Application for Controlled Trade Waste Discharge Approval
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1 HDC Standard Application form Date issued: 1/12/2014 Application for Controlled Trade Waste Discharge Approval (Please print clearly) The Applicant Name of discharger:... Address of Premises: Postal address (if different from above):... Post Code: Telephone N o : Fax N o :... This Application is for: Approval for a new discharge Renewal of existing Approval: Current Approval number:... Existing discharge for which no Approval has been granted Variation of an existing Approval resulting from: (Provide a brief explanation below Expand on the detail in the Trade Waste Discharge Management Plan) Page 1 of 6
2 Seasonal Discharge Is the discharge under this Approval application seasonal or continuous? Continuous Seasonal If seasonal: Operates from to.. Additional Documentation Required Plan of the Premises Separate plans/layers and/or colours are preferred where plumbing and drainage is relatively complex. The plan needs to clearly show the following: The Process area(s) Pre-treatment area/plant Chemical storage area(s) Domestic sewer system Trade Waste drains Stormwater System Visitor car parking ph meter (if applicable) Trade Waste sampling point Emergency spill containment Flow meter (or the location where flow can be or has been measured) Discharge Management Plan Use the format shown in the attached form. Stormwater Do you have a Stormwater Management Plan for the Premises? Yes No If Yes, are you able to provide a copy of the plan if requested by the Council? Yes No Page 2 of 6
3 Characteristics being applied for (Use only the characteristics that are applicable to your waste discharge) Characteristic Level (at any time) applied for (mg/l) *Mass Limit applied for Total Oil and Grease Floatable Oil and Grease CBOD5* COD Sulphide Sulphate Sulphite Boron Copper Zinc Mercury Cadmium Chromium* Lead Nickel Suspended Solids* Settleable Solids TKN Ammonia-N MBAS Petroleum Hydrocarbons ph Temperature Flow volume as M 3 /day Flow Rate as L/s Other Characteristics not listed above but are close to the limits in Schedule 2 Characteristic Level (at any time) applied for (mg/l) *Mass Limit applied for Page 3 of 6
4 Health and Safety Procedures for Council Officers when Entering the Premises (Please specify) Contact Person for Administration and Correspondence Relating to the Approval Name:... Cellular phone:... Position: Telephone DDI:... After Hours Contact (if different from above) Name:... Telephone:... Position:. Cellular phone:... Person Completing this Application to Fill Out Full name:. (Please print) Position.. 1. I am authorised to make this application. 2. All the information contained in this application is true and correct. Signature:. Date Page 4 of 6
5 THIS IS THE REQUIRED FORMAT FOR A DISCHARGE MANAGEMENT PLAN. Trade Waste Discharge Management Plan for: Approved by: Position: Signature: Date:.. This Plan is due for review on: (Leave out anything that does not apply to your particular operation) PART ONE TYPE OF INDUSTRY Briefly describe the main activity of your business, the processes and the waste produced from the processes. PART TWO PRE-TREATMENT Describe the Pre-Treatment system used to treat the waste stream(s) to ensure compliance and explain how it is managed, including; The equipment used. The capacity of the equipment. Chemical inputs in the pre-treatment process. The residuals generated from the pre-treatment and what happens to the residuals. Training of operators and Standard Operating Procedures for managing the pre-treatment system. How equipment failures are managed to prevent non-compliant discharge. In an emergency, how can the discharge be isolated from the Council wastewater network. How the Council will be informed on discovery of a failure of the pre-treatment system. PART THREE CHARACTERISTICS OF THE TRADE WASTE DISCHARGE Describe the characteristics of the final discharge, including; List all of the main characteristics present, in any significant quantity (relative to Schedule 2), in the final discharge. What are the typical measurements and maximum measurements for each characteristic. What is the typical flow rate and the maximum flow rate (where applicable use two hour average flow rate and identify it as such). What is the typical daily discharge volume and the maximum daily discharge volume. What is the typical and maximum daily load for Suspended Solids and CBOD5. PART FOUR STORMWATER IN TRADE WASTE Identify any stormwater discharges that may be in the Trade Waste discharge. PART FIVE HAZARDOUS SUBSTANCES Identify any hazardous substances stored on site in sufficient quantity to cause a potential for noncompliant Trade Waste discharge if a spill were to occur. Describe how they are stored and what precautionary measures are used to minimise the potential for a spill. Describe what procedures are in place should a spill occur. Page 5 of 6
6 PART SIX CLEANER PRODUCTION Briefly describe any Cleaner Production initiatives that are being undertaken or may be undertaken in the future. PART SEVEN FLOW METERING Describe how the final discharge is metered and recorded, the calibration method, frequency and procedures. PART EIGHT SELF MONITORING AND REPORTING Describe how self-monitoring of the discharge will be carried out, including; Location of sampling. Frequency of sampling. Method of sampling. The laboratory used for the sample analysis. Reporting to Council. Format of the flow and ph report (if applicable). Response to any results that are non-compliant. PART NINE MONITORING BY COUNCIL Describe how Council can safely access the Sampling Point for monitoring and sampling including the position for the Trade Waste Monitoring Trailer (2m x 1.5m) at the Sampling Point. PART TEN COMMUNICATION WITH THE COUNCIL What procedure is in place to ensure Council always has up to date contact details and name of the contact person. PART ELEVEN - DISCHARGE MANAGEMENT PLAN REVIEW This Plan forms a part of the Discharge Approval and you are required to adhere to it at all times. If it is out of date the last version received by Council will be used to determine compliance. Therefore, it is important Council is informed of any changes to the Discharge Management Plan. Describe how the Plan is maintained and reviewed and how, and when, the Council will be informed of any changes to the Plan. Page 6 of 6
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