SCHEDULE – Ichandigarhenvis.gov.in/beta/departments/cpcc/NeWConsent_Perfor… · SCHEDULE – I...

SCHEDULE – I

Common application for consent under the

Water (Prevention and Control of Pollution) Act, 1974.

Air (Prevention and Control of Pollution) Act, 1981 and authorization under the

Hazardous Waste (Management, Handling and Transboundary Movement)

Rules; 2008,

No……………………..

Explanatory note for filling in application for

Consent/Authorisation

1. Any applicant knowingly giving incorrect information or suppressing any

information pertaining to any of the items of the application shall be liable for

punishment as per the provisions under the relevant Act.

The application for shall be submitted in the Office of the Chandigarh Pollution

Control Committee, Madhya Marg, Ground Floor, Sector 19-B, Chandigarh.

2. The application shall be accompanied by the consent fee in the form of

Demand Draft in favour of the Member Secretary, Chandigarh Pollution

Control Committee. Fee paid is not refundable.

3. For the items marked strike out which is not relevant.

4. If any of the items is not relevant to the activity of the applicant, please state

‘Not Applicable’.

5. If the space for reply provided for any items is inadequate, use additional

sheets, duly referenced.

6. Item I: Give the name of the person who is authorized by the applicant to

transact their business.

7. Item 2: Also state the concerned institutions under whose administrative area

the unit falls.

8. The form shall be accompanied by the relevant documents specified on the last

page of the application form.

9. Capital Investment – Consent fee is to be paid based on gross fixed capital

investment of the unit without depreciation till the date of application. The

gross capital investment shall include cost of land, building, plant and

machinery without depreciation.

CHANDIGARH POLLUTION CONTROL COMMITTEE

Application form for Consent/Authorization

From

_______________________

_______________________

_______________________

To

The Member Secretary,

Chandigarh Pollution Control Committee,

Chandigarh.

Sir,

I/We hereby apply for *

i) consent to establish/operate/renewal of consent under Section 25 and 26 of

the Water (Prevention and Control of Pollution) Act, 1974, as amended.

ii) consent to establish/operate/renewal of consent under Section 21 of the Air

(Prevention and Control of Pollution) Act, 1981 as amended.

iii) Authorization/renewal of authorization under rule 5 of the Hazardous

Wastes (Management, Handling & Transboundary Movement) Rules, 2008,

in connection with my/our existing/Proposed/ altered/additional

manufacturing/processing activity from the premises as per the details

given below:

Part A: General

1. Name, designation, office address with

telephone fax number, e-mail of the

applicant/occupier/industry/institution/

local body.

:

2. a) Name and location of the industrial

unit/ premises for which the application

is made. (Give revenue, Survey

Number/plot number, name of Taulka

and District, also telephone and fax

number.

:

b) Details of the planning permission

obtained from the local body/Town and

Country planning authority/metropolitan

Development authority/ designated

authority.

:

c) Name of the local body under whose

jurisdiction the unit is located and name

:

of the license issuing authority.

3. Names, addresses with telephone and

fax number of Managing Director/

Managing Partner and officer

responsible for matters Connected with

pollution control and / or Hazardous

waste disposal.

:

4. a) Are you registered as a small-scale

industrial unit?

:

b) If yes, give the number and date of

registration.

:

5. Gross capital investment of the unit

without depreciation till the date of

application (cost of building, land, plant

and machinery).

:

6. If the site is located near sea-shore/river

bank/other water bodies; indicate the

distance and the name of the water

body, if any.

:

7. Does the location satisfy the

requirements under relevant Central/

State Govt. Notifications such as

Coastal Regulation Zone, notification on

Ecologically Fragile Area, Industrial

location policy, etc. If so, Give details.

:

8. If the site is situated in notified

industrial estate,

:

a)Whether effluent collection, treatment

and disposal system has been provided

by the authority

:

b) will the applicant utilize the system,

if provided:

:

c) if not provided, details of proposed

arrangement:

:

9. Total plot area, built-up area and area

available for the use of treated

sewage/trade effluent.

