Form-2
APPLICATION FOR PRIOR ENVIRONMENTAL CLEARANCE
S. No.Item Details
1.
Whether it is a violation case and application is being submitted under Notification No. S.O.804(E) dated 14.03.2017 ? No
Details of Project:
(a)Name of the project(s) Proposed affordable group housing colony at Village-Naurangpur, sector-78, Gurugram, Haryana by M/s Revital Reality Pvt Ltd
(b)Name of the Company / Organisation REVITAL REALITY PVT LTD
(c)Registered Address Supertech House, B28-29, Sector-58, Noida, Uttar Pradesh,Gautam Buddha Nagar,Uttar Pradesh-201301
(d)Legal Status of the Company Private
(e)Joint Venture No
2.
Address for the correspondence:
(a)Name of the Applicant Yagna Brahmam
(b)Designation (Owner/ Partner/ CEO) Vice President
(c)Address Supertech House, B28-29, Sector-58, Noida, Uttar Pradesh,,Gautam Buddha Nagar,Gautam Buddha Nagar,Uttar Pradesh-201301
(d)Pin code 201301
(e)E-mail revitalreality79@gmail.com
(f)STD Code. 120(f)Telephone No. 4572600
(g)Fax No.
(h)Copy of documents in support of the competence/authority of the person making this application to make application on behalf of the User Agency . Annexure-Uploaded Copy of documents in support of the competence/authority
3.
Category of the Project/Activity as per Schedule of EIA Notification,2006:
(a)Project/Activity8(a) Building and Construction projects
(b)Category B2
   Reason for Applying at Ministry SEIAA
(c)Proposal Number IA/HR/MIS/82602/2018
(d)Master Proposal Number(Single Window) SW/82066/2018
(e)EAC concerned (for category A Projects only) Infrastructure and Miscellaneous Projects  +  CRZ
(f)Project Type Fresh EC
4.
Location of the Project:
(a)Plot/Survey/Khasra No. 30//19/2, 30//20/2/1, 30//21/2, 30//22, 30//16/2,
(b)Pincode 122101
(c)Bounded Latitudes (North) FROM 28.3626 To 28.3645
(d)Bounded Longitudes (East) FROM 76.9660 To 76.9700
(e)Survey of India Topo Sheet No. H43W15
(f)Uploaded Topo Sheet File Copy of Topo Sheet File
(g)Maximum Elevation Above Means Sea Level(AMSL) 251
(h)Uploaded (kml) File Copy of Kml File      
(i)Distance of Nearest HFL from the project boundary within the study area 37
(j)Seismic Zone 4
5.
(a)Number of States in which Project will be Executed 1
(b)Main State of the project Haryana
Details of State(s) of the project
S. No. State Name District Name Tehsil Name Village Name
(1.)HaryanaGurgaonGurgaonNaurangpur
6.
Details of Terms of Reference (ToR):
(a)Whether TOR is mandatory for submitting application No
7.
Details of Public Consultation:
(a)Whether the Project Exempted from Public Hearing?Yes
(b)Reason As per EIA notification 2006
(c)Supporting Document Copy of Supporting Document
8.
Details of Project Configuration/Product:
     8.1.       Project Configuration
S. No.Plant/Equipment/FacilityConfigurationRemarks
(1.)Affordable group housingConstruction of Dwelling units
     8.2.       Product
S. No.Product/Activity (Capacity/Area)QuantityUnitOther UnitMode of Transport / Transmission of ProductOther Mode of Transport / Transmission of Product
(1.)Group housing with plot area 9.0625 acres1364OthersDwelling unitsRoad
9.
In case of Expansion / Modernisation / One Time Capacity Expansion (only for Coal Mining) / Expansion under Clause 7(ii) / Modernisation under Clause 7(ii) / Change of Product Mix under Clause 7(ii):
Details Not Applicable
9.1.
