Download - TSPCB Air Consent Form
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Lr.No. Date :___
Sub:- Issue of Air Consent forms for obtaining consent for operation Reg.
You are informed that, as per Section 21 of the Air!re"ention and Contro# of !o##ution$ Act, 1%&1 as
amended, it is ob#igator' on the part of the person see(ing Consent of the )oard under Section 21 of the
Air!re"ention * Contro# of !o##ution$ Act, 1%&1 to ensure that his app#ication for grant of Consent for
+peration shou#d accompan' ith fees at the rates shon o"er#eaf as per the A.! aette /otification !art-1,
dt:1&.12.1%%0.
You are reuested to submit the app#ication in trip#icate du#' fi##ed in a#ong ith Consent fee as per the
rates mentioned in the abo"e aette /otification at concerned Regiona# +ffice of .S. !o##ution Contro# )oard
for further necessar' action. he criteria for fi3ing the Consent fee is the tota# in"estment of the industr'. he
tota# in"estment shou#d be rec(oned as the entire in"estment inc#uding the cost of 4and and )ui#ding on the
industr', but e3c#uding the or(ing capita#. he depreciation on industr' shou#d not be ta(en in to
consideration, in the case of a#read' estab#ished industries. In case the industr' had e3panded 5 proposed to go in
for e3pansion, the cost of e3pansion shou#d a#so be ta(en into consideration.
he prescribed Consent fee is be paid b' crossed 6emand 6raft dran on an' Schedu#ed ban( in
fa"our of .S. !o##ution Contro# )ard pa'ab#e at respecti"e 7ead 8uarters of concerned Regiona# +ffice 5
through /et )an(ing b' using ICICI )an( atea'.
You can app#' for the ma3imum re"ised "a#idit' periods as per the fo##oing tab#e:
SI.
/o.
Item 9a3imum a#idit' !eriod
1 C;+ issuance for first time after obtaining C; and Air
Act,1%&1 separate#' ith the abo"e rates, if the industr' is ha"ing both Air * ater po##ution. If
an' industr' is ha"ing ater po##ution on#', the' ha"e to pa' on#' one fee ith the abo"e rates.
Simi#ar#' if an' industr' is ha"ing on#' Air po##ution the' ha"e to pa' on#' one fee ith abo"e
rates. he 7aardous aste generating industries ha"e to pa' Consent for +peration 5 renea#
fee under ater Act and Air Act separate#' and the' need not pa' an' separate fees for the
authoriations to be issued under the 7aardous aste 9anagement * 7and#ing$ Ru#es, 1%&%.
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ORIGINAL
=OR-!
APPLICATION =OR CONSENT =OR EISSION UNDER SECTION 8#! O= THE ACT
8SEE CHAPTER-!!
App#ication for Consent emissions in 1$DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD
Area hich is the EAir !o##ution Contro# AreaF notified under Section DDDDDDDDDDDDDDDDDDDDDDDD
+f the Act under o"ernment aette /otification /o. DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD
Industr' specified schedu#eDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD
i$ a$ Area Code /o.DDDDDDDDDDDDDDDDDDDDDDDDDDDDDD datedDDDDDDDDDDDDDDDDDDD
b$ rid Code /o.DDDDDDDDDDDDDDDDDDDDDDDDDDDDDD 6atedDDDDDDDDDDDDDDDDDDD
;rom: DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD
DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD
DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD
o
THE EBER SECRETARY
.S. !o##ution Contro# )oard,
!ar'a"arana )ha"an,
A=, I
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A''oa(%e(t :
i$ Inde35Site p#an
ii$ opographica# map
iii$ 6etai#ed #a'out p#an of different processes and
point sources of
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A#tered :
/ote: An' App#icant (noing#' gi"ing incorrect information or suppressing an' information thereto
sha## be #iab#e for action under the pro"isions of the Act.
hi#e fi##ing this Anne3ure the app#icant sha## for such of the items not pertaining to his
acti"it' sha## state not app#icab#e against the re#e"ant item and sha## not #ea"e it b#an(.