:

10. Month and year of proposed

commissioning of the unit:

:

11. Number of workers and office staff:

:

12. a) Do you have a residential colony

within the premises in respect of which

the present application is made?

:

b) If yes, please state population staying :

c) Indicate its location and distance with

reference to plant site.

:

13. List of products and by-products

manufactured in tons/month, kl/month

or number/month (Give figure

corresponding to maximum installed

production capacity)

:

14. List of raw materials and process

chemicals with annual consumption

Corresponding to above stated

production Figures, in tons/month or

kl/month or Numbers/month.

:

15. Description of process of manufacture

of each of the product showing input,

output, quality and quantity of solid,

liquid and gaseous wastes, if any from

each unit process.

(To be supported by flow sheet and/or

material balance and water balances

sheet)

:

Part B Waste water aspects

16. Water consumption for different uses

(m3/day)

(i) Industrial cooling, spraying in mine

pits or boiler feeds.

(ii) Domestic purpose

(iii) Processing whereby water gets

polluted and the pollutants are easily

bio-degradable.

(iv) Processing whereby water gets

polluted and the pollutants are not easily

bio-degradable and are toxic.

(v) Others such as agriculture, gardening

etc. (specify)

:

Total………

17. Source of water supply.

Name of authority granting permission

:

if applicable and quantity permitted.

18. Quantity of waste water (effluent :

generated (m3/day)

i) Domestic :

ii) Industrial :

iii) Process :

iv) Washings :

v) Boiler Blowdown :

vi) Cooling water :

blowdown

vii) DM Plant/Softening:

plant washings :

19. Water budget calculations accounting

for difference between water

consumption and effluent generated.

:

20. Present treatment of sewage/canteen

effluent (Give sizes/capacities of

treatment units):

:

21. Present treatment of trade effluent (Give

size/ capacities of treatment units). (A

schematic diagram of the treatment

scheme with inlet/outlet characteristics

of each unit operation/process is to be

provided. Include details of residue

management system (ETP sludges):

:

22. (a) Are sewage and trade effluent mixed

together?

(b) If yes, state at which stage-whether

before, intermittently or after treatment.

:

23. Capacity of treated effluent sump,

Guard Pond, if any:

:

24. Mode of disposal of treated effluents,

with respective quantity, m3/day

i) into stream/river (name of river)

ii) into creek/estuary)

iii)Into sea

iv) Into drain/sewer (owner of sewer)

v) on land for irrigation on owned

land/lease land. Specify cropped area.

(To be supported by Relevant

documents)

vi) Quantity of treated effluent

reused/recycled, m3/day

vii) Provide a location map of disposal

arrangement indicating the outlet (s) for

sampling

:

25. (a) Quality of untreated/treated effluent

(Specify pH and concentration of SS,

BOD, COD and specific pollutants

relevant to the industry. TDS to be

reported for disposal on land or into

stream/river.

(b) Enclose a copy of the latest report of

analysis from the laboratory approved

by State Board/ Committee/ Central

Board/ Central Government in the

Ministry of Environment and Forests.

For proposed Unit furnish expected

characteristics of the untreated/treated

effluent.

:

Part C: Air emission aspects

26. Fuel consumption:

Coal LSHS Furnace Natural Others Oil gas (specify)

a) Fuel consumption (TPD/KLD)

b) Caloric value

c) Ash content %

d) Sulphur content %

e) Other (specify)

27 (a) Details of stack (Process & fuel stacks)

a) Stack number (s)

b) Attach to

c) Capacity

d) Fuel type

e) Fuel quantity (TPD/KLD)

f) Material of construction

g) Shape (round/rectangular)

h) Height, m(above ground level)

i) Diameter/ size in meters

j) Gas quantity, nm3/hr

k) Gas temperature, o C

l) Exit gas velocity, m/sec.

m) Control equipment preceding the stack

(Attach specification including reside

management systems of each of the

control equipment indicating inlet/outlet

concentrations of relevant pollutants).

