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 Proposed Common User Facility (CUF) at Sadashibpur (Meramundali), Dhenkanal, Odisha by BPCL, HPCL and IOCL with BPCL as lead company (b)Name of the Company / Organisation BHARAT PETROLEUM CLEARANCE LIMITED MERAMUNDALI (c)Registered Address Rasasingh, Pasasongh and Tentuliapada,,Sambalpur,Orissa-759121 (d)Legal Status of the Company Central PSU (e)Joint Venture No 2. Address for the correspondence: (a)Name of the Applicant Simanchala Prasad Khadanga (b)Designation (Owner/ Partner/ CEO) Head (Infra T/F) East (c)Address BPCL,Eastern Regional Office, 2nd Floor Wing,No:31, PGM Road, Golf Green, Kolkata:700095,,Kolkata,Kolkata,West Bengal-700095 (d)Pin code 700095 (e)E-mail bpclmeramundali@gmail.com (f)STD Code. 33(f)Telephone No. 24293291 (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/Activity 6(b)Isolated storage & handling of hazardous chemicals (As per threshold planning Minor Activity (b)Category B1    Reason for Applying at Ministry Other    Other Reason for Applying at Ministry SEAC, Odisha not exist (c)Proposal Number IA/OR/IND2/89481/2016 (d)Master Proposal Number(Single Window) SW/89480/2018 (e)EAC concerned (for category A Projects only) Industrial Projects - 2 (f)Project Type Fresh EC 4. Location of the Project: (a)Plot/Survey/Khasra No. 3575, 3576, 3576/4424, 3577e etc (b)Pincode 759001 (c)Bounded Latitudes (North) From Degree 20.73 Minutes Second From Degree 20.734 Minutes Second (d)Bounded Longitudes (East) From Degree 85.498 Minutes Second From Degree 85.503 Minutes Second (e)Survey of India Topo Sheet No. F45T5,F45T6,F45T9,F45T10 (f)Uploaded Topo Sheet File Copy of Topo Sheet File (g)Maximum Elevation Above Means Sea Level(AMSL) 96 (h)Uploaded (kml) File Copy of Kml File       (i)Distance of Nearest HFL from the project boundary within the study area 4 (j)Seismic Zone 2 5. (a)Number of States in which Project will be Executed 1 (b)Main State of the project Orissa 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)MoEF&CC / SEIAA File Number SW/89480/2018 (b)Date of Apply of TOR 28 Dec 2016 (c)Date of Issue of TOR / Standard ToR 23 Aug 2017 (d)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 Details No. of People Attended Issues Raised Designation of Presiding Officer Other Designation of Presiding Officer (1.) Date of Advertisement : 11 Oct 2018 Copy of advertisement : Copy of Advertisement Copy of Public Hearing : Copy of Public Hearing Date : 14 Nov 2018 Distance of Public Hearing Venue from the Proposed Project : 2 Conference Hall of Tahsil Office, Odapada State : Orissa District : Dhenkanal Tehsil : Dhenkanal Sadar Village : Sadashibpur 100 Employment, Land loss, Accident prevention, Social responsibility Others Additional District Magistrate 8. Details of Project Configuration/Product:      8.1.       Project Configuration S. No. Plant/Equipment/Facility Configuration Remarks (1.) Petroleum product storage tanks 54742 KL Total Storage Capacity of POL Depot      8.2.       