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) Construction of Eight lane road (newly declared NH 148N) from Kandarwasa village to Kajaliya village in Ratlam district from CH: 150+000 to 181+000 in the state of Madhya Pradesh.
(b)Name of the Company / Organisation National Highways Authority of India
(c)Registered Address G-5 & 6, Sector-10, Dwarka, New DElhi-110075,South West,Delhi-110075
(d)Legal Status of the Company
(e)Joint Venture No
2.
Address for the correspondence:
(a)Name of the Applicant
(b)Designation (Owner/ Partner/ CEO) Geneeral Manager
(c)Address NIL
(d)Pin code 110075
(e)E-mail biswajit@nhai.org
(f)STD Code. (f)Telephone No.
(g)Fax No. 25093543
(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(f) Highways
(b)Category A
(c)Proposal Number IA/MP/NCP/94029/2018
(d)Master Proposal Number(Single Window) SW/94015/2019
(e)EAC concerned (for category A Projects only) New Construction Projects and  Industrial  Estates
(f)Project Type Fresh EC
4.
Location of the Project:
(a)Plot/Survey/Khasra No. Ratlam
(b)Pincode 457001
(c)Bounded Latitudes (North) FROM 23.297033 To 23.505367
(d)Bounded Longitudes (East) FROM 74.853378 To 75.042053
(e)Survey of India Topo Sheet No. H46I15
(f)Uploaded Topo Sheet File Copy of Topo Sheet File
(g)Maximum Elevation Above Means Sea Level(AMSL) 484
(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 2
5.
(a)Number of States in which Project will be Executed 1
(b)Main State of the project Madhya Pradesh
Details of State(s) of the project
S. No. State Name District Name Tehsil Name Village Name
(1.)Madhya PradeshRatlamSailanaKajaliya
(2.)Madhya PradeshRatlamRatlamKandarwasa
6.
Details of Terms of Reference (ToR):
(a)Whether TOR is mandatory for submitting application Yes
(b)MoEF&CC / SEIAA File Number 10-64/2018-IA.III
(c)Date of Apply of TOR 30 Aug 2018
(d)Date of Issue of TOR / Standard ToR 08 Oct 2018
(e)Previous TOR Letter Copy of Previous TOR letter
7.
Details of Public Consultation:
(a)Whether the Project Exempted from Public Hearing?No
(b)Whether details of Public Hearing available? Yes
(c)Whether Public hearing was presided over by an officer of the rank of Additional District Magistrate or above Yes
     7.1.       Details of Public Hearing
S. No.Details of Advertisement Details of Public Hearing Venue Location DetailsNo. of People AttendedIssues RaisedDesignation of Presiding OfficerOther Designation of Presiding Officer
(1.)
Date of Advertisement :06 Dec 2018
Copy of advertisement :Copy of Advertisement
Copy of Public Hearing :Copy of Public Hearing
Date :07 Jan 2019
Distance of Public Hearing Venue from the Proposed Project :3
Gram Panchayat Bhawan, Village Kandarwasa, District Ratlam
State :Madhya Pradesh
District :Ratlam
Tehsil :Ratlam
Village :Kandarwasa
100Provide sufficient compensation of effected pipe line, trees. To provide employment and service laneOthersADC
8.
Details of Project Configuration/Product:
     8.1.       Project Configuration
S. No.Plant/Equipment/FacilityConfigurationRemarks
(1.)N/AN/AN/A
     8.2.       Product
S. No.Product/Activity (Capacity/Area)QuantityUnitOther UnitMode of Transport / Transmission of ProductOther Mode of Transport / Transmission of Product
(1.)N/A0OthersN/AOthersN/A
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 N/A
(iv)Valid Upto N/A
(v)File No. NA
(vi)Application No. NA
(vii)Copy of Consent to operate valid as on date NA
10.
Project Cost:
(a)Total Cost of the Project at current price level (in Crores) 1078.40
(b) Funds Allocated for Environment Management (Capital) (in Crores) 6.34
(c) Funds Allocated Towards CER (Corporate Environment Responsibility) (in Crores) 5.4
(d) Funds Allocated for Environment Management Plan (EMP) (Recurring per Annum) (in Crores) 3.17
11.
Whether project attracts the General Condition specified in the Schedule of EIA Notification ? Yes
a)Protected areas notified under the wildlife (Protection) Act, 1972 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 1826700.52044
(b)Existing quantity of raw material/fuel N/A
(c)Total quantity of raw material/fuel 1826700.52044
    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.)Sand386685.0389OthersCumMine quarryRoad10 MoUCopy of Linkage
(2.)Coarse Sand1158815.579OthersCumMine quarryRoad10 MoUCopy of Linkage
(3.)Cement232458.06OthersCumNearby project areaRoad10 LinkageCopy of Linkage
(4.)Bitumen48741.84254OthersCumNearby project areaRoad460 LinkageCopy of Linkage
14.
