FORM - I [See rules 4 (2) & 6 (2) ] APPLICATION FOR AUTHORISATION [Under the Municipal Solid Wastes (Management and Handling) Rules, 2000] To The Member Secretary Kerala State Pollution Control Board Pattom P.O., Thiruvananthapuram - 695 004. 1. Name of the municipal authority/ : Name of the agency appointed by the municipal authority 2. Address for Correspondence : Telephone No. : Fax No. : 3. Nodal Officer & designation : (Officer authorized by the municipal authority or agency responsible for operation of processing or disposal facility) 4. Authorisation applied for (please tick mark) (a) Setting up & operation of waste processing facility (b) Setting up & operation of disposal facility. 5. Detailed proposal of : waste processing/disposal facility (to be attached) to include 5.1. Processing of waste 1. Location of site : 2. Name of waste : processing technology 3. Details of processing technology : 4. Quantity of waste : to be processed per day: 5. Site clearance (from local authority): 6. Details of agreement between : municipal authority and operating agency 7. Utilisation programme for : waste processed (Product utilisation) 8. Methodology for disposal of waste processing rejects (quantity and quality): 9. Measures to be taken for Prevention and control of environmental pollution 10. Investment on project and expected returns 11. Measures to be taken for safety of workers working in the plant 5.2. Disposal of waste 1. Number of sites identified 2. Layout maps of site 3. Quantity of waste to be disposed per day 4. Nature and composition of waste 5. Details of methodology or criteria followed for site selection 6. Details of existing site operated 7. Methodology and operational details of land filling 8. Measures taken to check environmental pollution Date: : : : : : : : : : : : : Signature of Nodal Officer Form - II [See Rule 4 (4)] FORMAT OF ANNUAL REPORT TO BE SUBMITTED BY THE MUNICIPAL AUTHORITY [Under the Municipal Solid Wastes (Management and Handling) Rules, 2000] i) Name of City/Town : ii) Population : iii) Name and Address : of Municipal body Telephone No. : Fax : iv) Name of In-charge dealing : with Municipal Solid Waste With designation 1. Quantity and composition of solid wastes i) Total quantity of wastes generated per day : ii) Total quantity of wastes collected per day : iii) Total quantity of wastes processed for, a) Composting : b) Vermiculture : c) Pellets : d) Others, if any, please specify : iv) Total quantity of wastes disposed by land filling : a) Number of landfill sites used : b) Area used : c) Whether weigh-bridge facilities available: : Yes / No d) Whether area is fenced : Yes / No e) Lighting facility on site : Yes / No f) Whether equipment like bulldozers, : compactors, etc. available (Please specify) g) Total Manpower available on site : h) Whether covering is done on daily basis : Yes / No i) Whether covering material is used : and whether it is adequately available j) Provisions for gas venting available : Available /Not Available k) Provisions for leachate collection : Available/Not available 2. Storage facilities i) Area covered for collection of wastes : ii) Number of houses covered : iii) Whether house to house collection is practiced (if yes, whether done by the Municipality or through private agency or Non-Governmental Organisation : BINS: No Bins Specification (Shape & Size) Existing Numbers Proposed for future a RCC Bins (Capacity) b Trolleys (Capacity) c Containers(Capacity) d Dumber Placers e Others, please specify (v) Whether all bins / collection spots are attended for daily lifting of garbage : Yes / No (vi) Whether lifting of garbage from dust : 1. Manual 2. Loader 3. Others bins is manual or mechanical i.e. for example by using of front-end loaders (please tick mark) [Please specify others] 3. Transportation No Mode Existing numbers Actually required/ Proposed 1 Truck 2 Truck tipper 3 Tractor trailer 4 Refuse collector 5 Dumber placers 6 Animal cart 7 Tricycle 8 Others (Please specify) 4. Whether any proposal has been made : to improve solid wastes management practices 5. Are efforts made to call private firm etc. : for processing of waste utilising technologies like 6. What provisions are available and how these are Implemented to check unhygienic operations of: No. Waste utilization Technology Proposal Steps taken (Quantity to be processed) 1 Composting 2 Vermiculture 3 Pellatisation 4 Others if any, Please specify i) Dairy related activities : ii) Slaughter houses and unauthorized slaughtering : iii) Malba (construction debris) lifting : iv) Encroachment in Parks, Footpaths, etc. : 7. How many slums are identified and whether these are provided with sanitation facilities : 8. Are municipal magistrates appointed for taking penal action : Yes / No [If yes, how many cases registered & settled during last three years (give year wise details)] 9. Hospital waste management 1. How many hospitals / clinics under the control of the corporation : 2. What methods are followed for Disposal of bio-medical wastes : 3. Do you have any proposal for setting up of Common treatment facility for disposal of Biomedical wastes : 4. How many private Nursing Homes, clinics, etc. are operating in the city/town and what steps have been taken to check disposal of their wastes: Date : Signature of Municipal Commissioner Form - V [ See Rule 9 ] ACCIDENT REPORTING 1. Date and time of Accident : 2. Sequence of events leading to accident : 3. Wastes involved in the accident : 4. Assessment of the effects of the accidents : on human health and the environment 5. Emergency measures taken : 6. Steps taken to alleviate : the effects of accident: 7. Steps taken to prevent the recurrence of : such an accident
