Provincial Environmental Statute, No. 12 of 1990 (Section 20)
Form of Application for a Licence for Scheduled Waste Management
Fields marked with
*
are required.
Basic Information
1. Name of the Facility/Activity
2. Location/Address
3. Telephone No
4. Pradeshiya Sabha
Select pradeshiya sabha
Alawwa Pradeshiya Sabha
Anamaduwa Pradeshiya Sabha
Arachchikattuwa Pradeshiya Sabha
Bingiriya Pradeshiya Sabha
Chilaw Pradeshiya Sabha
Chilaw Urban Council
Galgamuwa Pradeshiya Sabha
Giribawa Pradeshiya Sabha
Ibbagamuwa Pradeshiya Sabha
Kalpitiya Pradeshiya Sabha
Karuwalagaswewa Pradeshiya Sabha
Kobeigane Pradeshiya Sabha
Kuliyapitiya Pradeshiya Sabha
Kuliyapitiya Urban Council
Kurunegala Municipal Council
Kurunegala Pradeshiya Sabha
Maho Pradeshiya Sabha
Mawathagama Pradeshiya Sabha
Narammala Pradeshiya Sabha
Nattandiya Pradeshiya Sabha
Nawagattegama Pradeshiya Sabha
Nikaweratiya Pradeshiya Sabha
Paduwasnuwara Pradeshiya Sabha
Pannala Pradeshiya Sabha
Polgahawela Pradeshiya Sabha
Polpithigama Pradeshiya Sabha
Puttalam Pradeshiya Sabha
Puttalam Urban Council
Rideegama Pradeshiya Sabha
Udubaddawa Pradeshiya Sabha
Wanathawilluwa Pradeshiya Sabha
Wariyapola Pradeshiya Sabha
Wennappuwa Pradeshiya Sabha
5. District
6. Province
7. Name of the Officer to be contacted in an emergency
8. Contact Details
Mobile Number
Tel Number
Fax Number
E-mail Address
Address
9. Authorization required for (Please tick appropriate activity/activities)
Generation
Collection
Transportation
Storage
Recovery
Recycling
Disposal
Applicant Details
10. Full Name of the Applicant/Industry
11.i. Address
ii. Contact Number
iii. Fax Number
12. In case of renewal of licence, previous licence number and date
13. Qualifications to engage in the activity covered by the permit
14. Insurance cover details
15. Arrangements for security and emergency procedures
16. Information on accidents as a result of the management of waste
17. Health and safety measures adopted for the workers and the public
18. Important Environmental features of the surrounding areas of the site (Please attach a map of the area 2.5km.radius with the site at the centre indicating there in water bodies and important human activities sensitive features)
19. Waste category/categories identified as per the Scheduled VII
20. Quality and quantity waste handled
21. Details of the operation system for carrying out the activity/activities
22. If application is for the establishment of a disposal site, location description and other details
To be filled by Collector
23. Site/s of Collection (Name and Address)
24.Proposed dates or frequency of collection
25. Estimated quantity to be collected
26. Type of packaging envisaged (Eg. bulk, drummed, tanker etc.) and method of collection)
To be filled by transporter
27.Mode of transportation to be used
Class/Type of vehicle
Registered number/s
Number of vehicles
28. Details of Routes (include road maps) times and dates
29. What are the emergency measures adopted (including notice of warming to the public) and what are the precautions taken to prevent accidents
To be filled by Storer
30. Location and extent of the storage site
31. Type of packaging envisaged (bulk, drummed, tanker, concrete blocks etc.) for storing
32. Period of time waste will be stored
33. Information relating to recycling/recovery of final disposal of the waste
34. What are the emergency measures adopted (including posting of warning to public and what are the precautions taken to prevent accidents
To be filled by recycler/recoverer
35. Location of the recycling/recovery facility
36. Method used in the recycling/recovery process
37. Purpose of recycling/recovery and the market availability for the end product
38. Emergency measures adopted in the event of an accident
To be filled by Disposer
39. Location of the site for Disposal
40. Method of Disposal
41. Description of the treatment process
42. Emergency measures adopted at the site in the even of an accident
43. Information on the after care of the disposal site
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