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о Appendix 7 to the Order of the Minister of National Economy of the Republic of Kazakhstan dated January 6, 2015 No. 4 Form |
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Environmental Impact Declaration
If the notification is submitted by a person by attorney: the
authorized person: _________________________________________________
Date of submission: "___" __________ 20___ year.
According to the planned activity (new facility) and (or) the existing facility: To
the local government bodies of regions, cities of republican significance and the
capital _________________________________________________________________
From a legal entity (individual entrepreneur)
_______________________________________________________________________
_______________________________________________________________________
I hereby notify you of the environmental impact at the Category III facility
______________________________________________________________________
Type of main activity ________________________________________________
Brief description of the object ____________________________________________
Type and volume of products, works performed, services rendered
(volume of products produced)___________________________________________
Number and date of positive conclusion issue of the state environmental
assessment (for the planned activity)_________________________________
The declared amount of emissions of pollutants into the atmospheric air
by (grams/second ton/year)
|
declared year |
number of the pollution source |
name of the contaminant |
gram/second |
ton/year |
Declared amount of hazardous waste
|
declared year |
name of the waste |
amount of production, ton/year |
accumulation quantity, ton/year |
Declared amount of non-hazardous waste
|
declared year |
name of the waste |
amount of production, ton/year |
accumulation quantity, ton/year |
At the same time , I inform:
1. By submitting this notification, I confirm:
1) these data are official, and
information on the implementation of activities or individual actions can be sent to them;
2) the attached documents correspond to reality and are
valid;
3) compliance with the requirements of the legislation of the Republic of Kazakhstan, mandatory for execution before the start of the planned activity.
legislation in accordance with the Code of the Republic of Kazakhstan "On Administrative Offenses".
Legal entity/individual entrepreneur________________________________________________
IIN/BIN ______________________________________