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					                                                                                      Application to Operate
                                                                                       a Recycling Facility

    Under section 2 of the Materials Recycling Regulations, a person who carries on the business of the collection or sale of recyclable materials or
    operates a recycling facility must do so under the authority of a permit.

    Personal information on this form is collected under subsection 3(1) of the Materials Recycling Regulations as it relates directly to and is necessary
    for an application for a permit to operate a recycling facility. If you have any questions about the collection of this personal information, you may
    contact the Director of the Environment Division, 11 Kent Street, Jones Building, Charlottetown, PE C1A 7N8, (902) 368-5034.


This form outlines the minimum information required to request approval to operate a recycling facility. Applicants must also provide
a map or site plan of the property and proposed facility indicating:

a) the locations, description and uses of buildings on the property;
b) areas to be used for outdoor storage of materials.

                                      Please supply as much detail as possible.
                      Incomplete forms may be rejected, returned or result in a delayed response.

 Applicant Information
 Name (if corporation, please specify):
 Mailing Address:
 City/town:                                                             Province:                               Postal Code:
 Tel (w):                                                Cell:                                              Fax:
 E-mail:



 Recycling Facility Information
 PID #                                             Civic # and Street or Road Name:
 Community:                                                           County:
 Operations
 Recycling will occur indoors G       outdoors G       both indoors and outdoors G            (check the appropriate box)
 Types of material to be recycled (check all that apply):           metal G         paper / cardboard G        plastics G     glass G

                                                                     concrete G        tires G       wood G        other G

 Types of designated material to be recycled (check all that apply):

                                            electronic products G        used oil G       lead acid batteries G

 Other materials (please list):


 For each material selected above, provide the maximum annual tonnage or volume of each material recycled:




 Distance from the facility to the nearest property boundary:


 Distance from the facility to the nearest off-site structure or buildings:


 Describe screening or noise reduction structures, if applicable (i.e., earthen berms, fencing):
Description of the Operation – Describe the operation of the proposed facility (attach a separate sheet if necessary):
Describe potential sources of contaminants during operation (e.g., noise, airborne emissions, liquid effluents and solid waste materials)
and outline measures to be taken to prevent or minimize contamination (Attach a separate sheet if needed):




Signature of Applicant:                                                Signature of Property Owner (if other than the applicant):




Date of Submission:                                                    Date of Submission:


Application Fees (cheques to be made payable to the Minister of Finance and Municipal Affairs)
Pursuant to subsection 3(6) of the Materials Recycling Regulations, the application fee of $100 for the approval of a recycling facility is
included: G

If the application is for the recycling of used electronic products, pursuant to subsection 16(6) of the Materials Recycling Regulations, the
application fee of $100 for the approval of a electronic product endorsement is also included: G

If the application is for the recycling of used oil, pursuant to subsection 33(6) of the Materials Recycling Regulations, the application fee of
$100 for the approval of a used oil endorsement is also included: G

If the application is for the recycling of lead acid batteries, pursuant to subsection 46(6) of the Materials Recycling Regulations, the
application fee of $100 for the approval of a lead acid battery endorsement is also included: G




TOTAL AMOUNT OF APPLICATION FEES SUBMITTED: $________________________



       Send the completed application form with any attachments (maps, plans, etc.) and all necessary
                                            application fees to:

         Department of Environment, Energy and Forestry
         PO Box 2000, Charlottetown, PE
         C1A 7N8
         Phone: (902) 368-5474       Fax: (902) 368-5830

				
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posted:11/30/2011
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