OFFALY COUNTY COUNCIL
AS THE
NATIONAL
WASTE COLLECTION PERMIT OFFICE
NEW Waste Collection Permit Application Form &
Waste Collection Permit REVIEW Application Form
Applicant Name:
Telephone Number:
Postal Address:
IMPORTANT
Please note this application form is continuously updated.
If you have not recently received/downloaded this form, you are advised to contact the
National Waste Collection Permit Office to confirm that this is the most recent version.
Version 2.2
CONTENTS
1.
2.
GENERAL
1
1.1.
Introduction
1
1.2.
Who do I Apply to?
1
1.3.
Fees Payable
2
1.4.
Pre-Application Consultation
2
1.5.
Guidance on the Application Form
2
1.6.
Additional Documents to be Included
3
1.7.
About these Guidance Notes
3
WASTE COLLECTION PERMIT APPLICATION FORM
4
2.1.
Application Type
4
2.2.
Existing Permit Holders
4
2.3.
Consultant/Agent
5
SECTION A - W aste Collection Permit REVIEW Form
6
SECTION B - About the Applicant
8
SECTION C - About the Waste Collection Activity
12
SECTION D - Additional Information
18
APPENDICES
19
Appendix 1 - Statutory Declaration
19
Appendix 2 - Suggested Newspaper Notice Format
20
Appendix 3 - Question B.8 Financial Commitment Discharge Declaration
22
Appendix 4 - Question B.9 Motor Vehicle Insurance Declaration
23
Appendix 5 - Question B.9 Public Liability Insurance Declaration
25
Appendix 6– Question 2.2 Declaration for Revocation of Single Region Permit
27
Appendix 7 - Checklist of Information
28
Part 1 – General
NWCPO
1. GENERAL
1.1. Introduction
On the 1st of February 2012, Offaly County Council was designated as the Nominated
Authority for the processing of all new Waste Collection Permit applications and Review
applications received on or after that date. This single Nominated Authority will be known
as the National Waste Collection Permit Office (NWCPO).
This form is for the following purposes under the Waste Management (Collection Permit)
Regulations S.I. No. 820 of 2007 and the Waste Management (Collection Permit)
Amendment Regulations S.I. No. 87 of 2008 (hereafter referred to as the Regulations); the
making of an application for a:
 single region waste collection permit; or
 multi region waste collection permit; or
 review of a waste collection permit instigated by a Nominated Authority; or
 review of a waste collection permit instigated by the permit holder.
A guidance manual is available to download on the Environmental Protection Agency web
site www.epa.ie/wastepermit and the application form and guidance manual is available to
download from the NWCPO web site www.nwcpo.ie.
In order to make the application process as efficient as possible, it may be necessary for the
NWCPO to contact the applicant or a representative for the applicant while processing the
application. The application contact person must have a good knowledge of the application
form and the detail within. For this reason it is recommended that the application contact
person should be the person who has completed the application form and any relevant
supporting information.
1.2. Who do I Apply to?
All Waste Collection Permit applications and Waste Collection Permit Review applications
made on or after the 1st of February 2012 shall be made to the National Waste Collection
Permit Office.
NATIONAL WASTE COLLECTION PERMIT OFFICE - CONTACT DETAILS
Address
NWCPO
Offaly County Council
Áras an Chontae
Charleville Road
Tullamore
Co. Offaly
Telephone
05793 57428
Fax
05793 29230
Website
www.nwcpo.ie
Email
contactus@nwcpo.ie
1
Part 1 – General
NWCPO
1.3. Fees Payable
New Application Fees
Review Fees
Single-Region Permit
€1,000
€500
Multi-Region Permit
€1,000 per region, up to a maximum
charge of €5,000 for all regions.
€500 per region up to a maximum
charge of €2,500 for all regions.
Payment Method
Instruction
Lodge to Offaly County Council’s Bank Account:
Credit Transfer or
Direct Lodgement
Bank of Ireland, Bridge Street, Tullamore, Co. Offaly.
Sort Code: 90-19-09
Account Number: 48640672
PLEASE QUOTE CODE 05190026 AND INCLUDE YOUR NAME
Postal Money Order
or Bank Drafts
Crossed and made payable to Offaly County Council.
Cash, Cheque, Credit
or Debit Card
Pay at the Cash Office in Offaly County Council, or pay with credit or debit
card, over the phone. Phone Offaly County Council on 057 93 46800.
1.4. Pre-Application Consultation
It is recommended that pre-application consultations or discussions with the NWCPO are
undertaken before a formal submission of any of the above types of applications.
It is also recommended that the applicant familiarise themselves with the application form
and Regulations and Bye-Laws (Skip Bye-Laws, Household Waste Bye-Laws for example)
before beginning to complete the application. In addition, applicants need to be aware of
the requirements of the relevant Waste Management Plan/s for the region or regions and
the National Hazardous Waste Management Plan 2008-2012.
Waste Management Plans are available to download from all local authority websites. The
National Hazardous Waste Management Plan 2008-2012 produced by the EPA, is available
at http://www.epa.ie/downloads/pubs/waste/haz/
1.5. Guidance on the Application Form
The contents of an application and the information to accompany an application are
specified in Articles 6 and 7 of the Regulations.
The NWCPO may request a waste collection permit holder under Article 23 of the
Regulations, to review a collection permit.
A waste collection permit holder may submit an application to the NWCPO to review a
