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) "IT Park colony project" by M/s Penthea Builders & Developers Pvt Ltd
(b)Name of the Company / Organisation PENTHEA BUILDERS AND DEVELOPERS PRIVATE LIMITED
(c)Registered Address 114, Golf Links New Delhi,,New Delhi,Delhi-110003
(d)Legal Status of the Company Private
(e)Joint Venture No
2.
Address for the correspondence:
(a)Name of the Applicant BB Sahu
(b)Designation (Owner/ Partner/ CEO) Manager
(c)Address 114, Golf Links,,Connaught Place,New Delhi,Delhi-110003
(d)Pin code 110003
(e)E-mail pentheabuilders2018@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 Activity8(a) Building and Construction projects
(b)Category B2
   Reason for Applying at Ministry SEIAA
(c)Proposal Number IA/HR/MIS/85349/2018
(d)Master Proposal Number(Single Window) SW/85348/2018
(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. Village Begumpur Khatola Sector - 74 Gurugram
(b)Pincode 122004
(c)Bounded Latitudes (North)
From
Degree 28.411130
Minutes
Second
From
Degree 28.411153
Minutes
Second
(d)Bounded Longitudes (East)
From
Degree 77.012525
Minutes
Second
From
Degree 77.013192
Minutes
Second
(e)Survey of India Topo Sheet No. H43X3
(f)Uploaded Topo Sheet File Copy of Topo Sheet File
(g)Maximum Elevation Above Means Sea Level(AMSL) 226
(h)Uploaded (kml) File Copy of Kml File      
(i)Distance of Nearest HFL from the project boundary within the study area 212
(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):
(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 public hearing is not
(c)Supporting Document Copy of Supporting Document
8.
Details of Project Configuration/Product:
     8.1.       Project Configuration
S. No.Plant/Equipment/FacilityConfigurationRemarks
(1.)NANANA
     8.2.       Product
S. No.Product/Activity (Capacity/Area)QuantityUnitOther UnitMode of Transport / Transmission of ProductOther Mode of Transport / Transmission of Product
(1.)NA0OthersNAOthersNA
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) 300
(b) Funds Allocated for Environment Management (Capital) (in Crores) 1.5
(c) Funds Allocated Towards CER (Corporate Environment Responsibility) (in Crores) 7
(d) Funds Allocated for Environment Management Plan (EMP) (Recurring per Annum) (in Crores) .35
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 00
(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.)0000OthersNA0Road00 OthersNACopy of Linkage
14.
Baseline Data :
(a)Period of Base Line Data Collection FROM 01 Oct 2018 To 31 Oct 2018
(b)Season Post-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 Cube247.6174.7246.6100
(2.)PM2.5Micro Gram per Meter Cube141.999.3120.560
(3.)NOxMicro Gram per Meter Cube77.340.65380
(4.)SO2Micro Gram per Meter Cube11.66.88.680
(5.)OthersCOMicro Gram per Meter Cube191094018764000
    14.2.     No. of Ground Water monitoring locations : 0
S. No.Criteria Pollutants Other Criteria PollutantsHeavy MetalUnitOther UnitMaximum ValueMinimum ValueDesirable LimitMaximum Permissible Limit
(1.)pHNA0000
(2.)TSSNA0000
(3.)TDSNA0000
(4.)Total HardnessNA0000
(5.)ChloridesNA0000
(6.)FluorideNA0000
(7.)Heavy MetalsHGNA0000
    14.3.     No. of Surface Water monitoring locations : 0
S. No.Criteria Pollutants Other Criteria PollutantsUnitOther UnitMaximum ValueMinimum ValueClassification of inland water body
(1.)pHNA00A
(2.)DONA00A
(3.)BODNA00A
(4.)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))64.264.265
(2.)Leq(Night)A-weighted decibels(dB(A))54.154.155
    14.5.     No. of Soil Sample Monitored locations : 1
S. No.Parameter UnitOther UnitMaximum ValueMinimum Value
(1.)pHOthersNA7.657.65
(2.)N(Nitrogen)Percent0.0410.041
(3.)P(Phosphorus)Milligram per Kilogram7.37.3
(4.)K(Potassium)Milliequivalents per 100 Gram0.670.67
(5.)Electric ConductivityOthersµmhos/cm394394
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.)OthersHUDA3740.500Copy of Permission LetterPipelineOthersHUDA Supply995016 May 2016376
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.)Waste Water254300MBBRReuse within the Plant & Recycling254
16.1.