Details of Consent to Operate
(i)Whether Consent to operate obtained ? NA
(ii)Copies of all Consent to operate obtained since inception NA
(iii)Date of Issue 16 Oct 2018
(iv)Valid Upto 16 Oct 2018
(v)File No. 0
(vi)Application No. 0
(vii)Copy of Consent to operate valid as on date Copy of Consent to Operate
10.
Project Cost:
(a)Total Cost of the Project at current price level (in Crores) 161
(b) Funds Allocated for Environment Management (Capital) (in Crores) .90
(c) Funds Allocated Towards CER (Corporate Environment Responsibility) (in Crores) 2.42
(d) Funds Allocated for Environment Management Plan (EMP) (Recurring per Annum) (in Crores) 0.17
11.
Whether project attracts the General Condition specified in the Schedule of EIA Notification ? No
12.
Whether project attract the Specific Condition specified in the Schedule of EIA Notification ? No
13.
Raw Material / Fuel Requirement:
(a)Proposed quantity of raw material/fuel 0
(b)Existing quantity of raw material/fuel N/A
(c)Total quantity of raw material/fuel 0
    13.1.        Raw Material / Fuel Profile
S. No.Raw Material / Fuel QuantityUnitOther UnitSource (incase of Import. please specify country and Name of the port from which Raw Material / Fuel is received )Mode of TransportOther Mode of TransportDistance of Source from Project Site (in Kilometres) (In case of import, distance from the port from which the raw material / fuel is received)Type of Linkage Other Type of Linkage Uploaded Copy of Linkage
(1.)NA0OthersNA0Road0 OthersNACopy of Linkage
14.
Baseline Data :
(a)Period of Base Line Data Collection FROM 09 Oct 2018 To 10 Oct 2018
(b)Season Post-Monsoon
    14.1.     No. of ambient Air Quality (AAQ) monitoring locations : 1
S. No.Criteria Pollutants Other Criteria PollutantsUnitMaximum ValueMinimum Value98 Percentile ValuePrescribed Standard
(1.)PM2.5Micro Gram per Meter Cube52.1052.1052.1060
(2.)NOxMicro Gram per Meter Cube24242480
(3.)PM10Micro Gram per Meter Cube90.0690.0690.06100
(4.)SO2Micro Gram per Meter Cube10.3410.3410.3480
(5.)OthersCOMili Gram per Meter Cube0.810.810.814
    14.2.     No. of Ground Water monitoring locations : 1
S. No.Criteria Pollutants Other Criteria PollutantsHeavy MetalUnitOther UnitMaximum ValueMinimum ValueDesirable LimitMaximum Permissible Limit
(1.)Chloridesmg/l85.2885.282501000
(2.)TSSNA0000
(3.)pHNA7.637.636.58.5
(4.)Fluoridemg/l0.480.481.01.5
(5.)TDSmg/l5545545002000
(6.)Heavy MetalsZincmg/l1.681.68515
(7.)Total Hardnessmg/l253.18253.18200600
    14.3.     No. of Surface Water monitoring locations : 1
S. No.Criteria Pollutants Other Criteria PollutantsUnitOther UnitMaximum ValueMinimum ValueClassification of inland water body
(1.)DOmg/l6.96.9B
(2.)CODmg/l28.4028.40B
(3.)pHNA7.687.68B
(4.)BODmg/l6.206.20B
    14.4.     No. of Ambient Noise monitoring locations : 1
S. No.Parameter UnitMaximum ValueMinimum ValuePrescribed Standard
(1.)Leq(Day)A-weighted decibels(dB(A))49.6249.6255.0
(2.)Leq(Night)A-weighted decibels(dB(A))40.2840.2845.0
    14.5.     No. of Soil Sample Monitored locations : 1
S. No.Parameter UnitOther UnitMaximum ValueMinimum Value
(1.)N(Nitrogen)Kilogram per hectare206206
(2.)K(Potassium)Kilogram per hectare128.63128.63
(3.)Electric ConductivityMillisiemens per Centimetre0.3680.368
(4.)pHOthersNA7.627.62
(5.)P(Phosphorus)Kilogram per hectare12.9812.98
14.6.
