Cooling Tower Notification

close this message This website uses cookies to maximise user experience, and --certain functions won't work properly without them. For more information on how we use cookies, including how to turn cookies off.

Home » Your Council » EU Online Forms » Cooling Tower Notification

Your Council

Guidelines

Please read the following Guidelines before applying for a Cooling Tower Notification :-

Cooling Tower Notification Guidelines

Application


Section 1
Our Reference:
Licence Type:
User Profile
First Name:
Family Name:
Email:
Main Telephone Number:
Other Telephone Number:
Indicate here if you would prefer not to be contacted by telephone:
Are you an agent acting on behalf of the applicant?:	Yes No
Are you:	Applying as a business or organisation, including as a sole trader Applying as an individual
Your Business
Is your business registered in the UK with Companies House?: Yes No
Is your business registered outside the UK?: Yes No
Business Name:
VAT Number:
Legal Status:
Your position in the business:
Business Address
Building Number or Name:
Street:
District:
City or Town:
County or Administrative Area:
Postcode:
Country:
Home Country:
Section 2
Type of Notification
Please indicate whether this is a: New Notification Notification with a change of details
Address where cooling towers/evaporator are situated
Name of Premises/Trading Name:
Address
Is the address the same as (or similar to) the address given in section one?: Yes No
Building Number or Name:
Street:
District:
City or Town:
County or Administrative Area:
Postcode:
Country:
Premises Contact Details
Are the contact details the same as (or similar to) the contact details given in section one?: Yes No
Email:
Telephone Number:
Other Telephone Number:
Main Activity of Business:
Section 3
Details of all cooling towers and evaporative condensers at this address
Please provide details about the total number of notifiable devices at this address
Cooling Towers
Total in use:
Total Not in Use:
Evaporate Condensers
Total in Use:
Total Not in Use:
Please provide details about each individual notifiable device
Device site Reference Number:
Type of Device: Cooling Tower Evaporative Condenser
Status of Device: New Device Already Operational Decommissioned Recommissioned
Details of Device - make, model, serial, number, whether induced or forced:
Location of device (e.g. north works, main buildings, SE corner of 3rd floor roof and/or OS map reference and any additional details):
Section 4
Person in Control of Access to the Premises
Pleae record details of the person or people who are in control of access to the premises - out-of-hours contact details must be included, in order that access can be gained at any time
Person in Control Name
First Name:
Family Name:
Position/Job Title:
Person in Control Address
Is the address the same as (or similar to) the address given in section one?: Yes No
Building Number or Name:
Street:
District:
City or Town:
County or Administrative Area:
Postcode:
Country:
Contact Details (Office hours)
Are the contact details the same as (or similar to) the contact details given in Section one?: Yes No
Email:
Main Telephone Number:
Other Telephone Number:
Contact Details (Outside working hours)
Are the contact details the same as (or similar to) the contact details given in section one?: Yes No
Telephone Number:
Section 5
Person with the Responsibility for the Notifiable Devices
Does a different person have responsibility for the notificable device: Yes No
If yes please give details:
Section 6
Additional Details
Additonal information which is required or may be relevant to the application
Please check local guidance notes and conditions for any additional information which may be required
Additional Information:
Section 7
Attachments
Authority Postal Address
Building Number or Name:
Street:
District:
City or Town:
County or Administrative Area:
Postcode:
Country:
Declaration
Full Name:
Date (dd/mm/yyyy):
(Digital) Signature:

Your Council

Cooling Tower Notification

Guidelines

Application

Section 1

User Profile

Your Business

Business Address

Section 2

Type of Notification

Address where cooling towers/evaporator are situated

Address

Premises Contact Details

Section 3

Details of all cooling towers and evaporative condensers at this address

Please provide details about the total number of notifiable devices at this address

Cooling Towers

Evaporate Condensers

Please provide details about each individual notifiable device

Section 4

Person in Control of Access to the Premises

Pleae record details of the person or people who are in control of access to the premises - out-of-hours contact details must be included, in order that access can be gained at any time

Person in Control Name

Person in Control Address

Contact Details (Office hours)

Contact Details (Outside working hours)

Section 5

Person with the Responsibility for the Notifiable Devices

Section 6

Additional Details

Additonal information which is required or may be relevant to the application

Please check local guidance notes and conditions for any additional information which may be required

Section 7

Attachments

Authority Postal Address

Declaration

Find Information

Quick Links

Advice

Business

Community

Your Council

Environment & Planning

Leisure & Culture