Application for Approval, Under Section 14 of the Clean Air Act 1993, of the Height Of

Mid Devon District Council

Clean Air Act 1993 – Chimney Height Approval Form

Applicants should complete Schedule 1 and 2 in reference to notes 1-4 attached

Schedule 1

Particulars of applicant and proposed works

1. Name and address of applicant ______

______

______

______Telephone No. ______

Address of premises where chimney is or will be constructed (if different from above)

______

______

______Telephone No. ______

Name and address of consultant, contractor or other agent (if employed)

______

______
______

B.Brief description of proposed works

______

______

______

______

C.Category under which chimney height approval is sought

a)Construction of new chimneyYes/No (delete as appropriate)

b)Increase of combustion space

of existing furnace Yes/No (delete as appropriate)

c)Replacement of furnace by one

having larger combustion spaceYes/No (delete as appropriate)

Schedule 2

Particulars of plant/furnace(s) and chimney(s)

A.DESCRIPTION AND USE OF FURNACE(S)

1.Intended use of furnace(s) (e.g. boiler plant, metal melting or re-heating, calcining, drying etc.) (see note 3)

______

______

______

2.Type and description of furnace(s) (see note 3)

______

______

______

3.a)Particulars of furnace(s) to be installed

______

______

b)Particulars of changes intended to existing furnace(s)

______

______

c)Particulars of furnace(s) to be removed

______

______

B.RATING AND FUEL CONSUMPTION (see note 3)

4.a)Maximum continuous rating of boiler(s) pounds steam per hour from and at 100º C or B.T.U.'s per hour

______

______

b)Maximum rate of fuel consumption in pounds per hour (separately for different fuels

______

______

1. Type(s) of fuel to be used (see note 4)

______

1. Sulphur content of fuel (%)

______

C.PARTICULARS OF EMISSIONS

1. Efflux velocity of chimney gases at working temperature and at maximum of plant(metres per second) for each chimney applied for

______

D.PARTICULARS OF BUILDINGS (PLEASE INCLUDE PLANS OR SKETCHES)

1. Height of building to which each chimney is attached (in metres)

______

1. Length of building to which each chimney is attached (in metres)

______

1. Height(s) of adjacent building(s) (in metres)

______

______

1. Distance of adjacent buildings from proposed chimney(s) (in metres)

______

______

1. Height of chimney(s) above ground level (in metres)

______

1. Details of construction of chimney(s) (materials, insulation, single or multi-flue, internal diameter of chimney top)

______

______

______

E.SUPPLEMENTARY INFORMATION

1. Brief description and/or sketch plan of other emission sources on the same site including emission source height(s) and approximate distance(s) from the chimney(s) for which approval is sought.

______

______

______

1. Any other information relevant to the application.

______

______

______

______

______

Signed______Date______

Name (Block capitals)______

Company Name (if applicable)______

Additional sheets or plans may be used to answer questions where required. Please ensure all attachments are numbered and signed and cross referenced.

NOTES 1 - 4

1.An explanatory memorandum on the Clean Air Act 1993, with notes on Section 14, is contained in a Joint Circular (Ministry of Housing and Local Government 69/68, Welsh Office 62/8) available from The Stationery Office.

2.Section 15 of the Clean Air Act 1993 provides as follows:

"If a local authority to whom an application is duly made for approval under this Section fail to determine the application and to give a written notification of their decision to the applicant within four weeks of receiving the application or such longer period as may be agreed in writing between the applicant and the authority, the approval applied for shall be deemed to have been granted without qualification."

3.The information should relate to the total furnace or boiler plant which the proposed chimney will serve after all the works have been completed.

4.If oil, specify type and viscosity, if solid fuel give Coal Board Specification, or colliery source, if known.

Where to send this form

Please send all completed approval application forms to:

Mid Devon District Council

Environmental Health Services

Phoenix House

Phoenix Lane

Tiverton

Devon

EX16 6PP