Details of Ground Water Table:
(a)Range of Water Table Pre-Monsoon Season (Meters Below Ground Level (m bgl)) From 22 To 25
(b)Range of Water Table Post-Monsoon Season (Meters Below Ground Level (m bgl)) From 22 To 25
(c)Whether Ground Water Intersection will be there ? NA
     15.      Details of Water Requirement (During Operation)
S. No.Source Source Other Required QuantityDistance from SourceCopy of Permission from Competent Authority Mode of TransportOther Mode of TransportMethod of Water WithdrawalOther Method of Water WithdrawalLetter No.Date of IssuePermitted Quantity
(1.)OthersHUDA4510Copy of Permission LetterPipelineOthersMunicipal water supply lineNIL20 Sep 2018451
15.1.
(a)Whether Desalination is proposed No
    16.       Waste Water Management(During Operation)
S. No.Type/Source Quantity of Waste Water Generated (Kilolitre per Day)Treatment Capacity (Kilolitre per Day) Treatment MethodMode of DisposalOther Mode of DisposalQuantity of Treated Water Used in Recycling/Reuse (Kilolitre per Day)Quantity of Discharged Water (Kilolitre per Day)
(1.)Domestic waste469670STPDischarge into Seawater Body,Reuse within the Plant & Recycling,Green Belt Renewal Plant196273
16.1.
(a)Total Waste Water Generation 469
(b)Total Discharged Water 273
(c)Total Reused Water 196
    17.       Solid Waste Generation/Management
S. No.Name of Waste Item Other ItemQuantity per AnnumUnitDistance from Site(KM)Mode of TransportOther Mode of TransportMode of DisposalOther Mode of Disposal
(1.)Domestic wasteMunicipal Solid Waste1175Tons0RoadOthersOrganic Waste composter
18.
    18.1.     Air Quality Impact Prediction
S. No.Criteria Pollutants Other Criteria PollutantsUnitBaseline ConcentrationDistance GLCIncremental ConcentrationTotal GLCPrescribed Standard
(1.)NOxMicrogram per Meter Cube24.000.314524.31580
(2.)SO2Microgram per Meter Cube10.3402.2412.58080
(3.)PM2.5Microgram per Meter Cube52.1000.031452.13160
(4.)PM10Microgram per Meter Cube90.0600.071890.132100
    18.2.     Stack Details
S. No.Source FuelStack Height(m)Stack Diameter(m)PollutantsOther PollutantsEmission (GLS)
(1.)DG setsHSD63.80.3SO20
19.
Power Requirement:
(a)Quantity (Kilo Volt Amps (kVA)) 4470
(b)Source DHBVN
(c)Uploaded Copy of Agreement Copy of Agreement
(d)Standby Arrangement (Details of DG Sets) 3 no of DG sets (1 x 400 KVA, 1 x 320 KVA, 1 x 200
(e)Stack Height (in m) 63.8
20.
Land Ownership Pattern:
(a)Forest Land 0
(b)Private Land 3.6674
(c)Government Land 0
(d)Revenue Land 0
(e)Other Land 0
    Total Land 3.6674
21.
Present Land Use Breakup of the Study Area in Ha:
(a)Agriculture Area 6911
(b)Waste/Barren Land 4004
(c)Grazing/ Community Land 0
(d)Surface Water Bodies 113
(e)Settlements 9031
(f)Industrial 1775
(g)Forest 0
(h)Mangroves 0
(i)Marine Area 0
(j)Others : Open scrub 10601
    Total 32435
    22.     Land requirement for various activities
S. No.Description of Activity / Facility / Plant / Others OthersLand RequirementRemarks
(1.)Built Up Area12.18Affordable group housing
Total 12.18
23.