Baseline Data :
(a)Period of Base Line Data Collection FROM 01 Apr 2018 To 30 Jun 2018
(b)Season Pre-Monsoon
    14.1.     No. of ambient Air Quality (AAQ) monitoring locations : 4
S. No.Criteria Pollutants Other Criteria PollutantsUnitMaximum ValueMinimum Value98 Percentile ValuePrescribed Standard
(1.)PM2.5Micro Gram per Meter Cube58.630.656.960
(2.)NOxMicro Gram per Meter Cube28.19.926.380
(3.)OthersCOMicro Gram per Meter Cube1.000.40.944
(4.)PM10Micro Gram per Meter Cube96.555.192.4100
(5.)SO2Micro Gram per Meter Cube19.18.117.980
    14.2.     No. of Ground Water monitoring locations : 2
S. No.Criteria Pollutants Other Criteria PollutantsHeavy MetalUnitOther UnitMaximum ValueMinimum ValueDesirable LimitMaximum Permissible Limit
(1.)pHNA8.128.106.58.5
(2.)TSSmg/l0000
(3.)Total Hardnessmg/l194.7083.0200600
(4.)TDSmg/l400.10262.805002000
(5.)Fluoridemg/l0.90.3111.5
(6.)Heavy MetalsZnmg/l0.050.04515
(7.)Chloridesmg/l80412501000
    14.3.     No. of Surface Water monitoring locations : 0
S. No.Criteria Pollutants Other Criteria PollutantsUnitOther UnitMaximum ValueMinimum ValueClassification of inland water body
(1.)DOmg/l00C
(2.)BODmg/l00C
(3.)pHNA00C
(4.)CODmg/l00C
    14.4.     No. of Ambient Noise monitoring locations : 4
S. No.Parameter UnitMaximum ValueMinimum ValuePrescribed Standard
(1.)Leq(Night)A-weighted decibels(dB(A))53.641.355
(2.)Leq(Day)A-weighted decibels(dB(A))64.250.165
    14.5.     No. of Soil Sample Monitored locations : 3
S. No.Parameter UnitOther UnitMaximum ValueMinimum Value
(1.)pH7.717.58
(2.)P(Phosphorus)Milligram per Kilogram18.7214.80
(3.)K(Potassium)Milligram per Kilogram216.40203.41
(4.)N(Nitrogen)Milligram per Kilogram232.73212.14
(5.)Electric ConductivityOthersMicro mhos per cm273.47241.45
14.6.
Details of Ground Water Table:
(a)Range of Water Table Pre-Monsoon Season (Meters Below Ground Level (m bgl)) From 2.7 To 23.40
(b)Range of Water Table Post-Monsoon Season (Meters Below Ground Level (m bgl)) From 1.48 To 14.28
(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.)Surface23300 Not Appliacble PipelineIntake WellN/A01 Feb 20190
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.)N/A00N/AGreen Belt Renewal Plant0
16.1.
(a)Total Waste Water Generation 0
(b)Total Discharged Water 0
(c)Total Reused Water 0
    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.)N/AIndustrial Waste0Tons0RoadAuthorized Recyclers
18.
    18.1.     Air Quality Impact Prediction
S. No.Criteria Pollutants Other Criteria PollutantsUnitBaseline ConcentrationDistance GLCIncremental ConcentrationTotal GLCPrescribed Standard
(1.)PM2.5Microgram per Meter Cube00058.660
(2.)PM10Microgram per Meter Cube00096.5100
(3.)NOxMicrogram per Meter Cube00026.380
(4.)SO2Microgram per Meter Cube00019.180
    18.2.     Stack Details
S. No.Source FuelStack Height(m)Stack Diameter(m)PollutantsOther PollutantsEmission (GLS)
(1.)N/AN/A00PM100
19.
Power Requirement:
(a)Quantity (Kilo Volt Amps (kVA)) 0
(b)Source N/A
(c)Uploaded Copy of Agreement Not Applicable
(d)Standby Arrangement (Details of DG Sets) N/A
(e)Stack Height (in m) 0
20.
Land Ownership Pattern:
(a)Forest Land 41.82
(b)Private Land 255.55
(c)Government Land 39.35
(d)Revenue Land 0
(e)Other Land 0
    Total Land 336.72
21.
Present Land Use Breakup of the Study Area in Ha:
(a)Agriculture Area 276.22
(b)Waste/Barren Land 0
(c)Grazing/ Community Land 0
(d)Surface Water Bodies 18.68
(e)Settlements 0
(f)Industrial 0
(g)Forest 41.82
(h)Mangroves 0
(i)Marine Area 0
(j)Others : N/A 0
    Total 336.72
    22.     Land requirement for various activities
S. No.Description of Activity / Facility / Plant / Others OthersLand RequirementRemarks
(1.)Green belt62
Total 62
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 AreaN/A0N/A
(2.)ESAsN/A0N/A
(3.)CorridorsN/A0N/A
(4.)Wildlife CorridorsN/A0N/A
(5.)ESZsN/A0N/A
(6.)WLSSailana WLS3.2-
(7.)NPAN/A0N/A
    23.2.     Details of Environmental Sensitivity :
S. No.Details of Environmental Sensitivity Other Details of Environmental Sensitivity NameDistance from the Project (Km)Remarks
(1.)ForestProtected Forest0along crossing of rail/road/canal
(2.)Defence InstallationsN/A0N/A
(3.)Archaeological SitesN/A0N/A
23.3.
