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 Commercial/Office Building "MGF Centre"
(b)Name of the Company / Organisation KAYO DEVELOPERS PVT LTD
(c)Registered Address 4/17-B, Asaf Ali Road, New Delhi-110002
(d)Legal Status of the Company Private
(e)Joint Venture No
2.
Address for the correspondence:
(a)Name of the Applicant Neeraj Jain
(b)Designation (Owner/ Partner/ CEO) AuthorisedSignatory
(c)Address 4/17-B, Asaf Ali Road, New Delhi,,Connaught Place,New Delhi,Delhi-110002
(d)Pin code 110002
(e)E-mail kayo@mgfindia.com
(f)STD Code. 11(f)Telephone No. 45322238
(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/110554/2019
(d)Master Proposal Number(Single Window) SW/110550/2019
(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. Rec. 35 Killa no. 23/1 (2-13), Rec 51 Killa no. 3/
(b)Pincode 122011
(c)Bounded Latitudes (North) FROM 3144938.89 To 3145159.34
(d)Bounded Longitudes (East) FROM 705157.80 To 705246.99
(e)Survey of India Topo Sheet No. 53 H/03
(f)Uploaded Topo Sheet File Copy of Topo Sheet File
(g)Maximum Elevation Above Means Sea Level(AMSL) 240
(h)Uploaded (kml) File Copy of Kml File      
(i)Distance of Nearest HFL from the project boundary within the study area 0.10
(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.)HaryanaGurgaonGurgaonGhata
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 Since, it is Building Construction Project, Hence,
(c)Supporting Document Copy of Supporting Document
8.
Details of Project Configuration/Product:
     8.1.       Project Configuration
S. No.Plant/Equipment/FacilityConfigurationRemarks
(1.)No. of Basement2 no.
(2.)No. of Floors24 No.
(3.)No. of Towers1 no.
(4.)No. of Basement2 no.
     8.2.       Product
S. No.Product/Activity (Capacity/Area)QuantityUnitOther UnitMode of Transport / Transmission of ProductOther Mode of Transport / Transmission of Product
(1.)Total Plot Area14771Otherssquare metersOthersNot Applicable
(2.)Net Plot Area13188Otherssquare metersOthersNot Applicable
(3.)Total Built-up Area88549.25Otherssquare metersOthersNot Applicable
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 01 Jan 2019
(iv)Valid Upto 31 Jul 2019
(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) 356.14
(b) Funds Allocated for Environment Management (Capital) (in Crores) 2.48
(c) Funds Allocated Towards CER (Corporate Environment Responsibility) (in Crores) 7.12
(d) Funds Allocated for Environment Management Plan (EMP) (Recurring per Annum) (in Crores) 0.209
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.)000OthersNot Applicable0OthersNot Applicable0 MoUCopy of Linkage
14.
Baseline Data :
(a)Period of Base Line Data Collection FROM 09 Jun 2019 To 15 Jun 2019
(b)Season Summer
    14.1.     No. of ambient Air Quality (AAQ) monitoring locations : 1
S. No.Criteria Pollutants Other Criteria PollutantsUnitMaximum ValueMinimum Value98 Percentile ValuePrescribed Standard
(1.)PM10Micro Gram per Meter Cube140.1138.2139.1100
(2.)PM2.5Micro Gram per Meter Cube96.392.495.360
(3.)NOxMicro Gram per Meter Cube32.430.131.480
(4.)SO2Micro Gram per Meter Cube8.68.37.680
    14.2.     No. of Ground Water monitoring locations : 1
S. No.Criteria Pollutants Other Criteria PollutantsHeavy MetalUnitOther UnitMaximum ValueMinimum ValueDesirable LimitMaximum Permissible Limit
(1.)pHNA7.77.78.58.5
(2.)Heavy MetalsLeadmg/l000.010.01
(3.)TDSmg/l319.4319.45002000
(4.)Total Hardnessmg/l184184200200
(5.)TSSmg/l0011
(6.)Fluoridemg/l0.220.2211
(7.)Chloridesmg/l9090250250
    14.3.     No. of Surface Water monitoring locations : 1
S. No.Criteria Pollutants Other Criteria PollutantsUnitOther UnitMaximum ValueMinimum ValueClassification of inland water body
(1.)BODmg/l7979E
(2.)CODmg/l272272E
(3.)pHNA7.37.3E
(4.)DOmg/l3.23.2E
    14.4.     No. of Ambient Noise monitoring locations : 1
S. No.Parameter UnitMaximum ValueMinimum ValuePrescribed Standard
(1.)Leq(Day)A-weighted decibels(dB(A))61.761.765
(2.)Leq(Night)A-weighted decibels(dB(A))58.658.655
    14.5.     No. of Soil Sample Monitored locations : 1
S. No.Parameter UnitOther UnitMaximum ValueMinimum Value
(1.)Electric ConductivityOthersMicro seiemens per centimetre254.8254.8
(2.)pH7.67.6
(3.)N(Nitrogen)Milligram per Kilogram87.687.6
(4.)P(Phosphorus)Milligram per Kilogram18.618.6
(5.)K(Potassium)Milligram per Kilogram32.632.6
14.6.
