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) Redevelopment of Existing Motel building
(b)Name of the Company / Organisation M/S UNIQUE INNOVATION PRIVATE LIMITED
(c)Registered Address 222/223 , Mehrauli Gurgaon Road,New Delhi,South West,Delhi-110030
(d)Legal Status of the Company Private
(e)Joint Venture No
2.
Address for the correspondence:
(a)Name of the Applicant Lalit Kumar
(b)Designation (Owner/ Partner/ CEO) AuthorisedSignatory
(c)Address 222/223 , Mehrauli Gurgaon Road,New Delhi,Vasant Vihar,South West,Delhi-110030
(d)Pin code 110030
(e)E-mail fin@lutyensresort.com
(f)STD Code. 11(f)Telephone No. 46048053
(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.I)Project/Activity8(a) Building and Construction projects
Minor Activity8(a) Building and Construction projects
(b)Category B2
   Reason for Applying at Ministry SEIAA
(c)Proposal Number IA/DL/MIS/78285/2018
(d)Master Proposal Number(Single Window) SW/78274/2018
(e)EAC concerned (for category A Projects only) INFRA-2
(f)Project Type Fresh EC
4.
Location of the Project:
(a)Plot/Survey/Khasra No. 220 min,221,221/1,223/2, and 225 min
(b)Pincode 110030
(c)Bounded Latitudes (North)
From
Degree 3154679.62
Minutes
Second
From
Degree 3154864.41
Minutes
Second
(d)Bounded Longitudes (East)
From
Degree 712359.39
Minutes
Second
From
Degree 712543.23
Minutes
Second
(e)Survey of India Topo Sheet No. 53H/02
(f)Uploaded Topo Sheet File Copy of Topo Sheet File
(g)Maximum Elevation Above Means Sea Level(AMSL) 265
(h)Uploaded (kml) File Copy of Kml File      
(i)Distance of Nearest HFL from the project boundary within the study area 263
(j)Seismic Zone 4
5.
(a)Number of States in which Project will be Executed 1
(b)Main State of the project Delhi
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 No
7.
Details of Public Consultation:
(a)Whether the Project Exempted from Public Hearing?Yes
(b)Reason As per EIA Notification 2006, all the building con
(c)Supporting Document Copy of Supporting Document
8.
Details of Project Configuration/Product:
     8.1.       Project Configuration
S. No.Plant/Equipment/FacilityConfigurationRemarks
(1.)guest rooms152
     8.2.       Product
S. No.Product/Activity (Capacity/Area)QuantityUnitOther UnitMode of Transport / Transmission of ProductOther Mode of Transport / Transmission of Product
(1.)built-up area44563.495Otherssquare meterOthersNA
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 15 May 2014
(iv)Valid Upto 02 Mar 2019
(v)File No. 0-022353
(vi)Application No. DPCC/CMC/2014/34159
(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) 25
(b) Funds Allocated for Environment Management (Capital) (in Crores) 0.85
(c) Funds Allocated Towards CER (Corporate Environment Responsibility) (in Crores) 0.25
(d) Funds Allocated for Environment Management Plan (EMP) (Recurring per Annum) (in Crores) 0.145
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.)cement650Tons per AnnumindigeneousRoad200 Open MarketCopy of Linkage
(2.)Aggregate800Tons per AnnumindigeneousRoad200 Open MarketCopy of Linkage
(3.)Coarse Aggregate4000Tons per AnnumindigeneousRoad200 Open MarketCopy of Linkage
14.
