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Installations permitted under this regime are known as �A2� installations. Use this form if you already have a permit and wish to vary your permit conditions or wish to make a change to your installation. 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 variation application, and explains some of the technical terms used. You will also need to read the relevant sector guidance note, BREF note or Process Guidance note as appropriate. 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/legislation/about_legislation.htm" http://www.opsi.gov.uk/legislation/about_legislation.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 variation 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 may need to send us with your variation application. Each time a request for a document is made in the 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 your permit reference number and the name of the installation. Using continuation sheets In the case of the questions on the 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 - not relevant for e-applications Please send the original and [ ] 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. A1 Applicant details A1.1 Name of the installation A1.2 Please give the address of the site of the installation Postcode A1.3 Telephone Permit reference number A2.1 The Operator � please provide the full name of company or corporate body Trading/business name (if different) Registered Office address Postcode Principal Office address (if different) Postcode Company registration number Please indicate which address correspondence concerning this transfer should be sent to. A3.1 Who can we contact about your application for a variation? It will help us to have someone who we can contact directly with any questions about your application for a variation. The person you name should have the authority to act on behalf of the operator. This can be an agent or consultant rather than the operator. 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 and proposed activities at the whole installation. In Column 1, Box A, Activities in the stationary technical unit Please identify all activities listed in Schedule 1 to the EP Regulations that are carried out in the stationary technical unit of the installation. In Column 1, Box A(i), Proposed new activities in the stationary technical unit Please identify all activities listed in Schedule 1 to the EP Regulations that are proposed to be carried out in the stationary technical unit of the installation. In Column 1, Box B, Directly associated activities Please identify any directly associated activities that are 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 1, Box B(i), Directly associated activities Please identify any directly associated activities that 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, both Boxes A and B, please quote the Chapter number, Section number, A(2) or B, 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, unless falling within Part A(1) of that Section, where melting capacity of the plant is more than 20 tonnes per day, would be listed as Chapter 3, Section 3.3, Part A(2)(a).] B1.1 Installation table for variation of permit conditions COLUMN 1 COLUMN 2 Box A Activities in the Stationary Technical Unit Schedule 1 References Box A(i) Proposed new activities in the Stationary Technical Unit Schedule 1 References Box B Directly associated activities Schedule 1 References Box B(i) Proposed new directly associated activities Schedule 1 References B1.2 Why is the variation application being made? specific permit conditions will require amending we are unsure whether the proposed changes will require a variation and wish the local authority to advise on this B.1.3 Site Maps Please provide:* A suitable map showing the location of the installation clearly defining extent of the installations in red and indicating the extent of the installation affected by the proposed change 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, indicating which activities will be affected by the proposed change Doc Reference * A suitable plan showing the site drainage system and all discharge points to drainage or water courses indicating which will be affected by the proposed change . 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 change to the installation and activities and identify the foreseeable emissions to air, water & land from effecting this change (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 changes in emissions as a result of the proposed change have been identified each emission should be characterised (including odour) and quantified. atmospheric emissions should be categorised under the following (i) point source (eg chimney/vent, identified by a number and detailed on a plan) (ii) fugitive source (eg from stockpiles / storage areas). water emissions should be identified at discharge points Doc Reference: B2.3 For each emission which will be affected by the proposed change describe the current and proposed technology and other techniques for preventing or, where that is not practicable reducing the emissions. Doc Reference: B2.4 Identify the raw and auxiliary materials, other substances and water that will be affected by the proposed change in the activities listed in the table in B1.1. Doc Reference: B2.5 Characterise and quantify the effect of the proposed change on each waste stream from the installation and describe the proposed measures for waste prevention and reduction. Please also include any changes required in waste management issues storage and handling of the waste. Doc Reference: B2.6 Identify if any changes will occur to a discharge of any List 1 or List II substance as a result of the proposed change and if any are identified. Explain how the requirements of the Groundwater Regulations 1998 (SI 2746) will be addressed (see attached lists). Also describe the proposed techniques used to prevent and reduce discharges to groundwater as a result of the change. Doc Reference: B2.7 Provide details of the effect the proposed change will have on energy consumption and generation by source and end-use and, if there is a change describe the proposed measures for improvement of energy efficiency. If this change will affect your inclusion in a climate change levy agreement please provide details. Doc Reference: B2.8 Describe the effect the proposed change will have on systems used in the event of unintentional releases and their consequences. This must identify, assess and minimise any change in the environmental risks and hazards, provide a risk based assessment of any change in the likely unintentional releases. Doc Reference: B2.9 Describe the effect the proposed change will have on the sources of noise & vibration identified in you original application. Also describe any additional sources which may be added by this proposed change and the proposed technology and techniques for the control of the noise & vibration. Doc Reference: B2.10 Describe the proposed measures for additional monitoring of all identified emissions as a result of the proposed change. Doc Reference: B2.11(a) Describe the effect the proposed change will have on any pollution risk to land and the ability to return the site of the installation to a satisfactory state upon definitive cessation of activities, you may wish to refer to the site report submitted in your original application. Doc Reference: B2.11(b) If the proposed change will result in additional land being included within the site of the installation please submit an additional site report describing the condition of the land identifying any substance in, on or under the land which will constitute a pollution risk. Doc Reference: B2.12 Describe the effect the proposed change will have on your environmental management techniques, in relation to the installation activities described. Doc Reference: B2.13 Detail in the table provided below, or on an additional sheet if preferred, the exact conditions you wish to change in your current permit. Permit condition reference Proposed new wording of condition B2.14 Additional information Please supply any additional information which you would like us to take account of in considering this variation application. Doc Reference C1 Fees and Charges The enclosed charging scheme leaflet gives details of how to calculate the variation application fee. Your application cannot be processed unless the correct fee is enclosed. C1.1 Please state the amount enclosed as a fee for this variation application. For the local authority � Glamorgan Council) (cheques should be made payable to Vale of For the Environment Agency � Agency) (cheques should be made payable to Environment We will confirm receipt of this fee when we write to you acknowledging your variation 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 charges The application or granting of a permit variation will not affect the level of your annual subsistence charge, nor the requirement to pay it. C3 Commercial confidentiality C3.1 Is there any information in the application for a variation that you wish to justify being kept from the public register on the grounds of commercial 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 for a variation 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 variation 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 determine your application for a variation. 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 variation to 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 C5.1 Signature of current operator(s)* I / We certify that the information in this variation application is correct. I / We apply for a permit in respect of the particulars described in this variation 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. 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