D 64
CAP. 358]
Water Pollution Control (General) Regulations
[1988 Ed.
[Subsidiary]
GOVERNMENT OF HONG KONG
FORM 10
WATER POLLUTION CONTROL ORDINANCE
(Chapter 358)
Section 19(1)
Application for a licence for a discharge or deposit of sewage other than from a domestic sewage treatment plant
This form is designed to tell the Authority how much sewage is produced in your premises and how you get rid of it. You must complete a separate form for each residence or commercial property you own or occupy.
To the Water Pollution Control Authority,
OFFICIAL USE ONLY
SECTION A. GENERAL INFORMATION
Date received
Further info. sought
Public notification
Date granted/refused
In Register
Renewal date
Fee received
A. APPLICANT
Full name
Name in Chinese Characters (if any)
ID Card No./Business Registration No.
Address of the premises
Telephone No.
Correspondence address (if different)
CODE WPCO/
Variation date
Variation code
Bl.
Remarks
Control Zone.
SECTION B. HOW MUCH SEWAGE DO YOU PRODUCE?
B1. Do you measure your sewage flow rate? YES NO
If yes, say how and give the average daily flow (m3/day)
B2. Do you receive a water bill? YES NO
If yes, please give the billed consumption rate over the year before the First Appointed Day ( ).
B3. Are the premises continuously occupied? YES NO
If no, please say approximately how many days in a year