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Application For Rev 2 – 11/3/2008 WASTE MANAGEMENT (TYRES AND WASTE TYRES) REGULATIONS 2007 S.I. No. 664 of 2007 Application for Registration Re-Registration of Producer (e.g. Manufacturer / Importer) To (Name of Local Authority) Company Name CRO Number (if applicable) Trading as (if different from the Above) Address of Registered Office: Telephone No.: Fax No.: E-mail: Name of the contact person in the company responsible for compliance with the Waste Management (Tyres and Waste Tyres) Regulations 2007 (S.I. No. 664 of 2007) Contact Person's Telephone No.: Contact Person's Fax No.: Contact Person's E-mail: Name of owner of the company Address of owner of the company Page 1 of 7 Rev 2 – 11/3/2008 Relationship of Owner to the Company Owner Partner Parent Company Other If other please specify Location(s) of premises at or from which tyres are or will be placed on the market or are or will be supplied by the producer. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 Please note if you also act as a supplier (e.g. wholesaler, retailer, fitter etc.) that separate registration is required in respect of each premises from which tyres are supplied Page 2 of 7 Rev 2 – 11/3/2008 The quantities by weight and by number of units of tyres that were placed on the market in the calendar year prior to the year this application refers to Falling Placed on the Market in Substantiated Falling within Placed on the the Functional Area of the estimate of the within Cat. Description SITC Market in the State Local Authority This average life CN Code when Registration Applies to span when new new Units Tonnes Units Tonnes Years Pneumatic tyres of rubber, of a kind used on motor cars (including station 1 62510 40111000 wagons and racing cars) other than tyres placed on the market as tyres in category 6. Pneumatic tyres of rubber, of a kind used 40112010 on buses or lorries 2 62520 other than tyres placed on the market as tyres 40112090 in category 6. Pneumatic tyres of rubber, of a kind used 40114020 on motorcycles other 3 62541 than tyres placed on the market as tyres in 40114080 category 6. Pneumatic tyres of 40116100 rubber, having a 'herring-bone' or 4 similar tread other 62551 40116200 than tyres placed on 40116300 the market as tyres in category 6. 40116900 Other pneumatic tyres 40119200 of rubber, (Nes) other 40119300 5 than tyres placed on 62559 the market as tyres in 40119400 category 6. 40119900 40121100 Retreaded or used 62592 6 pneumatic tyres of 40121200 rubber. 62593 40122000 All Tyres other than in All except 7 except categories 1 to 6. above above Totals Total Tonnes Placed on the Market in the Functional Area of the Local Authority This Registration Applies to X ¼25 Registration Fee or ¼750 which ever is the higher Page 3 of 7 Rev 2 – 11/3/2008 Declaration: I/we hereby make application for registration, pursuant to the provisions of the Waste Management Act 1996 as amended and the 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 placed on the market 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 7(3)(a) of the Waste Management (Tyres and Waste Tyres) Regulations 2007 (S.I. No. 664 of 2007). I/we confirm that a copy of my/our WASTE MANAGEMENT PLAN and/or WASTE MANAGEMENT REPORT will be made available, free of charge in accordance with the provisions of article 7(3)(b) of the Waste Management (Tyres and Waste Tyres) Regulations 2007 (S.I. No. 664 of 2007), by me/us to any person who so requests. 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 ¼________________ Signature Print Name Address THIS FORM, ALONG WITH THE APPROPRAITE REGISTRATION FEES MUST BE SUBMITTED TO THE ENVIRONMENT SECTION OF EACH LOCAL AUTHORITY IN THE STATE IN WHOSE FUNCTIONAL AREA YOU SUPPLY OR INTEND TO SUPPLY TYRES. REGISTRATION MUST BE RENEWED BY 31ST DAY OF JANUARY EACH YEAR. Page 4 of 7 Rev 2 – 11/3/2008 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 DUN LAOGHAIRE RATHDOWN COUNTY COUNCIL, MARINE ROAD, DUN 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, COUNTY HALL, DOORADOYLE, CO. LIMERICK (061) 49 60 00 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 5 of 7 Rev 2 – 11/3/2008 Waste Management Plans and Reports must, - • no later than the date of application for Registration / Re-Registration, be submitted to – o Each local authority. o 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) o Any person or persons the Minister may direct from time to time. in accordance the provisions of article 7(3)(a) of the Waste Management (Tyres and Waste Tyres) Regulations 2007 (S.I. No. 664 of 2007). • be made available, free of charge, by the producer concerned to any person who so requests in accordance the provisions of article 7(3)(b) 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 producer where that producer is a company registered under the Companies Acts, or, the principal place of business of the producer where that producer is any other body corporate or unincorporated body. Name: Address of Registered Office: Telephone No.: Fax No.: E-mail: 2. Location(s) of premises at or from which tyres are or will be supplied by the producer. 3. The quantities by weight and by number of units of tyres that were supplied by the producer 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 weight of waste tyres that will arise from tyres supplied by the producer in the relevant period in each of the categories specified in the First Schedule. 5. The projected quantities by weight and by number of units of waste tyres arising from tyres supplied by the producer that will be reused, recovered or, as appropriate, recycled in the relevant period, in each of the categories specified in the First Schedule.
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