WASTE MANAGEMENT (TYRES AND WASTE TYRES) REGULATIONS 2007 S.I. No. 664 of 2007 Application for Registration Re-Registration of Supplier (e.g. Wholesaler / Retailer / Fitter) A separate application must be made in respect of each premises from which tyres are supplied. Company Name CRO Number (if applicable) Trading As (if different from the Above) Address of Registered Office: Name of Contact Person in company responsible for compliance with Waste Management (Tyres and Waste Tyres) Regulations 2007 (S.I. No. 664 of 2007) Contact Person's Contact Person's Fax No: Contact Person's Name of Owner of the Company: Address of Owner of Company: Relationship of Owner to the Company: Owner Partner Parent Company Other If other, please specify Details of Premises Subject to this Registration Address of Premises: Page 1 of 6
The quantities by weight and by number of units of tyres that were supplied from and waste tyres taken back at this premises, in the calendar year prior to the year this application refers to: Cat. Description Falling within SITC when new Falling within CN Code when new Waste tyres taken back as this premises (only required for reregistration) Tyres supplied from this premises Substantiated estimate of the average life span Units Tonnes Units Tonnes Years 1 rubber, of a kind used on motor cars (including station wagons and racing cars) other than tyres placed on the 62510 40111000 2 rubber, of a kind used on buses or lorries other than tyres placed on the 62520 40112010 40112090 3 rubber, of a kind used on motorcycles other than tyres placed on the 62541 40114020 40114080 4 5 6 7 rubber, having a 'herring-bone' or similar tread other than tyres placed on the market as tyres in Other pneumatic tyres of rubber, (Nes) other than tyres placed on the Retreaded or used pneumatic tyres of rubber. Tyres other than in categories 1 to 6. 62551 62559 40116100 40116200 40116300 40116900 40119200 40119300 40119400 40119900 62592 40121100 40121200 62593 40122000 All except above All except above Totals Page 2 of 6
Declaration: Rev 1 3/3/2008 I/we hereby make application for registration, pursuant to the provisions of the Waste Management Act 1996 as amended and Waste Management (Tyres and Waste Tyres) Regulations 2007 (S.I. No. 664 of 2007) I/we enclose a certificate from an independent person, who is qualified at this moment in time to be appointed, or continue to act as, my/our auditor, confirming the quantities by weight and by number of units of tyres that were supplied from the premises this application relates to in the calendar year prior to the year this application refers to. I/we enclose a copy of my/our (A) WASTE MANAGEMENT PLAN in respect of this application for First Registration / Re-Registration, and (B) WASTE MANAGEMENT REPORT in respect of this application for Re-Registration. I/we certify that a copy of my/our WASTE MANAGEMENT PLAN and/or WASTE MANAGEMENT REPORT has been submitted to all (a) approved bodies established in accordance the provisions of Part VII of the Waste Management (Tyres and Waste Tyres) Regulations 2007 (S.I. No. 664 of 2007) and (b) local authorities in accordance the provisions of article 11(3) of the Waste Management (Tyres and Waste Tyres) Regulations 2007 (S.I. No. 664 of 2007). I/we certify that the quantities stored at the premises which this application relates to will not exceed 180M 3 of waste tyres unless I/we hold a waste licence in accordance with the requirements of Section 39(1) of the Waste Management Act 1996 as amended. I/we certify that any waste tyres stored at the premises to which this application relates to will be stored in an environmentally sound manner including any manner which will not endanger human