the transfer of the above-mentioned licence

from....................................................................................................................
of........................................................................................................................
............................................................................................................................
to........................................................................................................................
of........................................................................................................................
............................................................................................................................

I enclose the appropriate prescribed fee of $...........................

I accept the conditions attached to the Licence.

Signature............................................
Position................................................
Authorised on behalf of........................
Date......................................................

I,.........................................................., the holder of the abovementioned licence, hereby consent to the transfer of such licence in accordance with this application.

Signed.................................................

* Delete where not appropriate.

NOTE: The current licence for the above drain may have conditions attached which, unless specifically varied by the Under Secretary, shall also apply to the licence when transferred. Should the applicant for the transfer of the existing licence wish to make any alteration to the manufacturing or trade process which may affect the quality of the receiving waters, or vary the volume of wastes discharged, or change the quality of the wastes discharged, then it will be necessary for an application to be made for a new licence.

To:

The Under Secretary


Department of Health

VI - UGANDA - The Water (Waste Discharge) Regulations, 1998

FOURTH SCHEDULE
THE REPUBLIC OF UGANDA
THE WATER STATUTE, 1995
The Water (Waste Discharge) Regulations, 1998

Regulation 13(2)

FORM E

Official use only

Appeal No.


Date received:


NOTIFICATION OF TRANSFER OF PERMIT TO DISCHARGE WASTE

NOTE:

This form should be used to register the transfer of a permit to discharge for an existing discharge to the new owner of the operation to which it applies. If the operation is to change in any way a new permit to discharge must be obtained before the changes can be implemented.

Please complete the relevant sections of this form in triplicate (3) IN BLOCK LETTERS and return to the Director within 21 days of the transfer.

I/We hereby notify the authority that the permit to discharge, reference No. was transferred to new holder on

Signature of New Holder................................
Date................................................................
Signed on behalf of........................................

1.

NAME AND ADDRESS OF NEW HOLDER (or agent for company)

(a)

First name


Last name


Address


(b)

Company name


Address


Address for correspondence


if different from above


2. REASONS FOR TRANSFER

Please give your reasons for transferring this permit to other persons or company





NOTE: It is an offence. under the Water (Waste) Discharge Regulations 1998, to fail to register the transfer of this permit within 21 days of the transfer taking place. If you fail to do so you may be subject to a fine or a custodial sentence.

I/We certify that the information provided in this form is complete and correct to the best of my/our* knowledge.

Signed............................. Date............................. Seal/Stamp

When you have completed this form, you should return it to Directorate of Water Resources, P.O. Box 20026, Kampala together with any attachments indicated above.

The Director may require:

- Further information;

- To discuss the transfer with you. before making a determination as to whether the proposed transfer is acceptable.

3.4 Charging for discharging waste under a permit

III - MALAYSIA - Environmental Quality (Sewage and Industrial Effluents) Regulations, 1979

Seventh Schedule
Method of Computing Effluent-related Licence Fee

1. The amount of effluent-related licence fee shall be subject to:

(1) the total amount of organic loading determined as the total biochemical oxygen demand (BOD5 at 20°C) of the effluent expressed in metric ton (tonne);

(2) the total amount of toxicity determined as the total amount of contaminants, listed as parameters (vi) to (xvi) in the Third Schedule[61] and parameters (xi) to (xviii) listed in the Fifth Schedule, present in the effluent expressed in kilogrammes (kg); and

(3) the total amount of other toxicity determined as the total amount of contaminants, listed as parameters (xvii) to (xxiii) in the Third Schedule[62] and any other parameters the Director-General thinks fit present in the effluent expressed in kilograms (kg).

2. The licence fee shall be computed in accordance with paragraph 1 of this schedule as follows:

FEE

Inland Waters into which effluent is discharged

per tonne of BOD load specified in sub- paragraph 1(1)

per kg of contaminants specified in sub-paragraph 1(2)

per kg of contaminants specified in sub-paragraph 1(3)

(a) Inland waters specified in regulation 8(1)(a)

$100.00

$500.00

$100.00

(b) Any other inland waters

$ 10.00

$ 50.00

$ 10.00


[61] Omited
[62] Omited

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