EMA/WDR 14 · REG. 39 — Solid Waste Dump Return

Part A

Facility & Return Period

Provide facility details and the 6-month period this return covers.

Legal Notice — Returns Required Every 6 Months

Every facility operating a solid waste dump must send returns to the Department of Environment of all material deposited at and removed from the dump every 6 months. Failure to submit is an offence under Section 44 of the EMA 2005.

Return PeriodRequired

Permit Number*

Return Period Start Date* Date of permit issue or last return

Return Period End Date*

Facility ParticularsRequired

Facility Name*

Facility Address*

Telephone*

Nature of Facility Business

Location of Dump

Authorised PersonRequired

Full Name*

Position (if Firm or Body Corporate)

Address*

Telephone*

Mobile

Facsimile

Email*

Part B

Return Data

Enter quantities for each category during the 6-month period. Use 0 where not applicable.

Amount of Material Deposited at the DumpRequired

Category	Approx. Weight (tonnes)	Type	Source (facility, vehicle etc.)
Domestic
Industrial
Other (specify)

Amount of Material Disposed OfRequired

Category	Approx. Weight (tonnes)	Type	Method of Disposal
Domestic
Industrial
Other (specify)

Particulars of Any Incineration, with ReasonsIf Applicable

Incineration Details

Part C

Declaration

Certify the accuracy of this return and sign before submission. Send in triplicate to the WPC Administrator.

Declaration

As owner/authorised person of the facility described above I certify that the particulars set out above are true to the best of my knowledge and belief.

Signature of Owner / Authorised Person

Full Name (Print)*

Date*

Send Return In Triplicate To

Waste & Pollution Control Administrator
c/- Department of Environment
P.O. Box 2109, Government Buildings
Suva, Fiji

Central Division — Suva

Levels 1 & 2, Bali Tower, 318 Toorak Road
📞 (679) 331 1699 | Fax: (679) 331 2879

Western — Lautoka

Level 1, Peekay Building, Lautoka
📞 (679) 672 4140