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quNsTl=T VrGI qSrT fr.dT"I ris-dRAJASTHAN STATE POLLUTION CONTROL BOARD

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Office-Order

li lf:l j:,:]TT:_.:b:ission ofthe,requisite information to prevent detay in processing/disposalor applcalton ror (onsenl under Waler (prevention & Control ol pollution)Act_1o74 , Aii(Prevention & _confol of pollution)Acr- 198 r and Authorizarion *a", ir.," nui", liamed underEnvironment ( Protection ) Act-1986, it is hereby clirected tlat only

"ornpi"i" uppii"ationrliitt ullrequired doclrments shall be accepred by the Srare Board. For ,t, i . pripo." ' i lctreck

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be,submined by.$e p.ojecr proponent atong wirh rhe apptication torL onsenT /Aur.noflzatton has been annexed as per lollowing l isr.

l. Documenls/lnformation Required for. Consent to Establish under Air Act l98l and WaterAct- 1974 ( Annexure,l )

3. Documents/Information Required forAutho zation under Hazardous Waste_ (Management, Handling and Trans^_Boundary Movement) Rules _ 200g( Annexure_3)4. Documentvlnformation Required for Registration as Recycler/Actual user ofHazardous

Waste under Hazardous Waste (Managemenl, Handling a;d Trans-Boundary laovernent)Rules 2008(Annexure-4)

5. Documents/lnformation Required for Authorization for Transpoiation of HazardousWaste under Hazardous Waste (Management, Handling and Tians_Boundary uovement)Rules - 2008( Annexure-5)

6. Documelts/Information Required for One Time Registration for lmpoft and Export ofWaste under Hazardous Waste (Management, Handling and Ttans_BoLrndary Movement)Rules - 2008( Annexure-6)

7. Documents/lnformation Required for Authorization for e-waste collection cenre unoer e-Waste (Management and Handling) Rules - 2011( Annexure-7)

8. Documents/lnformation Requiled for Aurhorjzarion/Registration under e_Waste(Management and Flandling) Rules _ 201I for e_waste dismantlers/recycler( Annexure_g)

The application for Consent/Authorization henceforth shall only be accepted ifaccompanredwith requisite documents as per,,Check List ofDocuments,,This bgars approval ofcompetent authority

2. Documents/lnformation Required for Consent toAct- I 974( Annexure-2)

Opemte under Air Act 1981 and Water

(Dr D N Pandey)Member SecretaryFr2(PSC-r ),RPcB/ce"t L19,fu 3 6J

Copy to follo\ring for information and necessary action

l. PS to Chairperson. RPCB Jaipuf2. Sr PA to Member Secretary RPCB Jaipur

D^'"d l\ye1 t4

3. ChiefAccounts Officer, ChiefEnvironmental Engineer/ ChiefScientific officer RSPCBJaipur.croup Incharge CPM Mines / SWMC/ VHotels / TCD/ CD-SCMG/ Vc MUID,ECIpSCRSPCB JaipurRegional officer, Regional office RSPCB Jaipur/Sikar/Bikaner/Jodhpur/pali/ Balotraa./Udaipur/ Chi|rorgarh/ Bhilwaray' Kotay' Bharatpur/ Alwar/ KishanparirACP, RSPCB Jaipur to upload the List ofDoiuments on the webiite ofthe State BoardCashier RSPCB Jaipu with a instruction to provide rhe check list wj!1g[e applicarronform for ConsenuAufiorization . .Z \

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5 .

6.7.

brhber Secretqy

Annexure_lDocuments/Information Requir€d for Consent to Establish under Air Act

1981 and Water Act- 1974

SNo Required Document Page No

Applications for consent to establish in prcscribed format under Aif Act -1981iWater AcF1974, duly filled and signed by the authorized signatory

2 Fees fbr consent lo establish in accordance with the notifications dated24 / 0 6 I 20 | 0, 2 / 0 1 n0 | 3 and 0 6 / 02 /20 13

3 Authority letter in favo. of appllcantl Boa l Resolutiott/Power of atto ry

4 Afiidavit on non judicial stamp paper ofRs l0/- in prescribed format duly signedand notarized,

5 A feasibility Report on pollution control measures covering details ofraw material,products, process, wate. balance, material balance, sources of air and waterpollution, details of pollution control measur€s and freatmenl systems, disposal oftreated efTluent/sludge, Handling and disposal of Hazrdous waste etc.

