1988 Ed.]
Water Pollution Control (General) Regulations
[CAP. 358
D 53
[Subsidiary]
SECTION B. VARIATION REQUESTED
B1. Specify precisely the variation requested; include all changes from licence originally granted.
B2. Reason for variation.
B3.
B4. Is requested variation to be temporary or permanent?
Temporary
Permanent
If temporary, specify period during which variation will be needed; from to
Any other changes from the particulars provided on Form 4 (in connection with industrial premises) or Form 5 (in connection with a domestic sewage treatment plant).
B5. Any additional information relevant to the application.
SECTION C. DECLARATION
C1.
C2. I/We hereby certify that the particulars given above are, to the best of my/our knowledge and belief, correct.
*I/We intend to apply to the Secretary under section 43 of the Ordinance to withhold from public notification or other public access the information contained in a section or sections of this Form, namely
• Delete if inapplicable.
APPLICANT
MANAGER OF INDUSTRIAL ENTERPRISE OR OF DOMESTIC SEWAGE TREATMENT PLANT (If not the applicant)
C3. Signature/s Name/s (Block letters) Date
The fee prescribed in the Third Schedule to the Water Pollution Control (General) Regulations should accompany this application.