1 2 3 4

27

.

(b) Whether any release of odoriferous

compounds such as mercaptans, phorate

etc. are coming out.

:

28. Do you have adequate facility for

collection of samples of emissions in

the form of port holes, platfor, ladder

etc. as per the Central Board

publication “Emission Regulations

Part-III” (December 1985)

:

29 Quality of treated flue gas emissions

and process emissions.

(Specify concentration of criteria

pollutants and industry/ process-

specific pollutants stack-wise. Enclose

a copy of the latest report of analysis

from the approved laboratory by the

State Board/Central Board/ Central

Government in the Ministry of

Environment and Forests. For

proposed units, furnish the expected

characteristic of the emission.

:

Part D: Hazardous waste aspects

30 (a) Whether the unit is generating

hazardous waste as defined in the

Hazardous Waste (Management,

Handling and Trans boundary

Movement ) Rules, 2008,

(b) If so, the category No.

:

31. Authorization required for

i) Collection

ii) Reception

iii)Treatment

iv)Transport

v) Storage

vi)Disposal of the Hazardous Waste

:

32 Quantity of hazardous waste

generated (kg/day) or (mt/month)

:

33. Characteristics of the hazardous waste

(s) Specify concentration of relevant

pollutants. Enclose a copy of the latest

report of analysis from the laboratory

approved by the State Board/Central

Board/Central Government in the

Ministry of Environment and Forests.

For proposed units furnish expected

characteristics.

:

34. Mode of storage (intermediate or

final) (describe area, location and

methodology)

:

35. Present treatment of hazardous waste,

if any (give type and capacity of

treatment units).

:

36. Quantity of hazardous waste disposed

i) Within the factory

ii) Outside the factory

(Specify location and enclose

copies of agreement)

iii)Through sale (Enclose

documentary Proof and copies of

agreement)

iv) Outside State/Union Territory, if

yes Particulars of (i) & (iii) above

v) Other (specify)

:

Part E: Additional information

37 (a) Do you have any proposal to

upgrade the present system for

treatment and disposal of

effluent/emissions and/or hazardous

waste.

:

(b) If yes, give the details with time-

schedule for the implementation and

approximate expenditure to be

incurred on it.

:

38. Capital and recurring (O and M)

expenditure on various aspects of

environment protection such as

effluent, emission, hazardous waste,

solid waste, tree plantation,

monitoring, data acquisition etc. (give

figures separately) for items

implemented / to be implemented.

:

39. To which of the pollution control

equipment separate meters for

recording consumption of electric

energy are installed?

:

40. Which of the pollution control items

are connected to D.G. Set (captive

powers source) to ensure their running

in the event of normal power failure?

:

41. Nature, quantity and method of

disposal of non-hazardous solid waste

generated separately from the process

of manufacture and waste treatment

(Give details of area/ capacity

available in applicant’s land)

:

42. Hazardous Chemicals – Give details

of chemicals and quantities handled

and stored.

(i) Is the unit a Major Accident

Hazard unit as per MSIHC Rules?

(ii) Is the unit an isolated storage as

defined under the MSIHC Rules.

(iii) Indicate status of compliance of

Rules 5,7,10,11,12, 13 and 18 of the

MSIHC Rules.

(iv) Has approval of site been

obtained from the concerned

authority?

(v) Has the unit prepared on Off-site

Emergency Plan? Is it updated?

(vi) Has information on imports of

chemicals been provided to the

concerned authority?

(vii) Does the unit possess a policy

under the PLI Act.

:

43. Brief details of tree plantation/green

belt development within applicant’s

premises (in hectares).

:

44. Information of schemes for waste

minimization, resource recovery and

recycling – implemented and to be

implemented, separately.

:

45. (a) The applicant shall indicate

whether industry comes under Public

Hearing, if so, the relevant documents

such as EIA, EMP, Risk Analysis etc.

shall be submitted, if so, the relevant

documents enclosed shall be indicated

accordingly.

