D 52

CAP. 358]

Water Pollution Control (General) Regulations

[1988 Ed.

[Subsidiary]

GOVERNMENT OF HONG KONG

FORM 7

WATER POLLUTION CONTROL ORDINANCE

(Chapter 358)

Section 28

Application to vary a licence

To the Water Pollution Control Authority,

OFFICIAL USE

ONLY

Date received

SECTION A. GENERAL INFORMATION

A1.

APPLICANT

Control Zone,

Further info.

sought

Public notification

Date granted/

Full name

Name in Chinese/characters (if any)

ID Card No./Business Registration No.

Address for correspondence

Telephone No

Capacity in which making application

Name of industrial premises or domestic sewage treatment plant to which licence relates.

Location of industrial premises or domestic sewage treatment plant to which licence relates.

refused

In Register

ISIC No. (if any)

Fee received

A2.

CODE

WPCO/LV/..../.....

A3.

Variation date

Variation code

A4.

Code number of original licence-

Remarks

WPCO/L/.

A5.

Date of original application

A6.

A7.

A8.

Type of discharge or deposit to which licence refers-

Discharge or deposit from industrial premises

Discharge or deposit from domestic sewage treatment plant

If discharge or deposit is from industrial premises, state ISIC category number and name of industrial process carried on there.

Has original licence been varied or renewed previously?

YES

NO

If yes, state code number and date of most recent variation or renewal:

Code number: WPCO/............]------------·/·

Date

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