Details of Ground Water Table:
(a)Range of Water Table Pre-Monsoon Season (Meters Below Ground Level (m bgl)) From 3.3 To 79.70
(b)Range of Water Table Post-Monsoon Season (Meters Below Ground Level (m bgl)) From 3.05 To 77.5
(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.)OthersGurugram Metropolitan Development Authority3430Copy of Permission LetterPipelineOthersPipelineMemo no. 351625 Jun 2019378
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, Flushing, Gardening, Cooling etc.194240STPOthersRecycle within the plant & 10 KLD Water Losses18410
16.1.
(a)Total Waste Water Generation 194
(b)Total Discharged Water 10
(c)Total Reused Water 184
    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.)Biodegradable WasteMunicipal Solid Waste251Tons0.8RoadOrganic Waste ConvertorOthersOrganic Waste Convertor
(2.)Non-Biodegradable WasteMunicipal Solid Waste373Tons0.8RoadAuthorized Recyclers
(3.)Used OilHazardous Waste (as per Hazardous and Other Waste Management rules 2016)0.624Kilolitre0.1RoadOthersAuthorised Vendors
18.
    18.1.     Air Quality Impact Prediction
S. No.Criteria Pollutants Other Criteria PollutantsUnitBaseline ConcentrationDistance GLCIncremental ConcentrationTotal GLCPrescribed Standard
(1.)PM2.5Microgram per Meter Cube94.40.80.5594.9660
(2.)NOxMicrogram per Meter Cube31.30.80.6531.9680
(3.)PM10Microgram per Meter Cube139.20.80.65139.9100
(4.)SO2Microgram per Meter Cube8.50.80.28.7180
    18.2.     Stack Details
S. No.Source FuelStack Height(m)Stack Diameter(m)PollutantsOther PollutantsEmission (GLS)
(1.)DG Sets (1x1010 kVA)Low Sulphur Diesel300.45PM100.223
(2.)DG Sets (1x1010 kVA)LowSulphur Diesel300.45SO20.114
(3.)DG Sets (3x2000 kVA)Low Sulphur Diesel300.45PM100.223
(4.)DG Sets (1x1010 kVA)Low Sulphur Diesel300.45OthersPM2.50.169
(5.)DG Sets (3x2000)Low Sulphur Diesel300.45SO20.114
(6.)DG Sets (3x2000 kVA)Low Sulphur Diesel300.45OthersPM2.50.169
(7.)DG Sets (3x2000 kVA)Low Sulphur Diesel300.45NOx0.302
(8.)DG Sets (1x1010 kVA)Low Sulphur Diesel300.45NOx0.302
19.
Power Requirement:
(a)Quantity (Kilo Volt Amps (kVA)) 5228.04
(b)Source DHBVN
(c)Uploaded Copy of Agreement Copy of Agreement
(d)Standby Arrangement (Details of DG Sets) 3x2000 kVA and 1x1010 kVA
(e)Stack Height (in m) 123
20.
