Request for license to receive waste from seagoing vessels

Note:
- if present, make the BSN number illegible on copies of documents attached!

Considering
- Article 4.8 of the 2020 Rotterdam Port By-Laws, which states that the reception of ships' waste from seagoing vessels is only allowed if the reception facility has a license from the Municipal Executive.
- Article 4.8 of the 2020 Schiedam Port By-Laws, which states that the reception of ships' waste from seagoing vessels is only allowed if the reception facility has a license from the Municipal Executive.
- Article 4.8 of the 2019 Vlaardingen Port By-Laws, which states that the reception of ships' waste from seagoing vessels is only allowed if the reception facility has a license from the Municipal Executive.
- Article 4.8 of the 2020 Dordrecht Port By-Laws, which states that the reception of ships' waste from seagoing vessels is only allowed if the reception facility has a license from the Municipal Executive.
- Article 4.8 of the 2020 Papendrecht Port By-Laws, which states that the reception of ships' waste from seagoing vessels is only allowed if the reception facility has a license from the Municipal Executive.
- Article 4.8 of the 2020 Zwijndrecht Port By-Laws, which states that the reception of ships' waste from seagoing vessels is only allowed if the reception facility has a license from the Municipal Executive.
- Article 4.8 of the 2023 Moerdijk Seaport & Industrial Zone By-Laws, which states that the reception of ships' waste from seagoing vessels is only allowed if the reception facility has a license from the Municipal Executive.

Personal Data
Address
License

description of activities

This is an initial application for a waste collection license for seagoing vessels
The company regularly collected waste from seagoing vessels last year
Additional details
The company has a valid Environmental Management Act license
The company has a quality management system in place
What kind of ships' waste does the company want to collect?

Company must have demonstrably appropriate means to collect these substances.

species and/or type, name, IMO/ENI number or registration number, suitability and capacity of facilities incl. third-party reception facilities
The undersigned declares that the information in this application form has been filled in truthfully and that any explanatory notes and/or attachments reflect reality.
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One file only. | 10 MB limit. | Allowed types: pdf, xls, xlsx, doc, docx, odt, rtf, png, jpg, jpeg.