6 Land allotment / land conversion order fof project for intended lnnd use andownership documents.

7 Site plan4-ocation Plan shot ing distancefrom rcKlond hearcst abadi

8 Conceptual Building Plar/ Factory layout draving locatiofi ol Plant an.l grctln,e1l (In case ofRed category and Prcjects Requiring Environmental Clearance)

9 Copy of Articles and Memorandum of Association/ Paftnership deed (Except inCase of Proprietorship Firms)

1 0 Acknowledgement from Dlc/Secretariat for Industrjal Assistance, Minislry 01Commerce and Industry, New Delhi (ln case oflndustdes)

1 1 Copy ofduly signed projectreportby Charlercd accontanl/ce ified hyfnanci.l

12 Source of water (Ground water/PHeD/Tanker etc) and Copy of the reciepl olapplication submitted for abshaction of ground water to Central Ground WatelAuthority/ for supply of requisite quantity of water to CompetentAvthortly/Affidevia 10 eJfect thtrt gruunll wttei will not be e<|rrcted.

1 l Copy ofthe reciept ofapplication submitted for environment clearance( In case ofBuilding construclion projects) and copy of En ircht tetttftl cleore cc(ln case oIall other projects requiring Environmental Clearance)

1 7 Copy of Mining Lease (In case of Mines/ Bdck Kilns)

t 8 Approved Mining Plan ,Draft Miring Plan t itlt h2ceitt of DMG(In case ofMines)

1 9 Foresl Diversion from competent Authority (ln case of Mines, and/onvhereeverapplicable)

20 Cefiificate regarding distance fiom abadi issued by Revenue Ofiicer not below therank ofTehsildar, in original (In case of Stone Crusher & Mineral Grinding)

certifi cate rcgarding exisrance of @Departnent not below the mnk ofAssistant Engineer, in original (In case of StoneCrusher & Mineral Grinding)

Document for establishing avaiiabitity otraw tnateriat eittrer ora,n mlnes or witlragreement with other mining lease holders (In case of Stone Crusher )Route htp oJf pipe Ii e on G.t. Sh,z,zt with locotion olieo$Teataresiiznational park sutcUrfies, Eclongical sensitiye nrca ( Lr case ofoit/gas

t ith RREC ( In case ofsolat/lVitut/Hytle! power puntl

Note

l

2

Copiesofall the docurtents subDitted by the applicant shall be duly signed and attested bythe Authorized Signatory)

For detaied infomation project proponent may refer to sector specific guidelines (Stone Ctusltcr/ Mines/Minetal crinding/ Holeyure pyrotysll availible atBoard,s fieOsite wwlv.rpcb.nic.in. The applicant has to ensurc compliance ofthe Guidelines.

The Proponent shall index and submit all documenls in serial order as above

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Annexure-2

S N o Required Document Page No

ii#tilti";; :;ili,:: :::':[;:,T'fr:Ti,-orma, und.-rai' Ac, -, g8'/2 LU oPerarc ln accoldance

24/0612010, 2/01/2013 and O6/02t2013the notificationsdated

3 ravo. or appncanv Boarct Resolution/power ofattornv4 Afltdaviyundendking on no@

rcrmat 0uty signed and notarized.5

l .l:

:.,,j":: *p'ii Invcsrmenl rn rne projefl (wirhour deprcciarion) as ojrooay/eno ot trnancial)ear. in the formal jn orjginal

6',iii!;l:::,:":*"' t'*rc'noni|ori s repo'l r'un G zcft(,nne,|

7 r !!4!rerr / lruxr rur urts rvpo.r or source emrsslon/ambient airlwastewater/noisej/sludge/ Hazordous waste from approved laboratorv.

