APPLICATION FOR APPROVAL OF BUILDING WASTE GENERATORS INTEGRATED WASTE MANAGEMENT PLAN

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SOLID WASTE MANAGEMENT DEPARTMENT
CIVIC CENTRE
12 HERTZOG BOULEVARD
PO BOX 655
CAPE TOWN 8000
APPLICATION FOR APPROVAL OF BUILDING WASTE GENERATORS INTEGRATED
WASTE MANAGEMENT PLAN
SUBMISSION OF DEMOLITION/DEVELOPMENT/BUILDING PLANS
When plans are submitted to the City for its approval in terms of the National Building Regulations and
Building Standards Act, 1977(Act No. 107 of 1977), the person submitting same must submit
simultaneously therewith an Integrated Waste Management Plan for approval
WHERE APPLICABLE, PROVISION OF THE FOLLOWING INFORMATION IS COMPULSARY:
1. Property Information
2. Owner Details
3. Owner Contact Details
And where applicable
4. Authorised Proxy Details
5. Authorised Proxy Contact Details
6. Copy of Proxy
Reference Number:…………………………..............
1. PROPERTY INFORMATION
Erf No.: ………………...
Erf Physical Address:
For Office Purposes
Street name and number…………………………………………………..
Received
Verified
Y
Y
N
N
Suburb: ……………………………………………………………………………..
2. OWNER DETAILS
Name of Owner: …………………………………………………………………………………………………………
Municipal Account No. : ………………...
OR
Business Partner No.: …………..………..
Owner Physical Address: …………………………………………………………………………………………..
…………..……………………………………………CODE:………………………….
Owner Postal Address: ……………………………………………………………………………………………..
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For Office Purposes
Received
Verified
Y
Y
N
N
…………………………………………………………CODE: ……………………….
Home/Business Tel No: ………………………………
Fax No: …………………………………………
Tick preferred means of communication: Email
Post
Fax
3. CONTACT DETAILS OF MANDATED PROXY
Full name of person signing this form and authorised to represent the Owner:
…………………………………………………………………………………………………………………………………..
Identity No:
For Office Purposes
Received
Verified
Y
Y
N
N
…………………………………………………………………………………………………………
Contact Tel No: ………………………………. Cell No:
………………………………………………………
Contact Email: …………………………………………………………………………………………………………..
3. INTEGRATED WASTE MANAGEMENT PLAN
For Office Purposes
Provide details:
a) on provision made for minimisation and recycling of the building waste:
Received
Verified
Y
Y
N
N
…………………………………………………………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………………………………………………
b) on provision made to store the waste on the property:
…………………………………………………………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………………………………………………
c) on provision made for collection and disposal of contaminated building waste. Also provide detail of
Accredited Service Provider (Company/Business Name, Physical Address, Responsible person, Contact details):
…………………………………………………………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………………………………………………
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d) on provision made for collection and disposal of building waste. Also provide detail of Accredited Service
Provider (Company/Business Name, Physical Address, Responsible person, Contact details):
…………………………………………………………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………………………………………………
e) on permit obtained, where applicable, to store any building waste on the City’s property. Attach a copy to
this document:
…………………………………………………………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………………………………………………
4. CONFIRMATION BY OWNER/AUTHORISED PROXY
I, ……………………………………………………………, property owner/authorised proxy, hereby declare that all the
information provided in this application is valid and correct.
I shall only remove and dispose of building waste at a licenced crushing plant or landfill site or any other
licenced building waste disposal facility.
I shall provide the building control officer with proof of weighbridge certificates, that the full mass of the
building rubble was disposed at a licenced crushing plant or landfill site or any other licenced building waste
disposal facility for that category of waste, prior to an occupancy certificate or any final approvals being
granted.
……………………………………………………………….
………………………………………………………………………
Signature
Date
TO BE SUBMITTED ALONG WITH BUILDING PLANS FOR APPRVAL
CERTIFIED COPIES OF ALL SUPPORTING DOCUMENTS TO BE PROVIDED WITH THIS APPLICATION
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