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 4/6 lane expressway from Chautala in Sirsa district in the state of Haryana to Rasiser in Bikaner district in the state of Rajasthan under Bharatmala Pariyojana (Lot-4, Pkg-5)
(b)Name of the Company / Organisation National Highways Authority of India
(c)Registered Address G-5 & 6, Sector-10, Dwarka, New DElhi-110075,G-5 & 6, Sector-10, Dwarka, New DElhi-110075,South West,Delhi-110075
(d)Legal Status of the Company Central Government
(e)Joint Venture No
2.
Address for the correspondence:
(a)Name of the Applicant Dr Biswajit Mukhopadhyay
(b)Designation (Owner/ Partner/ CEO) General Manager
(c)Address G-5 & 6, Sector-10, Dwarka, New DElhi-110075,G-5 & 6, Sector-10, Dwarka, New DElhi-110075,,New Delhi,Delhi-110075
(d)Pin code 110075
(e)E-mail biswajit@nhai.org
(f)STD Code. 11(f)Telephone No. 25074200
(g)Fax No. 25093543
(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/Activity7(f) Highways
Minor Activity
(b)Category A
(c)Proposal Number IA/RJ/NCP/94430/2018
(d)Master Proposal Number(Single Window) SW/94378/2019
(e)EAC concerned (for category A Projects only) INFRA-1
(f)Project Type Fresh EC
4.
Location of the Project:
(a)Plot/Survey/Khasra No. Chautala in Sirsa district in the state of Haryana
(b)Pincode 334001
(c)Bounded Latitudes (North)
From
Degree 27.747433
Minutes
Second
From
Degree 29.775522
Minutes
Second
(d)Bounded Longitudes (East)
From
Degree 73.357700
Minutes
Second
From
Degree 74.357700
Minutes
Second
(e)Survey of India Topo Sheet No. H44K6
(f)Uploaded Topo Sheet File Copy of Topo Sheet File
(g)Maximum Elevation Above Means Sea Level(AMSL) 277
(h)Uploaded (kml) File Copy of Kml File      
(i)Distance of Nearest HFL from the project boundary within the study area 0
(j)Seismic Zone 2
5.
(a)Number of States in which Project will be Executed 2
(c)Main State of the project Rajasthan
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 Yes
(b)MoEF&CC / SEIAA File Number 10-53/2018-IA.III
(c)Date of Apply of TOR 11 Jul 2018
(d)Date of Issue of TOR / Standard ToR 12 Sep 2018
(e)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 DetailsNo. of People AttendedIssues RaisedDesignation of Presiding OfficerOther Designation of Presiding Officer
(1.)
Date of Advertisement :21 Dec 2018
Copy of advertisement :Copy of Advertisement
Copy of Public Hearing :Copy of Public Hearing
Date :31 Jan 2019
Distance of Public Hearing Venue from the Proposed Project :4.5
collector conference office
State :Rajasthan
District :Bikaner
Tehsil :Bikaner
Village :Bikaner
42The major issue raised in public hearing was regarding the compensation rates for land acquisition.OthersADC
(2.)
Date of Advertisement :19 Dec 2018
Copy of advertisement :Copy of Advertisement
Copy of Public Hearing :Copy of Public Hearing
Date :21 Jan 2019
Distance of Public Hearing Venue from the Proposed Project :1
Collectorate Office Hanumangarh
State :Rajasthan
District :Hanumangarh
Tehsil :Hanumangarh
Village :Hanumangarh
80Compensation rate of land acquisitionOthersAdditional District Collector Hanumangarh
(3.)
Date of Advertisement :19 Dec 2018
Copy of advertisement :Copy of Advertisement
Copy of Public Hearing :Copy of Public Hearing
Date :25 Jan 2019
Distance of Public Hearing Venue from the Proposed Project :2.5
Atal Sewa kendra
State :Rajasthan
District :Sri Ganganagar
Tehsil :Suratgarh
Village :Thethar
70The major issue raised in public hearing was regarding the compensation rates for land acquisition.OthersA.D.M
8.
