Application for Consent to Discharge Trade Waste

Application to discharge trade waste to the public sewage system under the Kāpiti Coast District Council Trade Waste Bylaw 2019

This is an application for:

a proposed new discharge

an existing discharge for which no consent exists

renewal of an existing consent

variation to an existing consent.

Applicant details
Business name:	Add
Applicant name: (Individual or Company)	Add
Address:	Add
Postal address: (If different from above)	Add
Contact phone:	Add
Contact email:	Add
After hours contact name:	Add
After hours contact phone:	Add

Trade Waste Details
Trade waste manager:	Add
Contact phone:	Home: Add Mobile: Add
Contact email:	Add
Trade activity: (short description of what the business does)	Add
Discharge Data
Discharge timing: (please tick one)	Continuous	Intermittent
Hours of operation: (over what periods of the day is the discharge occurring?)	Add
Flow: (what is the estimated daily flow?)	Add

Pre-Treatment
Pre-treatment of waste: (grease traps, interceptors, pH adjusting tanks etc)	Add
Cleaning/emptying frequency:	Add
Contractors used to recycle/dispose of waste:	Add
Statement
I am duly authorised to make this application & believe that all the information contained in this application is true & correct
Name:	Add
Position:	Add
Signature	Add
Date	Add

Submitting applications
Email completed forms to: compliance.dutyofficer@kapiticoast.govt.nz Post to: or deliver to: Compliance Services Compliance Services Kāpiti Coast District Council Kāpiti Coast District Council Private Bag 60601 175 Rimu Road Paraparaumu 5254 Paraparaumu

Office administration staff to complete
Application received and checked by:	Add
Date:	Add
Application approved by:	Add
Date:	Add
Consent number:	Add
Application fee:	Add
Receipt:	Add