Fillable Application to Discharge Trade Waste to Public Sewerage (Tauranga City Council New Zealand)

Fill Online, Printable, Fillable, Blank Application to Discharge Trade Waste to Public Sewerage (Tauranga City Council New Zealand) Form

Use Fill to complete blank online TAURANGA CITY COUNCIL NEW ZEALAND pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Application to Discharge Trade Waste to Public Sewerage (Tauranga City Council New Zealand)

On average this form takes 15 minutes to complete

The Application to Discharge Trade Waste to Public Sewerage (Tauranga City Council New Zealand) form is 4 pages long and contains:

  • 1 signature
  • 21 check-boxes
  • 47 other fields

Country of origin: NEW-ZEALAND
File type: PDF

Use our library of forms to quickly fill and sign your Tauranga City Council New Zealand forms online.

BROWSE TAURANGA CITY COUNCIL NEW ZEALAND FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Application to Discharge Trade Waste to Public Sewerage System under the
Tauranga City Council Trade Waste Bylaw 2018
New Waste Water Connection
Objective ID: A8747159
SECTION A: GENERAL INFORMATION
COMPANY/PREMISE DETAILS
Applicant Name (Legal Name)
Trade Name
Person responsible for trade waste discharge
Physical Address
Postal Address
Phone
Mobile
THIS APPLICATION RELATES TO: TICK ONE OPTION
New Discharge
Renewal
Variation to Existing Consent
Existing Consent Number
Nature of Variation
DESCRIPTION OF TRADE ACTIVITY
Describe Processes and Trade Activity
IMPORTANT: Attach site drainage plans showing process areas, trade waste drains, domestic wastewater
drains, stormwater drains, pre-treatment device location, flow measuring devices, sampling point and
water meter(s)
TRADE WASTE CONSENT APPLICATION
Existing Waste Water Connection
Email - Invoice
SECTION B: NATURE OF TRADE WASTE
OPERATIONAL DAYS/DISCHARGE HOURS
Days of Operation:
Sunday
Saturday
Monday
Tuesday
Wednesday
Thursday
Friday
Hours of Operation:
TRADE WASTE DISCHARGE VOLUME
Continuous Discharge
Batch Discharge
Maximum Daily Discharge Volume (m3/day):
Maximum Instantaneous Flow Rate (Litres/second):
Batch Discharge Volume (m3):
Frequency of Batch Discharge (if applicable):
TRADE WASTE DISCHARGE VOLUME FLOW MEASUREMENT
Permanent installation of Council-Approved waste flow measuring equipment
Based on water usage as measured by Council meter
Proposed Water Loss Factor
PROCESS AND POLLUTANTS
List any substances which are stored, used and/or generated on premise (e.g. chemicals, oil solvents,
waste products etc.) Attach Material Safety Data Sheets (MSDS) if necessary.
Describe mitigation measures employed to prevent accidental spillages of these substances from
entering the public sewer or stormwater systems. Attach additional information if necessary
Water Meter No.
PROPOSED/EXISTING PRE-TREATMENT DEVICES
SECTION C: PRE-TREATMENT SYSTEM
Screens
Grease Removal System
Flow Balance
First-flush Diversion
pH Adjustment
Amalgam Separator
Chemical/Biological Treatment
Complex Filtration System
Oil and Grit Interceptor
Balance / Holding Tank
Other Pre-treatment (please specify)
LIQUID WASTE REMOVAL FROM SITE
List all liquid waste(s) removed from site:
Contractor
Contractor Phone
Frequency
HEALTH AND SAFETY
Is an induction required- prior to entering site?
Yes
No
Health and Safety requirement(s) for Council staff prior to entering site (hazard registers, PPE etc.)
PLEASE NOTE: Local Government Act 2002 allows the following
All Authorised Officers or Authorised Agents of the Council, or any analysts, may enter any premise believed to be discharging
trade waste at any time in order to determine any characteristics of any actual or potential discharge by:
a. Taking readings or measurements
b. Carrying out site inspections audits; and/or
c. Taking samples for testing, of any solids, liquid or gaseous material or any combination or mixture of such materials
PRIVACY
The information supplied in this application form will be held and used by Tauranga City Council (TCC). The information will not be
disclosed by TCC unless legally required under the Local Government Official Information and Meetings Act 1987 or for one of
the purposes in connection with its collection. The information supplied will be used for: assessing and processing this application,
for administration purposes and updating our records to ensure all records are accurate. You have the right to request access
and correction of information collected.
SIGNATURE
1. I am duly authorised to make this application
2. I believe that all the information contained in this application is true and correct
Full Name
Position
Signature
Date
The trade waste application fee must be received with the application form. Trade waste applications
will not be processed without payment of fees. Please return completed forms and fees to:
Trade Waste Officer
Tauranga City Council
Private Bag 12022
Tauranga 3143
click to sign
signature
click to edit
FOR OFFICE USE ONLY
Debtor Number
Building Consent Number
High Water User (>15m3 per day)
Permitted/Controlled
Conditional
Tankered
✔
Yes
No
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Application to Discharge Trade Waste to Public Sewerage (Tauranga City Council New Zealand)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 20 January 2021

Message

View Audit Log
Print With Audit Log
Duplicate Document