(b) Any other additional information

that the applicant desires to give.

:

46. I/We further declare that the information furnished above is correct and true to the

best of my/our knowledge.

47. I/We hereby submit that in case of any change from what is stated in this

application in respect of raw materials, products, process of manufacture and treatment

and/or disposal of effluent, emissions, hazardous wastes etc. in quality and quantity; a

fresh application for consent/authorization shall be made and until the grant of fresh

consent/ authorization no change shall be made.

48. I/We undertake to furnish any other information within one month of its being

called by the Board/Committee.

49. I/We agree to submit to the Committee an application for renewal of

consent/authorization in two months in advance before the date of expiry of the

consent/authorization validity period.

50. I/We enclose herewith a Demand Draft for Rs………………………………..

(Rupees ……………………………………………………………………….…………..)

Drawn in favour of Member Secretary, Chandigarh Pollution Control Committee as the fee

for consent/authorization for a period upto…………….

Yours faithfully

Signature…………..

Name………………

Designation………..

Documents enclosed:

1. Demand Draft towards consent fee/authorization.

2. Undertaking or affidavit or statement from Annual Report or certificate from

the Chartered Accountants in support of gross fixed capital investment.

3. Site plan/location map. (Compulsory for all new applications and for

expansions)

4. Declaration regarding the distance of the unit from the bank of the main river

or hightide mark of creek/estuary (declared under the Act) and in respect of

stone crusher, for distance from highways and habitations.

5. Layout plan showing the location of stacks (Chimneys), effluent treatment

plant, effluent disposal areas, pollution control devices, hazardous waste

treatment and disposal areas.

6. Manufacturing process flow sheet, with descriptive note on the manufacturing

process for each product.

7. Copies of latest consent/authorization/Environment Impact Assessment

Clearance.

8. Copy of Small Scale Industries registration certificate, if applicable.

9. Copies of letter of Intent/industrial license, clearances from the Department or

any other relevant document (please state)

10. Copies of planning permission certificate issued by the local bodies/District

Town and Country Planning/Metropolitan Development Authorities.

Note : The documents at Sr. No.2 to 10 are necessary for first application. For application

for renewal only document at Sr. No.7 is necessary.

In addition to the above, following documents are also required to be submitted:-

1. Affidavit of sole proprietorship for proprietorship firm.

2. Partnership deed in case of partnership firm plus authority letter from other partners.

3. Memorandum and article of association of a Private Limited or Limited company plus

specific resolution of the Board of Directors in form of the Authorized Signatory.

4. Feasibility report of the proposed pollution control equipments to be installed like

Effluent Treatment Plant (ETP), Sewage Treatment Plant (STP), Air Pollution Control

Device (APCD) etc.

5. Water Balance diagram showing consumption of water in the various process for each

unit of production.

6. Copy of electricity and water supply bills for the past six months ( in case of renewal of

consent).

7. Details of Chemical reaction.

SCHEDULE – II Fee in Rupees/Year

FEE STRUCTURE FOR “CONSENT TO OPERATE”

S.No. Category Red Orange Green

Gross Capital Investment

1 Upto Rs.10 lakhs 1200 900 750

2 Above Rs.10 lacs to Rs.25 lacs 1800 1500 1200


4 Above Rs.50 lacs to Rs.1 crore 6000 4700 3500

5 Above Rs.1 crore to Rs.5 crore 12000 9000 7000


7 Above Rs.10 crore to Rs.25

crore 48000 28800 22400


crore 72000 47000 35000


crore 88000 70000 60000


crore 180000 120000 88000

11 Above Rs.200 crore 235000 180000 120000

FEE STRUCTURE FOR “CONSENT TO ESTABLISH”

S.No. Category Red Orange Green

Gross Capital Investment

1 Upto Rs.10 lakhs 1200 900 750



4 Above Rs.50 lacs to Rs.1 crore 6000 4700 3500







11 Above Rs.200 crore 235000 180000 120000

FEE FOR DIESEL GENERATOR SET (DG SET) IN THE SHOPS/SCO’S/SCF’S/BOOTHS ETC.

