Ministry of Environment and Forests
Notification
New Delhi, the 25th September, 2000

Form -I

[see rules 4(2) & 6(2)]

Application for obtaining authorization

To,
The Member Secretary
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1.	Name of the municipal authority/Name of the agency appointed by the municipal authority	:
2.	Correspondence address Telephone No. Fax No.	:
3.	Nodal Officer & designation(Officer authorised by the municipal authority or agency responsible for operation of processing or disposal facility)	:
4.	Authorization applied for (Please tick mark)	:	(a) Setting up & operation of waste rocessing facility (b)Setting up & operation of disposal facility
5.	Detailed proposal of waste processing/disposal facility (to be attached ) to include	:
5.1	Processing of Waste Location of site Name of waste processing technology Details of processing technology Quanitty of waste to be processed per day Site clearance (from local authority) Details of agreement between municipal authority and operating agency Utilization programme for waste processed (Product utilization) Methodology for disposal of waste processing rejects (quantity and quality) Measures to be taken for prevention and control of environmental pollution Investment on Project and expected returns Measures to be taken for safety of workers working in the plant	:
5.2	Disposal of Waste Number of sites indentified Layout maps of site Quantity of waste to be disposed per day Nature and composition of waste Details of methodology or criteria followed for site selection Details of existing site under operation Methodology and operational details of landfilling Measures taken to check enviornmental pollution	:

Date	Signature of Nodal Officer