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					                                                                                             IRL ETS 014-01


                                                     UPDATE OF OPERATOR/ORGANISATION
                                                        DETAILS – APPLICATION FORM
                                                                         Issued:March 2009
For CCU Use Only
Date Received
Date Approved & Signature
CCU Reference Number


Introduction


Where the Operator’s details as set out in the GHG emissions permit change, for example through a name change
or change of registered office, this must be notified to the EPA so that this can be reflected in the GHG emissions
permit.These changes may also require changes to be made to the relevant Operator Holding Account in the
National Emissions Trading Registry.

Where an Organisation holds a Person/Organisation Holding Account in the National Emissions Trading Registry, a
change of name or change of registered office must also be notifed to the EPA so that any knock-on changes to the
relevant Person/Organisation Holding Account in the National Emissions Trading Registry may be made.

This Update of Operator/Organisation Details Application Form IRL ETS 014-01 must be submitted by the Operator
or Organisation to the EPA to allow for such changes to be reflected upon the GHG emissions permit and/or the
relevant Account/s in the National Emissions Trading Registry.




Confidentiality Statement


The information submitted in respect of this application will be placed on public file, unless specifically requested
otherwise on grounds of confidentiality. Any request for confidentiality must be justified and will be subject to
acceptance by the board of the EPA. For details on how to submit confidential information please see:
http://www.epa.ie

Completion of the Form
This form has been designed in Microsoft Excel to allow it to be filled in electronically. Once all relevant sections are
completed, you must submit two hard copies of the completed application, one of which must be a signed and
stamped original, plus an electronic copy. The electronic copy should not exceed 2MB in size when forwarded to the
EPA by e-mail.

Email: GHGPermit@epa.ie

By Post: Permit Applications, Climate Change Unit,
Environmental Protection Agency, Regional Inspectorate,
McCumisey House, Richview,
Clonskeagh Road, Dublin 14.

We recommend that any additional information should be submitted in a separate e-mail to this form in order to
avoid potential delivery problems.

Additional Information
All further attachments/additional information should be clearly numbered, titled and paginated and referenced
below. Please provide this information in an electronic format wherever possible. You can provide information as
Microsoft Word, Excel, and Adobe Acrobat formats.

Help and Advice

We have made this form as straightforward as possible but please contact us if you need any advice on how to set
out the information we need.

You can contact us by email on GHGpermit@epa.ie

END SHEET INTRODUCTION
If you hold a GHG Emissions Permit and an Operator Holding Account in the Registry, please complete
Sections 1 and 2. Then proceed to Sections 5, 6, and 7.

If you hold a Person/Organisation Holding Account (that is, an account not associated with a GHG
emissions permit), please complete Sections 3 and 4.Then proceed to Sections 5, 6, and 7.
                                       CHANGE OF OPERATOR DETAILS

Section 1 Details of Current GHG Permit and Operator

            1.1 GHG Permit Number


            1.2 Operator Name


            1.3 Registered Address




            1.4 Registered Company Number


            1.5 Installation Name
            1.6 Installation Number


Section 2 Update Operator Details

                                            Please tick the change/s required to the Operator Details:

            2.1 Change of Operator Name                                                                      YES    NO
                If yes, a certified copy of Certificate of Incorporation of Change of Name from Companies
                Registration Office must be submitted.




            2.2 Change of Registered Address of Operator                                                     YES    NO
                If yes, please provide the particulars of the new registered address below in the space
                provided below.

                 New Registered Address




            2.3 Change of Installation Name

                 Changes to the Operator name may also result in knock-on changes to the Installation       YES    NO
                 Name. If yes, please provide the updated details.




IRL ETS 014/01                                                      Page 2 of 11
            2.4 Changes to Address for Correspondence

                 Changes to the Operator name and registered office/address, may also result in knock-on
                 changes to the address for correspondence. Changes to these details may be provided in
                 the space provided:

                                                                                                               YES                NO




            2.5 Changes to Authorised Site Contact Details
                 Changes to the Operator name and registered office/address, may also result in knock-on changes to Authorised Site Contact
                 Details. Changes to these details may be provided in the space provided:
                 Title
                 Forename
                 Surname
                 Position
                 Address
                 County
                 Phone Number
                 Fax Number
                 Email Address



Section 3 Details of Person/Organisation Holding Account

                 Holders of Person/Organisation Holding Accounts must complete Section 3 with the requested account details as
                 detailed in the National Emissions Trading Registry.


