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    AFFIDAVIT

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    Alankar Vijay
    The document is an affidavit from an applicant providing information about their industry. It states that the site plan shows the location and distance to nearby residential buildings, hospitals, schools and other establishments. It also notes that a soak pit has been provided for waste water disposal according to pollution control board guidelines, and that permanent arrangements have been made for disinfecting raw water used for soda making, including a water filter. The applicant declares the capital investment amount and that all information provided is true.

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    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd

    AFFIDAVIT

    Uploaded by

    Alankar Vijay
    17 views1 page
    The document is an affidavit from an applicant providing information about their industry. It states that the site plan shows the location and distance to nearby residential buildings, hospitals, schools and other establishments. It also notes that a soak pit has been provided for waste water disposal according to pollution control board guidelines, and that permanent arrangements have been made for disinfecting raw water used for soda making, including a water filter. The applicant declares the capital investment amount and that all information provided is true.

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    The document is an affidavit from an applicant providing information about their industry. It states that the site plan shows the location and distance to nearby residential buildings, hospitals, schools and other establishments. It also notes that a soak pit has been provided for waste water disposal according to pollution control board guidelines, and that permanent arrangements have been made for disinfecting raw water used for soda making, including a water filter. The applicant declares the capital investment amount and that all information provided is true.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    17 views1 page

    AFFIDAVIT

    Uploaded by

    Alankar Vijay
    The document is an affidavit from an applicant providing information about their industry. It states that the site plan shows the location and distance to nearby residential buildings, hospitals, schools and other establishments. It also notes that a soak pit has been provided for waste water disposal according to pollution control board guidelines, and that permanent arrangements have been made for disinfecting raw water used for soda making, including a water filter. The applicant declares the capital investment amount and that all information provided is true.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
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    AFFIDAVIT

    I,Shri/Smt……………………………………………………………..………
    (Name of applicant) occupier of …………………………….………………..
    …………………………………………………………………………………
    (Name and address of the industry) do hereby solemnly affirm and state as
    follows.
    1. The location and distance to nearest residential buildings, hospitals, schools and
    other establishments have been shown in the site plan
    2. Soak pit as per guideline of the Kerala State Pollution Control Board has been
    provided for the disposal of waste water.
    3. Permanent arrangement has been provided for disinfections of raw water used for
    soda making.
    4. Water filter has been provided for purification of water used soda making.
    5. Capital investment of the establishment is Rs…………………….

    I declare that the information furnished and in my application are true and I understand
    that the Integrated Clearance, if issued, will be based on the information provided by me. I
    further understand that if any variation is observed subsequently, the Integrated clearance
    is be revoked.

    Place : Signature :
    Date : Name of applicant:
    Address:

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