D 72
CAP. 358]
Water Pollution Control (General) Regulations
[1988 Ed.
[Subsidiary]
GOVERNMENT OF HONG KONG
FORM 12
WATER POLLUTION CONTROL ORDINANCE
(Chapter 358) Section 28
Application to vary a licence for a discharge or deposit of sewage other than from a domestic sewage treatment plant
To the Water Pollution Control Authority,
OFFICIAL USE
ONLY
Date received
SECTION A. GENERAL INFORMATION
A1. APPLICANT
Further info. sought
Public notification
Date granted/ refused
In Register
Full name
Name in Chinese characters (if any)
ID Card No./Business Registration No.
Address of correspondence
Fee received
Telephone No.
Capacity in which making application
CODE WPCO/
Variation date
A2. Location of facility to which licence relates.
Variation code
Remarks
A3. Code number of original licence—
WPCO/
A4. Date of original application.
A5. Control Zone,
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
SECTION B. VARIATION REQUESTED
B1. Specify precisely the variation requested; include all changes from
licence originally granted.
2