Private Bag 9023 | Whangarei 0148 | New Zealand
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12/58294 August 2012
Application under the Trade Waste Bylaw of Whangarei District Council
Office use
Date received
File no
Consent no
Issuing officer
General use
Details of business (trade waste producer)
1
Name of business
2
Street address
Postal address
3
Phone number
4
Nature of activity generating trade waste
5
Name and address of applicant (if different from above)
Name
Address
6
Applicant phone number
Details of trade waste discharge
7
Type of application
Proposed discharge Existing discharge with no consent
Consent renewal
Consent number
Variation of existing discharge
Type of variation
12/58294 August 2012 2
8
Nature of waste (if known) please note whether concentrations are average or maximum values
Chemical Oxygen Demand (COD) mg/L
Total Kjeldahl Nitrogen (TKN) mg/L
Suspended Solids (SS) mg/L
pH
Other parameters applicable to industry:
9
Volume and rate of discharge
Average daily volume (m
3
)
Maximum flow rate (L/sec)
Daily/seasonal variation (if any)
Proposed method of flow measurement:
Calibrated meter (e.g. mains/internal supply) Manufacturer specification Other (please specify)
Additional information
Please include any supporting information you may have, i.e. existing certification relevant to industry, relevant
management plans, chemicals used on site, etc. As-built plans (or sketch where appropriate) of the drainage system
is required.
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
Signed
Name (please print)
Designation (please print)
Organisation (please print)
Dated this
day of
year
201
Application checklist
All sections completed
Yes No
Application signed
Yes No
Site plans/sketches attached
Yes No
Additional documents attached
Yes No
NB: Application fee(s) apply.
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