permit under Article 24 of the Regulations.
Both an application for a new permit or a review of an existing permit shall be made in
accordance with the requirements of Articles 5, 6 and 7 of the Regulations.
2
Part 1 – General
NWCPO
The application form is designed in such a way as to set out questions in a structured
manner and not in the order presented in the Regulations.
All sections in this application form may not be relevant to every application, or applicant.
However, the applicant should look carefully through the complete form and provide all
relevant information. If any question is considered 'not applicable’ this should be stated in
full. The use of the abbreviations (e.g., N.A. or dash) should be avoided.
Additional attachments may be included to supply any further information supporting the
application. Attachments should be clearly numbered, titled and paginated and must
contain the required information as set out in the application form.
Consistent measurement units must be used throughout the application form.
1.6. Additional Documents to be Included
Documents and information which must be supplied with the application are presented as a
checklist in Appendix 7 of this application form. The applicant is advised to complete the
checklist and submit with the application. Any applicant who does not submit all of the
relevant documents will be contacted by the NWCPO to supply the missing documents
within a set timescale.
For new applicants, please ensure that you have attached a copy of the newspaper notice
with your application (a copy of the page of the newspaper).
You are required to submit details in relation to the waste types and quantities you will be
collecting as per question C.3 of this application. The required template is available to
download at www.nwcpo.ie in the form of an excel spreadsheet. It is recommended that
this is completed electronically and submitted on a CD with the application.
1.7. About these Guidance Notes
These guidance notes have been developed to assist applicants in the preparation of an
application for a single region or multi region waste collection permit or a review of
collection permits under the Regulations.
This document does not purport to be and should not be considered a legal interpretation
of the provisions and requirements of the Waste Management (Collection Permit)
Regulations S.I No. 820 of 2007 and the Waste Management (Collection Permit)
Amendment Regulations S.I No.87 of 2008.
While every effort has been made to ensure the accuracy of the material contained in this
document, the NWCPO assumes no responsibility and gives no guarantees; undertakings or
warranties concerning the accuracy, completeness or up-to-date nature of the information
provided herein and does not accept any liability whatsoever arising from any errors or
omissions.
3
Part 2 – Waste Collection Permit Application Form
NWCPO
2. Waste Collection Permit Application Form
2.1. Application Type
Please tick the relevant box to which this application applies. (Only one box may be ticked).
New waste collection permit (go to ‘Section B’)
Review of a waste collection permit or permits which has been initiated by
the nominated authority (go to ‘Section A’) [Article 23 (1) & (2)]
Review of a waste collection permit or permits which has been initiated by
the permit holder (go to ‘Section A’) [Article 24 (1) & (2)]
NOTE: An application for the review of a waste collection permit granted under the 2008
Regulations (as amended) must be made no later than 60 working days before the
expiry date of the permit, if it is to remain in force. [Article 24 (1)].
2.2. Existing Permit Holders
If you are a holder of existing waste collection permit(s), please complete the table below.
Please complete the Revocation of Single Region Waste Collection Permits declaration
document contained in Appendix 6, where applicable.
Nominated Authority
Permit Number
Select Nominated Authority
Select Nominated Authority
Select Nominated Authority
Select Nominated Authority
Select Nominated Authority
Select Nominated Authority
Select Nominated Authority
Select Nominated Authority
Select Nominated Authority
Select Nominated Authority
Please include a current copy of each
existing waste collection permit.
ATTACHED
4
Part 2 – Waste Collection Permit Application Form
NWCPO
2.3. Consultant/Agent
Is the application being completed by a Consultant/Agent?
Yes
No
If ‘yes’, give the Consultant’s/Agent’s name, address and contact details below.
Contact Name
Address
Telephone
Fax
Email
Should all correspondence be sent to the agent’s address (where applicable)?
Yes
No
NOTE: If the answer is ‘No’, all correspondence will be sent to the applicant’s address.
5
Section A – Waste Collection Permit Review Form
NWCPO
SECTION A - WASTE COLLECTION PERMIT REVIEW FORM
Section A is for REVIEW applications ONLY.
A.1 Reason(s) for Review
Please tick the relevant reasons why a review has either been initiated by the nominated
authority or permit holder and provide brief explanation. (Complete one table only).
Where a Nominated Authority has initiated Review [Article 23 (1) & (2)]
Reasons for Review:
The NWCPO has determined that the there has been a *significant change in
nature, focus or extent of waste collection activity. [Article 33]
At the request of another Local Authority.
Amendment to the Waste Management Plan for the region.
Other (please specify below).