            3.1 Organisation ID


            3.2 Account Number/s




            3.3 Organisation Name

            3.4 Organisation Address




IRL ETS 014/01                                                      Page 3 of 11
Section 4 Changes Requested to Organisation Details

                                         Please tick the change/s required to the Organisation Details:

            4.1 Change of Organisation Name                                                                  YES   NO
                 If yes, a certified copy of Certificate of Incorporation of Change of Name from Companies
                 Registration Office must be submitted.



            4.2 Change of Registered Address of Organisation                                                 YES   NO
                 If yes, please provide the particulars of the new registered address below in the space
                 provided below.


                 New Registered Address




IRL ETS 014/01                                                      Page 4 of 11
Section 5 Changes to National Emissions Trading Registry Details
                 Changes to the Operator/Organisation name and registered office/address, may also result in knock-on changes to details
                 within the National Emissions Trading Registry (Primary Registry Contact, Authorised Account Representatives).



                 Changes to the contact details (e.g. email address, postal address, telephone and fax numbers) of the Primary Registry
                 Contact and Authorised Account Representatives may be provided in the space provided.


                 Note where these Account Representatives on the Registry are to be replaced by NEW persons, specific applications must be
                 made to the National Emissions Trading Registry. All such Application Forms and Guidance Notes are available from
                 ETRAdmin@epa.ie


            5.1 Changes to Contact Details of Primary Registry Contact
                                                                                             YES                    NO
                 If yes, please tick and provide information in space provided.

                 Address 1
                 Address 2
                 Address 3
                 City
                 County
                 Country

                 Telephone Number
                 Alternative Number
                 Fax Number
                 Email Address

            5.2 Changes to Contact Details of Primary Account Representative (PAR)
                    If yes, please tick and provide information in space provided.           YES                    NO


                 Address 1
                 Address 2
                 Address 3
                 City
                 County
                 Country

                 Telephone Number
                 Alternative Number
                 Fax Number
                 Email Address



            5.3 Changes to Contact Details of Secondary Account Representative (SAR)
                      If yes, please tick and provide information in space provided.         YES                    NO


                 Address 1
                 Address 2
                 Address 3
                 City
                 County
                 Country

                 Telephone Number
                 Alternative Number
                 Fax Number
                 Email Address




IRL ETS 014/01                                                         Page 5 of 11
            5.4 Changes to Contact Details of Additional Authorised Representative (AAR)
                      If yes, please tick and provide information in space provided.            YES                     NO


                 Address 1
                 Address 2
                 Address 3
                 City
                 County
                 Country

                 Telephone Number
                 Alternative Number
                 Fax Number
                 Email Address



Section 6 Attachments and Additional Information


                 Where there has been a change of Operator/Organisation name as indicated in Sections 2.1 and 4.1, the copy of Certificate of
                 Incorporation of Change of Name must be referenced here.

                 All further attachments/additional information should be clearly numbered, titled and paginated and referenced below. Please
                 provide this information in an electronic format wherever possible. You can provide information as Microsoft Word, Excel, and
                 Adobe Acrobat formats. Please avoid supplying non-relevant information as it can slow down the processing of your application.


                 Attachment 6.1
                 Attachment 6.2
                 Attachment 6.3


Section 7 Operator Declaration

            7.1 Operator/Organisation Declaration



                 I certify having regard to Section 13(5)( c) of the Environmental Protection Act 1992 that the information
                 given in this application is truthful, accurate and complete.


                 Signed by:


                 (on behalf of the Operator/Organisation)




                 Print signature name:


                 Date :

                 Position in organisation:



                 Company stamp or seal:




IRL ETS 014/01                                                        Page 6 of 11
Section 8 Application Instructions

                 Applicants must submit two hard copies of the completed application, one of which must be a signed and stamped original, plus
                 an electronic copy. The electronic copy should not exceed 2MB in size when forwarded to the EPA by e-mail.

                 Email: GHGPermit@epa.ie

                 By Post: Permit Applications, Climate Change Unit,
                 Environmental Protection Agency, Regional Inspectorate,
                 McCumisey House, Richview,
                 Clonskeagh Road, Dublin 14.


END SHEET DETAILS




IRL ETS 014/01                                                      Page 7 of 11
IRL ETS 014/01   Page 8 of 11
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IRL ETS 014/01   Page 10 of 11
IRL ETS 014/01   Page 11 of 11

				
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