8anl ull ut it's coveftd uhtler HWMR)

9 r\wu ror aosraolon ol ground water from Cantral Crouna Water auttroritylCommituent from Competent Aurhoriry for suppty ofrequisite quantity;iwate Affxlerit to effect that gtaan.t water y,il not be e\raded/ Co ttctwith aq) sgehc! .for suppbt of h,atet

l 0 uuiry ur cnvrorunen clearance (ln case of the projects requiringEnvironmental Clearance)

I I rurtr wr5E iviuonce oaseo comptance report ofEnvircnmental clearanca(Incase ofthe projects requiring Environmental Crcdrance)

1 ) Appruvco rvnntng rran /rrtlt Minihg ptan vith rcceilrt of DMGU| arse ofMihet

t 3 n prescnbed lomat under Environment (protection)Rules (For Red category Industrjes)

t 4 ^ecura ol proc rehtent oJ M|' metefiul (L a$e ofstone ctusher)15 ftgur€ (t4 case oJ Mhrcs /Stone cu,rhe,y'Hot mix

t 6 uocume alof estaDlh'ilh dgrccment ,eith

shlhg ar.ikrbiliry of rutt httteliul eitrer oun ,nme, olother ttlinihg lease hokle$ (In.ase ofsaoke Cfidher)

t 7 .up! oJ Autno z(oton ant registration det HWMR( In &$e ofH ztudou' wast., proL.ei:sing unit!)

1 8 r.opJ, ot r-uDoc Lutbrrlt! htsutunca Act (wtercver qpplicahle)

NoteI Copies ofall rhe documenb submihed by lhe applicant shall be duly s;gned and anes(ed

oy .ne Aurnonzed Stgnatory)2 For delaied_information project proponent may refer to sector specific guidelines( S/rrrc

Crushet/.Mines/Minern! Afinhng/ HoteUT]r" ?r,"11,r,9 ""uii"tf"

ut -eou.at

Wii "it"www.rpcb.nic_in. The applicant has to ensure compliance ofthe Cuidelines.

i The Pfoponenr shall index and submir a documenls in seriatprder\a** -*\

>;Nqs- /-./ venioer secrerary

Annexure-J

NoteI

2

n&ts4t3lttl&g]3!:4!E

The Proponent shall index and submit all documents in serial order

Copies of all the documents submitted by the applicant shall be dulysigned and attested by the Aulhodzed Signator,For detaied information project proponent may refer to sector specific guidelines(Stone Crushel Mi es/Mitrcftt Grindiag,l Hotct/IJ1rc pyroll.rr.l) available at Board,sWeb site www.rpcbric.in. The applicant has to ensure conpliatce ofthe Guidelines.

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nd Tra

ired DocumeDtApplications fo. Autl'o.i.ution inl6iiii.i-6riJ ui&iE-ffiGYT9_.(Yaiagemenl Handling and Trans-Boundary Movement) Rutes,duly filled arld signed by the authorized signa.ory

Copy of consent to establish and/or consent to operate under'ater-1974 and A i r Ac r l 98 l

Authoriry letter in favor ofapplicant/ Boara ResolutiouDower of attornv

Lopy or memDershrp ot Lommor) HazardoLts \ r5te l reannent andDisposal Faciliry, recycler / re-processors, authorised incjnemtor

Production capacily, Exp"ct"d g"n".ntion of "ut"go[iGl-iio*-waste and its mode ofdisposal, jn prescribed fomat

Pholograplr ic proof of instal lat ion of Disptay Boa,d nr7r, edi. i . .4'X6' in English and local laDguage

ic pr oof of lrazardous w aste Storage arca trlogawith rlisptfi,

Point rvise evidence bas"d "omptinn"e

."po,r ofliiiiGTidifidiGcase ofrenewal)

Copy of Marifesl of 1rrn.po,r in for"ar prescribed und-iRuG{tniGii

Copy of Annual Repot in format prescribE undiniGi@orm-lVfficase ofrenewal)

Annexue -4Dqcuments,{nformation Reouired for Registration as

Waste

2008

S N o Required Document Page NoAppllcaarons 1or KegNtraton in prescribed format under HazardousWaste (Ma.nagemen1, Handling and Trans_Boundary Movement)Rules. duly filled and signed by the aurhorized signatory

