Application Form CONTENTS - Environmental Protection Agency

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IPPC Application Form SECTION L STATUTORY REQUIREMENTS Indicate how the requirements of Section 83(5)(a)(i) to (v) and (vii) to (x) of the EPA Acts, 1992 and 2003 shall be met, having regard, where appropriate, to any relevant specification issued by the Agency under section 5 (3) of the Act and the reasons for the selection of the arrangements proposed. Indicate whether or not the activity is carried out on, or may be carried out on, or is located such that it is liable to have an adverse effect on - (a) a site placed on a list in accordance with Chapter 1 of SI 94 of 1997, or (b) a site where consultation has been initiated in accordance with Article 5 of the EU Habitats Directive (92/43/EEC), or Indicate whether or not the activity is liable to have an adverse effect on water quality in light of S.I. No. 258 of 1998 (Local Government (Water Pollution) Act, 1977 (Water Quality Standards for Phosphorus) Regulations, 1998). Indicate whether any of the substances specified in the Schedule of the EPA (Licensing)(amendment) 2004 are discharged by the activity to the relevant medium. Fit and Proper Person The PoE Act in Section 83(5)(xi) specifies that the Agency shall not grant a licence unless it is satisfied that the applicant or licensee or transferee as the case may be is a fit and proper person. Section 84(4) of the PoE Act specifies the information required to enable a determination to be made by the Agency. • Indicate whether the applicant or other relevant person has been convicted under the PoE Act, the Waste Management Act 1996, the Local Government (Water pollution) Acts 1977 and 1990 or the Air Pollution Act 1987. For inspection purposes only. Consent of copyright owner required for any other use. • Provide details of the applicant’s technical knowledge and/or qualifications, along with that of other relevant employees. • Provide information to show that the person is likely to be in a position to meet any financial commitments or liabilities that may have been or will be entered into or incurred in carrying on the activity to which the application relates or in consequence of ceasing to carry out that activity. Supporting information should be included as Attachment N o L with reference to where the information can be found in the application. Application Form.doc Page 34 of 91 EPA Export 21-04-2007:02:16:27
IPPC Application Form SECTION M DECLARATION Declaration I hereby make application for a licence / revised licence, pursuant to the provisions of the Environmental Protection Agency Acts, 1992 and 2003 and Regulations made thereunder. I certify that the information given in this application is truthful, accurate and complete. I give consent to the EPA to copy this application for its own use and to make it available for inspection and copying by the public, both in the form of paper files available for inspection at EPA and local authority offices, and via the EPA's website. This consent relates to this application itself and to any further information, submission, objection, or submission to an objection whether provided by me as Applicant, any person acting on the Applicant’s behalf, or any other person. Signed by : Date : (on behalf of the organisation) Print signature name: Position in organisation : For inspection purposes only. Consent of copyright owner required for any other use. Company stamp or seal: Application Form.doc Page 35 of 91 EPA Export 21-04-2007:02:16:27
Page 1 and 2: The Tecpro Building, Clonshaugh Bus
Page 3 and 4: IPPC Application Form Environmental
Page 5 and 6: IPPC Application Form CHECK LIST FO
Page 7 and 8: IPPC Application Form arrangements
Page 9 and 10: IPPC Application Form LOCATION Sect
Page 11 and 12: IPPC Application Form SECTION A NON
Page 13 and 14: IPPC Application Form Name and addr
Page 15 and 16: B.3. Class of Activity IPPC Applica
Page 17 and 18: B.6. Relevant Sanitary Authority. I
Page 19 and 20: IPPC Application Form SECTION C MAN
Page 21 and 22: E.1. Emissions to Atmosphere IPPC A
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Page 25 and 26: IPPC Application Form SECTION G RES
Page 27 and 28: H.2 Waste disposal by on-site landf
Page 29 and 30: IPPC Application Form I.4 Assessmen
Page 31 and 32: IPPC Application Form I.8 Environme
Page 33: IPPC Application Form SECTION K REM
Page 37 and 38: IPPC Application Form TABLE E.1(i)
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Page 53 and 54: IPPC Application Form TABLE E.2(ii)
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Page 57 and 58: IPPC Application Form TABLE E.4(i):
Page 59 and 60: IPPC Application Form TABLE E.4(ii)
Page 61 and 62: IPPC Application Form TABLE F.1(i):
Page 63 and 64: IPPC Application Form TABLE F.2(i)
Page 65 and 66: IPPC Application Form Tables G.1(i)
Page 83 and 84: IPPC Application Form TABLE H.1(ii)
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IPPC Application Form Table I.2(i)
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IPPC Application Form TABLE I.4(ii)
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Application Form CONTENTS - Environmental Protection Agency

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