BIM67475 - Waste disposal: Site preparation - claim procedure - draft claim statement

CLAIMANT:

PERIOD OF ACCOUNT FOR WHICH CLAIM MADE:

SITE TO WHICH CLAIM RELATES:

VOLUME OF COMPACTED WASTE DEPOSITED ON SITE IN ABOVE PERIOD:

CAPACITY OF SITE NOT USED UP FOR THE DEPOSIT OF WASTE AT THE END OF THE ABOVE PERIOD:

VOLUME OF COMPACTED WASTE DEPOSITED ON SITE IN ABOVE PERIOD BUT BEFORE 6 APRIL 1989:

(To be included only for periods of account beginning before 6 April 1989 and ending on or after that date).

TOTAL VOLUME OF COMPACTED WASTE DEPOSITED ON SITE BEFORE 6 APRIL 1989:

(To be included only where preparation expenditure was incurred on the site before 6 April 1989).

CAPACITY OF SITE NOT USED UP FOR THE DEPOSIT OF WASTE BY 6 APRIL 1989:

(To be included only where preparation expenditure was incurred on the site before 6 April 1989).

I/we/the company first deposited waste materials on the above site on (date to be inserted). At that date, I/we/the company held one of the following licences, which was then in force: (delete as appropriate)

a) a disposal licence under Part I of the Control of Pollution Act 1974 or Part II of the Pollution Control and Local Government (Northern Ireland) Order 1978

or

b) a waste management licence under Part II of the Environmental Protection Act 1990 or any corresponding provision in force in Northern Ireland.

I declare that to the best of my knowledge the above information is correct.

Signature:_________________________

Status of person making the statement: (director, precedent acting partner, or sole trader)____________________________

Date:_____________________________