Ecological and Environmental Sensitivity (Within 10 Km):- WLS-Wild Life Species; NPA-Notified Protected Area; ESAs-Eco Sensitive Areas; ESZs-Eco Sensitive Zones :
    23.1.     Details of Ecological Sensitivity :
S. No.Details of Ecological Sensitivity NameDistance from the Project (Km)Remarks
(1.)Critically Polluted AreaNA00
(2.)NPANA00
(3.)ESAsNA00
(4.)WLSNA00
(5.)ESZsNA00
(6.)CorridorsNA00
(7.)Wildlife CorridorsNA00
    23.2.     Details of Environmental Sensitivity :
S. No.Details of Environmental Sensitivity Other Details of Environmental Sensitivity NameDistance from the Project (Km)Remarks
(1.)ForestNA00
(2.)Archaeological Sitesna00
(3.)Defence Installationsna00
23.3.
(a)Whether Noc / Permission from the competent authority is required? No
(b)Whether NBWL recommendation is required? No
24.
Forest Land:
Whether any Forest Land involved? No
25.
Tree Cutting:
(a)No. of Trees Cut for the Project (if Forest Land not Involved) 0
(b)Details of Tree Cutting and Planting of Trees Copy of Details of Tree Cutting and Planting of Trees
26.
Land Acquisition Status:
(a)Acquired Land(Ha) 3.667
(b)Land yet to be acquired(Ha) 0
(c)Status of Land acquisition if not acquired NA
27.
Rehabilitation and Resettlement (R&R):
(a)No. of Villages 0
(b)No. of Households 0
(c)No. of PDFs (Project Displaced Families) 0
(d)No. of PAFs (Project Affected Families) 0
(e)Funds Allocated for R&R(in Rs) 0
(f)Status of R&R Yet To Start
28.
Details of Presence of Schedule-I Species:
(a)Whether there is Presence of Schedule-I Species ? No
(b)Whether conservation plan for Schedule-I Species has been prepared ? No
(c)Whether conservation plan for Schedule-I Species has been approved by competent authority ? No
29.
Details of Presence of Water Bodies in Core Area:
(a)Whether there is Presence of Water Bodies in Core Area ? No
(b)Whether there is Diversion Required ? No
(c)Whether permission has been obtained from competent authority ? No
30.
Details of Presence of Water Bodies in Buffer Area:
(a)Whether there is Presence of Water Bodies in Buffer Area ? Yes
(i)Details of Water Bodies in Buffer Area Badshahpur Nadi
(ii)Direction of Water Bodies in Buffer Area North East
(iii)Distance of Water Bodies in Buffer Area 7.4
31.
Manpower Requirement:
(a)Permanent Employment-During Construction 30
(b)Permanent Employment-During Operation 50
(c)Temporary Employment- During Construction 70
(d)Temporary Employment- During Operation 50
(e)No. of working days 365
(f)Total Manpower 200
32.
Green Belt in Ha:
(a)Total Area of Green Belt 0.73349
(b)Percentage of Total Project Area 20.00
(c)No. of Plants to be Planted 460
(d)Funds Allocated for Plantation 1500000
(e)Uploaded Green Belt plan Copy of Green Belt Plan
    33.         Project Benefits
S. No.Type of Project Benefits Details of Project Benefits
(1.)SocialEmployment generation and housing developement
   34.   CRZ Specific Details : Not Applicable
   35.   Sector Specific Details For Infrastructure and Miscellaneous Projects  +  CRZ
S. No.Item Details
1.
Details of Building Construction:
(a)Maximum Height of the Building (Meters) 54.9
(b)Total No. of Flats to be Build 1364
(c)No. of Buildings 15
(d)Total plot area (sqm) 36674.64
(e)Total built up area (sqm) 121830.76
2.
Foreshore Facilities and/or Marine Disposal:
(a)Whether Project Involves Foreshore Activities and/or marine Disposal? No
3.
Rain Water Harvesting:
(a)No. of Storage 0
(b)Capacity 0
(c)No. of Recharge Pits 12
(d)Capacity 52
4.