Baseline Data :
(a)Period of Base Line Data Collection FROM 07 May 2018 To 12 May 2018
(b)Season Summer
    14.1.     No. of ambient Air Quality (AAQ) monitoring locations : 2
S. No.Criteria Pollutants Other Criteria PollutantsUnitMaximum ValueMinimum Value98 Percentile ValuePrescribed Standard
(1.)PM2.5Micro Gram per Meter Cube121.8112.4118.360
(2.)SO2Micro Gram per Meter Cube8.27.38.180
(3.)NOxMicro Gram per Meter Cube40.135.239.680
(4.)PM10Micro Gram per Meter Cube191.6186.9191.2100
    14.2.     No. of Ground Water monitoring locations : 1
S. No.Criteria Pollutants Other Criteria PollutantsHeavy MetalUnitOther UnitMaximum ValueMinimum ValueDesirable LimitMaximum Permissible Limit
(1.)Fluoridemg/l0.850.851.01.0
(2.)pHNA7.57.58.58.5
(3.)TDSmg/l529.8529.8500500
(4.)Total Hardnessmg/l200200200200
(5.)Chloridesmg/l3232250250
(6.)TSSOthersNot Detected0000
    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/l4.54.5C
(2.)BODmg/l3232C
(3.)CODmg/l120120D
(4.)pHNA7.47.4D
    14.4.     No. of Ambient Noise monitoring locations : 1
S. No.Parameter UnitMaximum ValueMinimum ValuePrescribed Standard
(1.)Leq(Night)A-weighted decibels(dB(A))54.654.655
(2.)Leq(Day)A-weighted decibels(dB(A))60.860.865
    14.5.     No. of Soil Sample Monitored locations : 1
S. No.Parameter UnitOther UnitMaximum ValueMinimum Value
(1.)Electric ConductivityOthersMicrosiemens per Centimeter122.8122.8
(2.)pHOthersNA8.158.15
(3.)P(Phosphorus)Milligram per Kilogram64.764.7
(4.)K(Potassium)Milligram per Kilogram17.417.4
(5.)N(Nitrogen)Milligram per Kilogram64.464.4
14.6.
Details of Ground Water Table:
(a)Range of Water Table Pre-Monsoon Season (Meters Below Ground Level (m bgl)) From 24.05 To 6.44
(b)Range of Water Table Post-Monsoon Season (Meters Below Ground Level (m bgl)) From 25.05 To 6.11
(c)Whether Ground Water Intersection will be there ? NA
     15.      Details of Water Requirement (During Operation)
S. No.Source Source Other Required Quantity (Kilolitre per Day (Kld))Distance 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.)OthersDelhi Jal Board1760Copy of Permission LetterPipelineOthersMunicipal Supply774392100017 Aug 2016176
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.)Flushing,Domestic,Laundry and Kitchen141170STPReuse within the Plant & Recycling,Green Belt Renewal Plant,OthersIt is a zero discharge unit.12714
16.1.
(a)Total Waste Water Generation (Kilolitre per Day) 141
(b)Total Discharged Water (Kilolitre per Day) 14
(c)Total Reused Water (Kilolitre per Day) 127
    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.)E-wasteE Waste0.048Tons50RoadAuthorized Recyclers
(2.)Non BiodegradableMunicipal Solid Waste46.72Tons50RoadAuthorized Recyclers
(3.)plasticPlastic Waste9.125Tons50RoadAuthorized Recyclers
(4.)Used OilHazardous Waste (as per Hazardous and Other Waste Management rules 2016)0.288Kilolitre50RoadAuthorized Recyclers
(5.)Biodegradable WasteMunicipal Solid Waste130.305Tons0OthersNAOthersOrganic Waste Converter
18.
    18.1.     Air Quality Impact Prediction
S. No.Criteria Pollutants Other Criteria PollutantsUnitBaseline ConcentrationDistance GLCIncremental ConcentrationTotal GLCPrescribed Standard
(1.)PM2.5Microgram per Meter Cube113.850.80.3114.1560
(2.)SO2Microgram per Meter Cube7.60.80.057.6580
(3.)NOxMicrogram per Meter Cube36.40.80.5036.980
(4.)PM10Microgram per Meter Cube189.250.80.5189.75100
    18.2.     Stack Details
S. No.Source FuelStack Height(m)Stack Diameter(m)PollutantsOther PollutantsEmission (GLS)
(1.)3x750Diesel39.250.3SO20.09
(2.)3x750Diesel39.250.3OthersPM2.50.010
(3.)3x750Diesel39.250.3PM100.025
(4.)3x750Diesel39.250.3NOx0.175
19.
Power Requirement:
(a)Quantity (Kilo Volt Amps (kVA)) 1667.37
(b)Source BSES
(c)Uploaded Copy of Agreement Copy of Agreement
(d)Standby Arrangement (Details of DG Sets) 3x750 KVA
(e)Stack Height (in m) 39.25
20.
Land Ownership Pattern:
(a)Forest Land (ha.) 0
(b)Private Land (ha.) 1.483849
(c)Government Land (ha.) 0
(d)Revenue Land (ha.) 0
(e)Other Land (ha.) 0
    Total Land (ha.) 1.483849
21.
