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) Common Effluent Treatment Plant (2 MLD) at Plot No. 96-97 Gondpur Industrial Area, Paonta Sahib, Himachal Pradesh by M/s Sirmour Green Environ Ltd
(b)Name of the Company / Organisation SIRMOUR GREEN ENVIRON LIMITED
(c)Registered Address 50,Industrial Area, Gondpur Paonta Sahib Sirmour Himachal Pradesh,Sirmaur,Himachal Pradesh-173025
(d)Legal Status of the Company Private
(e)Joint Venture No
2.
Address for the correspondence:
(a)Name of the Applicant Brijeshwar Dutt Tyagi
(b)Designation (Owner/ Partner/ CEO) Authorized Person
(c)Address 50,Industrial Area, Gondpur Paonta Sahib Sirmour Himachal Pradesh,,Paonta Sahib(T),Sirmaur,Himachal Pradesh-173025
(d)Pin code 173025
(e)E-mail cetppontaeia@gmail.com
(f)STD Code. 1762(f)Telephone No. 509496
(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/Activity7(h) Common Effluent Treatment Plants (CETPs)
(b)Category A
(c)Proposal Number IA/HP/MIS/63811/2017
(d)Master Proposal Number(Single Window) SW/89589/2018
(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. Plot No. 96-97
(b)Pincode 173025
(c)Bounded Latitudes (North) FROM 30.47317 To 30.47369
(d)Bounded Longitudes (East) FROM 77.62666 To 77.62739
(e)Survey of India Topo Sheet No. 53F10 & 53F11
(f)Uploaded Topo Sheet File Copy of Topo Sheet File
(g)Maximum Elevation Above Means Sea Level(AMSL) 436
(h)Uploaded (kml) File Copy of Kml File      
(i)Distance of Nearest HFL from the project boundary within the study area 0
(j)Seismic Zone 4
5.
(a)Number of States in which Project will be Executed 1
(b)Main State of the project Himachal Pradesh
Details of State of the project
S. No. State Name District Name Tehsil Name Village Name
NIL
6.
Details of Terms of Reference (ToR):
(a)Whether TOR is mandatory for submitting application Yes
(b)MoEF&CC / SEIAA File Number 10-23/2017-IA-III
(c)Date of Apply of TOR 08 Apr 2017
(d)Date of Issue of TOR / Standard ToR 13 Jun 2017
(e)Previous TOR Letter Copy of Previous TOR letter
7.
Details of Public Consultation:
(a)Whether the Project Exempted from Public Hearing?Yes
(b)Reason Public hearing is exempted for the project as per
(c)Supporting Document Copy of Supporting Document
8.
Details of Project Configuration/Product:
     8.1.       Project Configuration
S. No.Plant/Equipment/FacilityConfigurationRemarks
(1.)Common Effluent Treatment Plant2 MLD
     8.2.       Product
S. No.Product/Activity (Capacity/Area)QuantityUnitOther UnitMode of Transport / Transmission of ProductOther Mode of Transport / Transmission of Product
(1.)Common Effluent Treatment Plant and Area = 0.4412 ha.2000Kilo Litre per DayPipe Conveyor
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 25 Dec 2018
(iv)Valid Upto 25 Dec 2018
(v)File No. 00000000000
(vi)Application No. 000000000
(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) 10.2
(b) Funds Allocated for Environment Management (Capital) (in Crores) 0.13
(c) Funds Allocated Towards CER (Corporate Environment Responsibility) (in Crores) 0.20
(d) Funds Allocated for Environment Management Plan (EMP) (Recurring per Annum) (in Crores) 0.07
11.
Whether project attracts the General Condition specified in the Schedule of EIA Notification ? Yes
d)Inter-State boundaries and international boundaries Yes
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 2000
(b)Existing quantity of raw material/fuel N/A
(c)Total quantity of raw material/fuel 2000
    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.)EFFLUENT0.9Million Liters per DayIndustryPipe Conveyor10 MoUCopy of Linkage
(2.)Hydrated Lime50Otherskg/dayIndiaRoad10 Open MarketCopy of Linkage
(3.)Ferric Alum50Otherskg/dayIndiaRoad10 Open MarketCopy of Linkage
14.
