FORM – 1 - Meghalaya State Pollution Control Board

FORM – 1[See rule 9]APPLICATION FOR REGISTRATION OF A UNIT FOR THE MANUFACTURE OFPLASTIC CARRY BAGS AND MULTILAYERED PLASTICSFrom: ………………………………………To,Sir,……………………………………………………………………………… (Name and full address of the occupier)The Member Secretary,Meghalaya State Pollution Control Board,“ARDEN”, Lumpyngngad,Shillong – 793014, MeghalayaI / We hereby apply for registration under Rule 9 of the Plastic Waste (Managementand Handling) Rules, 20111. (a) Name and location of the unit(b) Address of the unitPART – AGENERAL(c) Registration required for manufacturing of :(i) Carry bags(ii) Multilayered plastics(d) Manufacturing capacity(e) In case of renewal, previous registrationnumber and date of registration2. Is the unit registered with the DistrictIndustries Centre of the State Government? Ifyes, attach a copy.3.(a) Total capital invested on the project(b) Year of commencement of production4.(a) List and quantum of products and by-products(b) List and quantum of raw materials used5. Furnish a flow diagram of manufacturingprocess showing input and output in terms ofproducts and waste generated including forcaptive power generation and water.

6. Minimum sizes and thickness of carry bags tobe manufactured7. Status of compliance with these RulesPART – BPERTAINING TO LIQUID EFFLUENT AND GASEOUS EMISSIONS8.(a) Does the unit have a valid consent under theWater (Prevention and Control of Pollution)Act, 1974 (6 of 1974)?If yes, attach a copy(b) Does the unit have a valid consent under theAir (Prevention and Control of Pollution) Act,1981 (14 of 1981)?If yes, attach a copy9. Solid Wastes:PART – CPERTAINING TO WASTE(a) Total quantum of waste generated(b) Mode of storage within the plant(c) Provision made for disposal of wastesName and SignatureDate: ………………………Place: ……………………..Designation