4.

Nature of Work

Existing Licence

No.

5.

Notes

- 26 -

Expiry Date

Classification of Specified Process under Application

Mode of Operation

(Continuous/Batch)

Installed/ Processing* Capacity

Silo Capacity (for Cement

Works Only)

Total No. of Emission Points

Any person who provides information which he knows to be incorrect in a material respect or recklessly makes any statement which is incorrect in a material respect or knowingly omits any material particular commits an offence and is liable to a fine of $5,000.

* Delete if not applicable

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