Product S. No. Product/Activity (Capacity/Area) Quantity Unit Other Unit Mode of Transport / Transmission of Product Other Mode of Transport / Transmission of Product (1.) HSD 26801 Others KILOLITRE Rail (2.) ETHANOL 2600 Others KILOLITRE Road (3.) BIODIESEL 3780 Others KILOLITRE Road (4.) TRANSMIX 1150 Others KILOLITRE Rail (5.) MS 20396 Others KILOLITRE Rail 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) 270.02 (b) Funds Allocated for Environment Management (Capital) (in Crores) 0.98 (c) Funds Allocated Towards CER (Corporate Environment Responsibility) (in Crores) 3.44 (d) Funds Allocated for Environment Management Plan (EMP) (Recurring per Annum) (in Crores) 0.15 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 54742 (b)Existing quantity of raw material/fuel N/A (c)Total quantity of raw material/fuel 54742     13.1.        Raw Material / Fuel Profile S. No. Raw Material / Fuel Quantity Unit Other Unit Source (incase of Import. please specify country and Name of the port from which Raw Material / Fuel is received ) Mode of Transport Other Mode of Transport Distance 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.) Ethanol 2600 Others KILOLITRE REFINERY Rail 200 Captive Copy of Linkage (2.) Biodiesel 3780 Others KILOLITRE REFINERY Road 200 Captive Copy of Linkage (3.) MS 20396 Others KILOLITRE REFINERY Rail 200 Captive Copy of Linkage (4.) High Speed Diesel 26801 Others KILOLITRE REFINERY Rail 200 Captive Copy of Linkage (5.) TRANSMIX 1150 Others KILOLITRE CAPTIVE Rail 200 Captive Copy of Linkage 14. Baseline Data : (a)Period of Base Line Data Collection FROM 01 Jan 2018 To 31 Mar 2018 (b)Season Winter     14.1.     No. of ambient Air Quality (AAQ) monitoring locations : 8 S. No. Criteria Pollutants Other Criteria Pollutants Unit Maximum Value Minimum Value 98 Percentile Value Prescribed Standard (1.) SO2 Micro Gram per Meter Cube 7.6 5.0 6.5 80 (2.) Others OZONE Micro Gram per Meter Cube 13.1 5.0 9.9 100 (3.) PM2.5 Micro Gram per Meter Cube 26.4 15.6 22.3 60 (4.) PM10 Micro Gram per Meter Cube 54.7 33.6 54.4 100 (5.) NOx Micro Gram per Meter Cube 14.4 6.5 11.6 80     14.2.     No. of Ground Water monitoring locations : 8 S. No. Criteria Pollutants Other Criteria Pollutants Heavy Metal Unit Other Unit Maximum Value Minimum Value Desirable Limit Maximum Permissible Limit (1.) pH NA 7.08 6.13 6.5 8.5 (2.) TSS mg/l 1 1 1 1 (3.) TDS mg/l 222 110 500 2000 (4.) Total Hardness mg/l 232 14 200 600 (5.) Chlorides mg/l 84 24 250 1000 (6.) Others Sulphate mg/l 31 4 200 400 (7.) Fluoride mg/l 0.38 0.15 1 1.5 (8.) Heavy Metals Mercurry mg/l 0.001 0.001 0.001 0.001     14.3.     No. of Surface Water monitoring locations : 4 S. No. Criteria Pollutants Other Criteria Pollutants Unit Other Unit Maximum Value Minimum Value Classification of inland water body (1.) pH NA 7.66 7.35 C (2.) BOD mg/l 2.3 2 C (3.) DO TDS mg/l 7.9 6.5 C (4.) COD mg/l 18.8 7 C (5.) Others Total Hardness mg/l 166 52 C     14.4.     No. of Ambient Noise monitoring locations : 10 S. No. Parameter Unit Maximum Value Minimum Value Prescribed Standard (1.) Leq(Night) A-weighted decibels(dB(A)) 42.8 36.7 45 (2.) Leq(Day) A-weighted decibels(dB(A)) 50.8 45.8 55     14.5.     No. of Soil Sample Monitored locations : 6 S. No. Parameter Unit Other Unit Maximum Value Minimum Value (1.) N(Nitrogen) Kilogram per hectare 414 296 (2.) Electric Conductivity Millisiemens per Centimetre 0.213 0.078 (3.) pH Others NA 6.92 5.97 (4.) P(Phosphorus) Kilogram per hectare 61.2 25.1 (5.) K(Potassium) Kilogram per hectare 317 169 14.6. Details of Ground Water Table: (a)Range of Water Table Pre-Monsoon Season (Meters Below Ground Level (m bgl)) From 13.0 To 3.1 (b)Range of Water Table Post-Monsoon Season (Meters Below Ground Level (m bgl)) From 1.2 To 8.0 (c)Whether Ground Water Intersection will be there ? No      15.      