Present Land Use Breakup of the Study Area in Ha:
(a)Agriculture Area (ha.) 0
(b)Waste/Barren Land (ha.) 0
(c)Grazing/ Community Land (ha.) 0
(d)Surface Water Bodies (ha.) 0
(e)Settlements (ha.) 0
(f)Industrial (ha.) 0
(g)Forest (ha.) 0
(h)Mangroves (ha.) 0
(i)Marine Area (ha.) 0
(j)Others (ha.) : Current land use is motel Building 1.483849
    Total (ha.) 1.483849
    22.     Land requirement for various activities
S. No.Description of Activity / Facility / Plant / Others OthersLand Requirement (ha.)Remarks
(1.)OthersPlot area1.483849Plot area
Total (ha.) 1.483849
23.
Ecological and Environmental Sensitivity (Within 10 Km):- WLS-Wild Life Sanctuaries; 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.)ESAsNot applicable0Not applicable
(2.)ESZsNot applicable0Not applicable
(3.)CorridorsNot applicable0Not applicable
(4.)WLSAsola Wildlife Sanctuary2.85It is SE direction of the project si
(5.)NPANot applicable0Not applicable
(6.)Wildlife CorridorsNot applicable0Not applicable
(7.)Critically Polluted AreaNot applicable0Not applicable
    23.2.     Details of Environmental Sensitivity :
S. No.Details of Environmental Sensitivity Other Details of Environmental Sensitivity NameDistance from the Project (Km)Remarks
(1.)ForestRajokari Protected Forest4.23It is in NW direction of the project site
(2.)OthersWater BodyShmashi Talab1.37It is in NE direction of the project site
(3.)Defence InstallationsNot applicable0Not applicable
(4.)Archaeological SitesQutub Minar2.84It is in NNE direction
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) 1.483849
(b)Land yet to be acquired(Ha) 0
(c)Status of Land acquisition if not acquired Not applicable
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 INR) (in Lacs) 0
(f)Status of R&R Completed
28.
Details of Presence of Schedule-I Species:
(a)Whether there is Presence of Schedule-I Species ? Yes
(i)Details of Schedule-I Species Indian Peafowl (Pavocristatus)
(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 Shmashi Talab
(ii)Direction of Water Bodies in Buffer Area North East
(iii)Distance of Water Bodies in Buffer Area 1.37
31.
Manpower Requirement:
(a)Permanent Employment-During Construction 0
(b)Permanent Employment-During Operation 485
(c)Temporary Employment- During Construction 150
(d)Temporary Employment- During Operation 0
(e)No. of working days 365
(f)Total Manpower 635
32.
Green Belt in Ha:
(a)Total Area of Green Belt 0.3805139
(b)Percentage of Total Project Area 25.64
(c)No. of Plants to be Planted 136
(d)Funds Allocated for Plantation 14
(e)Uploaded Green Belt plan Copy of Green Belt Plan
    33.         Project Benefits
S. No.Type of Project Benefits Details of Project Benefits
(1.)Environmental30% of plot area will be developed as green
(2.)SocialProvide additional employment opportunities
(3.)FinancialAdditional revenue generation
   34.   CRZ Specific Details : Not Applicable
   35.   Sector Specific Details For INFRA-2
S. No.Item Details
1.
Details of Building Construction:
(a)Maximum Height of the Building (Meters) 34.25
(b)Total No. of Flats to be Build 0
(c)No. of Buildings 1
(d)Total plot area (sqm) 14838.49
(e)Total built up area (sqm) 44563.495
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 4
(d)Capacity 200.0
4.
Parking:
(a)Details of 4 Wheeler/ 2 Wheeler Parking 669
5.
Energy Saving Measures:
(a)Source/Mode Solar
(b)Percentage 1
(c)Quantity 15.84
6.
Other details:
(a)Details of impact on Water Bodies and Drainage patters of catchment area There will be no impact on water bodies.
(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
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 70, 11th October, 2018 at S.No. 116
(ii)Name of the EIA Consultant Perfact Enviro Solutions Pvt. Ltd.
(iii)Address Perfact Group, 5th floor/Front wing/NN Mall/Sector-3/Rohini/New Delhi-110085
(iv)Mobile No. 9818362330
(v)Landline No. 0114928136
(vi)Email Id info@perfactgroup.in
(vii)Category of Accreditation A
(viii)Sector of Accreditation INFRA-2
(ix)Validity of Accreditation 27 Nov 2018
(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
(h)Uploaded Proposal Presentation (To be given in EAC meeting) NA
      Essential Detail Sought : NIL
      Additional Detail Sought : NIL
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 ApplicantLalit Kumar
DesignationAuthorisedSignatory
Name of Company (Applicant Name should not be given here)M/S UNIQUE INNOVATION PRIVATE LIMITED
Address222/223 , Mehrauli Gurgaon Road
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