Baseline Data :
(a)Period of Base Line Data Collection FROM 01 Oct 2017 To 31 Dec 2017
(b)Season Post-Monsoon
    14.1.     No. of ambient Air Quality (AAQ) monitoring locations : 8
S. No.Criteria Pollutants Other Criteria PollutantsUnitMaximum ValueMinimum Value98 Percentile ValuePrescribed Standard
(1.)PM2.5Micro Gram per Meter Cube48.6520.0048.6560
(2.)SO2Micro Gram per Meter Cube5.252.55.1780
(3.)NOxMicro Gram per Meter Cube16.386.9316.1480
(4.)PM10Micro Gram per Meter Cube92.2858.1791.98100
    14.2.     No. of Ground Water monitoring locations : 5
S. No.Criteria Pollutants Other Criteria PollutantsHeavy MetalUnitOther UnitMaximum ValueMinimum ValueDesirable LimitMaximum Permissible Limit
(1.)pHNA7.887.296.58.5
(2.)TDSmg/l3753445002000
(3.)Chloridesmg/l15.4110.272501000
(4.)Total Hardnessmg/l323293200600
(5.)Fluoridemg/l0.550.4511.5
(6.)TSSmg/l0000
(7.)Heavy MetalsZincmg/l0.190.14515
    14.3.     No. of Surface Water monitoring locations : 2
S. No.Criteria Pollutants Other Criteria PollutantsUnitOther UnitMaximum ValueMinimum ValueClassification of inland water body
(1.)CODmg/l8.764.39A
(2.)DOmg/l3.83.7A
(3.)pHNA7.697.15A
(4.)BODmg/l1.211.02A
    14.4.     No. of Ambient Noise monitoring locations : 9
S. No.Parameter UnitMaximum ValueMinimum ValuePrescribed Standard
(1.)Leq(Night)A-weighted decibels(dB(A))68.640.170
(2.)Leq(Day)A-weighted decibels(dB(A))71.245.675
    14.5.     No. of Soil Sample Monitored locations : 6
S. No.Parameter UnitOther UnitMaximum ValueMinimum Value
(1.)pHOthersNA8.187.2
(2.)N(Nitrogen)Percent0.280.07
(3.)P(Phosphorus)Othersmg/gram0.360.034
(4.)K(Potassium)Milligram per Kilogram60.529.7
(5.)Electric ConductivityOthersµmhos/ cm116.184.5
14.6.
Details of Ground Water Table:
(a)Range of Water Table Pre-Monsoon Season (Meters Below Ground Level (m bgl)) From 3.76 To 43.98
(b)Range of Water Table Post-Monsoon Season (Meters Below Ground Level (m bgl)) From 2.98 To 37.35
(c)Whether Ground Water Intersection will be there ? No
     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.)OthersDepartment of Industry51Copy of Permission LetterPipelineOthersPipeline123227 Nov 20185
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 Waste12Septic TankOthersNA10
16.1.
(a)Total Waste Water Generation 1
(b)Total Discharged Water 0
(c)Total Reused Water 1
    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.)CETP SludgeHazardous Waste (as per Hazardous and Other Waste Management rules 2016)382Tons90RoadTreatment, Storage and Disposal Facility(TSDF)
18.
    18.1.     Air Quality Impact Prediction
S. No.Criteria Pollutants Other Criteria PollutantsUnitBaseline ConcentrationDistance GLCIncremental ConcentrationTotal GLCPrescribed Standard
(1.)PM2.5Microgram per Meter Cube48.650048.6560
(2.)SO2Microgram per Meter Cube5.25005.2580
(3.)NOxMicrogram per Meter Cube16.380016.3880
(4.)PM10Microgram per Meter Cube92.280092.28100
    18.2.     Stack Details
S. No.Source FuelStack Height(m)Stack Diameter(m)PollutantsOther PollutantsEmission (GLS)
(1.)DG SetHSD30.4PM100
19.
Power Requirement:
(a)Quantity (Kilo Volt Amps (kVA)) 1260
(b)Source Himachal Pradesh State Electricity Board Ltd.
