T7 Waste Exemption Registration form

Notification ofWaste Exemption

Local AuthorityPollution Prevention and Control

Pollution Prevention and Control Act, 1999

Environmental Permitting (England and Wales) Regulations 2010,SI 2010/675 (as amended)

Introduction

When to use this form

This form is for registration of a T7 (Treatment of waste bricks, tiles and concrete by crushing, grinding or reducing in size) waste exemption only. If you wish to register a T3 exemption (Treatment of waste metals and metal alloys by heating for the purposes of removing grease etc.) you should contact us for the appropriate form. All other waste exemptions must be registered with the Environment Agency.

Where are Mobile Crusher already permitted under the Environmental Permitting Regulations is used it will not normally be necessary to register a separate waste exemption.

Which parts of the form to fill in

You should fill in as much of the form as possible. When complete return to:

Worcestershire Regulatory Services

PO Box 866

Wyatt House

Farrier Street

Worcester

WR1 9DP

Other documents you may need to submit

There are number of other documents you may need to send us with your application for surrender. Each time a request for a document is made in the form you will need to record a document reference number for the document or documents that you are submitting in the space provided on the form for this purpose. Please also mark the document(s) clearly with the reference number and the name of the installation.

Copies

You do not need to send multiple copies of this form; consultation is not required toregister a waste exemption.

If you need help and advice

We have made the form as straightforward as possible, but please get in touch with us at the local authority address given above, by phone on 01905 822799 or e-mail if you need any advice on how to set out the information we need.

T7Exemption Registration Form: to be completed by the operator
For Local Authority use only:
Application Reference: / Officer Reference: / Date received:

A: Site Details

A1: Name of the site

A2: Address of the site

PostcodeTelephone

Grid Reference

A3:Full name of the company or corporate body operating the site

Trading/business name (if different)

Registered Office address

Postcode:

Company registration number

A4: Primary contact for this operation

Name

Position

Address

Postcode

Telephone number

Fax number

E. Mail address

B: Operational Details

B1: Site plan showing the boundary of the exempt process.

Doc ref:

B2: Details of any other Environmental Permits, Standard Rules Permits or Waste Exemptions in effect at this site.

Where there are other permissions in effectyou should show the limits of each permitted or exempt process on the site plan.

B3: The date on which operation will commence

B4: The date on which operation will cease

Note: this waste exemption is valid for a maximum of 3 years, if you wish to continue in operation beyond that point you must apply for a renewal of this exemption within 6 months of its expiry

B5: Type of waste to be treated on site.

Expected on site / Code / Description
Yes / No / 170101 / Concrete
Yes / No / 170102 / Bricks
Yes / No / 170103 / Tiles and ceramics
Yes / No / 170107 / Mixtures of concrete, bricks, tiles and ceramics (other than those mentioned in 170106*)

Note: Waste Code 170106* refers to “mixtures of, or separate fractions of concrete, bricks, tiles and ceramics containing dangerous substances”, this waste may need to be treated as hazardous.

Page 1 of 4

C1 Declaration

C3.1 Signature of the operator(s)*

I / We certify that the information in this notification is correct:

Installation name:

Signature

Name

Position

Date

Signature

Name

Position

Date

Page 1 of 4