Lopy ot valtd consent to consent lo operare under Water Act lgj4 andAir Act 1981

Aulhority tetter i.r favo. of uppticant/-Eoard E iutioffiffi?anorny

2

l

4 uopy or Auanonsanon under Hazardous Waste (Management,Handling and Trans-Boundary Movement) RulesAnnur lepon rn prescllbed tilmat5

6 Point wise evidence based compliance report of Co"sent; opffi

7 rornr wlse evtoence based compliance report ofAuthorisalion

8 rornT wtse evtoence based compliance repon ofprevious Regislration(ln case olrcnewal)

9 Copy of the complete/exhausted pass bool gn case oiEreGl)

1 0 Af6daviVundertaking on non judicial stamp pupe. of Rs-C,/--iy-signed and notarized, stating that all the equipments / machineryrequired for recycling ofhazards waste have been installed & ready forcommissioning ( In case ofnew industy)

NoteI

2

Copies ofall the documents submitted by the applicant shall be duly signed andattested by the Authorized Signatory)For detaied information p.oject proponelt may rcfer to sector specific guidelines(Sto,te Crusher/ Mines,Minerql Gfil.ling/ Hotellljre pyrclt sis) avail;ble atBoard's Web site www.rycb.nic.in. The applicant has to ensure compliance oftheCuidelines.

The Prcponent shall index and submit a.ll documents in sedal order as above

jil:SL-

Annexue-5eIlts/Inli

w Hardl

Applicarions for Authorisation in prescribed fo.lnut und", H-fioui-F(Management, Handling and Tm.ns-Boundary Movement) Rules, duly filled andsigned by the authorized signatory

Bank cuarantee of Rs 100,000/- t" fu"o* of l4".GiG"rctd, nujirtlriTiGPollution Conhol Board, Jaipur (Ifnot submitted earlier)Authority letter in favor of applicant/ Board Resolution/power oT6rnyAffidavitundertaking on non judicial stamp paper ofRJlbO/_ in pre;ibedformar. duly signed and notarjzed.

Copy of the Registration Cerrificate of Vehicte 1sy issue tyEffiort n$artmfr

Copy ofthe Pollution under contrcl certificate of;elliclefs)Copy ofthe Insurance certificate ofvehicle(s)

Copy ofthe Goods canier permit ofthe vehicle

Copy ofthe 1Oth pass education qualification certificateiithJtrivds) aniexperience cefiificate

Copy ofthe driving license(s) ofthe driver (s)

Copy ofthe registration cetificate ofCentual Boara ofBxciseE Cufrms

TREM Card in Fom 11 prcsc bed under the Rules fo. each \rehicle

Photographic Proof of the vehicle showing following features:(i) Hazardous waste will be painted on all four sides ofvehiole in Biue Colour oI115 to 30 cm wide white colored strip.(ii) First aid kit, fire extinguisher etc.(iii) Emergency phone no.(iv) Vehicle(s) shall have ro11 on-roll offcover

Notel

2

Copies of all the documents submitted by the applicant shall be duly signed andattested by the Authodzed Signatory)The Proponent shall index and submil all documents in serial order as above

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Annexure-6Doctments/Information Required for One Time Registrition for

Impoft and Export of Waste under Hazardous Wasteins and Bound vement

2008

S N o Required Document Page No

format forHazardous

Movement)

Applications for One Time Registration in prescribedExpor/Import of Hazardous Waste (Form ; !e underWaste (Maragement, Hardling and Trans-BoundaryRules, duly filled and signed by the authorized signatory

2 Authority lener in lavor of appllcant/ B;ard Resolut6n/6;er 01aIIomy

3 AcknowJedgemenr ftom Dlc/SecrerariuL fo, IndusrriuT-AIEiaoi.Ministry oFCommerce and Industry. New Delhi

4 TIN / VAT Number

5 Copy ofthe Registration with Director ceneral ofForeisn Trad;?iEaNumber)

6 Copy of the Photo Identity arld .Address proof of the applicaE

7 Affidavit/undertaking on non judicial stamp paper of Rs 1 0/- ffisigned and notarized, stating that they do not have any godown & thegoods will be delivered directly to the user (For those who clo not owngodown or wish to tranport the wsste directlt from port of import tollre scutal users)