Details of Water Requirement (During Operation) S. No. Source Source Other Required Quantity (Kilolitre per Day (Kld)) Distance from Source Copy of Permission from Competent Authority Mode of Transport Other Mode of Transport Method of Water Withdrawal Other Method of Water Withdrawal Letter No. Date of Issue Permitted Quantity (1.) GroundWater 10 0 Copy of Permission Letter Pipeline Tube Well BPCL/PS/POL/DNKL/76 22 Dec 2018 10 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 Method Mode of Disposal Other Mode of Disposal Quantity of Treated Water Used in Recycling/Reuse (Kilolitre per Day) Quantity of Discharged Water (Kilolitre per Day) (1.) Washing, cooling 2 2 OWS Green Belt Renewal Plant 2 16.1. (a)Total Waste Water Generation (Kilolitre per Day) 2 (b)Total Discharged Water (Kilolitre per Day) 0 (c)Total Reused Water (Kilolitre per Day) 2     17.       Solid Waste Generation/Management S. No. Name of Waste Item Other Item Quantity per Annum Unit Distance from Site(KM) Mode of Transport Other Mode of Transport Mode of Disposal Other Mode of Disposal (1.) oily sludge Hazardous Waste (as per Hazardous and Other Waste Management rules 2016) 2 Tons 300 Road Authorized Recyclers (2.) Kitchen waste, paper, plastics Municipal Solid Waste 9.1 Tons 15 Road Sanitary Landfills 18.     18.1.     Air Quality Impact Prediction S. No. Criteria Pollutants Other Criteria Pollutants Unit Baseline Concentration Distance GLC Incremental Concentration Total GLC Prescribed Standard (1.) PM2.5 Microgram per Meter Cube 26.4 0 0 26.4 60 (2.) NOx Microgram per Meter Cube 14.4 0.05 1.18 15.58 80 (3.) PM10 Microgram per Meter Cube 54.7 0.05 0.8 55.5 100 (4.) SO2 Microgram per Meter Cube 7.6 0.05 0.92 8.52 80     18.2.     Stack Details S. No. Source Fuel Stack Height(m) Stack Diameter(m) Pollutants Other Pollutants Emission (GLS) (1.) DG HSD BSIV 12 2 SO2 9.5 19. Power Requirement: (a)Quantity (Kilo Volt Amps (kVA)) 500 (b)Source Central Electricity Supply Unit (CESU), Odisha (c)Uploaded Copy of Agreement Copy of Agreement (d)Standby Arrangement (Details of DG Sets) 500 KVA, 125 KVA (e)Stack Height (in m) 12 20. Land Ownership Pattern: (a)Forest Land (ha.) 0 (b)Private Land (ha.) 23.58 (c)Government Land (ha.) 1.73 (d)Revenue Land (ha.) 0 (e)Other Land (ha.) 1.14     Total Land (ha.) 26.45 21. Present Land Use Breakup of the Study Area in Ha: (a)Agriculture Area (ha.) 45 (b)Waste/Barren Land (ha.) 0 (c)Grazing/ Community Land (ha.) 0 (d)Surface Water Bodies (ha.) 11 (e)Settlements (ha.) 16 (f)Industrial (ha.) 0 (g)Forest (ha.) 20 (h)Mangroves (ha.) 0 (i)Marine Area (ha.) 0 (j)Others (ha.) : Roads, rail etc 8     Total (ha.) 100     22.     Land requirement for various activities S. No. Description of Activity / Facility / Plant / Others Others Land Requirement (ha.) Remarks (1.) Main Plant 9.64 (2.) Green belt 21.6 (3.) Others Road, railway, other 34.13 Total (ha.) 65.37 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 Name Distance from the Project (Km) Remarks (1.) WLS Nil 0 Not applicable (2.) NPA Nil 0 Not applicable (3.) ESAs Nil 0 Not applicable (4.) ESZs Nil 0 Not applicable (5.) Corridors Nil 0 Not applicable (6.) Wildlife Corridors Nil 0 Not applicable (7.) Critically Polluted Area Nil 0 Not applicable     23.2.     