WASTE MANAGEMENT
FACILITIES
REGISTRATION FORM
IN TERMS OF THE
NATIONAL
ENVIRONMENTAL
MANAGEMENT :WASTE
ACT 2008 (No. 59 of 2008)
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THE WASTE MANAGEMENT FACILITIES REGISTRATION FORM IN TERMS OF THE NATIONAL
ENVIRONMENTAL MANAGEMENT: WASTE ACT 2008 (No. 59 of 2008) “NEM:WA”.
1.1
Where to submit Registration forms
1.1.1 The Member of the Executive Council “MEC” is responsible for registration of general waste facilities
in the province. The registration for general waste facilities must be submitted with the relevant
provincial department and registration forms must be marked for the attention of the Regional
Manager: Environment in the relevant Regional Office of the Department of Economic Development
and Environmental Affairs at one of the following addresses:
The Regional Manager (Amathole)
Department of Economic Development and Environmental Affairs
Private Bag X 9060
EAST LONDON
5200
Fax: 043 748 2097
Tel: 043 707 4000
The Regional Manager (Cacadu)
Department of Economic Development and Environmental Affairs
Private Bag X 5001
GREENACRES
6057
Fax: 041 585 1964
Tel: 041 508 5800
The Regional Manager (Chris Hani)
Department of Economic Development and Environmental Affairs
P. O. Box 9636
QUEENSTOWN
5320
Fax: 045 838 3981
Tel: 045 808 4000
The Regional Manager (Joe Gqabi)
Department of Economic Development and Environmental Affairs
Private Bag X1016
ALIWAL NORTH
9750
Fax: 051 633 3117
Tel: 051 633 2901
The Regional Manager (O. R. Tambo)
Department of Economic Development and Environmental Affairs
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Private Bag X5029
MTHATHA
5100
Fax: 047 531 2887
Tel: 047 531 1191
The Regional Manager (Alfred Nzo)
Department of Economic Development and Environmental Affairs
Private Bag X3513
KOKSTAD
4700
Fax: 039 727 3282
Tel: 039 727 4499
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(For official use only)
WASTE MANAGEMENT FACILITIES REGISTRATION FORM
FOR OFFICE USE ONLY
Date Application Form
Received:
Outcome of Evaluation of the
application form
DEDEAT Registration
Number:
Accepted
Not accepted (provide
reasons)
NB: Fields with asterisk * are compulsory; if not completed, the registration will be rejected immediately.
THIS REGISTRATION FORM NEEDS TO BE COMPLETED FULLY AND ANY FALSE INFORMATION PROVIDED
WILL INVALIDATE THE APPLICATION AND RESULT IN REJECTION OF THE REGISTRATION
SECTION A: DETAILS OF THE OWNER OF THE WASTE MANAGEMENT FACILITY:
The following contact information will be used to create the Central Registry User for the site. All
notifications pertaining to the facility will be sent to this person.
*
First Name:
*
Surname:
*
Email:
*
Telephone:
*
Cell phone
Fax Number
*
Postal Address:
Postal Code
*
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SECTION B: DETAILS OF THE WASTE MANAGEMENT ACTIVITY
Please select the name of the activity for which registration is required by ticking the appropriate box
below
Storage of Waste
*
Extraction, Flaring or Recovery of Landfill Gas
*
Scrapping or Recovery of Motor Vehicles
*
SECTION C: DETAILS OF THE WASTE MANAGEMENT CONTROL OFFICER
First Name:
Surname:
Email:
Telephone:
Cell phone
Fax Number
SECTION D: SITE INFORMATION:
Site Name:
Site Telephone Number:
Owner (company or municipality name):
Owner VAT Registration Number (if applicable):
Public or Commercial:
Province:
Municipality:
Degrees Latitude:
Degrees Longitude:
(Please provide the geographic co-ordinates of all external corner
points of the site (i.e the Waste Management Facility, and not the
whole complex))
*
*
*
*
*
*
*
*
Physical Address: Street or Erf
*
Physical Address: City
Physical Address: Postal Code:
*
*
Size of the facility
Proximity of the facility to the nearest residential area
*
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Land use/ zoning
*SECTION E: WASTE INFORMATION (This is not applicable to extraction, flaring or recovery of landfill gas)
Final
Quantitie
Source
Types of waste stream and classification
Destinatio
s
s
n
100
80
SECTION F:
THE
OWNER OF
THE WASTE
MANAGEME
NT
FACILITY
60
East
West
40
North
20
0
1st Qtr 2nd Qtr 3rd Qtr 4th Qtr
I, __________________________________ hereby declare that I have read the completed registration form and
hereby confirm that the information provided is to the best of my knowledge true and correct.
Furthermore, I declare that I am fully aware of my responsibilities in terms of the National Environmental
Management: Waste Act, 2008 (Act 59 of 2008) and failure to comply with these requirements may
constitute an offence in terms of the National Environmental Management: Waste Act, 2008 (Act 59 of
2008).
Owner of the Facility (Full names)_______________________________________________
Designation _______________________________________________
Signature _________________________(duly authorised to sign on behalf of Owner of the Facility)
Date:________________ Place: _________________
Signature of the Commissioner of Oaths:
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Date:
Designation:
Official stamp (Above)
SECTION G: DECLARATION BY THE LAND OWNER
NB: (Only if the landowner is different from the Owner of the Facility)
I, ____________________________________________________ declare under oath that I 

Am, aware of the waste management activity (ies) to take place or taking place in my property.
Consented to this/ these activity (ies) taking / to take place in my property hereby indemnify, the
government of the Republic, the competent authority and all its officers, agents and employees,
from any liability arising out of the content of any report, any procedure or any action for which the
applicant or environmental assessment practitioner is responsible in terms of the National
Environmental Management: Waste Act, 2008 (Act 59 of 2008).
Signature of Land Owner
Name of company:
Date:
Signature of the Commissioner of Oaths:
Date:
Designation:
Official stamp (Above)
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