LOWER RATE TAX DECLARATION FORM | Escrick Environmental Services

Low Band Landfill Tax Declaration

The Low Band Landfill Tax Declaration form must be completed for wastes where low band landfill tax can be applied. The description and content of the waste must fall under the Qualifying Order of Section 4.2 of the HMRC Excise Notice LFT1: A General Guide to Landfill Tax.

Qualifying List of Materials for Low Band Landfill Tax, please select by ticking the relevant materials from below

LOWER TAX DECLARATION FORM

COMPANY NAME *

Date (dd/mm/yyyy) *

JOB DETAILS *

GROUP 1 - Naturally Occurring - Comprising:

Choose from the following:

Rock
Clay
Sand
Gravel
Sandstone
Limestone
Crushed Stone
China Clay
Construction Stone
Stone from Demolition of structures
Slate
Sub-soil
Silt
Dredgings

GROUP 2 - Ceramic or Concrete Materials, Comprising:

Choose from the following:

Glass
Ceramics, including bricks, brick & mortar, tiles, clayware, pottery, china & refractories
Concrete, reinforced concrete, concrete blocks, breeze blocks and aircrete blocks

Group 2 does not include: 1. Glass fibre and glass-reinforced plastic. 2. Concrete plant washings.

GROUP 3 - Minerals processed or prepared, comprises only:

Choose from the following:

Moulding sands, including used foundry sand
Clays
Man made mineral fibres, including glass fibre
Silica
Mineral abrasives
Mineral absorbents
Mica

Group 3 does not include: 1. Moulding sand containing organic binders. 2. Man-made mineral fibres made from glass-reinforced plastic and asbestos.

GROUP 4 - Furnace slags, comprises only:

Choose from the following:

Vitrified wastes and residues from termal processing of minerals where. Ineither case, the residue is both fused and insoluble
Slag from waste incineration

GROUP 5 - Ash, comprises only:

Choose from the following:

Bottom ash and fly ash produced only from the combustion of wood, of waste or both
Bottom ash and fly ash from the combustion of coal, of petroleum coke or of both, deposited in a cell containing the product of that combustion alone
Bottom ash and fly ash from the combustion of coal, of petroleum coke or of both, burnt together with biomass and deposited in a cell containing the product of that combustion and burning alone

GROUP 6 - Low activity inorganic compounds, comprises only:

Choose from the following:

Calcium carbonate
Magnesium carbonate
Magnesium oxide
Magresium hydroxide
Iron oxide
Ferric hydroxide
Aluminium oxide
Aluminium hydroxide
Zirconium dioxide
Calcium based reaction wastes from Titanium Dioxide production

GROUP 7 - Calcium Sulphate, disposed of in landfills for non-hazardous wastes in a cell where no biodegradable waste is accepted - includes:

Choose from the following:

Calcium sulphate
Gypsum
Calcium sulphate based plasters

GROUP 8

Select if applicable:

Calcium hydroxide and brine, deposited in brine cavity

DECLARATION

Please note that all waste description documentation must relate to the above qualifying materials – failure to do so will result in the high band landfill tax being applied. I hereby confirm that the waste streams I am sending to your landfill site meet with the Low Band Tax criteria as outlined above. *

Name *

First

Last

Job Title *

Contact No. *

Application Confirmation *

I wish to submit this application and agree to Escrick Environmental Services Ltd Terms & Conditions

Escrick Environmental Services Limited
Registered in England number: 06019667
Registered address:
3-4 Park Court, Riccall Road
Escrick, York YO19 6ED

Tel: 01904 720300
Fax: 01904 720300
Email: enquiries@eeswaste.com