NoteI

2

Copies ofa1l the documents submitted by the applicant shall be duly signed andanested by the Aurhorized Signatory.The Proponent shall index and submit all documents in serial order as above

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Annexure-7for Au uon e-waste

and Ha

Copies ofall the documents submitted by the applicant shall be duly signed andattested by the Authorjzed Signatory.The Proponent shall index and submit all documents in serial order as above

Note

Rules - 2011

S N o Required Document Page NoI Applications for Authorisation

(Management and Handling)authorized signatoty

in prescribed fotmat unde. E- WasteRules, duly filled and signed by th€

2 uopy or consent to establish and/or consent to operate under wateAct 1974 and Air Act 1981

3 Aumonry terer ln Iavor ot applicant/ Board Resolution/power ofaworny

Copy of membership ot Co.mon HazaraouiWaste freatrnem and-Disposal Facil;ty, recycler/ re-processors, authorised incinerator

4

5 Acknowledgement from Dlc/Secretariat forMinistry of Cornmerce and Industry, New Delhi

Industfial Assistance,(ln case oflndustries)

6 rn? ltoh and ta.vout mup.land al lolmenr / land con\ersion order /Letter of Intent for pfoject for intended landdocuments.

use and ownership

7 qrloav on non Judlctat statnp paper ofRs 50 _ in prescribed formalduly sigred and notarized.

8 Mou/Agreement with reghtered recycler / tlisrrcntalic;

9 Type of e-waste prop$oed to be co e cte.l, tot.tl or"n if th-iiiiiJiirc trc ul,Ettwith dctflilt lfcovct&! and of?t,0rcn,f0tihicsJbt.handlikg/ aftesting lea qges of cofip|essot. oits, CFCs,t I:tCFs, ifany j stilicqtioa for tlre stowge copucit!).fot the dathroiz.ttion h(6bee tppliedfor.

t 0 Details of bu.tback scheme to krqxirfiize e-htaste at the collecliorl

\ 1

)7t\*o 5// Me;ber secr.'a1 (

Annexure-8

nder e- steired for oriz tit and Handli ules -

NoteI

2

I lbr e-

Copies of all the documents submitted by the applicant shail be dulysigned and attested by the Authorized Signatory)The Proponent shall index and subn t all documents in serial order as

wlste disrnentlers/recycler

S N o Required Document Page NoI Appnoauons ror AuthorEation/llegistration in prescribed fomat

under e- Waste (Management and Handling) Rules, duly filled andsigned by the authorized signatory

( opy or consent lo establtsh and/or colsent to operate under walerAct 1974 and Air Act 1981

Authoriry lener ;n favor of applicanrt Oolrra Resotur;onno*eilaltorny

r opyor membcrstrrp 01 Lomtnon Hrzardous Wasie Tfecttnent andDisposal lacilify, recycler / re-processors, authorised incinerator frldisposal of h.t<,,rdous rro$te

2

3

4

5 AcKnowleogemenl 1rom Dlc/Secretariat for Industrial Assistanc€,Ministry ofCommerce and Industry, New Delhi (In case oflndustriesj

I an0 attorment / tand con\ ersion order / Letrer of Inlent For project lorintended land use and ownership documents.

6

7 Affidavit on non judicial .tu-p pup". ofRs 5-l in pr".*ib"d fo.rllutduly sigled and notarized.

A reasrbrtrb l(eport on pollut ion conLrol measures covefing detai ls ojraw material, products, pfocess, installed plant & machinary andinfrastrucfure, quantiq, of E-waste handled, water balance, materialbalance, sources of air and water pollution, design details ofpollutioncontrol measures and treatment systems, disposal of treatedeffluent/sludge etc.

8

9 Copy of Authorisation unde. Hazardo* Waste lMunag"-"[-Handling and Trans-Boundary Movement) Rules in case aspplyiLglor registntio[ u[der e-waste R les.

1 0 Copy ofAuthorisation under under E- Waste (ManagemenG-Hardling) Rules rr crae &t atpplyingfor regitlrdion tider e-1r($teRtLls

1 1 Cttpy oJ MOU/ agreenent 'it* registercd reclcter.lbr sote oftlismenlhr ofe-w1ste

above

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