(II) Catalogue of application materials for administrative examination and approval Table 1 Application Materials for Administrative Examination and Approval on Granting Drainage License Name of materials to be submitted of Requirements Apply for granting a drainage license Apply to change the to change of entity) to extend the term of the license for a and approval for new change of project and expansion 1 Application form for a drainage license 1 Completely fill, including signature, seal and date √ No
2 Legal identity certificates of the Applicant 1 1) Where the Applicant is an entity: Photocopy of business license or organization code certificate, original of identity certificate of legal representative or person in charge; 2) Where the Applicant is an individual: Photocopy of I.D. card of the Applicant; 3) Where the Applicant (entity or individual) entrusts an entrusted agent for this purpose, the Applicant shall also provide the original of the power of attorney and the photocopy of I.D. card of the entrusted agent 4) The Applicant and person shall be the same with those stated in Application Forms √ √ √ √ 3 Drainage design scheme, the drawings, explanation and other materials on the location and calibers of the drainage entity's internal drainage network, special monitoring wells and sewage discharge outlets 1 Including design basis for drainage design scheme, project survey, water supply and drainage, environmental protection and drainage admission plan √ 4 Report on the completion of a covered drainage project 1 Including project overall layout drawing), drainage overall layout (as-built drawing), as-built drawing of pipes connecting with urban drainage pipelines, acceptance certificate of special monitoring well, image data √ 5 A drainage quality testing report (instantaneous), and the predicted water quality and 1 Issued by a water quality testing institution with the measurement certification qualification within one √ √
I. Basic Information Applicant Shanghai XX Co., Ltd. Address XX, XX Road, XX District Postal code 2XXXXX Registration No. of business license xxxxxxxxx Organization code certificate xxxxxxxxx representative Ye XX Tel phone XXXXXXXXXXX Liaison Gu XX Tel phone XXXXXXXXXXX Project name (drainage entity XXX project Project type Industry, construction, catering, medical services, livestock breeding, slaughter, hotel services with sterilization and drainage, scientific research with chemical experiment drainage, repair of trains, rail traffic vehicles and automobiles, etc. Project address XX, XX ROAD, XX DISTRICT Drainage Total water Tap water Self-supplied water Total drainage volume Industrial (incl. catering) sewage Domestic sewage XXX XXX XXX XXX XXX XXX Pretreatment method process Fill in based on actual conditions □Entrusted treatment entity Land area (m2) XXXX Total building area (m2) XXXX Production area (m2) XXXX Residence area (m2) XXXX Commercial space (m2) XXXX Office area (m2) XXXX Catering area (m2) XXXX XXXXXXXX XXXXXXXX
III. Information about Drainage Quality (with reference to items under Water Quality Standards on Sewage Discharged into Urban Sewers) Outlet No. and location (coordinate) Project name (mg/L) Project name (mg/L) 1# outlet (coordinate PH XX phosphorus XX COD XX Petroleum XX Suspended solids XX Animal and vegetable oil XX Sulfide XX Ammonia nitrogen XX Linear Alklybezene Sulfonates (LAS) XX 2# outlet (coordinate PH XX phosphorus XX COD XX Petroleum XX Suspended solids XX Animal and vegetable oil XX Sulfide XX Ammonia nitrogen XX Linear Alklybezene Sulfonates (LAS) XX Remark: Notes: 1. Where the drainage entity has two or more outlets, information about drainage quality at each outlet shall be respectively filled in according to the
Shanghai Authority Application Form for Change of Administrative License (Entity) Name of matter of administrative license: grant Drainage License Acceptance No.: SHPX20XXXXXX (Filled in by the acceptance department) XX Name Shanghai XX Co., Ltd. Address XX, XX ROAD, XX DISTRICT Legal representative (person in charge) Wang x Title General manager Liaison Li xx Tel Fax Address of service No. 389, Jiangsu Road Postal code 2xxxxx Original decision on granting administrative license/administrative license No. SHPX20XXXXXX/H.S.W.P.Z.Z. No. (XXXXXXXXX) Matter to be changed Before (Original licensed contents) After (Change under application) Reason of change (Specify the reason of change based on actual conditions, additional pages may be attached) Application materials No. Name Number of copies Original / photocopy Remark 1 Identity certificate of representative (person in 1 Original XXXXXXXX XXXXXXXX
I. Basic Information Applicant Shanghai XX Co., Ltd. Address XX, XX ROAD, XX DISTRICT Postal code 2XXXXX Registration No. of business license xxxxxxxxx Organization code certificate xxxxxxxxx Legal representative Ye XX Tel phone XXXXXXXXXXX Liaison Gu XX Tel phone XXXXXXXXXXX Project name (drainage entity) XXX project Project type Industry, construction, catering, medical services, livestock breeding, slaughter, services with sterilization and drainage, scientific research with chemical experiment drainage, repair of trains, rail traffic vehicles and automobiles, etc. Project address XX, XX ROAD, XX DISTRICT Water drainage Total water Tap water Self-supplied Total drainage volume Industrial (incl. catering) sewage Domestic sewage XXX XXX XXX XXX XXX XXX Pretreatment method process Fill in based on actual conditions □Entrusted treatment entity Land area (m2) XXXX Total building area (m2) XXXX Production area (m2) XXXX Residence area (m2) XXXX Commercial space (m2) XXXX Office area (m2) XXXX Catering area (m2) XXXX
Application Form for Reissuing a Drainage License by Shanghai Water Authority Name of matter of administrative license: Grant Drainage License Acceptance No.: SHPX20XXXXXX (Filled in by the acceptance department) Application Name Shanghai XX Co., Ltd. Address Room XX, XX, XX Road, XX District Postal code representative (person in charge) Xu XX Title General manager Liaison Li XX Tel Address of service No. 389, Jiangsu Road Postal code 2XXXXX Original decision on granting administrative license/administrative license No. SHPX20XXXXXX/H.S.W.P.Z.Z. No. (XXXXXXXXX) Reason of reissuing The original Drainage License is damaged (or lost). materials No. Name of Original / photocopy Remark 1 Identity certificate of representative (person in charge) 1 Original 2 Power of attorney 1 Original