(c)Uploaded Copy of Agreement Not Applicable
(d)Standby Arrangement (Details of DG Sets) 1000 KVA
(e)Stack Height (in m) 3
20.
Land Ownership Pattern:
(a)Forest Land 0
(b)Private Land 0
(c)Government Land 0.4412
(d)Revenue Land 0
(e)Other Land 0
    Total Land 0.4412
21.
Present Land Use Breakup of the Study Area in Ha:
(a)Agriculture Area 9022
(b)Waste/Barren Land 0
(c)Grazing/ Community Land 0
(d)Surface Water Bodies 500
(e)Settlements 1897
(f)Industrial 0
(g)Forest 17145
(h)Mangroves 0
(i)Marine Area 0
(j)Others : River dry Sand Area 2851
    Total 31415
    22.     Land requirement for various activities
S. No.Description of Activity / Facility / Plant / Others OthersLand RequirementRemarks
(1.)Main Plant0.2412
(2.)Green belt0.2
Total 0.4412
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.)NPANA0NA
(2.)ESZsNA0NA
(3.)Critically Polluted AreaNA0NA
(4.)WLSSimbalbara Wildlife Santuary9NOC Obtained
(5.)ESAsNA0NA
(6.)CorridorsNA0NA
(7.)Wildlife CorridorsNA0NA
    23.2.     Details of Environmental Sensitivity :
S. No.Details of Environmental Sensitivity Other Details of Environmental Sensitivity NameDistance from the Project (Km)Remarks
(1.)ForestJamotwala RF0.34NA
(2.)Defence InstallationsNA0NA
(3.)Archaeological SitesNA0NA
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) 0.4412
(b)Land yet to be acquired(Ha) 0
(c)Status of Land acquisition if not acquired Completed
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 Completed
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 Yamuna River
(ii)Direction of Water Bodies in Buffer Area South
(iii)Distance of Water Bodies in Buffer Area 4
31.
Manpower Requirement:
(a)Permanent Employment-During Construction 30
(b)Permanent Employment-During Operation 11
(c)Temporary Employment- During Construction 0
(d)Temporary Employment- During Operation 0
(e)No. of working days 365
(f)Total Manpower 41
32.
Green Belt in Ha:
(a)Total Area of Green Belt 0.2
(b)Percentage of Total Project Area 45.33
(c)No. of Plants to be Planted 300
(d)Funds Allocated for Plantation 1
(e)Uploaded Green Belt plan Copy of Green Belt Plan
    33.       Project Benefits
S. No. Type of Project BenefitsDetails of Project Benefits
NIL
   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) 0
(b)Total No. of Flats to be Build 0
(c)No. of Buildings 0
(d)Total plot area (sqm) 4412
(e)Total built up area (sqm) 2412
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 1
(b)Capacity 300
(c)No. of Recharge Pits 0
(d)Capacity 0
4.
Parking:
(a)Details of 4 Wheeler/ 2 Wheeler Parking 10
5.
Energy Saving Measures:
(a)Source/Mode NA
(b)Percentage 0
(c)Quantity 0
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:   NIL ,w ,3.NIL
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. NABET/EIA/1619/RA 0040
(ii)Name of the EIA Consultant Shivalik Solid Waste Management Limited
(iii)Address SCO 20-21, 2nd Floor, Dhakoli, Zirakpur Punjab- 140 604
(iv)Mobile No. 8288079363
(v)Landline No. 0176250949
(vi)Email Id s.brahma@beil.co.in
(vii)Category of Accreditation A
(viii)Sector of Accreditation Infrastructure and Miscellaneous Projects  +  CRZ
(ix)Validity of Accreditation 19 Feb 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
Copy of EIA/EMP(Annexures)
Copy of EIA/EMP(Plans/Figures)
(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
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 ApplicantBrijeshwar Dutt Tyagi
DesignationAuthorized Person
Name of Company (Applicant Name should not be given here)SIRMOUR GREEN ENVIRON LIMITED
Address50,Industrial Area, Gondpur Paonta Sahib Sirmour Himachal Pradesh
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