Explain reason for review (continue on separate sheet if necessary) and provide copy of
Notice from nominated authority. [Article 23 (3)]
Document(s) Reference:
Where a Permit Holder has initiated Review [Article 24 (1) & (2)]
Reasons for Review:
The permit holder has determined that there has been a *significant change in
nature, focus or extent of waste collection activity.
Holds a number of individual permits and wishes to make one application and to
extend waste collection activities.
Other (please specify below).
Explain reason for review (continue on separate sheet if necessary).
Document(s) Reference:
*NOTE: When an application for a review has been submitted due to a significant change
in nature, focus or extent of waste collection activity, the NWCPO may determine
that a new application is warranted (please see examples on the following page).
6
Section A – Waste Collection Permit Review Form
NWCPO
For example, in the following circumstances a new application is generally required:
 Where an applicant wishes to collect hazardous waste, but currently only has a
permit for non-hazardous waste collection.
 Where an applicant wishes to collect door-to-door household waste, but does not
currently hold a permit to collect this waste type.
 Where an applicant wishes to add more regions to their permit.
 Where there is a change in legal entity of permit holder (e.g. change from sole trader
to limited company).
For example, in the following circumstances a new newspaper notice is generally required:
 Where the applicant wishes to add more local authority areas within a current
granted region.
 Where the applicant proposes to collect new waste types which weren’t previously
advertised.
Where applicants have concerns that their review application may be considered as a
significant change, they are advised to engage in the pre-application consultation process.
A.2 Consultation with a Nominated Authority
If you are applying for a review of a single region or multi-region waste collection permit,
have you had any form of consultation with a nominated authority?
Yes
No
Please include any form of correspondence that may have been received from the
Nominated Authority or details of the consultation or contact name and telephone number
of the Nominated Authority representative.
ATTACHED
Contact Name
Telephone
Pre-Consultation Reference
7
Section B – About the Applicant
NWCPO
SECTION B - ABOUT THE APPLICANT
B.1 Full Name of Applicant(s) [Article 7 (1) (a)]
Applicant(s) must be a legal entity (sole trader, partnership or body corporate).
In the case of joint applicants, identify the principal applicant.
Name(s)
Name(s)
B.2 All Trade Name(s) used or proposed to be used by the Applicant(s)
[Article 7 (1) (b)]
Trade Name
Trade Name
Attach a copy of your Certificate of Business Name from the Companies Registration Office.
ATTACHED
B.3 Full Address of Applicant(s) [Article 7 (1) (c)]
The address of the principal place of business, or in the case of a body corporate the
registered or principal office of the applicant(s) and the telephone number and e-mail
address of the applicant(s).
Address
Telephone
Fax
Email*
Contact Name
*NOTE: A valid email address must be provided with the application.
8
Section B – About the Applicant
NWCPO
B.4 Is the Applicant a Body Corporate? [Article 7 (1) (e)]
Yes
No
If ‘yes’, please attach a copy of the Certificate of Incorporation.
ATTACHED
If the applicant(s) is a body corporate, please give the name and address of any person who
is a director, manager, company secretary or other similar officer of each body corporate.
[Article 7 (1) (e)]
Name, address
and position
Name, address
and position
Name, address
and position
Name, address
and position
Name, address
and position
Please attach a copy of the company printout from the Companies Registration Office
detailing the company directors.
ATTACHED
9
Section B – About the Applicant
NWCPO
B.5 Is the Applicant(s) a Partnership? [Article 7 (1) (d)]
Yes
No
If the applicant is a partnership, give the names and addresses of all partners.
Name and
Address
Name and
Address
Name and
Address
B.6 Relevant Convictions/Court Order [Article 7(1) (k)]
Has the applicant, including in the case of a body corporate any officer of that body
corporate, been convicted of any offence, prescribed under the Waste Management Act
1996, the Environmental Protection Agency Acts 1992 and 2003, the Local Government
(Water Pollution) Acts 1977 and 1990 or the Air Pollution Act 1987 and article 21 of the
Waste Management (Collection Permit) Regulations S.I No. 820 of 2007 and the Waste
Management (Collection Permit) Amendment Regulations S.I No 87 of 2008, within the
previous 10 years? [Article 7(1) (k) & (l)]
Yes
No
If ‘yes’, please include a supplementary sheet detailing the court hearing, the case, nature
of the offence and any penalty or requirements imposed by the court. Where there is more
than one offence to be considered, please use a separate sheet for each offence.
[Article 7(1) (k) & (l)].
ATTACHED
Where the applicant is a sole trader or partnership, include details of any such conviction
where any relevant person or partner was at any time within the last 10 years prior to this
application, a director, manager, company secretary or similar officer for a body corporate.
ATTACHED
10
Section B – About the Applicant
NWCPO
B.7 Technical Competence (Fit and Proper Person)
