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) Expansion of Affordable Group Housing Project
(b)Name of the Company / Organisation M/S FOREVER BUILDTECH PRIVATE LIMITED
(c)Registered Address C-84, Ashok vihar,Phase-I, New Delhi,,Gurgaon,Maharashtra-110052
(d)Legal Status of the Company Private
(e)Joint Venture No
2.
Address for the correspondence:
(a)Name of the Applicant Sanjay Varshney
(b)Designation (Owner/ Partner/ CEO) Owner
(c)Address Village-Wazirpur, Sector-95A,,Gurgaon,Gurgaon,Haryana-110052
(d)Pin code 110052
(e)E-mail foreverbuildtech95@gmail.com
(f)STD Code. 120(f)Telephone No. 4044630
(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 Activity
(b)Category B2
   Reason for Applying at Ministry SEIAA
(c)Proposal Number IA/HR/MIS/79696/2018
(d)Master Proposal Number(Single Window) SW/79674/2018
(e)EAC concerned (for category A Projects only) INFRA-2
(f)Project Type Expansion
4.
Location of the Project:
(a)Plot/Survey/Khasra No. Village-Wazirpur, Sector-95A, Gurgaon, Haryana
(b)Pincode 122505
(c)Bounded Latitudes (North)
From
Degree 282524.71
Minutes
Second
From
Degree 28253362
Minutes
Second
(d)Bounded Longitudes (East)
From
Degree 765458.03
Minutes
Second
From
Degree 76557.53
Minutes
Second
(e)Survey of India Topo Sheet No. 53D15
(f)Uploaded Topo Sheet File Copy of Topo Sheet File
(g)Maximum Elevation Above Means Sea Level(AMSL) 221
(h)Uploaded (kml) File Copy of Kml File      
(i)Distance of Nearest HFL from the project boundary within the study area 213
(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 of the project
S. No. State Name District Name Tehsil Name Village Name
NIL
6.
Details of Terms of Reference (ToR)/EC:
(a)MoEF&CC / SEIAA File Number 21-84/2018-IA-III
(c)Date of Issue of TOR 21 Sep 2018
(f)Previous TOR Letter Copy of Previous TOR letter
(b)Date of Apply of EC 25 Sep 2018
(c)Date of Issue of EC 28 Jan 2019
(d)Previous EC Letter Copy of Previous EC letter
7.
Details of Public Consultation:
(a)Whether the Project Exempted from Public Hearing?Yes
(b)Reason 8(a) Building and Construction Project
(c)Supporting Document Copy of Supporting Document
8.
Details of Project Configuration/Product:
Details Not 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):
(a)Details of certified report on compliance of earlier environmental clearance condition
(i)Certified Compliance By Regional
(ii)Details of Regional Office of MoEFCC / Zonal Office of CPCB / SPCB / UTPCC from which certified report on Chandigarh
(iii)Letter No. 16-55/2017(ENV)-RO (NZ)/524
(iv)Status of Compliance Compiled
(v)Certified report on compliance of earlier environmental clearance conditions (Including Monitoring Report) Copy of Certified Compliance Report
(vi)Date of site visit Sep 25 2018 12:00AM
(b)Details of Capacity Expansion
S. No.Product/Activity (Capacity/Area)Quantity FromQuantity ToTotal UnitOther UnitMode of Transport / Transmission of ProductOther Mode of Transport / Transmission of Product
(1.)Built up area000000000Kilometers(Km)Road
(c)Details of Configuration
S. No.Plant / Equipment / Facility Existing ConfigurationProposed ConfigurationFinal configuration after expansionRemarks
(1.)affordable Group Housing Project000000000000
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 Sep 2018
(iv)Valid Upto 25 Sep 2018
(v)File No. 000
(vi)Application No. 000
(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) 160.43
(b) Funds Allocated for Environment Management (Capital) (in Crores) 1.38
(c) Funds Allocated Towards CER (Corporate Environment Responsibility) (in Crores) 0.48
(d) Funds Allocated for Environment Management Plan (EMP) (Recurring per Annum) (in Crores) 0.40
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 0
(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.)Not Applicable0Tons per Annum0Road0 Fuel Supply AgreementCopy of Linkage
14.
Baseline Data :
(a)Period of Base Line Data Collection FROM 01 May 2016 To 31 May 2016
(b)Season Pre-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.)PM10Micro Gram per Meter Cube226.4191.4225.1100
(2.)PM2.5Micro Gram per Meter Cube121.797.2121.360
(3.)OthersCOMicro Gram per Meter Cube1740127017154000
(4.)SO2Micro Gram per Meter Cube11.79.311.680
(5.)NOxMicro Gram per Meter Cube26.620.726.580
    14.2.     No. of Ground Water monitoring locations : 1
S. No.Criteria Pollutants Other Criteria PollutantsHeavy MetalUnitOther UnitMaximum ValueMinimum ValueDesirable LimitMaximum Permissible Limit
(1.)TSSNA0000
(2.)TDSNA0000
(3.)Total HardnessNA0000
(4.)FluorideNA0000
(5.)Heavy Metals0NA0000
(6.)pHOthersunitless0000
(7.)ChloridesNA0000
(8.)Others0NA0000
    14.3.     No. of Surface Water monitoring locations : 1
S. No.Criteria Pollutants Other Criteria PollutantsUnitOther UnitMaximum ValueMinimum ValueClassification of inland water body
(1.)pHNA00A
(2.)DONA00A
(3.)BODNA00A
(4.)Others0NA00A
(5.)CODNA00A
    14.4.     No. of Ambient Noise monitoring locations : 1
S. No.Parameter UnitMaximum ValueMinimum ValuePrescribed Standard
(1.)Leq(Day)A-weighted decibels(dB(A))60.860.855
(2.)Leq(Night)A-weighted decibels(dB(A))46.146.145
    14.5.     No. of Soil Sample Monitored locations : 1
S. No.Parameter UnitOther UnitMaximum ValueMinimum Value
(1.)P(Phosphorus)OthersNA00
(2.)Electric ConductivityMillisiemens per Centimetre512512
(3.)K(Potassium)Milliequivalents per 100 Gram0.360.36
(4.)N(Nitrogen)Percent0.0540.054
(5.)pHOthersunitless7.827.82
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 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.)OthersHUDA71017.6Copy of Permission LetterPipelineOthersHUDA water supply214061,214971,21497015 Nov 20171104
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 waste water579700MBBROthersDirectly discharge to external sewer5790
16.1.
