1964_WATER_POLLUTION_CONTROL_(GENERAL)_REGULATIONS — Page 53

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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.

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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.
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1988 Ed.] Water Pollution Control (General) Regulations [CAP. 358 D 53 [Subsidiary] SECTION B. VARIATION REQUESTED BL. 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 CI 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.
2026-05-05 16:34:41 · Baseline
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1988 Ed.]

Water Pollution Control (General) Regulations

[CAP. 358

D 53

[Subsidiary]

SECTION B. VARIATION REQUESTED

BL. 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

CI

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.

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