Please detail the applicant(s) technical knowledge and qualifications relevant to the
collection of waste. [Article 4 & Article 7(1) (k) & (l)] and [Article 17 (3) (c)].
Document(s) Reference:
B.8 Financial Commitment Discharge [Article 4]
To provide particulars in respect of such matters affecting the ability of the applicant(s) to
meet the financial commitments or liabilities which will be entered into or incurred by the
person(s) in carrying on the activity or in ceasing to carry on waste collection activity/s,
please attach the following:
 The B.8 Declaration (Appendix 3)
 A copy of your current Tax Clearance/C2 Certificate issued by Irish Revenue
ATTACHED
NOTE: For applicants’ resident outside the Republic of Ireland, a Tax Clearance Certificate
must be obtained from Irish Revenue.
Failure to submit a Tax Clearance Certificate will result in an invalid application.
B.9 Insurance Details
Please complete the insurance declaration documents contained in Appendix 4 and
Appendix 5.
 an indemnity of €6.5 million
 an indemnity to Offaly County Council (as Nominated Authority on behalf of
all Local Authorities in the Republic of Ireland).
ATTACHED
Environmental Liability
You are advised to investigate if Environmental Liabilities Insurance is appropriate for your
proposed waste collection activity. While this is not a current requirement of the waste
collection permit application process, it may be so in the future.
11
Section C – About the Waste Collection Activity
NWCPO
SECTION C - ABOUT THE WASTE COLLECTION ACTIVITY
C.1 Waste Collection Areas and Regions
Select the relevant box or boxes to identify the local authority area or areas in the regions
where waste is or will be collected.
REGION
LOCAL AUTHORITY
ALL REGIONS
All Local Authorities
REGION
Clare County Council
Galway City Council
MID-WEST
Galway County Council
CONNAUGHT
DUBLIN
Limerick City Council
Limerick County Council
Mayo County Council
Cavan County Council
NORTH-EAST
Monaghan County Council
Carlow Council
Cork City Council
Cork County Council
Donegal County Council
SOUTH-EAST
Dublin City Council
Dun LaoghaireRathdown Council
Fingal County Council
Kildare County Council
MIDLANDS
Laois County Council
Longford County
Council
North Tipperary County
Council
Offaly County Council
Westmeath County
Council
Kilkenny County Council
South Tipperary County
Council
Waterford City Council
Waterford County Council
Wexford County Council
South Dublin County
KILDARE
Louth County Council
Meath County Council
Sligo County Council
DONEGAL
Kerry County Council
Leitrim County Council
Roscommon County
Council
CORK
LOCAL AUTHORITY
WICKLOW
12
Wicklow County Council
Section C – About the Waste Collection Activity
NWCPO
C.2 General Waste Activity
Please outline the general areas of your proposed waste activity by ticking the boxes below.
You are advised to refer to the European Waste Catalogue (EWC code book).
Batteries and Accumulators
Bulky Waste
Commercial and Industrial Waste
Construction and Demolition Waste
End of Life Vehicles
Hazardous Waste
Household Waste
Incineration Waste
Sludges/Slurries and Septic Tank Waste
Waste Electrical and Electronic Equipment
Waste Oils (Oil wastes and wastes of liquid fuels)
Waste Tyres
C.3 Waste Type and Description
Please complete Table C.3 accompanying this application, this table can be completed by
hand or electronically (electronic format is preferred). The table is available for download at
www.nwcpo.ie. Guidance on the use of the table is provided within the excel sheet itself.
The electronic sheet provides two worksheets, one for household waste collections and the
second for other waste collections. Both worksheets have drop down lists for applicants to
select region, local authority areas and waste types corresponding to the European Waste
Catalogue (EWC). The EWC catalogue can be downloaded from
www.epa.ie/downloads/pubs/waste/stats/ or www.nwcpo.ie.
Worksheet 1, i.e. the household waste collection sheet is presented in two parts. Part 1
deals with door to door waste collections and Part 2 deals with collection of other
household wastes for example, septic tank sludge, garage clearances, bring centres.
NOTE: Sample rows have been completed as examples of
the information to be included in Table C.3 please
delete these rows before completion.
13
ATTACHED
Section C – About the Waste Collection Activity
NWCPO
C.4 Regional Waste Plan requirements or requirements of National Hazardous
Waste Management Plan
Have you consulted the relevant Regional Waste Plans and Hazardous Waste Management
Plan relative to your proposed activity?
Yes
Local Authority Jurisdiction:
No
Select Relevant Jurisdiction
C.5 Facilities in Ireland
In addition to the details of any facility or facilities that is intended to be used in connection
with the waste collection as requested in Table C.3, please attach the letter/s of acceptance
from each facility that is intended to be used in connection with the waste collection
activity.
These letters must be provided on the facility/s headed paper, detailing their agreement to
accept the specified waste types (EWC codes) and volumes, detail the facility authorisation
reference and expiry date. Letters of acceptance must be signed by a facility manager or
equivalent appointed person(s).Please note letters of acceptance must be in date, i.e. dated
within 6 months of the application being submitted.
ATTACHED
C.6 Facilities outside of Ireland – Trans-Frontier Shipment (TFS)
Amber Waste

