Local Government (Water Pollution) Acts, 1977 and 1990
APPLICATION FOR LICENCE
To Discharge Trade Effluent or other matter (other than Domestic Sewage
Or Storm Water) to a Sewer.
Secretary,
Waterford County Council,
Civic Offices,
DUNGARVAN,
Co. Waterford.
I hereby make application for a licence under Section 16 of the Local Government (Water
Pollution) Act 1977 as amended by Section 12 of the Local Government (Water
Pollution) (Amendment) Act, 1990 to discharge Trade Effluent to a Sewer in accordance
with the plans and other particulars attached.
Signed: _________________________________
__________________________________
__________________________________
Date: _______________________________
Please read explanatory notes before completing the application form.
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(a)
Applicant:
__________________________
Address:
__________________________
(BLOCK CAPITALS)
__________________________
Telephone No. _________________________
(b)
In the case of a Company registered under the Companies Act, 1963 state
the address of the registered office of the Company.
___________________________
___________________________
___________________________
(c)
Planning Reference (If applicable):_______________________
-----------------------------------------------------------------------------------------------------------2.
Location of premises from which
__________________________________
effluent is to be discharged.
__________________________________
__________________________________
-----------------------------------------------------------------------------------------------------------3.
General description of the
__________________________________
process or activity giving rise to
__________________________________
the discharge.
__________________________________
-----------------------------------------------------------------------------------------------------------4.
(a)
Location of point of
__________________________________
discharge to sewer.
__________________________________
__________________________________
(b)
Details of size and type
of discharge pipe.
__________________________________
__________________________________
__________________________________
-----------------------------------------------------------------------------------------------------------5.
Details of provision made for
_________________________________
sampling and measuring flow
_________________________________
of effluent
_________________________________
------------------------------------------------------------------------------------------------------------
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6.
Particulars of any other discharges
from the premises in question.
_____________________________
_____________________________
-----------------------------------------------------------------------------------------------------------7.
Details of any special arrangements
to prevent accidental discharges.
_____________________________
_____________________________
_____________________________
-----------------------------------------------------------------------------------------------------------8.
General.
(a)
Date of commencement of
discharge.
(b)
Trade Effluent:
Volume to be discharged
(i)
Normal per day
(ii)
Maximum in any one day
(iii)
Maximum rate per hour
(iv)
Period or periods of the day
in which discharge is to
take place.
(v)
Any seasonal or other
variations (including any
arising from plant
malfunction) in volumes of
effluent to be discharged.
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_____________________________
__________________ cubic metres
__________________ cubic metres
__________________ cubic metres
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
9.
Characteristics of Effluent to be discharged.
Complete all applicable characteristics giving concentration ranges where
available. Concentration ranges to be expressed in mg/l where applicable.
The following list is meant to be indicative only – such other physical, chemical
or other characteristics as are pertinent to be effluent in question should be
specified.
Characteristics
Prior to Treatment
As Discharged
Temperature 0C
PH
Colour (degrees Hazen)
B.O.D.
C.O.D.
Suspended Solids (S.S.)
Dissolved Solids
Ammonia (as N)
Nitrates (as N)
Phosphorus (as P)
Sulphates (as SO4)
Chlorides (as Cl)
Phenols (as C6H5OH)
Detergents (as MBAS)
Fats, Oils and Grease (F.O.G.)
10.
Harmful Substances.
Specify if any of the harmful substances listed in the First and Second Schedules
of the Local Government (Water Pollution Regulations) 1992 (SI No. 271 of 1992)
are contained in the effluent. (See Appendix A).
Harmful Substance
Concentration
Prior to Treatment
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Concentration
As Discharged
11.
Dangerous Substances
Specify if any of the dangerous substances listed in Table 1 (Pesticides and
Solvents) or Table 2 (Metals and Other Substances) of the Water Quality
(Dangerous Substances) Regulations, 2001 (S.I. No. 12 of 2001) are contained in
the effluent. (See Appendix B).
Dangerous Substance
Concentration
Prior to Treatment
Concentration
As Discharged
12.
Any other relevant characteristics
(including fish toxicity from tests
carried out on all or part of the effluent)
13.
Full details and particulars of existing and/or proposed effluent treatment prior to
discharge to sewer.
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______________________________
______________________________
______________________________
APPENDIX A
First and second Schedule Local Government (Water Pollution) Regulations 1992
(S.I. No. 271 of 1992)
FIRST SCHEDULE
HARMFUL SUBSTANCES
Individual substances belonging to the following families and groups of substances:1.
Organohalogen compounds and substances which may form such compounds
in the aquatic environment.
2.
Organophosphorus compounds.
3.
Organotin compounds.
4.
Substances which possess carcinogenic mutagenic or teratogenic properties in or
via the aquatic environment, including substances in the Second Schedule which
possess such properties in or via the aquatic environment.
5.
Mercury and its compounds.
6.
Cadmium and its compounds.
7.
Mineral oils and hydrocarbons.
8.
Cyanides.
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SECOND SCHEDULE
HARMFUL SUBSTANCES
Individual substances and categories of substances belonging to the following families
and groups of substances:1.
The following metalloids and metals and their compounds:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Zinc
Copper
Nickel
Chrome
Lead
Selenium
Arsenic
Antimony
Molybdenum
Titanium
11.
12.
13.
14.
15.
16.
l7.
18.
19.
20.
Tin
Barium
Peryllium
Boron
Uranium
Vanadium
Cobalt
Thallium
Tellurium
Silver
2.
Biocides and their derivatives other than those in the First Schedule.
3.
Substances which have a deleterious effect on the taste and/or odour of water and
compounds liable to cause the formation of such substances in such water and to
render it unfit for human consumption.
4.
Toxic or persistent organic compounds of silicon and substances which may cause
the formation of such compounds in water, excluding those which are biologically
harmless or are rapidly converted in water into harmless substances
5.
Inorganic compounds of phosphorus and elemental phosphorus.
6.
Fluorides.
7.
Ammonia and nitrites.
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APPENDIX B
TABLE 1
PESTICIDES AND SOLVENTS
Substance
Atrazine
Dichloromethane
Simazine
Toluene
Tributyltin
Xylenes
TABLE 2
METALS AND OTHER SUBSTANCES
Substance
Arsenic
Chromium
Copper
Cyanide
Fluoride
Lead
Nickel
Zinc
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Explanatory Notes.
(These notes are for guidelines only and do not purport to be a legal interpretation
of the provisions concerned).
1.
A licence application shall be accompanied by:(a)
(b)
(c)
(d)
(e)
Three copies of such plans and such other particulars as are necessary to
describe the premises, drainage system and any works, apparatus or plant
from which the effluent is to be discharged and to identify the point of
discharge to the sewer.
Particulars of the nature, composition, anticipated temperature, volume
and rate of discharge of, and the proposed method of any treatment of, the
effluent and the period or periods during which the effluent is to be
discharged.
A general description of the process or activity giving rise to the
discharge.
Copy of Certificate of Incorporation.
Application fee of €380.
2.
A Licence is not required for discharge to a sewer of domestic sewage or storm
water.
3.
“Trade Effluent” is defined in Section 1 of the Local Government (Water
Pollution) Act, 1977 as follows, viz:“Trade Effluent” means effluent from any work, apparatus, plant or drainage pipe
used for the disposal to waters or to a sewer of any liquid (whether treated or
untreated), either with or without particles of matter in suspension therein, which
is discharged from premises used for carrying on any trade or industry (including
mining), but does not include domestic sewage or storm water.
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