FORM -I [See rules 10(1) and 10(4)] APPLICATION FOR REGISTRATION OF UNIT FOR MANUFACTURE OF PLASTIC CARRY BAGS AND CONTAINERS From: .................................. .................................. .....................(Name and full address of the occupier) To The Member Secretary, Meghalaya State Pollution Control Board 'ARDEN', Lumpyngngad, Shillong-793014. Sir, I/We hereby apply for registration under rule 10 of the Plastic Manufacture, Sale and Usage Rules, 1999. PART-A GENERAL 1.(a) Name of the unit and location of activity (b) Address of the unit (c) Registration required for manufacturing of: (i) Carry bag virgin (ii) Carry bag recycled (iii) Containers virgin (iv) Container recycled (v) (d) Manufacturing capacity (e) In case of renewal of Registration previous Registration number and date 2.(a) Is the unit registered with DCSSI or Department of Industries of the State Government/ Union Territory Administration? (b) If yes, attach a copy. 3. (a) Total capital invested on the project (b) Year of commencement of production 4. (a) List and quantum of products and by-products (b) List and quantum of raw materials used 5. Furnish a flow diagram of manufacturing process showing input and output in terms of products and waste generated including for captive power generation and de-mineralized water 6. Minimum sizes of carry bags to be manufactured (in any case it should not be less than 8" x 12") 7. Status of compliance with rules 5,6,7 and 8 PART-B PERTAINING TO LIQUID EFFLUENT AND GASEOUS EMISSIONS 8. (a) Does the unit have a valid consent under the Water (Prevention and control of Pollution) Act, 1974 (6 of 1974) If yes, attach a copy. PART-C PERTAINING TO WASTE 9. Solid Wastes: (a) Total quantum of generation (b) Mode of storage within the plant (c) Provision mode for disposal Place: Signature: Date: Designation:
