Panchayat:Repo18/Law Manual Page1176

Form 1

PART-A
GENERAL
1(a)	Name and location of the unit
(b)	Address of the unit
(c)	Registration required for manufacturing of:
	(i) Carry bags;
	(a) petro- based,
	(b) Compostable
	(ii) Multilayered plastics
(d)	Manufacturing capacity
(e)	In case of renewal, previous registration number and date of registration
2	Is the unit registered with the District Industries Centre of the State Government or Union Territory? If yes attach a copy
3(a)	Total Capital invested on the project
(b)	Year of commencement of poduction
4(a)	List and quantum of products and by-products
(b)	List and quantum of raw materials used
5	Furnish a flow daigram of manufacturing process showing input and output in terms of products and waste generated including for captiva power generation and water.
6	Status of compliance with these rules-Thickness - fifty micron (Yes/No)
	Part B PERTAINING TO LIQUID EFFLUENT AND GASEOUS EMISSIONS
7	(a) Does the unit have a valid consent under the Water (Prevention and control of Pollution) Act, 1974 (6 of 1974)?
	If yes Attach a copy
	(b) Does the unit have a valid consent under the Air (Prevention and control of Pollution) Act.1981 (14 of 1984)? If Yes attach a copy
	PART C PERTAINING TO WASTE
8	Solid Wastes or rejects: (a) Total quantum of waste generated (b) Mode of storage within the plant (c) Provision made for disposal of wastes
9	Attach or porvide list of person supplying plastic to be used as raw material to manufacture carry bags or plastic sheet of like or multilayered packaging
10	Attach or provide list of personnel or Brand Owners to whom the products will be supplied
11	Action plan on collecting back the plastic wastes
	Date: Place:	Name and Signature Designation

Part A GENERAL
1	Name, Address and Contact Number
2	In case of renewal, previous registration number and date of registration
3	Is the unit regisetered with the District Industries Centre of the State Govt or Union Territory? If yes attach a copy