ilr g ouo ccd oeilcnlao m'l col lcnd 6'm c 6nlc 6rui - .:: ida kerala state ·...
TRANSCRIPT
K E R A L A
ffi\ilrSTATE POLLUTI
g oUo ccD oeilcnlaoPattom P.O.. Thiruvanantha
.'JSo oil.Gl., oflolrucnool
N CONTROL BOARDm'l col lcnD 6'm c 6nlc 6rui
ram - 695 004Oo - 695 004
PCB/HO/EE1 MWG N/03/07
FromThe C
To
Date: l4l0ll20l5
The Ch ef Envir nmental EngineerI Office, /EKMRegi
The Se ior Env nmental EngineerRegio I OfficeKozhik
The SDistri
ior Envi nmental Engineer
PalOfficed
The E ironm l EngineerDistri Office, / K L M / P T A / K /ALPY/IDK/EKM 1, 2&3(Esc)TSR I /MLPM/WYND/ / KSGD
Sub: - Conse of the for dental clinrcs - oD
sentati n of Indian Dental Assocation dated 0I .07 .2014utes of t meeting held in the pre nce of Honourable Minister for
T4er & Pol ution Control, on 1 1.1 1.
f the re rence (2) is enclosed. e representatives of Indian Dental
as vide ference (1) expressed ir grievance with respect to the
in getti g clearances from the
es (1) & (2) it was
. Considering their grievances
cided to introduce the following
Ref: - 1. Re2. Mi
Po
SirA4ad?ffi,
A copy
Association
time involv
and based o
procedure in
referen
processing the applicatiture, fi received from dental clinics.
The den
in-princip
submissio
in-princip
stamp p
per mon
generated
immedia
3rrcsDArii) If the s
the unit i
issued fr
formal co
years app
obtained
The
(ii) for a
necessary
Copy to:-
1. The EHead
2. The SIndiPayyaPayyaKann
3. The
e c l
ly and
icable fl
ithin
actron.
fficecretaryDental
sistant
4. All T chnical fficers in Head Office
of appli ation for consent in the
e shall be accompani
r) from e occupier, stating the a
I clinics
clearan
in the cl
in the c
or four
may be required to s
e for consent to the con
ic, details of affiliation
nic, etc. The in-princip
validity of the in-prin
onths from the date of
lce glve by the dental clinics is
affiliat to IMAGE, Palakka
m t h e D strict Office to the occ
nt to perate in the prescribed
red category, at the earli
brmats (
validity period of the in-
) for submission of app
idavit an (iii) for furnishing itt-p
vironme tal Engineer - 2
sociationoor Denoor
I Clinics
r - 6 7 0 6 aJ
vironmental Enqineer -
tbmit a formal application
erned DO of the Board, pnor
prescribed form. The request
by an affidavit (in 100 rupees
erage number of patients treated
ith IMAGE for disposing BMW
e clearance shall be applied for,
ple clearance shall be limited to
plication, whichever is earlier.
ess than 1000 patient/month and
in principle clearance may be
ier with directions to apply for
brm with necessary fee for three
and consent to operate shall be
rinciple clearanoe.
ication for in-principle clearance
inciple clearance are enclosed for
Yours faithfully,
n i : , , ' "
' i a - - ' . \ - : - .
\' . \
CHAIRMAN
(for uploading the formats inBoard's website)
tor
to
for
3
Palticui. Nr
In
1 .
2.
3 .
4.
To
Mode of
Whether
7. Whetherattached
prescribed format)
Yes / No
Yes / No(if yes, AuthorisatioNo...dated of, issue . ....Validity . ..... )
Yes/ No
The ember SState Po ution Control Board,
Plam Patto- 69s 004
of applcant (Occupier)of app cant
& in tullof Inst
ATel NF
Faciliti in the
Average
Activityi.ii. Coliii.iv. Sv . Tvi. Tvll.
5.
no. of treated per month
which principle clearanceerationection
isposal o liquid waste
unit is ving authorisationunder theBMW es
Method f disposalof bio medical wasteThrough GEAny oth mode of isposal(please
6.
davit (i
9.
Capital vestmentestabli ent (in
Fee for incipl(as draft)
I d o hffue to the of myinformation
I do alsoby the State Pany conditi stipul
br the)
clearance
Declaration
declare that all statemenwledge and belief and
ereby undertake to provilution control Board in re
by the Kerala State Poll
h
: Rs. 500/-
made and information givejr arert I have not concealed any
any further information soufht:ion to these Rules and to fu1filon control Board.
Signature of Applicant
the in
1 .
that
I
submi
5
subm
I submit the following itional inforrnation foriple application.
My clinic has been to IIvIAGE, Palalilsad treailnentand di of bio medical generated in the clinic. liation isvalid
The no. of patients in my dental clinic is than 1000patients month.
I lare that the furnished above is h.re. Iissue of inciple clearance is on the infonnation prov by me.
that if any variation is
l e c given is liable toformal lication to the Board
) and to consent to operate
bserved subsequently byrevoked. Funher, I alsofor integrated clearance
the Board within the validi
SignatureName of ApplicarrtDesignation
Board the
to
to
period of
of thefaihne of which would result in
allotted.
File no. PC
d. The
the
1 .2.3 .
This n-princip
revl and
fit asper the
The i prmclp
no (a
The
above s
entire
b.
the of
cl shall
shall n
eml from
f. This
for
copy
CEE/ Se Me
avoor,4. I GE, I
inrvanan5 . S file
uram - 695 029
ard
IN-PRINCIPLE CLE
Date of issue :
Valid upto :
clearance is granted ect to the power of the
e variation in all or any of conditions 16 the Board
ant Acts/ Rules.
clearance unless withdra n earlier and subject to c
specified above.ll be valid for the period
generated shall segregated, collected,
and disposed in with the BMW Rules,
the unit shall apply for to operate of the
brmat at the earliest and consent shall be obtained
iry of in-principle cl , failing which the in
e automatically lled.
b€ any unauthorised ischarge of effluents or itive
dental clinic.
is subject to all statutory
e dental clinic.
mandatory clearance uired
Office seal Signatr,ue & seal of
Head of District Offi
E, Regional Office, KeraSecretary, Head Office, K, Indian Dental Associati
ur - 670 633State Head Quarters,
d i n
fore
;iple
State Pollution Control noa{dala State Pollution Control po, Payyavoor Dental Clinics,
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