A copy of the numbered and completed TFS notification document (Annex 1A)
(including EWC codes, haulier details and facility details including authorisation
reference).

A copy of the TFS list of carriers (Annexed to the TFS notification document, Annex
1A).

A copy of the contract between the Exporter/ Person who arranges the shipment
and Importer/Consignee facility.

OR
A letter of acceptance from the destination facility submitted by the permit holder.
Where the application consists of the addition of a carrier to an existing TFS document, the
request shall be accompanied by a letter from the Exporter/Notifier confirming that they
will be making a request to the NTFSO to add the Waste Collection Permit holder as a carrier
on their TFS.
14
Section C – About the Waste Collection Activity
NWCPO
Green Waste

A copy of the completed Annex VII document.

A copy of the list of carriers is required where the name of the relevant carrier is
not entered in the Annex VII document.

A copy of the contract between the Exporter/Person who arranges the shipment
and Importer/Consignee facility.

OR
A letter of acceptance from the destination facility submitted by the permit holder.

OR
Contact details for the Broker/Dealer.

Copy of NTFSO Registration Certificate for Broker/Dealer.
ATTACHED
C.7 Vehicles
Do you currently have vehicles for waste collection?
Yes
No
If ‘yes’, please provide the following details. (Continue on separate sheet if necessary).
Registration
Number
Owned/Leased or
Owner Driver
Vehicle Type
Vehicle
Licensing
Certificate Included
Select
Select
Select
Select
Select
Select
Select
Select
Select
Select
Select
Select
Select
Select
Select
Select
Select
Select
Select
Select
Select
Select
15
Section C – About the Waste Collection Activity
Registration
Number
NWCPO
Owned/Leased or
Owner Driver
Vehicle Type
Vehicle
Licensing
Certificate Included
Select
Select
Select
Select
Select
Select
Select
Select
Select
Select
Select
Select
Select
Select
Select
Select
Select
Select
Select
Select
Select
Select
Select
Select
Select
Select
Select
Select
Select
Select
Select
Select
Select
Select
Select
Select
Select
Select
Select
Select
A copy of the vehicle licensing certificate(s) in the name of the applicant.
ATTACHED
In the case of subcontractors / leased vehicles, further documentation is required, including
a Motor Contingency Insurance Policy. Please contact the NWCPO for details of this
documentation.
NOTE: For applicants who do not have vehicles at the application stage, if granted a waste
collection permit, they must provide vehicle details to the NWCPO prior to waste collection
activities commencing.
16
Section C – About the Waste Collection Activity
NWCPO
C.8 Skips
Please state skip type and volume for all skip containers (if applicable).
(Insert more rows if necessary).
Skip Type
Number of these
Skip Types
Volume
(Cubic Metres)
Total Volume
(Cubic Metres)
Document(s) Reference:
Is the applicant licensed under the control of Skip bye-laws?
(Please refer to the Roads Division of the relevant Local Authority for these details).
Yes
No
If ‘yes’, please give details as they appear on the Skip Operating Licence:
Skip Operator Name and Licence Number
Skip Operator Address
C.9 Food Waste
Do you intend to collect Food Waste from premises as set out in Schedule 1 of S.I. No. 508
of 2009 Waste Management (Food Waste) Regulations 2009 as part of your waste collection
activity?
Yes
No
If ‘yes’, please submit details of how the applicant(s) proposes to collect food waste from
the premises of the producers listed in the specified classes of Schedule 1 of these
Regulations and in compliance with S.I. No. 508 of 2009 Waste Management (Food Waste)
Regulations.
ATTACHED
17
Section D – Additional Information
NWCPO
SECTION D - ADDITIONAL INFORMATION
D.1
Additional Information
If there is additional information which the applicant feels may be required or beneficial to
the NWCPO in making its decision or any information identified during pre-application
consultation, this should be included here.
Supporting documents may be provided.
Document(s) Reference:
18
APPENDICES
Appendix 1
NWCPO
(Version 2.2)
Appendix 1 - Statutory Declaration
Original, stamped document to be submitted.
I declare that the information given in the application by (1) _________________________
__________________________________________________________________________
for the purpose of obtaining a waste collection permit is correct, and that no information
which is required to be included in the said application has been omitted.
I make this solemn declaration conscientiously believing the same to be true and by virtue
of the Statutory Declarations Act 1938.
I authorise OFFALY COUNTY COUNCIL as the NATIONAL WASTE COLLECTION PERMIT
OFFICE to make any enquiries from official sources as it may consider necessary for the
purpose of determining this application and, pursuant to Section 8 of the Data Protection
Act 1988, I consent to the disclosure of details of convictions for relevant offences specified
under Article 21 of the Waste Management (Collection Permit) Regulations 2007.
*Signature: ______________________________________________________________
Name: (block capitals) ____________________________________________________
**Declared before me at ____________________________________________________
this ___________ day of ________________________ , 20 _____________________
Signature of Witness: ____________________________________________________
Occupation: ____________________________________________________________
Date: __________________________________________________________________
WARNING ANY PERSON WHO GIVES FALSE OR MISLEADING INFORMATION FOR THE
PURPOSE OF OBTAINING A WASTE COLLECTION PERMIT RENDERS THEMSELVES LIABLE TO
SEVERE PENALTIES.
(1) Insert legal entity.
* To be signed by the applicant, each partner if in the case of a partnership, or a director,
manager, company secretary or similar officer in the case of a body corporate.
** To be completed by a Solicitor/Commissioner of Oaths/Notary Public/Peace
Commissioner/Garda Síochána.
19
Appendix 2
NWCPO
(Version 2.2)
Appendix 2 - Suggested Newspaper Notice Format
(Only in the case of new application for a single or multi-regional waste collection permit)
(THE FOLLOWING PARAGRAPH TO BE PRINTED IN UPPERCASE)
APPLICATION TO OFFALY COUNTY COUNCIL AS THE NATIONAL WASTE COLLECTION
PERMIT OFFICE (NWCPO) FOR A WASTE COLLECTION PERMIT RELATING TO A WASTE
