Water Pollution Control Measures and Test Reporting Management Regulations Article 49-4
If the enterprises of the industry are clinics with the installation of beds or benches for dialysis (hemodialysis) (hereinafter referred to as “dialysis clinics”), they shall, prior to the commencement of operation, present a plan for the management of wastewater or sewage to the competent authorities of the municipality or county (city) for approval and proceed as approved before they could discharge wastewater or sewage. Prior to the approval of the wastewater or sewage management plan, competent authorities of the municipality or county (city) shall conduct an on-site inspection and study.Wastewater or sewage from dialysis clinics may be treated by the sewage system of the building. The wastewater or sewage management plan shall contain particulars in conformity to the following requirements:I. Basic information.II. Information on the source of water supply and capacity of consumption, the generation, treatment and discharge of wastewater or sewage and sludge.III. The outfall.IV. Statement of undertaking on content of the revocation of the water pollution prevention plan or permission certificate (documents) already granted.The dialysis clinics may elect to modify the wastewater or sewage management plan, and shall proceed to the following procedure by petitioning with the competent authorities of the municipality or county (city) for approval, and proceed as approved. Where necessary, the competent authorities of the municipality or county (city) shall conduct an on-site inspection and study for confirmation prior to the change:I. For modification of the particulars specified in subparagraph (I) of the previous paragraph, petition for the change within 30 days from the day after the change. If prior approval of the competent authority is necessary, proceed within 30 days after the approval.II. For modification of the particulars specified in subparagraph (II) of the previous paragraph, petition for the change prior to proceeding. For modification of the particulars specified below, proceed within 30 days from the day after the change:(I) The facilities for the measurement and testing of the capacity of wastewater or sewage and sludge, the method of measurement, calibration and maintenance.(II) If the excessive capacity is permitted for commissioning for treatment, the capacity of wastewater or sewage permitted for commissioned treatment.(III) The replacement of obsolete components of the wastewater or sewage treatment facility, and the specification condition and function shall be relevant with the plan previously approved.(IV) If only the components of wastewater or sewage are petitioned for change, the subsidiary tools and equipment.III. Petition in advance is required for changes in the particulars specified in subparagraph (III) of the previous paragraph.Dialysis clinics that have acquired the water pollution prevention plan or permission certificate (document) but the wastewater or sewage management plan has not yet been approved by the competent authorities of the municipality or county (city) shall proceed with the particulars previously approved. Upon approval of the wastewater or sewage management plan by the competent authorities of the municipality or county (city), they may petition for revoking the water pollution prevention plan or permission certificate (document).Dialysis clinics that have acquired the water pollution prevention plan or permission certificate (document) could be exempted from the petition for making change or extension of the water pollution prevention plan or permission certificate (document) and proceed to the application for the permission of approval for the wastewater or sewage management plan as stated in paragraph I.The wastewater or sewage management plan of dialysis clinics shall be submitted online for approval via the Internet from the day designated by the competent authority at the national level.
中文原文 水污染防治措施及檢測申報管理辦法第49-4條
事業屬設置洗腎治療（血液透析）床（台）之診所（以下簡稱洗腎診所）應於營運前，檢具廢（污）水管理計畫，報請直轄市、縣（市）主管機關核准，並據以實施，始得排放廢（污）水。
直轄市、縣（市）主管機關於核准廢（污）水管理計畫前，應進行現場勘察。
洗腎診所之廢（污）水得以建築物污水處理設施處理，其廢（污）水管理計畫應記載事項，規定如下：
一、基本資料。
二、用水來源與用水量、廢（污）水及污泥產生、處理及排放資料。
三、放流口。
四、同意廢止已取得水污染防治措施計畫或許可證（文件）之承諾書。
廢（污）水管理計畫有變更者，洗腎診所應依下列規定期限辦理廢（污）水管理計畫之變更，報請直轄市、縣（市）主管機關核准，並據以實施。
必要時，直轄市、縣（市）主管機關應於核准前進行現場勘察確認：
一、變更前項第一款記載事項者，應自事實發生之翌日起三十日內辦理。
須經目的事業主管機關核准者，自核准後三十日內為之。
二、變更前項第二款記載事項，應於變更前辦理。
但屬下列記載事項之變更者，應自事實發生之翌日起三十日內辦理：
（一）廢（污）水水量、污泥量之計測設施、計量方式及其校正維護方法。
（二）核准餘裕量內委託者及其委託廢（污）水量。
（三）廢（污）水處理設施單元汰舊換新，且其規格條件及功能皆與原核准計畫相符。
（四）僅變更廢（污）水處理設施單元之附屬機具設施。
三、變更前項第三款記載事項，應於變更前辦理。
已取得水措計畫或許可證（文件）之洗腎診所，其廢（污）水管理計畫尚未經直轄市、縣（市）主管機關核准前，應依原核准事項辦理。
其廢（污）水管理計畫經直轄市、縣（市）主管機關核准後，得請求廢止水措計畫或許可證（文件）。
已取得水措計畫或許可證（文件）之洗腎診所，得免辦理變更或展延水污染防治措施計畫或許可證（文件），逕依第一項規定申請核准廢（污）水管理計畫。
洗腎診所之廢（污）水管理計畫應於中央主管機關指定之日起，採網路傳輸方式辦理。
直轄市、縣（市）主管機關於核准廢（污）水管理計畫前，應進行現場勘察。
洗腎診所之廢（污）水得以建築物污水處理設施處理，其廢（污）水管理計畫應記載事項，規定如下：
一、基本資料。
二、用水來源與用水量、廢（污）水及污泥產生、處理及排放資料。
三、放流口。
四、同意廢止已取得水污染防治措施計畫或許可證（文件）之承諾書。
廢（污）水管理計畫有變更者，洗腎診所應依下列規定期限辦理廢（污）水管理計畫之變更，報請直轄市、縣（市）主管機關核准，並據以實施。
必要時，直轄市、縣（市）主管機關應於核准前進行現場勘察確認：
一、變更前項第一款記載事項者，應自事實發生之翌日起三十日內辦理。
須經目的事業主管機關核准者，自核准後三十日內為之。
二、變更前項第二款記載事項，應於變更前辦理。
但屬下列記載事項之變更者，應自事實發生之翌日起三十日內辦理：
（一）廢（污）水水量、污泥量之計測設施、計量方式及其校正維護方法。
（二）核准餘裕量內委託者及其委託廢（污）水量。
（三）廢（污）水處理設施單元汰舊換新，且其規格條件及功能皆與原核准計畫相符。
（四）僅變更廢（污）水處理設施單元之附屬機具設施。
三、變更前項第三款記載事項，應於變更前辦理。
已取得水措計畫或許可證（文件）之洗腎診所，其廢（污）水管理計畫尚未經直轄市、縣（市）主管機關核准前，應依原核准事項辦理。
其廢（污）水管理計畫經直轄市、縣（市）主管機關核准後，得請求廢止水措計畫或許可證（文件）。
已取得水措計畫或許可證（文件）之洗腎診所，得免辦理變更或展延水污染防治措施計畫或許可證（文件），逕依第一項規定申請核准廢（污）水管理計畫。
洗腎診所之廢（污）水管理計畫應於中央主管機關指定之日起，採網路傳輸方式辦理。