D 34
CAP. 358]
Water Pollution Control (General) Regulations
[1988 Ed,
[Subsidiary]
GOVERNMENT OF HONG KONG
FORM 4
WATER POLLUTION CONTROL ORDINANCE
(Chapter 358)
Section 19(1)
Application for a licence for a discharge or deposit from industrial premises
To the Water Pollution Control Authority,
.... Control Zone.
SECTION A. GENERAL INFORMATION
OFFICIAL USE ONLY
Date received
APPLICANT
Further info. sought
Full name
Name in Chinese characters (if any)
Public notification
Sampling point approved
Date granted/ refused
In Register
ISIC No.
A2.
Renewal date
Fee received
CODE
WPCO/L/1/..........
Variation date
Variation code
Remarks
A3.
ID Card No./Business Registration No.
Address for correspondence
Telephone No
Capacity in which making application
INDUSTRIAL PREMISES IN WHICH DISCHARGE OR DEPOSIT WILL ORIGINATE
Name and location of building in which premises will be situated
Name and location of proposed premises (specify floor no. if in multi-storey building)
Beneficial owner of building in which premises will be situated
ISIC category number and name of industrial process to be carried on on the premises
Product(s) of proposed industrial process
Proposed date of commencement of discharge or deposit
INDUSTRIAL ENTERPRISE WHICH WILL CARRY ON THE INDUSTRIAL PROCESS ON THE PREMISES
Name of enterprise
Address and Business Registration No. of enterprise
Full name and capacity of manager of enterprise
ID Card No.
Address for correspondence
Telephone No.