COLLECTION ACTIVITY OR WASTE COLLECTION ACTIVITIES IN (A) ____________________
__________________________________________________________________________
__________________________________________________________________________
(B) _______________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
will be making an application to the NWCPO, within ten working days from the date of this
notice, for a waste collection permit to collect (C) _________________________________
__________________________________________________________________________
_____________________________________________________________________ waste
in (D) ____________________________________________________________________
A copy of the application will, as soon as is practicable after receipt by the NWCPO be
available for inspection and for purchase at the principal offices of the local authority area
or areas listed above.
(A)
(B)
(C)
(D)
Insert name of relevant region or regions - SEE NOTE 1 OPPOSITE.
Insert applicant’s full name and address of principal place of business.
Fully describe the nature of waste collection activities - SEE NOTE 2 OPPOSITE.
State name of local authority area or areas - SEE NOTE 3 OPPOSITE.
20
Appendix 2
NWCPO
(Version 2.2)
THE FOLLOWING NEWSPAPERS CIRCULATE IN ALL 34 LOCAL AUTHORITY AREAS:
 The Irish Independent
 The Irish Times
 The Irish Sun
 The Irish Star
Proof of circulation should be requested for all other newspapers
Where some newspapers circulate in the majority of areas e.g. the Irish Examiner, or Evening Herald,
then a combination of this paper plus a local paper will be acceptable.
NOTE 1:
The Regions are:
 North East, South-East, Cork, Mid-West, Connaught, Midlands, Wicklow, Kildare, Donegal,
Dublin or All Regions.
This can be worded for example as:
 The Midlands Region, or
 All Regions, or
 The Midlands, Cork and Dublin regions as appropriate
NOTE 2:
Examples are:
Hazardous & non-hazardous, commercial, industrial, household, construction & demolition waste,
sludges, slurries and septic tank waste.
Note: Avoid narrow classifications e.g. “concrete”. In this case Construction & Demolition waste
will give a wider scope to the applicant in their waste collection activity.
NOTE 3:
The Local Authority areas are:
 Meath, Cavan, Louth and Monaghan County Councils.
 Kilkenny, Carlow, South Tipperary, Wexford, Waterford County Councils and Waterford City
Council.
 Cork County Council and Cork City Council.
 Limerick County Council, Limerick City Council and Clare and Kerry County Councils.
 Mayo, Leitrim, Roscommon, Sligo, Galway County Council and Galway City Council.
 Offaly, Laois, Longford, North Tipperary and Westmeath County Councils.
 Wicklow County Council.
 Kildare County Council.
 Donegal County Council.
 Dublin City Council and Dun Laoghaire-Rathdown, Fingal and South Dublin County Councils.
Or, for Multi-regional applications including all Local Authority Areas;
 All City and County Council Areas.
Note: All Local Authority areas where the applicant proposes to collect waste must be included in
the newspaper notice to be deemed as a valid notice.
Applicants are advised to seek advice in relation to their newspaper notice from the NWCPO by
availing of a pre-application consultation. A newspaper notice will not be pre-approved and will only
be validated by the office following the submission of a complete application. You are also advised
to use the newspaper notice checklist in Appendix 7.
21
Appendix 3
NWCPO
(Version 2.2)
Appendix 3 - Question B.8
Financial Commitment Discharge Declaration
Original, stamped document to be submitted.
This document must be completed to satisfy the NWCPO that the applicant meets the full
definition of a ‘fit and proper person’ as defined in Article 4 of the Waste Management
(Collection Permit) Regulations, 2007 as amended.
Please note that under Article 17(3) the NWCPO shall not grant a waste collection permit
unless it is satisfied that the applicant is a fit and proper person.
All applicants are required to make signed declaration stating their financial ability to
properly carry out waste handling and waste collection in a manner that will not cause
environmental pollution or breach environmental standards.
The following declaration is to be completed by a financial representative of the applicant,
e.g. company accountant or bank manager, or finance director/manager etc.
SIGNED FINANCIAL DECLARATION
It is my opinion that the applicant is likely to be in a position to meet any financial
commitments or liabilities that will be entered into or incurred by the applicant in carrying
out the waste collection activity to which the waste collection permit relates in accordance
with the terms of the permit or in consequence of ceasing to carry on that activity.
Signature: _____________________________________________
Name (Block Capitals): __________________________________
OFFICIAL STAMP
Position or Title: _______________________________________
Financial Institution (if applicable): ________________________
Date: _________________________________________________
WARNING: IT IS AN OFFENCE UNDER ARTICLE 36 (1) OF THE WASTE MANAGEMENT
(COLLECTION PERMIT) REGULATIONS 2007, AS AMENDED, FOR ANY PERSON TO PROVIDE
FALSE OR MISLEADING INFORMATION FOR THE PURPOSES OF OBTAINING A WASTE
COLLECTION PERMIT.
22
Appendix 4
NWCPO
(Version 2.2)
Appendix 4 - Question B.9
Motor Vehicle Insurance Declaration for Waste Collection
Original, stamped document to be submitted.
(To be completed by the applicant’s insurance company/insurance broker)
This document must be completed to satisfy the NWCPO that the applicant meets the full
definition of a ‘fit and proper person’ as interpreted in Article 4 of the Waste Management
(Collection Permit) Regulations, 2007 as amended.
Please note that under Article 17(3)(c) a nominated authority shall not grant a waste
collection permit unless it is satisfied that the applicant is a fit and proper person.
SIGNED DECLARATION
I confirm that the applicant (Name) ___________________________________________
_________________________________________________________________________
has a Motor Vehicle Insurance Policy covering the use of all vehicle(s) registration(s)
______________________________________ (if fleet policy state ‘fleet policy’) in relation
to his/her/it’s activities identified in Table 1 below, which are the subject matter of the
Waste Collection Permit, including:

A Third Party Property Damage Limit of €6.5m.

An indemnity to Offaly County Council (as Nominated Authority
on behalf of all Local Authorities in the Republic of Ireland).
 Policy No.: ___________________
Yes 
No 
Yes 
No 
Expiry Date of Policy: __________________
Insurer:
TABLE 1
Batteries and Accumulators

Household Waste

Bulky Waste

Incineration Waste

Commercial and Industrial Waste

Sludges/Slurries and Septic Tank Waste

Construction and Demolition Waste

Waste Electrical and Electronic Equipment

End of Life Vehicles

Waste Oils (Oil wastes and wastes of liquid fuels)

Hazardous Waste

Waste Tyres

23
Appendix 4
NWCPO
(Version 2.2)
Signature: ...................................................................................
OFFICIAL STAMP
Name (Block Capitals): ................................................................
Position or Title: .........................................................................
Insurance Broker or Company: ....................................................
Date: ..........................................................................................
ADDITIONAL COMMENTS:
WARNING: IT IS AN OFFENCE UNDER ARTICLE 36 (1) OF THE WASTE MANAGEMENT
(COLLECTION PERMIT) REGULATIONS 2007, AS AMENDED, FOR ANY PERSON TO PROVIDE
FALSE OR MISLEADING INFORMATION FOR THE PURPOSES OF OBTAINING A WASTE
COLLECTION PERMIT.
24
Appendix 5
NWCPO
(Version 2.2)
Appendix 5 - Question B.9
Public Liability Insurance Declaration for Waste Collection
Original, stamped document to be submitted.
(To be completed by the applicant’s insurance company/insurance broker)
This document must be completed to satisfy the NWCPO that the applicant meets the full
definition of a ‘fit and proper person’ as interpreted in Article 4 of the Waste Management
(Collection Permit) Regulations, 2007 as amended.
Please note that under Article 17(3) (c) a nominated authority shall not grant a waste
collection permit unless it is satisfied that the applicant is a fit and proper person.
SIGNED DECLARATION
I confirm that the applicant (Name) ___________________________________________
_________________________________________________________________________
has a Public Liability Insurance Policy covering his/her/it’s activities, identified in Table 1
below, which are the subject matter of the Waste Collection Permit, including:

Limit of indemnity of at least €6.5m any one occurrence,
including sudden/unforeseen pollution risks.

An indemnity to Offaly County Council (as Nominated Authority
on behalf of all Local Authorities in the Republic of Ireland).

Does Policy include Irish Law Jurisdiction? (only relevant in
insured is based outside ROI)
 Policy No.: ___________________

Yes 
No 
Yes 
No 
Yes 
No 
Expiry Date of Policy: __________________
Insurer:
TABLE 1
Batteries and Accumulators

Household Waste

Bulky Waste

Incineration Waste

Commercial and Industrial Waste

Sludges/Slurries and Septic Tank Waste

Construction and Demolition Waste

Waste Electrical and Electronic Equipment

End of Life Vehicles

Waste Oils (Oil wastes and wastes of liquid fuels)