(a)Total Waste Water Generation (Kilolitre per Day) 579
(b)Total Discharged Water (Kilolitre per Day) 0
(c)Total Reused Water (Kilolitre per Day) 579
    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 Waste1490.66Tons0RoadTreatment, 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 Cube121.77000121.760
(2.)SO2Microgram per Meter Cube11.77000.2711.9780
(3.)NOxMicrogram per Meter Cube26.67002.2628.8680
(4.)PM10Microgram per Meter Cube226.47000.81227.21100
(5.)Others(Specify)COMicrogram per Meter Cube17407000.8361740.8364000
    18.2.     Stack Details
S. No.Source FuelStack Height(m)Stack Diameter(m)PollutantsOther PollutantsEmission (GLS)
(1.)DG setslow sulphur diesal65.670.245SO20.27
(2.)DG setslow sulphur diesal65.670.245PM100.81
(3.)DG setslow sulphur diesal65.670.245OthersCO0.836
(4.)DG setslow sulphur diesal65.670.245NOx2.26
19.
Power Requirement:
(a)Quantity (Kilo Volt Amps (kVA)) 10871.25
(b)Source DHBVN
(c)Uploaded Copy of Agreement Copy of Agreement
(d)Standby Arrangement (Details of DG Sets) 800 kVA (2 X 400 kVA)
(e)Stack Height (in m) 65.67
20.
Land Ownership Pattern:
(a)Forest Land (ha.) 0
(b)Private Land (ha.) 0
(c)Government Land (ha.) 0
(d)Revenue Land (ha.) 0
(e)Other Land (ha.) 4.27
    Total Land (ha.) 4.27
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.) : Plot area 4.27
    Total (ha.) 4.27
    22.     Land requirement for various activities
S. No.Description of Activity / Facility / Plant / Others OthersLand Requirement (ha.)Remarks
(1.)Othersplot area4.27
Total (ha.) 4.27
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.)Critically Polluted AreaNA000
(2.)ESAsNA00
(3.)NPANA00
(4.)ESZsNA00
(5.)WLSSultanpur Bird Sanctuary40
(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.)Archaeological SitesNA00
(2.)ForestNA00
(3.)OthersNANA00
(4.)Defence InstallationsNA00
23.3.
(a)Whether Noc / Permission from the competent authority is required? Yes
(i)Uploaded Noc / Permission from the competent authority Copy of Noc / Permission from the competent authority
(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) 4.27
(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 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 ? 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 ? No
31.
Manpower Requirement:
(a)Permanent Employment-During Construction 75
(b)Permanent Employment-During Operation 75
(c)Temporary Employment- During Construction 75
(d)Temporary Employment- During Operation 75
(e)No. of working days 725
(f)Total Manpower 300
32.
Green Belt in Ha:
(a)Uploaded Green Belt plan Copy of Green Belt Plan
S. No.Description ExistingProposedTotal
(1.)Total Area of Green Belt6511.723318.2439829
(2.)Percentage of Total Project Area21.63.6424
(3.)No. of Plants12003651565
(4.)Funds Allocated021423042142304
    33.         Project Benefits
S. No.Type of Project Benefits Details of Project Benefits
(1.)Socialemployment oppotunities
   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) 59.67
(b)Total No. of Flats to be Build 1532
(c)No. of Buildings 12
(d)Total plot area (sqm) 42755.982
(e)Total built up area (sqm) 97321.212
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 15
(d)Capacity 24.8
4.
Parking:
(a)Details of 4 Wheeler/ 2 Wheeler Parking 768
5.
Energy Saving Measures:
(a)Source/Mode Solar power system & LED
(b)Percentage 1
(c)Quantity 108.71
6.
Other details:
(a)Details of impact on Water Bodies and Drainage patters of catchment area no impact
(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. NABET/EIA/1619/RA 0064
(ii)Name of the EIA Consultant Grass Roots Research & Creation India Pvt. Ltd
(iii)Address F-375 Sector 63 Noida, UP
(iv)Mobile No. 8377904041
(v)Landline No. 0120404463
(vi)Email Id eia@grc-india.com
(vii)Category of Accreditation A
(viii)Sector of Accreditation INFRA-2
(ix)Validity of Accreditation 04 Dec 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
(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 ApplicantSanjay Varshney
DesignationOwner
Name of Company (Applicant Name should not be given here)M/S FOREVER BUILDTECH PRIVATE LIMITED
AddressC-84, Ashok vihar,Phase-I, New Delhi
Print