Details of Environmental Sensitivity : S. No. Details of Environmental Sensitivity Other Details of Environmental Sensitivity Name Distance from the Project (Km) Remarks (1.) Forest Matharagadi RF 2 Not applicable (2.) Archaeological Sites Nil 0 Not applicable (3.) Defence Installations Nil 0 Not applicable 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) 40 (b)Details of Tree Cutting and Planting of Trees Not Applicable 26. Land Acquisition Status: (a)Acquired Land(Ha) 13.76 (b)Land yet to be acquired(Ha) 12.69 (c)Status of Land acquisition if not acquired In progress 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 Elephas maximus (Asian Elephant) (b)Whether conservation plan for Schedule-I Species has been prepared ? Yes (i)Uploaded copy of conservation plan Copy of conservation plan (ii)Fund Provision made 69900000 (iii)Period of Implementation 5 years (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 Brahmani River (ii)Direction of Water Bodies in Buffer Area North (iii)Distance of Water Bodies in Buffer Area 1.4 31. Manpower Requirement: (a)Permanent Employment-During Construction 10 (b)Permanent Employment-During Operation 10 (c)Temporary Employment- During Construction 160 (d)Temporary Employment- During Operation 20 (e)No. of working days 330 (f)Total Manpower 200 32. Green Belt in Ha: (a)Total Area of Green Belt 8.74 (b)Percentage of Total Project Area 33.04 (c)No. of Plants to be Planted 3500 (d)Funds Allocated for Plantation 1000000 (e)Uploaded Green Belt plan Copy of Green Belt Plan     33.         Project Benefits S. No. Type of Project Benefits Details of Project Benefits (1.) Social employment    34.   CRZ Specific Details : Not Applicable    35.   Sector Specific Details : NOT APPLICABLE    35.   Sector Specific Details For Industrial Projects - 2 S. No. Item Details 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/RA0048 (ii)Name of the EIA Consultant ABC Techno Labs India Pvt. Ltd. (iii)Address 400, 13th Street, SIDCO Industrial Estate (North Phase) Ambattur – 600 098 (iv)Mobile No. 8420642002 (v)Landline No. 0442616112 (vi)Email Id abc@abctechnolab.com (vii)Category of Accreditation A (viii)Sector of Accreditation Industrial Projects - 2 (ix)Validity of Accreditation 25 May 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 (h)Uploaded Proposal Presentation (To be given in EAC meeting) NA             Essential Detail Sought: Sno. EDS Letter Remarks Date of EDS 1. NA Please inform about the approval required from PESO for the site plan and the storage tanks details, to ensure safety measures. 31 Dec 2018 2. NA The correction have been made as per the instruction received 08 Jan 2019 3. NA As requested earlier, please submit proposal to PESO for the required approval for the site/layout plan and storage facilities. Also, please ensure that the storage details mentioned in column 8.1 & 8.2 are not at variance. 16 Jan 2019 4. NA The correction have been made as per the instruction received 23 Jan 2019       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 Applicant Simanchala Prasad Khadanga Designation Head (Infra T/F) East Name of Company (Applicant Name should not be given here) BHARAT PETROLEUM CLEARANCE LIMITED MERAMUNDALI Address Rasasingh, Pasasongh and Tentuliapada

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