(a)Total Waste Water Generation (Kilolitre per Day) 254
(b)Total Discharged Water (Kilolitre per Day) 0
(c)Total Reused Water (Kilolitre per Day) 254
    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.)Municipal SolidMunicipal Solid Waste603.71Tons10RoadTreatment, 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 Cube00000
(2.)NOxMicrogram per Meter Cube77.3006.14783.44780
(3.)PM10Microgram per Meter Cube247.6000.337247.93100
(4.)SO2Microgram per Meter Cube11.6001.02112.6280
    18.2.     Stack Details
S. No.Source FuelStack Height(m)Stack Diameter(m)PollutantsOther PollutantsEmission (GLS)
(1.)DG setLSD55.20.487SO21.021
(2.)DG SetLSD55.20.487NOx6.147
(3.)DG SetLSd55.20.487PM100.337
19.
Power Requirement:
(a)Quantity (Kilo Volt Amps (kVA)) 13665.38
(b)Source Dakshin Haryana Bijli Vitran Nigam
(c)Uploaded Copy of Agreement Copy of Agreement
(d)Standby Arrangement (Details of DG Sets) There is provision of 13 no. of DG sets of total 1
(e)Stack Height (in m) 55.2
20.
Land Ownership Pattern:
(a)Forest Land (ha.) 0
(b)Private Land (ha.) 2.76
(c)Government Land (ha.) 0
(d)Revenue Land (ha.) 0
(e)Other Land (ha.) 0
    Total Land (ha.) 2.76
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.) 00
(i)Marine Area (ha.) 0
(j)Others (ha.) : Total Plot Area 2.76
    Total (ha.) 2.76
    22.     Land requirement for various activities
S. No.Description of Activity / Facility / Plant / Others OthersLand Requirement (ha.)Remarks
(1.)Built Up Area12.28buildup area
Total (ha.) 12.28
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 AreaNA0NA
(2.)WLSNA0NA
(3.)ESAsNA0NA
(4.)Wildlife CorridorsNA0NA
(5.)NPANA0NA
(6.)ESZsNA0NA
(7.)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.)ForestNA0NA
(2.)Archaeological SitesNA0NA
(3.)Defence InstallationsNA0NA
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) 2.76
(b)Land yet to be acquired(Ha) 0
(c)Status of Land acquisition if not acquired Done
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 200
(b)Permanent Employment-During Operation 1200
(c)Temporary Employment- During Construction 150
(d)Temporary Employment- During Operation 218
(e)No. of working days 365
(f)Total Manpower 1768
32.
Green Belt in Ha:
(a)Total Area of Green Belt 0.63
(b)Percentage of Total Project Area 22.83
(c)No. of Plants to be Planted 350
(d)Funds Allocated for Plantation 400000
(e)Uploaded Green Belt plan Copy of Green Belt Plan
    33.         Project Benefits
S. No.Type of Project Benefits Details of Project Benefits
(1.)SocialBetter Infrastructure & employment
   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) 49.2
(b)Total No. of Flats to be Build 150
(c)No. of Buildings 5
(d)Total plot area (sqm) 27644.31
(e)Total built up area (sqm) 122816.20
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 28.26
4.
Parking:
(a)Details of 4 Wheeler/ 2 Wheeler Parking 1704
5.
Energy Saving Measures:
(a)Source/Mode LED Solar light
(b)Percentage 1
(c)Quantity 136
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
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/RA0064
(ii)Name of the EIA Consultant GRC India Pvt Ltd
(iii)Address F-375 Noida Sec-63
(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 ApplicantBB Sahu
DesignationManager
Name of Company (Applicant Name should not be given here)PENTHEA BUILDERS AND DEVELOPERS PRIVATE LIMITED
Address114, Golf Links New Delhi
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