Details of Project Configuration/Product:
     8.1.       Project Configuration
S. No.Plant/Equipment/FacilityConfigurationRemarks
(1.)N/AN/AN/A
     8.2.       Product
S. No.Product/Activity (Capacity/Area)QuantityUnitOther UnitMode of Transport / Transmission of ProductOther Mode of Transport / Transmission of Product
(1.)N/A0OthersN/AOthersN/A
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) 4020
(b) Funds Allocated for Environment Management (Capital) (in Crores) 37
(c) Funds Allocated Towards CER (Corporate Environment Responsibility) (in Crores) 20.1
(d) Funds Allocated for Environment Management Plan (EMP) (Recurring per Annum) (in Crores) 18.5
11.
Whether project attracts the General Condition specified in the Schedule of EIA Notification ? Yes
d)Inter-State boundaries and international boundaries Yes
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 6247430.56
(b)Existing quantity of raw material/fuel N/A
(c)Total quantity of raw material/fuel 6247430.56
    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.)Sand2146222.279OthersCumMine quarryRoad60 MoUCopy of Linkage
(2.)Coarse Sand3627472.875OthersCumMine quarryRoad60 MoUCopy of Linkage
(3.)Bitumen81080.135OthersCumPanipat RefineryRoad200 LinkageCopy of Linkage
(4.)Cement392655.27OthersCumNearby project areaRoad10 LinkageCopy of Linkage
14.
Baseline Data :
(a)Period of Base Line Data Collection FROM 01 Apr 2018 To 30 Jun 2018
(b)Season Pre-Monsoon
    14.1.     No. of ambient Air Quality (AAQ) monitoring locations : 12
S. No.Criteria Pollutants Other Criteria PollutantsUnitMaximum ValueMinimum Value98 Percentile ValuePrescribed Standard
(1.)PM10Micro Gram per Meter Cube89.848.887.6100
(2.)SO2Micro Gram per Meter Cube19.46.917.880
(3.)OthersCOMicro Gram per Meter Cube0.830.300.814
(4.)PM2.5Micro Gram per Meter Cube54.224.552.660
(5.)NOxMicro Gram per Meter Cube30.88.813.680
    14.2.     No. of Ground Water monitoring locations : 8
S. No.Criteria Pollutants Other Criteria PollutantsHeavy MetalUnitOther UnitMaximum ValueMinimum ValueDesirable LimitMaximum Permissible Limit
(1.)TDSmg/l676.4112.085002000
(2.)Chloridesmg/l645.2030.22501000
(3.)Fluoridemg/l2.10.211.5
(4.)Heavy MetalsAsmg/l000.010.05
(5.)Total Hardnessmg/l1285.94111.32200600
(6.)TSSmg/l0000
(7.)pHNA8.17.06.58.5
    14.3.     No. of Surface Water monitoring locations : 2
S. No.Criteria Pollutants Other Criteria PollutantsUnitOther UnitMaximum ValueMinimum ValueClassification of inland water body
(1.)pHNA6.96.7C
(2.)DOmg/l5.94.2C
(3.)CODmg/l26.822.6C
(4.)BODmg/l6.95.9C
    14.4.     No. of Ambient Noise monitoring locations : 12
S. No.Parameter UnitMaximum ValueMinimum ValuePrescribed Standard
(1.)Leq(Day)A-weighted decibels(dB(A))62.851.865
(2.)Leq(Night)A-weighted decibels(dB(A))54.038.455
    14.5.     No. of Soil Sample Monitored locations : 12
S. No.Parameter UnitOther UnitMaximum ValueMinimum Value
(1.)P(Phosphorus)Milligram per Kilogram258.5171.0
(2.)K(Potassium)Milligram per Kilogram160.2127.8
(3.)pH7.16.0
(4.)N(Nitrogen)Milligram per Kilogram531.9487.20
(5.)Electric ConductivityOthersmicromhos per cm476172
14.6.
