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

Form -III

[See-rule 6(2)] 

Format for Issue of Authorisation 

File No.: _________________ 

Date:____________________ 

To,
_____________________
_____________________
_________________________ 

Ref: Your application number  _____________________ dt.  ____________ 

The  ________________ State Pollution Control Board/Pollution Control Committee after examining the proposal hereby authorises_________________having their administrative office at _______________________________________to set up and operate waste processing/waste disposal facility at _________________ on the terms and conditions (including the standards to comply) attached to this authorization letter. 

The validity of this authorization is till ___________.  After the validity, renewal of authorization is to be sought. 
The  ____________________ State Pollution Control Board/Pollution Control Committees may, at any time, revoke any of the conditions applicable under the authorization and shall communicate the same in writing. 
Any violation of the provision of the Municipal Solid Wastes (Managemeant and Handling) Rules, 2000 will attract the penal provision of the Environment (Protection) Act, 1986 (29 of1986). 
(Member Secretary) 

State Pollution Control Board/
Pollution Control Committee 

Date :
Place :