Private Bag 9023 | Whangarei 0148 | New Zealand
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12/58297 August 2012
Application under the Trade Waste Bylaw of Whangarei District Council
liquid waste transport and disposal
Office use
Date received
File no
Consent no
Issuing officer
Details of business (trade waste producer)
Name of business:
Street address:
Postal address:
Phone number:
Nature of activity generating trade waste:
Name and address of applicant (if different from above)
Name:
Address:
Phone number:
Details of trade waste discharge
Type of application
Proposed discharge Existing discharge with no consent
Consent renewal
Consent number
Variation of existing discharge Type of variation
12/58297 August 2012 2
Nature of waste
Septic tank waste Raw sewage Grease trap waste Other (please specify)
Vehicles used
Number of vehicles:
Vehicle tare weights:
Additional information:
Please include any supporting information you may have, i.e. existing certification relevant to industry (e.g.
WasteMINZ Code of Practice for Liquid and Hazardous Waste), waste and emergency management plans, etc).
Compliance statement (to be completed by executive representative of registered company)
The discharge referred to in this application complies with all conditions of the Trade Waste Bylaw 2012. The
discharge does not contain any substances which are specifically prohibited under Schedule 1B of the Trade Waste
Bylaw 2012.
I understand that under Section 4.10 of this bylaw, failure to limit trade waste discharges to within the parameters
specified in Whangarei District Council’s Trade Waste Consent or Special Agreement issued under this bylaw can
be reasonable grounds for cancellation of this consent.
Signature
Name (please print)
Designation
Organisation
Date
Application checklist
All sections completed
Yes No
Application signed
Yes No
Additional documents attached
Yes No
NB: Application fee(s) apply.
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