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Part B
Application form
Application for a permit
Local Authority Pollution Prevention and Control
Pollution Prevention and Control Act, 1999
Environmental Permitting (England and Wales) Regulations 2007
Introduction
When to use this form
This environmental permitting regime is known as and referred to
as Local Authority Pollution Prevention and Control (�LAPPC�).
Installations permitted under this regime are known as Part �B�
installations. Use this form if you are sending an application
for a �Part B� permit to a Local Authority under the
Environmental Permitting (England and Wales) Regulations 2007
(�the EP Regulations�).
Before you start to fill in this form
You are strongly advised to read relevant parts of the Defra
general guidance manual issued for LA-IPPC and LAPPC, republished
in 2008 and available at
HYPERLINK
"http://www.defra.gov.uk/environment/ppc/localauth/pubs/guidance/m
anuals.htm"
http://www.defra.gov.uk/environment/ppc/localauth/pubs/guidance/
manuals.htm . This contains a list of other documents you may need
to refer to when you are preparing your application, and explains
some of the technical terms used. You will also need to read the
relevant Process Guidance note as relevant The EP Regulations can
be obtained from The Office of Public Sector Information, or
viewed on their website at:
HYPERLINK
"http://www.opsi.gov.uk/stat.htm"
http://www.opsi.gov.uk/stat.htm .
Which parts of the form to fill in
You should fill in as much of this form as possible. The
appropriate fee must be enclosed with the application to enable it
to be processed further. When complete return to:
Pollution Team
Environmental Health
Civic Offices
Holton Road
Barry
CF63 4RU
Email: RegServ@valeofglamorgan.gov.uk
Telephone:01446 709105
Other documents you may need to submit
There are number of other documents you will need to send us with
your application. Each time a request for a document is made in
the application form you will need to record a document reference
number for the document or documents that you are submitting in
the space provided on the form for this purpose. Please also mark
the document(s) clearly with this reference number and the
application reference number, if you have been given one, which
will be at the top of the form overleaf. If you do not have
either of these, please use the name of the installation.
Using continuation sheets
In the case of the questions on the application form itself,
please use a continuation sheet if you need extra space; but
please indicate clearly on the form that you have done so by
stating a document reference number for that continuation sheet.
Please also mark the continuation sheet itself clearly with the
information referred to above.
Copies
Please send the original and 3 copies of the form and all other
supporting material, to assist the Authority in conducting any
necessary consultation process.
If you need help and advice
We have made the application form as straightforward as possible,
but please get in touch with us at the local authority address
given above if you need any advice on how to set out the
information we need.
LAPPC application form: to be completed by the operator
For Local Authority use
Application reference
Officer reference
Date received
A1
Applicant details
A1.1
Name of the installation
A1.2
Please give the address of the site of the installation
Postcode
Telephone
The Ordnance Survey national grid reference 8 characters,
for example, SJ 123 456 (can be obtained from typing postcode into
one of the on-line mapping sites).
A1.3 Existing permits:
Please give details of any existing LAPPC or LA-IPPC authorisation
for the installation, or any waste management licences or water
discharge consents, including reference number(s) and type(s):
Please provide the information requested below about the
�Operator�, which means the person who it is proposed will have
control over the installation in accordance with the permit (if
granted)
A2.1 The Operator � Please provide the full name of company,
partnership or corporate body
Trading/business name (if different)
Registered Office address
Postcode:
Principal Office address (if different)
Postcode:
Company registration number
A2.2 Holding Companies
Is the operator a subsidiary of a holding company within the
meaning of section 1159 of the Companies Act 2006?
No
Yes
name of ultimate holding company
Registered office address
Postcode
Principal Office address (if different)
Postcode
Company registration number:
A3.1 Who can we contact about your application?
It will help to have someone who we can contact directly with any
questions about your application. The person you name should have
the authority to act on behalf of the operator - This can be an
agent or consultant.
Name
Position
Address
Postcode
Telephone number
Fax number
email address
B1
About the installation
Please fill in the table below with details of all the current
activities in operation at the whole installation.
In Column 1, Box A, please identify all activities listed in
Schedule 1 to the EP Regulations that are, or are proposed, to be
carried out in the stationary technical unit of the installation.
