U. P. Pollution Control Board PICUP Bhawan 'B' Block, III Floor, Vibhuti Khan, Gomti Nagar, Lucknow Application for No Objection Certificate NOTE 1. All enclosures, appendices, projects, plans and scheme to be submitted in triplicate 2. Incomplete application will be rejected 3. No work pertaining to site development or construction of Industry to be undertaken without N.O.C., doing so would be the sole responsibility of the applicant and against public interest. Application To, The Member Secretary, U.P. Pollution Control Board, Lucknow I/We submit an application for "No Objection Certificate" from the Pollution and environmental angle to the U.P. Pollution Control Board for the Proposed Industry (named)................................... Owned by ........................ and proposing to manufacture ............................ per day after consuming per day as raw material. The proposed site shall be at ............................. 1. I/We declare that all the all the enclosures, appendices, and schemes submitted by me/us is true to the best of my/our knowledge and the project will be implemented as per the proposal. 2. I/We hereby guarantee that quality of final discharge of effluent and emissions will be within the prescribed standards of the Board. The trial production will be started only after implementation and operating the pollution control advices as proposed herein. 3. I/We shall start the site development work from (date) ........... and the industrial plant is proposed to be commissioned on 4. I/We undertake that adequate disposal facilities will be provided upto final disposal point for the discharge of treated effluent into.......... 5. I/We undertake that I/We will apply for seeking consent under Section 25/26 of Water Act and consent Under Section - 21 of the Air Act at least two months before start of trial and comply with the Water Cess Act-1977. I/We declare that the provisions of these Acts have been known to me/us. 6. I/We accept that the application is for proposal submitted and if the site is not approved then the final decision of board will be accepted. 7. I/We undertake that legal provisions of the Environment (Protection) Act, 1986 will be complied. Date Applicant Name & Designation Name of the Industry Encl. 1. Annexure to NOC application 2. Site plan and the details of forest, human settlement, road, railway etc. within the radius of 2.0 Km. 3. Plant layout plan, showing stack, drains, green-belts, solid waste-disposal space and details of pollution control space etc. 4. Water/Air U.P. Pollution Control Scheme with time bound programme. 5. Registration of Industries department/U.P. Govt./Govt. of India 6. Details of manufacturing process and flow sheet. 7. Industrial Project Report.