Size of Diesel Generator set

based on rated capacity Consent to Establish

(in Rs./year) Consent to Operate

(in Rs./year)

<200 KVA 400 500 200-500 KVA 500 600

>500 KVA 600 700

[FORM – 1] [See rules 5(3) and (7)]

Application for Obtaining Authorization for Collection /Reception/Treatment/ Transports/Storage/Disposal of Hazardous Waste*

From: ……………………………………… ……………………………………… ……………………………………… To The Member Secretary, Chandigarh Pollution Control Committee, Paryavaran Bhawan, Madhya Marg, Ground Floor, Sector 19-B, Chandigarh. Sir, I / We hereby apply for authorization/renewal of authorization under sub-rule (3) of 5 of the Hazardous Wastes (Management, Handling and Transboundary Movement) Rules, 2008 for collection/ reception/ treatment/ transport/ storage/ disposal of hazardous wastes.

For Office Use Only

1. Code No. : 2. Whether the unit is situated in a critically polluted area as identified by Ministry

of Environment and Forests;

To be filled in by Applicant

Part – A: General

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 these

Rules: (b) If so the type and quantity of wastes(in Tonnes/KL):

5. (a) Total capital invested on the project (in Rupees): (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 (in Tonnes/KL):

(b) List and quantum of raw material used (in Tonnes/KL):

7. Furnish a flow diagram of manufacturing process showing input and output in terms of products, waste generated including for captive power generation and demineralised water.

Part – B : Hazardous Waste

8. Hazardous Wastes:

(a) Type of hazardous wastes generated as defined under these Rules:

(b) Quantum of hazardous waste generated: (c) Sources and waste characteristics (Also indicate wastes

amenable to recycling, re-processing and reuse) : (d) Mode of storage within the plant, method of disposal and

capacity (provide details):

9. Hazardous Wastes generated as per these Rules from storage of hazardous chemicals as defined under the Manufacture, Storage and Import of Hazardous Chemicals Rules, 1989.

Part – C : Treatment, Storage and Disposal Facility

10. 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 landfilling/ 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

Place : Signature : …………… Date : Designation : ……………

Explanatory note for filling up application for obtaining Consent to Establish/Operate under Water Act/Air Act & Authorization under Hazardous Waste Rules

Point wise additional points to be mentioned in the explanatory note in addition to the explanatory note provided earlier Part-A General: Point No. 1. Give the name of the person who is authorized by the applicant to transact their business.

In case of proprietorship firm an affidavit to be submitted by the proprietor and in case of partnership firm deed of partnership and authority letter from other partners. In case of private limited company or limited company application has to be accompanied with a copy of Memorandum & Article of Association. Further, if the application has been signed by any person other than Managing Director, specific resolution of the Board Directors authorizing the person to sign and submit the documents should be attached.

Any applicant knowingly giving incorrect information or suppressing any information

pertaining to any of the items of the application shall be liable for punishment as per the provisions under the relevant Act.

Point No.2(b) State the concerned institutions under whose administration the unit falls like Estate

Office, CITCO, Municipal Corporation. Point No. 2(c) Municipal Corporation U.T. Chandigarh is the local body and issue licenses for

water supply connection, sewerage connection and Fire & safety. Point No. 5 The application shall be accompanied by the consent fee in the form of Demand Draft in

favor of the Member Secretary, Chandigarh Pollution Control Committee. Fee paid is not refundable. Consent fee is to be paid based on gross fixed capital investment of the unit without depreciation till the date of application. The gross capital investment shall include cost of land, building, plant and machinery without depreciation. Incase building is on rent or lease then rent deed/lease deed should be attached.

Point No. 8 Industrial Area Phase I & II have been notified as an industrial estate along with IT Park

for IT industries. Point No. 9 The application should be accompanied with drawings, clearly marked total build up area,

area available with the unit & the area available for the usage of treated effluent/sewage treatment along with plumbing details and sampling locations.

Point No. 10 For units applying for consent to establish tentative date for the start of the unit should be

clearly mentioned. For unit already in operation the year since which it is functional shall be mentioned.

Point No. 13 Kindly mention maximum installed production capacity in nos., units etc. Point No. 14 Process chemicals are the chemical consumed during the manufacturing of the

particular products. This should include raw materials consumption with quantity for each unit of production and average monthly consumption.

Part B: Waste Water Aspects Point No. 16. Water may be consumed for being fed into DM Plant/Softner/for cooling of

machinery or for the generation of steam in the boilers. Sewage is wastewater that is generated from toilets, for hand washings etc.

Trade Effluent is wastewater generated from the industrial processes like electroplating, pickling, service station etc.

Point No. 17. Water supply source like MC Supply, ground water or tanker etc. should be clearly specified along with permission from concerned authority if required.

Pont No. 19. Water budget calculations means usage of fresh water in various aspects

like manufacturing, utilities like boiler, DM plant, Softners, gardening, domestic and generation of waste water/effluent and stream which needs to be treated .it also includes proposal for reuse/recycle of treated waste water into the process clearly mentioned on the water balance diagram.

Point No.20&21. Details of sewage/effluent treatment plant along with specifications of each treatment unit should be submitted. Details of chemical reaction, water balance sheet & flow sheet for the manufacturing of each product are to be submitted.

Part C: Air Emission Aspects Point No. 26: The type and quality of fuel used in Tons/Month should be clearly mentioned

along with characteristics of the fuel like sulphur in case of furnace oil and ash content in case of wood, coal etc.

Point No. 27: Fuel stacks are the one which are attached to area where fuel is burnt like

wood, High speed Diesel, LDO, Furnace Oil etc. Process Stacks sre the one which are attached to the process source like electroplating operations where fumes are to be contained, powder coating etc. The type of Air Pollution Control Equipment installed like wet scrubber, cyclone, electrostatic precipitator, bag filter etc. and its details should be clearly mentioned.

Part D: Hazardous waste Aspects.

Point no 30 : Kindly refer to the Annexure for the list of process which generate Hazardous

Waste and the list of category of hazardous waste generated available on the following website. http://chandigarhenvis.gov.in/beta/departments/cpcc/hazwaste _rules08.pdf

Point no 34 : The hazardous waste generated is to be stored as per guidelines of

hazardous waste storage issued by Central Pollution Control Board e.g. ETP sludge is to be stored in properly lined pucca storage area.

http://chandigarhenvis.gov.in/beta/departments/cpcc/hazwaste%20_rules08.pdf

Part E: Additional Information Point No 42. MSIHC Rules (Manufacture, Storage & Import of Hazardous Chemical Rules )

are to be provided. Kindly refer to annexure for the list of hazardous chemicals as per MSIHC

Rules available on the following website http://chandigarhenvis.gov.in/beta/departments/cpcc/MSIHC_rules.pdf

PLI is the Public Liability Insurance Act. Point No. 44. Waste minimization steps taken for reducing the quantity of waste generated

and lesser consumption of chemicals including proposed steps to be taken. General Information 1. The application for shall be submitted in the Office of the Chandigarh Pollution

Control Committee, Paryavaran Bhawan, Madhya Marg, Ground Floor, Sector 19 B, Chandigarh.

2. For the items marked* strike out which is not relevant. 3. If any of the items is not relevant to the activity of the applicant, please state

‘Not Applicable’. 4. Don’t leave any item blank. 5. If the space for reply provided for any items is inadequate, use additional

sheets, duly referenced. 6. The form shall be accompanied by the relevant documents specified on the

last page of the application form.

http://chandigarhenvis.gov.in/beta/departments/cpcc/MSIHC_rules.pdf

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