Parking:
(a)Details of 4 Wheeler/ 2 Wheeler Parking 972 4-wheeler parking
5.
Energy Saving Measures:
(a)Source/Mode LED based lightning, solar based lightning
(b)Percentage 11
(c)Quantity 482.33
6.
Other details:
(a)Details of impact on Water Bodies and Drainage patters of catchment area NA
(b)Details of Traffic Density Impact Assessment and Modelling Study Copy of Details of Traffic Density Impact Assessment and Modelling Study
(c)In case Underground Tunnel Project below the Forest Land - Subsidence Impact Study report Copy of Underground Tunnel Project below the Forest Land - Subsidence Impact Study report
     7.       Type of Industries to be established with Industrial Estate as per their category A/B
S. No.Type of IndustryNo. of UnitsCategory A/B
NIL
8.
Length of the alignment N/A
9.
Details Bridges/ROB/Interchanges,Flyovers,Vehicle Underpass and Pedestrian Underpass
Details Not Applicable
Additional Detail Sought Additional Detail Sought, 3.
S. No.Item Details
36.
Details of Court Cases:
(a)Whether there is any Court Cases pending against the project and/or land in which the project is proposed to be set up ? No
37.
Details of Direction Issued under Environment (Protection) Act / Air (Prevention & Control of Pollution)) Act / Water (Prevention & Control of Pollution) Act:
(a)Whether any Direction issued under EPA Act/Air Act/Water Act ? No
38.
Details of EIA Consultant:
(a)Have you hired Consultant for preparing document? Yes
(i)Accreditation No. QCI/NABET/ENV/ACO/17/0279
(ii)Name of the EIA Consultant Vardan Environet
(iii)Address D-142, Sushant lok phase-3, Sector-57, Gurgaon , Haryana
(iv)Mobile No. 9810355569
(v)Landline No. 0124429103
(vi)Email Id projects@vardanenvironet.com
(vii)Category of Accreditation A
(viii)Sector of Accreditation Infrastructure and Miscellaneous Projects  +  CRZ
(ix)Validity of Accreditation 09 Nov 2019
(x)Uploaded Certificate of Accreditation certified by QCI/NABET Copy of Certificate of Accreditation
39.
Documents to be Attached:
(a)Uploaded Copy of EIA/EMP Report Copy of EIA/EMP
(b)Uploaded Copy of Risk Assessment Report Copy of Risk Assessment
(c)Uploaded Copy of Feasibility Report/ Detailed Project Report(DPR) /Detailed Engineering Report /Detailed Conceptual Plan /Approved Mining Plan Copy of Feasibility Report/ Detailed Project Report(DPR) /Detailed Engineering Report /Detailed Conceptual Plan /Approved Mining Plan
(d)Uploaded Copy of Final Layout Plan Copy of Final Layout Plan
(e)Uploaded Cover Letter Copy of Cover Letter
(f)Uploaded Copy of documents in support of the competence/authority of the person making this application to make application on behalf of the User Agency Copy of documents in support of the competence/authority of the person making this application to make application on behalf of the User Agency
(g)Uploaded Additional File NA
Additional Detail Sought
Sno. ADS Letter Remarks Date of ADS
1.NAKindly see the Final Minutes of 36th EAC Infra-II Meeting held on 26-28 November, 2018 04 Dec 2018
2. ADS LetterReply of observation raised in 36th EAC Infra-II 28 Feb 2019
Undertaking
I hereby give undertaking that the data and information given in the application and enclosures are true to be best of my knowledge and belief. And I am aware that if any part of the data and information found to be false or misleading at any stage, the project will be rejected and clearance given, if any to the project will be revoked at our risk and cost. In addition to above, I hereby give undertaking that no activity/ construction/ expansion has since been taken up.
Name of ApplicantYagna Brahmam
DesignationVice President
Name of Company (Applicant Name should not be given here)REVITAL REALITY PVT LTD
AddressSupertech House, B28-29, Sector-58, Noida, Uttar Pradesh
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