Th tc Xc nhn bng ng k cam kt bo v mi trng i vi

trng hp xc nhn ng k bo v mi trng b sung: ( m s h s

093314).
- Trnh t thc hin:
* Bc 1 : Chun b y h s theo quy nh .
* Bc 2 : Np h s ti B phn tip nhn v tr kt qu thu c Vn phng
Uy ban nhn dn huyn (trong gi hnh chnh t th 2 n th 6 hng tun v sng
th 7)
Cng chc tip nh n h s kim tra tnh php ly v n i dung h s:
Trng hp h s a y , hp l th vit giy hen trao cho ngi n p.
Trng hp h s thiu, ho c khng hp l th cng chc tip nh n hng
dn ngi n p h s lm li ho c b sung cho kp thi
* Bc 3 : Nhn kt qu gii quyt ti B phn tip nhn v tr kt qu thuc
Vn phng Uy ban nhn dn huyn (trong gi hnh chnh t th hai n th su
hng tun v sng th by)
- Cch thc thc hin : Trc tip ti tr s c quan hnh chnh nh nc
- Thnh phn, s lng h s:
* Thnh phn h s:
+ Vn bn ngh xc nhn ng ky bn cam kt bo v mi trng b sung
theo mu (01 bn).
+ Bn cam kt bo v mi trng a c xc nhn trc (01 bn sao);
+ Giy xc nhn ng ky bn cam kt bo v mi trng a c xc nhn
trc (01 bn sao c chng thc);
+ Mt trong cc ti liu c ch ky km theo h tn, chc danh ca ch d n
nh sau:
Bn d tho bo co u t iu chnh
Bo co kinh t - k thut iu chnh
Phng n sn xut kinh doanh iu chnh
Ti liu tng ng ca d n.
+ Bn cam kt bo v mi trng b sung (tu thuc vo s lng bn cam
kt bo v mi trng trc y a c xc nhn) theo mu
* S lng h s: 01 b

- Thi hn gii quyt: 5 ngy lm vic, k t ngy nhn c bn cam kt bo

v mi trng hp l
- i tng thc hin th tc hnh chnh: C nhn, t chc
- C quan thc hin th tc hnh chnh:
* C quan c thm quyn quyt nh: Uy ban nhn dn huyn
* C quan hoc ngi c thm quyn c y quyn hoc phn cp thc
hin: Trng phng Ti nguyn v Mi trng huyn
* C quan trc tip thc hin: B phn Tip nhn v tr kt qu h s kt qu
thuc Vn phng Uy ban nhn dn huyn, Phng Ti nguyn v Mi trng huyn.
* C quan phi hp (nu c): Uy ban nhn dn xa, th trn ni t chc, cc
nhn ta lc.
- Kt qu th tc hnh chnh: Giy xc nhn
- L ph (nu c): khng c
- Tn mu n, mu t khai:
+ Vn bn ngh xc nhn ng ky bn cam kt bo v mi trng theo mu
qui nh
+ Cu trc v yu cu v ni dung ca bn cam kt bo v mi trng b
sung theo mu qui nh
+ Giy xc nhn ng ky Bn cam kt bo v mi trng b sung cho ch d n
- Yu cu, iu kin thc hin th tc hnh chnh: khng c
- Cn c php ly ca th tc hnh chnh:
* Lut Bo v mi trng nm 2005; c hiu lc thi hnh t ngy 01 thng
07 nm 2006;
* Ngh nh s 80/2006/N-CP ngy 09 thng 8 nm 2006 ca Chnh ph v
vic quy nh chi tit v hng dn thi hnh mt s iu ca Lut Bo v mi
trng;
* Ngh nh s 21/2008/N-CP ngy 28/02/2008 ca Chnh ph v vic sa
i, b sung mt s iu ca
Ngh nh s 80/2006/N-CP ngy 09/08/2006 ca Chnh ph v vic quy
nh chi tit v hng dn thi hnh mt s iu lut bo v mi trng.
* Thng t s 04/2008/TT-BTNMT ngy 18/9/2008 ca B Ti nguyn v
Mi trng v hng dn lp, ph duyt hoc xc nhn n bo v mi trng v
kim tra, thanh tra vic thc hin n bo v mi trng.

* Thng t s 05/2008/TT-BTNMT ngy 08/12/2008 ca B Ti nguyn v

Mi trng hng dn v nh gi mi trng chin lc, nh gi tc ng mi
trng v cam kt bo v mi trng.

Ph lc 24
MU VN BN NGH XC NHN NG K
BN CAM KT BO V MI TRNG
(Km theo Thng t s 08/2006/TT-BTNMT ngy 08 thng 9 nm 2006 ca B Ti
nguyn v Mi trng hng dn v nh gi mi trng chin lc, nh gi tc
ng mi trng v cam kt bo v mi trng)
..(1)..
S:
V/v ngh xc nhn ng ky
bn cam kt bo v mi trng
ca D n . (2)..

CNG HO X HI CH NGHA VIT NAM

c lp - T do - Hnh phc
(a danh), ngy. thng.nm..

Knh gi: (3)..

