Municipal Solid Waste Authorization

Application Form
GENERAL INFORMATION


Name Of Municipal Authority/Agency:*	Date Of Application:	(DD/MM/YYYY)
Place Of Application:
Address Of Authority/Agency
Plot No.:	Street/Road Name:
Post Office:*	District:*
Police Station:*	Local Body:
Pin Code:*	Telephone:
Fax:	Email:
Officer Name	Officer Designation:

AUTHORIZATION APPLIED FOR

Setting Up and Operation Of Waste Processing Facility:*
Setting Up and Operation Of Disposal Facility:*

PROCESSING OF WASTE

Location Of Site:	Name Of Processing Technology:
Details Of Processing Technology:	Quantity Of Waste To Be Processed Per Day:
Site Clearance:* (From Local Authority)	Details Of Agreement Between Municipal Authority And Operating Agency:
Utilization Program For Processed Waste:	Rejected Waste Disposal Methodology:
Investment On Project:	Expected Returns:
Measures To Be Taken For Prevention and Control Of Environmental Pollution:
Measures To Be Taken For Safety Of Workers:

DISPOSAL OF WASTE

Number Of Sites Identified:	Layout Of Site Map Available: *
Quantity Of Waste To Be Disposed Per Day:	Nature Of Waste:
Composition Of Waste:	Details Methodology For Site selection:
Details Of Site Under Operation:
Methodology and Operational Details Of Land Filling:	Measures Taken To Check Environmental Pollution:

MUNICIPALITY DETAILS

No of HCU Under the Municipal Authority:	Total No of Beds:
Presence of BMW Treatment/Disposal Facility:*

HOUSE TO HOUSE COLLECTION

No of Wards in which House to House MSW Collection is Done:	Amount of MSW Collected through House to House Collection:

SEGREGATION OF MSW AT SOURCE

No of Wards:	Total Amount of Waste Seggregated at Source:

AUTHENTICATION

Please memorise the password and the application Number for future Communication.This is Important

Password:*	Confirm Password: *