FORM XIII — CONTROL OF POLLUTION) ACT, 1974

1 [FORM XIII Application for consent for establishing or taking any steps for establishment of Industry operation process or any treatment disposal system for discharge, continuation of discharge under section 25 or section 26 of the Water (Prevention and Control of Pollution) Act, 1974. (See Rule 32) Date ______________________ From ______________________________ ______________________________ ______________________________ To The Member Secretary, Central Pollution Control Board. Sir, I/We hereby apply for Consent/Renewal of Consent under section 25 of the Water (Prevention and Control of Pollution) Act, 1974 (6 of 1974) for establishing or taking any steps for establishment of Industry/operation process or any treatment/disposal system to bring into use any new/altered outlet for discharge of *sewage/trade effluent* to continue to discharge* sewage/trade effluent* from land/premises owned by____________________. The other relevant details are below:- Full Name of the applicant _________________________

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