Chng ti l: ............(1)..........., Ch d n:....(2)..............................
a im thc hin d n:..........................................................................
a ch lin h:.............................................................................................
in thoi:................, Fax: ......................... E-mail .......................
Xin gi n .(3).. nhng h s sau:
- Mt (01) bo co nghin cu kh thi (hoc bo co u t) ca D n ;
- Ba (03) bn cam kt bo v mi trng ca D n bng ting Vit.
Chng ti xin bo m v trung thc ca cc s liu, ti liu trong cc
vn bn nu trn v cam kt rng, D n ca chng ti khng s dng cc loi ho
cht, chng vi sinh b cm theo quy nh ca Vit Nam v quy nh ca cc cng

c quc t m Vit Nam l thnh vin. Chng ti cng xin bo m rng cc tiu
chun, quy chun, quy nh c trch lc v s dng trong cc h s nu trn ca
chng ti l ng s thc v ang c hiu lc p dng.
Nu c g sai tri chng ti xin hon ton chu trch nhim trc php lut
ca Nc Cng ho Xa hi Ch ngha Vit Nam.
ngh .(3) xem xt, ng ky v cp giy xc nhn bn cam kt
bo v mi trng ca D n.
Ni nhn:
(4).
- Nh trn;
(Ky, ghi h tn, chc danh, ng du)
- Lu.
Ghi ch:
(1) Tn c quan, doanh nghip ch d n;
(2) Tn y ca D n;
(3) C quan c thm quyn xc nhn ng ky;
(4) Th trng c quan, doanh nghip ch d n.
Ph lc 23
CU TRC V YU CU NI DUNG BN CAM KT BO V MI
TRNG
(Km theo Thng t s 08/2006/TT-BTNMT ngy 08 thng 9 nm 2006 ca B Ti
nguyn v Mi trng hng dn v nh gi mi trng chin lc, nh gi tc
ng mi trng v cam kt bo v mi trng)
I. THNG TIN CHUNG
1.1. Tn d n: (ng nh tn trong bo co nghin cu kh thi hoc bo co u
t)
1.2. Tn c quan, doanh nghip ch d n:
1.3. a ch lin h ca c quan, doanh nghip ch d n:
1.4. Ngi ng u c quan, doanh nghip ch d n:
1.5. Phng tin lin lc vi c quan, doanh nghip ch d n: (s in thoi, s
Fax, E-mail...).
II. A IM THC HIN D N
M t v tr a ly (ta , ranh gii) ca a im thc hin d n km theo
s minh ha ch r cc i tng t nhin (sng ngi, ao h, ng giao

thng...), cc i tng v kinh t - xa hi (khu dn c, khu th; c s sn xut,

kinh doanh, dch v; cng trnh vn ho, tn gio, di tch lch s...) v cc i
tng khc xung quanh khu vc d n.
Ch r u l ngun tip nhn nc thi, kh thi ca d n v l loi no
theo quy nh ca cc tiu chun mi trng tng ng.
III. QUY M SN XUT, KINH DOANH
Nu tm lc v quy m/cng sut sn xut; cng ngh sn xut; lit k danh
mc cc thit b, my mc km theo tnh trng ca chng.
IV. NHU CU NGUYN, NHIN LIU S DNG
- Nhu cu v nguyn liu, nhin liu phc v cho sn xut c tnh theo
ngy, thng hoc nm v phng thc cung cp.
- Nhu cu v ngun cung cp in, nc cho sn xut.
V. CC TC NG MI TRNG
5.1. Cc loi cht thi pht sinh
5.1.1. Kh thi:
5.1.2. Nc thi:
5.1.3. Cht thi rn:
5.1.4. Cht thi khc:
(i vi mi loi cht thi phi nu cc thng tin v: ngun pht sinh, tng
lng pht sinh trn mt n v thi gian, thnh phn cht thi v hm lng/nng
ca tng thnh phn).
5.2. Cc tc ng khc
Nu tm tt cc tc ng do: s xi mn, trt, st, l, ln t; s xi l b
sng, b sui, b h, b bin; s bi lng lng sng, lng sui, lng h; s thay i
mc nc mt, nc di t; xm nhp mn; xm nhp phn; s bin i vi kh
hu; s suy thoi cc thnh phn mi trng; s bin i a dng sinh hc v cc
yu t khc.
VI. BIN PHP GIM THIU TC NG TIU CC
6.1. X l cht thi
- Mi loi cht thi pht sinh u phi c km theo bin php x ly tng
ng, thuyt minh v mc kh thi, hiu sut/hiu qu x ly. Trong trng hp
khng th c bin php hoc c nhng kh kh thi trong khun kh ca d n phi

nu r ly do v c kin ngh c th cc c quan lin quan c hng gii quyt,

quyt nh.
- Phi c chng minh rng, sau khi p dng bin php th cc cht thi s
c x ly n mc no, c so snh, i chiu vi cc tiu chun, quy chun, quy
nh hin hnh. Trng hp khng p ng c yu cu quy nh th phi nu r ly
do v c nhng kin ngh c th cc c quan lin quan c hng gii quyt, quyt
nh.
6.2. Gim thiu cc tc ng khc
Mi loi tc ng pht sinh u phi c km theo bin php gim thiu tng
ng, thuyt minh v mc kh thi, hiu sut/hiu qu x ly. Trong trng hp
khng th c bin php hoc c nhng kh kh thi trong khun kh ca d n th
phi nu r ly do v c kin ngh c th cc c quan lin quan c hng gii
quyt, quyt nh.
VII. CAM KT THC HIN
Cam kt v vic thc hin cc bin php x ly cht thi, gim thiu tc ng
khc nu trong bn cam kt; cam kt x ly t cc tiu chun, quy chun hin
hnh v mi trng; cam kt thc hin cc bin php bo v mi trng khc theo
quy nh hin hnh ca php lut Vit Nam.
Ch d n
(Ky, ghi h tn, chc danh, ng du)