New South Wales Environment Protection Authority
/
(Clause 47(5))
Protection of the Environment Operations (Waste) Regulation 2005 /
Form WISNL.1

Yearly Report for Non-licensed Landfill Sites

You must complete the Non-licensed Report if you are an occupier of a non-licensed landfill site. This applies to non-licensed landfills in all areas (Sydney Metropolitan Area, Extended Regulated Area and Rest of New South Wales).

The requirement to report Yearly is provided under Clause 47(5) of the Protection of the Environment Operations (Waste) Regulation 2005 which specifies “Within 60 days of the end of each subsequent financial year, the occupier of a landfill site to which this clause applies must provide, in the approved form, the EPA with such information as the EPA requires in respect of the landfill site. Maximum penalty: 200 penalty units in the case of a corporation, 100 penalty units in the case of an individual.”

The Non-licensed Report must be completed even if the non licensed landfill has received no waste.

Where to get help?

Contact the Manager, Waste Data Team on (02) 9995 5641 for any administrative queries.

Getting started

The Non-licensed Report (Form WISNL.1) must be used with the User Guide. You must complete the Non-licensed Report. The EPA will accept no other form. The numbers in the Non-licensed Report correspond to the numbers in the User Guide. You will find useful definitions in the User Guide.

As an occupier of a non-licensed landfill you must provide us with the information requested in the Non-licensed Report, in the manner required

If you need more space, please photocopy the relevant page of the Non Licensed Report and provide the additional details.

Enter all amounts in metric tonnes or cubic metres. If your facility does not have a weighbridge, multiply the number of vehicles by the relevant weight factor (see Weight Factor table on page 22 of the User Guide) and record as one total.

You will find useful definitions from page 15 in the User Guide.

ITEMS OF INFORMATION REQUIRED

1Landfill Location Details(Please fill in the details below)

Reporting Period /
1 / July / to 30 / June /
Landfill Name
Street Address
Suburb or Town
Postcode
Lot Number
Deposit Plan Number
Parish
County
Local Government Area landfill is located in (see page 19-20 of the User Guide for codes)

2Landfill Owner Details (Please fill in the details below)

Name of Landfill Owner
Postal Address
Suburb or Town
Postcode
Name of Contact Person
Telephone Number / Mobile Phone Number
Fax Number
E-mail Address

3Landfill Occupier Details (if details are same as landfill owner details (ITEM 2) please insert

“as above”)

Name of Landfill Occupier
Postal Address
Suburb or Town
Postcode
Name of Contact Person
Telephone Number / Mobile Phone Number
Fax Number
E-mail Address
DETAILS OF LANDFILL CAPACITY

4Total landfill design capacity - in cubic metres

5Landfill void space consumed during the financial year - in cubic metres

6Remaining landfill capacity - in cubic metres.

DETAILS OF QUANTITIES OF WASTE DISPOSED
Refer to User Guide for explanations, codes and definitions.

7If no waste was received at the landfill this year please go to the Certification Section (ITEM 20). If waste was disposed proceed to ITEM 8.

8Method of measuring waste quantities – tick one only

Weighbridge Vehicle Count Waste Survey Small Landfill

(if Small Landfill is ticked go to ITEM 17)

9Total municipal waste- in tonnes

10Total commercial and industrial waste- in tonnes

11Total construction and demolition waste- in tonnes

12Total garden and vegetation waste- in tonnes

13Total virgin excavated natural materials- in tonnes

14Total hazardous waste- in tonnes

15Total tyres- in tonnes

16TOTAL WASTE DISPOSED- in tonnes (add ITEMS 9, 10, 11, 12, 13, 14, and 15)

SMALL LANDFILL OCCUPIERS

17Waste Material Composition by Percentage Volume

Material Composition / Percentage Volume Estimate
Asbestos
Asphalt/Bitumen
Ceramics
Clay Based
Concrete Based
Ferrous
Fibreglass
Fibrous Cement
Food/Kitchen
Garden/Vegetation
Glass
Non-Ferrous
Paper/Cardboard
Plasterboard
Plastic
Polystyrene
Rubber
Soil/Rubble
Special (veterinary, sewage etc please itemise)
Textiles/Rags
Tyres
Virgin Excavated Natural Materials
Wood/Timber
Other (please specify)
Other (please specify)
TOTAL PERCENTAGE OF WASTE DISPOSED (check total equals 100%)
DETAILS OF QUANTITIES OF MATERIALS RECYCLED, REPROCESSED AND/OR REUSED
Refer to User Guide for codes and definitions.

18Materials recycled, reprocessed or reused- in tonnes

Recycled (REC) or Reprocessed (REP) or Reused (REU) Materials (insert in words or the relevant abbreviation) / Material Composition Code (see User Guide for codes) / Subtotal (in tonnes)
18(1) TOTAL MATERIALS RECYCLED
18(2) TOTAL MATERIALS REPROCESSED
18(3) TOTAL MATERIALS REUSED

19TOTAL MATERIALS RECYCLED, REPROCESSED AND REUSED- in tonnes
(add ITEMS 18(1), 18(2) AND 18(3))

CERTIFICATION - this certification MUST be completed for this report to be valid

Providing false or misleading information

Under Clause 40 of the Protection of the Environment Operations (Waste) Regulation2005 “An occupier of a waste facility, or a consignor, transporter or receiver of waste must not supply information about the waste to another person if the information is false or misleading in a material respect.”

20Enter details and certify

Certifier’s Details / (please insert details)
Name of Person certifying the Non-licensed Report
and Title
Telephone Number
Reporting Period / 1 / July / to 30 / June /
Occupiers’ or occupiers representative’s name / (please tick in space below)
I am the occupier
I am the occupiers’ representative and signing on their behalf
Certifier’s Position / (please tick in space below)
I am an individual
I am a representative of a private corporation
I am the Chief Executive Officer of a public corporation
I am an approved delegated officer of a public corporation
Certification / (please insert details)
Signature of Person Certifying the Non Licensed Report
Seal of the Corporation
Date Signed
Surveyor’s or suggested person’s details / (please insert details)
Name of Surveyor or suggested local government employee
Signature of Surveyor or suggested local government employee
Date Signed

21Return completed Non Licensed Report to:

Waste Data Team
Environment Protection Authority,
PO Box A290, SYDNEY SOUTH NSW 1232
Fax: 02 9995 5930DEC 2007/352

DEC 2007/352

Form WISNL.1 Page 1 of 6