health or harm the environment, and in particular will not (a) create a risk to waters, the atmosphere, land, soil, plants or animals, (b) adversely affect the visual impact on the landscape, (c) pose a fire risk by virtue of the manner in which waste tyres are being stored or, as appropriate, (d) be mixed with other waste streams when stored. I/WE CERTIFY THAT THE INFORMATION GIVEN IN THIS APPLICATION IS TRUTHFUL, ACCURATE AND COMPLETE I/WE ENCLOSE A CHEQUE / BANK DRAFT / POSTAL ORDER TO THE VALUE OF 100 Signature: Print Name: Address: THIS FORM, ALONG WITH THE APPROPRIATE REGISTRATION FEE MUST BE SUBMITTED TO THE ENVIRONMENT SECTION OF THE LOCAL AUTHORITY IN WHOSE FUNCTIONAL AREA THE PREMISES CONCERNED IS SITUATED. REGISTRATION MUST BE RENEWED BY 31ST DAY OF JANUARY EACH YEAR. Page 3 of 6
THE FOLLOWING ARE THE CONTACT ADDRESSES FOR EACH LOCAL AUTHORITY; CARLOW COUNTY COUNCIL, COUNTY OFFICES, ATHY, CO. CARLOW (059) 917 03 00 CAVAN COUNTY COUNCIL, COURTHOUSE, CAVAN, CO. CAVAN (049) 4331 799 CLARE COUNTY COUNCIL, NEW ROAD, ENNIS, CO. CLARE (065) 6821 616 CORK CITY COUNCIL, CITY HALL, CORK (021) 4966 222 CORK COUNTY COUNCIL, COUNTY HALL, CORK (021) 427 68 91 DONEGAL COUNTY COUNCIL, COUNTY HOUSE, LIFFORD, CO. DONEGAL (074) 917 22 22 DUBLIN CITY COUNCIL, HEADQUARTERS, CIVIC OFFICES, WOOD QUAY, DUBLIN 8 (01) 6722 222 DÚN LAOGHAIRE RATHDOWN COUNTY COUNCIL, MARINE ROAD, DÚN LAOGHAIRE, CO. DUBLIN (01) 2054 700 FINGAL COUNTY COUNCIL, COUNTY HALL, MAIN STREET, SWORDS, CO. DUBLIN (01) 890 5000 GALWAY CITY COUNCIL, CITY HALL, COLLEGE ROAD, GALWAY (091) 53 64 00 GALWAY COUNTY COUNCIL, PO BOX 27, COUNTY HALL, PROSPECT HILL, GALWAY (091) 509 000 KERRY COUNTY COUNCIL, ARAS AN CHONTAE, TRALEE, CO. KERRY (066) 7121 111 KILDARE COUNTY COUNCIL, HEAD OFFICE, ST MARY S, NAAS, CO. KILDARE (045) 873 800 KILKENNY COUNTY COUNCIL, COUNTY HALL, JOHN STREET, KILKENNY (056) 775 26 99 LAOIS COUNTY COUNCIL, COUNTY HALL, PORTLAOISE, CO. LAOIS (0502) 220 44 LEITRIM COUNTY COUNCIL, ARAS AND CHONTAE, CARRICK-ON-SHANNON, CO. LEITRIM (071) 962 0005 LIMERICK CITY COUNCIL, CITY HALL, LIMERICK (061) 41 57 99 LIMERICK COUNTY COUNCIL, 79/84 O CONNELL STREET, LIMERICK (061) 31 84 77 LONGFORD COUNTY COUNCIL, GREAT WATER STREET, LONGFORD (043) 46231 LOUTH COUNTY COUNCIL, COUNTY OFFICES, MILLENNIUM CENTRE, DUNDALK, CO. LOUTH (042) 9335 457 MAYO COUNTY COUNCIL, ARAS AND CHONTAE, CASTLEBAR, CO. MAYO (094) 902 44 44 MEATH COUNTY COUNCIL, COUNTY HALL, NAVAN, CO. MEATH (046) 902 15 81 MONAGHAN COUNTY COUNCIL, COUNTY OFFICES, THE GLEN, MONAGHAN (047) 30500 OFFALY COUNTY COUNCIL, ARAS AND CHONTAE, CHARLEVILLE ROAD, TULLAMORE, CO. OFFALY (0506) 46800 ROSCOMMON COUNTY COUNCIL, COURTHOUSE, ROSCOMMON (090) 663 71 00 SLIGO COUNTY COUNCIL, RIVERSIDE, SLIGO (071) 915 66 66 SOUTH DUBLIN COUNTY COUNCIL, P.O. BOX 4122, TOWN CENTRE, TALLAGHT, DUBLIN 24 (01) 4149000 TIPPERARY NORTH COUNTY COUNCIL, COURTHOUSE, NENAGH, CO. TIPPERARY (067) 44500 TIPPERARY SOUTH COUNTY COUNCIL, ARAS AN CHONTAE, CLONMEL, CO. TIPPERARY (052) 34455 WATERFORD CITY COUNCIL, CITY HALL, THE MALL, WATERFORD (051) 30 99 00 WATERFORD COUNTY COUNCIL, CIVIC OFFICES, DUNGARVAN, CO. WATERFORD (058) 220 00 WESTMEATH COUNTY COUNCIL, COUNTY BUILDINGS, MULLINGAR, CO. WESTMEATH (044) 320 00 WEXFORD COUNTY COUNCIL, COUNTY HALL, WEXFORD (053) 650 00 WICKLOW COUNTY COUNCIL, COUNTY BUILDINGS, WICKLOW (0404) 20100 Page 4 of 6