1. a$ ;u## name of the app#icant ith
address
b$ /ame and e#ephone /o. of persons
incharge of the premises
2. a$ ;u## name of the industria# p#ant
ith address
b$ ;u## name and address of the
occupier defined in the Act $ as
Registered ith the 6irector of ;actories
* )oi#ers of the State or ith an' other
competent authorit' of the state.
e#. /o.
=. a$ i"e Re"enue 5 Cit' Sur"e' /o. of
the 4and G !remises for hich the
app#ication is made.
6istrict a#u(
on i##age
Cit' Sur"e' /o Area in 7ectares
b$ 9agisteria# Hurisdiction of the
industr' premises$ for purposes of
prosecution case under the Act and a#so
the name * address of the !o#ice station
under the industr' !remises$ fa##s for a##
crimina# cases connected ith the ater
Act, 1%0> or Air Act, 1%&1.
>. State month and 'ear in hich the
industria# p#ant as actua##' put into
commission or is proposed to be put into
commission5or the month and 'ear from
hich the #oca# bod' is functioning
?. a$ State the ci"i#59i#itar' 6efence5Industria#
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6efence 6epartment:!ort rust:State o"ernment:!rohibited Area:
Centra# o"ernment:Airport Authorit' or specif' an' other:
b$ Attach map shoing topographica#features of the area.
B.
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11. Is the industria# p#ant of the occupierc#osed on Sunda'57o#ida'
Yes5/o
12. State ,or(ing season per 'ear ofthe Industria# p#ant
Continuous5)atchise KK . Ra materia# used in 5da' orJg5da'
/ame Source 8uantit'
1? !roducts5)' products5astemateria# in 5da' or Jg5da'
1B. Comp#ete f#o chart gi"ing descriptionand chemica# processes if an' as per
Anne3ure-I
10. ;ue# Consumption in 5da'
;ue# Coa# ;ue# +i# 6iese# /atura#as
ood +thersspecif'
1. 6ai#' Consumption in
tonnes
2. Ca#orific "a#ue
=. Ash Content L
>. Su#phur content L
?. +thers specif'
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1&. ;urnaces5Cupo#as.
a$ /o.of furnaces5cupo#as insta##edb$ 6ate of insta##ation
c$ Capacit'd$ !urpose usede$ Stac( data
i$ 7eightii$ 6iameter
iii$ emperaturei"$ ;#o rate
Yes /o
1%. )oi#ers Yes /o
a$ /o.of boi#ers i$ Insta##edKKKKKK ii$ In use
b$ 'pe KKKKKKK..
c$ Capacit' KKKKK..
d$ 9ethod of fue# charging KKKKK..
i. +i#5gas )urner
ii. rate Chargingmanua#5mechanica#$
iii. !u#"erised coa# charging
e$ 8uantit' of fue# used in boi#ers ......f$ Stac( data
7eight
i$Abo"e the roof 9trs K
ii$Abo"e the ground #e"e# .... 9trs K
6iameter : emperature :
;#o rate :
Stac( op :a$. Round or circu#ar b$ Inside dimensions at top
2.
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21. Atmospheric. . ater consumption
a$8uantit' per month or da',b$Source
2?. aste ater generated
Yes /o
a$ 8uantit' per month or da' :
b$ 6isposa# toRi"er /a##ah 9unicipa# Ser"er
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c$ reatment of aste ater
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2&. i"e the fo##oing detai#sa$ota# in"estment in the factor'and the 'ear of in"estment.
b$ he estimated e3penditure forimp#ementing the proect
c$
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Signature /ame * Address of the app#icant on
)eha#f of the name * address of the firm
E?37a(ator0 Note &or &%77%(/ %( t
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Item /o. 20 7ere state the tota# uantit' of "enti#ation air hand#ed b' euipments such as roofe3tractors, e"aporati"e coo#ers etc.