(a)Whether Noc / Permission from the competent authority is required? No
(b)Whether NBWL recommendation is required? Yes
(i)Status of NBWL NIL
24.
Forest Land:
Whether any Forest Land involved? Yes
(a)Forests Clearance Status Application for Forest Clearance yet to be submitted
(b)Legal Status of Forest Land Protected
25.
Tree Cutting:
(a)No. of Trees Cut for the Project (if Forest Land not Involved) 2438
(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) 336.72
(b)Land yet to be acquired(Ha) 0
(c)Status of Land acquisition if not acquired N/A
27.
Rehabilitation and Resettlement (R&R):
(a)No. of Villages 16
(b)No. of Households 2407
(c)No. of PDFs (Project Displaced Families) 92
(d)No. of PAFs (Project Affected Families) 516
(e)Funds Allocated for R&R(in Rs) 203.82
(f)Status of R&R In-Progress
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 ? Yes
(i)Details of Water Bodies in Core Area 23 Nalas, 01 Distributary, 08 Pond and 01 other water body
(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 ? No
31.
Manpower Requirement:
(a)Permanent Employment-During Construction 50
(b)Permanent Employment-During Operation 40
(c)Temporary Employment- During Construction 50
(d)Temporary Employment- During Operation 40
(e)No. of working days 340
(f)Total Manpower 180
32.
Green Belt in Ha:
(a)Total Area of Green Belt 62
(b)Percentage of Total Project Area 18.41
(c)No. of Plants to be Planted 18600
(d)Funds Allocated for Plantation 25000000
(e)Uploaded Green Belt plan Copy of Green Belt Plan
    33.         Project Benefits
S. No.Type of Project Benefits Details of Project Benefits
(1.)Environmental• Faster transportation will ultimately lead to massive savings in the form of reduced wear and tear of vehicles, reduced vehicle operating costs (VOCs) and total reduction in transportation costs etc
(2.)SocialEmployment Generation
   34.   CRZ Specific Details : Not Applicable
   35.   Sector Specific Details For New Construction Projects and  Industrial  Estates
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) 0
(e)Total built up area (sqm) 0
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 0
(d)Capacity 0
4.
Parking:
(a)Details of 4 Wheeler/ 2 Wheeler Parking NA
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 23 Nalas, 01 Distributary, 08 Pond and 01 other wa
(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 31
9.
Details Bridges/ROB/Interchanges,Flyovers,Vehicle Underpass and Pedestrian Underpass
(a)Total No. of Bridges 10
(b)Total No. of ROB 1
(c)Total No. of Interchanges 2
(d)Total No. of Flyovers 0
(e)Total No. of Vehicle Underpass 2
(f)Total No. of Pedestrian Underpass 0
(g)Details of other utilities rail and road corridors VOP: 01, LVUP:03, SVUP:09
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. NABET/EIA/1619/IA0018
(ii)Name of the EIA Consultant Enviro Infra Solutions Pvt. Ltd.
(iii)Address 301,302 & 305, SRBC, Plot No. INS - 12, Sector - 9,Vasundhara, Ghaziabad. (U.P.) - 201012
(iv)Mobile No. 9818922344
(v)Landline No. 0120415118
(vi)Email Id eis@enviroinfrasolutions.com
(vii)Category of Accreditation A
(viii)Sector of Accreditation New Construction Projects and  Industrial  Estates
(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
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 Copy of Additional File
Additional Detail Sought
Sno. ADS Letter Remarks Date of ADS
1.NAThe EAC, after detailed examination of the information and report furnished by the PP on the above mentioned points at 3.2.3, and deferred the project for want of following information. (i) The cumulative impacts of the project activities on the habitat of wildlife, such as Lesser Florian to be addressed in detail as mentioned below: • Direct loss of habitat at intersection locations particularly on account of damage to the existing vegetation due to construction activities and transport. • Degradation of habitat quality due to construction activities and construction camps, and human use of water resources. • Interference of noise generated due to construction and transport to the communication systems of the wildlife. • Fragmentation in the grassland areas may reduce home ran 12 Mar 2019
2. ADS LetterThe cumulative impacts of the project activities on the habitat of wildlife such as Lesser Florian in Sailana Wildlife Sanctuary and the detailed conservation plan in consultation with the State Chief Wildlife Warden with required budget provisions and year wise activities has been prepared and attached for grant of Environmental Clearance. 16 Jul 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 Applicant
DesignationGeneeral Manager
Name of Company (Applicant Name should not be given here)National Highways Authority of India
AddressG-5 & 6, Sector-10, Dwarka, New DElhi-110075
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