Waste Management Plans and Reports must, no later than the date of application for Registration / Re-Registration, be submitted to Each local authority. Any approved body established in accordance the provisions of Part VII of the Waste Management (Tyres and Waste Tyres) Regulations 2007 (S.I. No. 664 of 2007) Any person or persons the Minister may direct from time to time. in accordance the provisions of article 11(3) of the Waste Management (Tyres and Waste Tyres) Regulations 2007 (S.I. No. 664 of 2007). A Waste Management Plan must accompany each application for Registration and Re- Registration. Each Waste Management Plan must contain at least the following 1. Name, address(es), telephone, electronic mail address and fax number of the registered office of the supplier where that supplier is a company registered under the Companies Acts, or, the principal place of business of the supplier where that supplier is any other body corporate or unincorporated body. Name: Address of Registered Office: 2. Location(s) of premises at or from which tyres are or will be supplied by the supplier. 3. The quantities by weight or, as appropriate, by number of units of tyres that were supplied in the calendar year prior to the date of application and substantiated estimates of the projected average life of the tyres concerned in each of the categories specified in the First Schedule. 4. The projected quantities by weight or, as appropriate, by number of units of waste tyres that will arise from tyres supplied by the supplier in the relevant period in each of the categories specified in the First Schedule. 5. The names, addresses and permit numbers of proposed authorised waste collectors or, as appropriate, recovery operators to be used for the treatment of waste tyres during the relevant period. 6. The projected quantities by weight or, as appropriate, by number of units of waste tyres that will be (a) (b) recovered by or on behalf of the supplier, and accepted by recovery operators, Page 5 of 6 in the relevant period, in each of the categories specified in the First Schedule. 7. The projected quantities by weight or, as appropriate, by number of units of waste tyres that will be disposed of or consigned for disposal by the supplier in each of the categories specified in the First Schedule during the relevant period, and the proposed nature of the disposal operations involved.
A Waste Management Report must accompany each application for Re-Registration. Waste Management Report must contain at least the following Each 1. Name, address(es), telephone, electronic mail address and fax number of the registered office of the supplier where that supplier is a company registered under the Companies Acts, or, the principal place of business of the supplier where that supplier is any other body corporate or unincorporated body. Name: Address of Registered Office: 2. Location(s) of premises at or from which tyres were supplied by the supplier. 3. The quantities by weight or, as appropriate, by number of units of tyres supplied by the supplier in the relevant period in each of the categories specified in the First Schedule. 4. The quantities by weight or, as appropriate, by number of units of waste tyres arising from tyres supplied by the supplier in the relevant period in each of the categories specified in the First Schedule. 5. The names, addresses and permit numbers of authorised waste collectors or, as appropriate, recovery operators used for the treatment of waste tyres during the relevant period. 6. The quantities by weight or, as appropriate, by number of units of waste tyres (a) recovered by or on behalf of the supplier, and (b) accepted by recovery operators, in the relevant period, in each of the categories specified in the First Schedule. 7. The quantities by weight or, as appropriate, by number of units of waste tyres disposed of or consigned for disposal by the supplier in each of the categories specified in the First Schedule during the relevant period, and the nature of the disposal operations involved. Page 6 of 6