Land Ownership Pattern:
(a)Forest Land 0
(b)Private Land 0
(c)Government Land 0
(d)Revenue Land 0
(e)Other Land 1.4771
    Total Land 1.4771
21.
Present Land Use Breakup of the Study Area in Ha:
(a)Agriculture Area 0
(b)Waste/Barren Land 0
(c)Grazing/ Community Land 0
(d)Surface Water Bodies 0
(e)Settlements 0
(f)Industrial 0
(g)Forest 0
(h)Mangroves 0
(i)Marine Area 0
(j)Others : Total Plot Area 1.4771
    Total 1.4771
    22.     Land requirement for various activities
S. No.Description of Activity / Facility / Plant / Others OthersLand RequirementRemarks
(1.)OthersTotal Plot Area1.4771
Total 1.4771
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.)ESZsAsola Wildlife Sanctuary6.73It is in E Direction of Project Site.
(2.)Wildlife CorridorsNone0NA
(3.)WLSNone0NA
(4.)NPANone0NA
(5.)ESAsNone0NA
(6.)Critically Polluted AreaNone0NA
(7.)CorridorsNone0NA
    23.2.     Details of Environmental Sensitivity :
S. No.Details of Environmental Sensitivity Other Details of Environmental Sensitivity NameDistance from the Project (Km)Remarks
(1.)Archaeological SitesSarai Allawardi Masjid, Gurgaon11.84It is in NW Direction of Project Site
(2.)ForestNone0NA
(3.)Defence InstallationsNone0NA
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) 1.4771
(b)Land yet to be acquired(Ha) 0
(c)Status of Land acquisition if not acquired 0
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 Li Nala
(ii)Direction of Water Bodies in Buffer Area South
(iii)Distance of Water Bodies in Buffer Area 0.10
31.
Manpower Requirement:
(a)Permanent Employment-During Construction 0
(b)Permanent Employment-During Operation 0
(c)Temporary Employment- During Construction 300
(d)Temporary Employment- During Operation 5099
(e)No. of working days 300
(f)Total Manpower 5399
32.
Green Belt in Ha:
(a)Total Area of Green Belt 0.3297
(b)Percentage of Total Project Area 22.32
(c)No. of Plants to be Planted 170
(d)Funds Allocated for Plantation 10
(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 will be generated.
(2.)FinancialRevenue and tax will be generated.
(3.)Environmental3297 m2 (25 % of total net plot area) shall be developed which shall reduce pollution load in the nearby areas.
   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) 117
(b)Total No. of Flats to be Build 0
(c)No. of Buildings 1
(d)Total plot area (sqm) 14771
(e)Total built up area (sqm) 88549.25
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 7
(d)Capacity 275
4.
Parking:
(a)Details of 4 Wheeler/ 2 Wheeler Parking 1016
5.
Energy Saving Measures:
(a)Source/Mode Solar, LED etc.
(b)Percentage 18.9
(c)Quantity 0
6.
Other details:
(a)Details of impact on Water Bodies and Drainage patters of catchment area There will be no excess water which will be discha
(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. Rev. no. 77/10th June,2019 at S.No. 120
(ii)Name of the EIA Consultant Perfact Enviro Solutions Pvt. Ltd.
(iii)Address 5th Floor, NN Mall, Mangalam Place, Sector-3, Rohini
(iv)Mobile No. 9818362330
(v)Landline No. 0114928136
(vi)Email Id info@perfactgroup.in
(vii)Category of Accreditation A
(viii)Sector of Accreditation Infrastructure and Miscellaneous Projects  +  CRZ
(ix)Validity of Accreditation 21 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 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 ApplicantNeeraj Jain
DesignationAuthorisedSignatory
Name of Company (Applicant Name should not be given here)KAYO DEVELOPERS PVT LTD
Address4/17-B, Asaf Ali Road, New Delhi
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