In Column 1, Box B please identify any directly associated
activities that are, or are proposed, to be carried out on the
same site which:
* have a technical connection with the activities in the
stationary
technical unit
* could have an effect on pollution
In Column 2, for Boxes A and B please quote the Chapter number,
Section number, then paragraph and sub-paragraph number as shown
in Part 2 of Schedule 1 to the EP Regulations [For example,
Manufacturing glass and glass fibre where the use of lead or any
lead compound is involved, would be listed as Chapter 3, Section
3.3, Part B(b)].
B1.1
Installation table for new permit application
COLUMN 1
COLUMN 2
Box A
Activities in the stationary technical unit
Section in Schedule 1 to the EP Regulations
Box B
Directly-associated activities
Schedule 1 references (if any)
B1.2 Why is the application being made?
The installation is new
The installation is existing, but changes to the installation or
to the EP Regulations means that an LAPPC Part B permit is now
required.
B.1.3 Site Maps
Please provide:* A suitable map showing the location of the installation clearly
defining extent of the installations in red
Doc Reference
* A suitable plan showing the layout of activities on the site,
including bulk storage of materials, waste storage areas and any
external emission points to atmosphere
Doc Reference
B2
The Installation
Please provide written information about the aspects of your
installation listed below. We need this information to determine
whether you will operate the installation in a way in which all
the environmental requirements of the EP Regulations are met.
B2.1 Describe the proposed installation and activities and
identify the foreseeable emissions to air from each stage of the
process (this will include any foreseeable emissions during start
up, shut down and any breakdown/abnormal operation)
The use of process flow diagrams may aid to simplify the
operations
Doc Reference:
B2.2 Once all foreseeable emissions have been identified in the
proposed installation activities, each emission should be
characterised (including odour) and quantified.
Atmospheric emissions should be categorised under the following
point source, (e.g. chimney / vent, identified by a number and
detailed on a plan)
fugitive source (e.g. from stockpiles / storage areas).
If any monitoring has been undertaken please provide the details
of emission concentrations and quantify in terms of mass
emissions. If no monitoring has been undertaken please state this.
(Emission concentration = e.g. milligrams per cubic metre of air;
mass emission = e.g. grams per hour, tonnes per year)
B2.3 For each emission identified from the installations�
activities describe the current and proposed technology and other
techniques for preventing or, where that is not practicable,
reducing the emissions into the air. If no techniques are
currently used and the emission goes directly to the environment,
without abatement or treatment then this should be stated
Doc Reference:
B2.4 Describe the proposed systems to be used in the event of
unintentional releases and their consequences. This must identify,
assess and minimise the environmental risks and hazards, provide a
risk based assessment of any likely unintentional releases,
including the use of historical evidence. If no assessments have
been carried out please state.
Doc Reference:
B2.5 Describe the proposed measures for monitoring all identified
emissions including any environmental monitoring, and the
frequency, measurement methodology and evaluation procedure
proposed (e.g. particulate matter emissions, odour etc). Include
the details of any monitoring which has been carried out which has
not been requested in any other part of this application. If no
monitoring is proposed for an emission please state the reason.
Doc Reference:
B2.6 Provide detailed procedures and policies of your proposed
environmental management techniques, in relation to the
installation activities described.
Doc Reference:
B3
Impact on the Environment
B3.1 Provide an assessment of the potential significant local
environmental effects of the foreseeable emissions (e.g. is there
a history of complaints and/or is the installation in an air
quality management area ?)
Doc Reference:
B3.2
Are there any sites of special scientific interest
(SSSIs) or European protected sites which are within either
- 2 kilometres for an installation which includes Part B
combustion, incineration (but not crematoria), iron and steel, and
non-ferrous metal activities, or
- 1 kilometre for Part B mineral activities and cement and lime
activities, or
- � a kilometre for all other Part B activities 2 kilometres of
the installation?
No
Y e s
s i t e s
q�
q�
p l e a s e
g i v e
n a m e s
o f
t h e
B 3 . 3
P r o v i d e
a n
a s s e s s m e n t
o f
w h e t h e r
t h e
i n s t a l l a t i o n
i s
l i k e l y
t o
h a v e
a
s i g n i f i c a n t
e f f e c t
o n
s u c h
s i t e s
a n d ,
i f
i t
i s ,
p r o v i d e
a n
a s s e s s m e n t
o f
t h e
i m p l i c a t i o n s
o f
t h e
i n s t a l l a t i o n
f o r
t h a t
s i t e ,
for the purposes of the
Conservation (Natural Habitats etc) Regulations 1994 (see appendix
2 of Annex XVIII of the General Guidance Manual).
Doc Reference:
B4
Environmental Statements
B4.1 Has an environmental impact assessment been carried out
under The Town and Country Planning (Environmental Impact
Assessment)(England & Wales) Regulations 1999/293, or for any
other reason with respect to the installation?
Y
o
a
d
N o
��
e s
��
P l e a s e
s u p p l y
a
c o p y
f
t h e
e n v i r o n m e n t a l
i m p a c t
s s e s s m e n t
a n d
d e t a i l s
o f
a n y
e c i s i o n
m a d e
D o c
B 5
P
i
u
c
R e f e r e n c e :
A d d i t i o n a l
l e a s e
s u
n f o r m a t i
s
t o
t a k
o n s i d e r i
i n f o r m a t i o n
p p l y
a n
o n
w h i c
e
a c c o u
n g
t h i s
y
a d d i t i o n a l
h
y o u
w o u l d
l i k e
n t
o f
i n
application.
Doc Reference
C1
Fees and Charges
The enclosed charging scheme leaflet gives details of how to
calculate the application fee. Your application cannot be
processed unless the application fee is correct and enclosed.
C1.1 Please state the amount enclosed as an application fee for
this installation.
�
(cheques should be made payable to Vale of
Glamorgan Council]
We will confirm receipt of this fee when we write to you
acknowledging your application.
C1.2 Please give any company purchase order number or other
reference you wish to be used in relation to this fee.
C2
Annual subsistence charges
If we grant you a permit, you will be required to pay an annual
subsistence charge, failure to do so will result in revocation of
your permit and you will not be able to operate your installation.
C2.1
Please provide details of the address you wish invoices to
be sent to and details of someone we may contact about fees and
charges within your finance section.
Postcode:
C3
Telephone:
Commercial confidentiality
C3.1 Is there any information in the application that you wish to
justify being kept from the public register on the grounds of
commercial or industrial confidentiality ?
No
Yes
Please provide full justification, considering the definition of
commercial confidentiality within the EP regulations.
Doc Reference
C3.2 Is there any information in the application that you believe
should be kept from the public register on the grounds of national
security ?
No
Yes
Do not write anything about this information on the form. Please
provide full details on separate sheets, plus provide a copy of
the application form to the Secretary of State/Welsh Ministers for
a Direction on the issue of National Security.
C4 Data Protection
The information you give will be used by the Local Authority to
process your application. It will be placed on the relevant public
register and used to monitor compliance with the permit
conditions. We may also use and or disclose any of the information
you give us in order to:
consult with the public, public bodies and other organisations,
carry out statistical analysis, research and development on
environmental issues,
provide public register information to enquirers,
make sure you keep to the conditions of your permit and deal with
any matters relating to your permit
investigate possible breaches of environmental law and take any
resulting action,
prevent breaches of environmental law,
offer you documents or services relating to environmental matters,
respond to requests for information under the Freedom of
Information Act 2000 and the Environmental Information Regulations
2004 (if the Data Protection Act allows)
assess customer service satisfaction and improve our service.
We may pass on the information to agents/ representatives who we
ask to do any of these things on our behalf.
It is an offence under Regulation 38 of the EP Regulations, for
the purpose of obtaining a permit (for yourself or anyone else)
to:
make a false statement which you know to be false or misleading in
a material particular,
recklessly make a statement which is false or misleading in a
material particular.
If you make a false statement
we may prosecute you, and
if you are convicted, you are liable to a fine or imprisonment (or
both).
C5
Declaration: previous offences (delete whichever is
inapplicable)
I/We certify
EITHER
No offences have been committed in the previous five years which
are relevant to my/our competence to operate this installation in
accordance with the EP Regulations.
OR
The following offences have been committed in the previous five
years which may be relevant to my/our competence to operating this
installation in accordance with the Regulations:
________________________________________________
________________________________________________
Signature
Name
Position
Date
C6
Declaration
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Signature of current operator(s)*
I/We certify that the information in this application is correct.
I/We apply for a permit in respect of the particulars described in
this application (including supporting documentation) I/We have
supplied.
Please note that each individual operator must sign the
declaration themselves, even if an agent is acting on their
behalf.
For the application from:
Installation name:
Signature
Name
Position
Date
Signature
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Position
Date
* Where more than one person is defined as the operator, all
should sign. Where a company or other body corporate � an
authorised person should sign and provide evidence of authority
from the board of the company or body corporate.
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