Hazardous Waste

Waste Tyres

25
Appendix 5
NWCPO
(Version 2.2)
Signature: ...................................................................................
OFFICIAL STAMP
Name (Block Capitals): ................................................................
Position or Title: .........................................................................
Insurance Broker or Company: ....................................................
Date: ..........................................................................................
ADDITIONAL COMMENTS:
WARNING: IT IS AN OFFENCE UNDER ARTICLE 36 (1) OF THE WASTE MANAGEMENT
(COLLECTION PERMIT) REGULATIONS 2007, AS AMENDED, FOR ANY PERSON TO PROVIDE
FALSE OR MISLEADING INFORMATION FOR THE PURPOSES OF OBTAINING A WASTE
COLLECTION PERMIT.
26
Appendix 6
NWCPO
(Version 2.2)
Appendix 6– Question 2.2
Declaration for Revocation of Single Region Waste Collection Permits
Original, stamped document to be submitted.
I/We agree that the following Waste Collection Permit(s) outlined in the Table below, in the
name(s) of ________________________________________________ will be revoked by
the National Waste Collection Permit Office (NWCPO) as a consequence of the successful
granting of this Single Region/ Multi Regional Waste Collection Permit.
This Declaration discharges the duty of the NWCPO to review the Waste Collection Permit(s)
listed below prior to revoke in accordance with Section 34 (6) of Waste Management Act
1996 as amended.
Waste Collection Permit Number
Nominated Authority
Signature: ____________________________________________
OFFICIAL STAMP
Name (Block Capitals): __________________________________
Position or Title: ______________________________________
Date: ________________________________________________
WARNING: IT IS AN OFFENCE UNDER ARTICLE 36 (1) OF THE WASTE MANAGEMENT
(COLLECTION PERMIT) REGULATIONS 2007, AS AMENDED, FOR ANY PERSON TO PROVIDE
FALSE OR MISLEADING INFORMATION FOR THE PURPOSES OF OBTAINING A WASTE
COLLECTION PERMIT.
27
Appendix 7
NWCPO
(Version 2.2)
Appendix 7 - Checklist of Information
To be supplied with application.
INFORMATION REQUIRED:
ARTICLE
INCLUDED
One fully completed application form ONLY.
Completed worksheet for Question C.3. One electronic copy on CD.
For new applications: A copy of the relevant page from the
newspaper(s) in which notice(s) in accordance with Article 6 have
been published. (Template in Appendix 2)
6 & 7(3)(a)
An original Statutory Declaration form (Appendix 1).
7(3)(b)
A copy of current Tax Clearance/C2 Certificate from Irish Revenue.
7(3)(c)
An original Financial Declaration form (Appendix 3).
An original Motor Insurance Declaration form (Appendix 4).
An original Public Liability Insurance Declaration form (Appendix 5).
Letters of acceptance from each facility that is intended to be used in
connection with the waste collection activity.
A copy of the vehicle registration certificate for each vehicle.
The appropriate fee (*see note overleaf).
7(3)(f)
IF APPLICABLE PROVIDE THE FOLLOWING:
ARTICLE
Details of any court hearing, case, nature of the offence and any
penalty or requirements imposed by the court.
Where the applicant is a person or partnership, include details of any
such conviction where the person or partner was at any time within
the last 10 years prior to this application, a director, manager,
company secretary or similar officer for a body corporate
A copy of Notice from nominated authority instigating a review.
7(1)(k)&(i) &
21
7(1)(l), 21
23(3)
Any form of correspondence that may have been received from
nominated authority regarding consultation, or contact name and
number, if available.
23(3)(a)(iv)
A copy of the applicant’s Certificate of Incorporation issued by the
Companies Registration Office.
7(3)(d)
28
INCLUDED
Appendix 7
NWCPO
(Version 2.2)
IF APPLICABLE PROVIDE THE FOLLOWING: (Continued...)
ARTICLE
INCLUDED
A copy of the printout from the Companies Registration Office
detailing the Company Directors
A copy of proof of trade name.
7(3)(e)
Copy of the relevant documentation for the export of waste to each
facility outside of Republic of Ireland.
A copy of the documentation specified by the NWCPO for the leasing
of vehicles or the sub-contracting of waste collection C.7.
Details of proposals for compliance with the
Food Waste Regulations C.9.
An original Declaration for Revocation of Single Region Waste
Collection Permits (Appendix 6).
APPLICATION FEES
*NOTE
New Application Fees
 In the case of a single-region Permit the fee payable is €1,000
 In the case of a multi-region Permit the fee payable is €1,000 per region up to
a maximum charge of €5,000 for all Regions.
Review Fees
 In the case of a single-region Permit the review fee payable is €500
 In the case of a multi-region Permit the review fee payable is €500 per region
up to a maximum charge of €2,500 for all Regions.
NEWSPAPER CHECKLIST
“APPLICATION TO OFFALY COUNTY COUNCIL AS NATIONAL WASTE
COLLECTION PERMIT OFFICE (NWCPO), FOR A WASTE COLLECTION
PERMIT RELATING TO A WASTE COLLECTION ACTIVITY OR WASTE
COLLECTION ACTIVITIES IN (<<NAME REGION OR REGIONS>>)”
Full name and address of principal place of business of the applicant.
State that the application for a WCP will be made to the NWCPO
within 10 working days of the newspaper notice.
Specify the nature of the waste collection activity to which the
application relates and the local authority area or areas in which the
collection activity or activities will be carried on.
State that a copy of the application will be available for inspection or
purchase at the principal offices of the Local Authorities from as
soon as may be.
NWCPO, Offaly County Council, Áras an Chontae, Charleville Rd, Tullamore, Co. Offaly.
Ph: 05793 57428 Fax: 05793 29230 Email: contactus@nwcpo.ie Web: www.nwcpo.ie