Details of Ground Water Table:
(a)Range of Water Table Pre-Monsoon Season (Meters Below Ground Level (m bgl)) From 111.70 To 8.54
(b)Range of Water Table Post-Monsoon Season (Meters Below Ground Level (m bgl)) From 116.24 To 7.64
(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.)Surface23300Copy of Permission LetterPipelineIntake WellN/A01 Feb 20190
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.)N/A00N/AGreen Belt Renewal Plant0
16.1.
(a)Total Waste Water Generation (Kilolitre per Day) 0
(b)Total Discharged Water (Kilolitre per Day) 0
(c)Total Reused Water (Kilolitre per Day) 0
    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.)N/AIndustrial Waste0Tons0RoadAuthorized Recyclers
18.
    18.1.     Air Quality Impact Prediction
S. No.Criteria Pollutants Other Criteria PollutantsUnitBaseline ConcentrationDistance GLCIncremental ConcentrationTotal GLCPrescribed Standard
(1.)PM10Microgram per Meter Cube00087.2100
(2.)SO2Microgram per Meter Cube00019.480
(3.)PM2.5Microgram per Meter Cube00054.260
(4.)NOxMicrogram per Meter Cube00030.880
    18.2.     Stack Details
S. No.Source FuelStack Height(m)Stack Diameter(m)PollutantsOther PollutantsEmission (GLS)
(1.)N/AN/A00PM100
19.
Power Requirement:
(a)Quantity (Kilo Volt Amps (kVA)) 0
(b)Source N/A
(c)Uploaded Copy of Agreement Not Applicable
(d)Standby Arrangement (Details of DG Sets) N/A
(e)Stack Height (in m) 0
20.
Land Ownership Pattern:
(a)Forest Land (ha.) 71.5214
(b)Private Land (ha.) 1544.6186
(c)Government Land (ha.) 100.51
(d)Revenue Land (ha.) 0
(e)Other Land (ha.) 0
    Total Land (ha.) 1716.65
21.
Present Land Use Breakup of the Study Area in Ha:
(a)Agriculture Area (ha.) 1641.5986
(b)Waste/Barren Land (ha.) 0
(c)Grazing/ Community Land (ha.) 0
(d)Surface Water Bodies (ha.) 2.31
(e)Settlements (ha.) 1.22
(f)Industrial (ha.) 0
(g)Forest (ha.) 71.5214
(h)Mangroves (ha.) 0
(i)Marine Area (ha.) 0
(j)Others (ha.) : 0 0
    Total (ha.) 1716.65
    22.     Land requirement for various activities
S. No.Description of Activity / Facility / Plant / Others OthersLand Requirement (ha.)Remarks
(1.)Green belt505.6
Total (ha.) 505.6
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.)WLSN/A0N/A
(2.)ESZsN/A0N/A
(3.)CorridorsN/A0N/A
(4.)Wildlife CorridorsN/A0N/A
(5.)ESAsN/A0N/A
(6.)Critically Polluted AreaN/A0N/A
(7.)NPAN/A0N/A
    23.2.     Details of Environmental Sensitivity :
S. No.Details of Environmental Sensitivity Other Details of Environmental Sensitivity NameDistance from the Project (Km)Remarks
(1.)ForestProtected Forest0along crossing of rail/road/canal
(2.)Defence InstallationsN/A0N/A
(3.)Archaeological SitesN/A0N/A
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? Yes
(a)Forests Clearance Status Application for Forest Clearance yet to be submitted
(b)Legal Status of Forest Land Protected
25.
Tree Cutting:
(a)No. of Trees Cut for the Project (if Forest Land not Involved) 5200
(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) 1716.65
(b)Land yet to be acquired(Ha) 0
(c)Status of Land acquisition if not acquired N/A
27.
Rehabilitation and Resettlement (R&R):
(a)No. of Villages 99
(b)No. of Households 2670
(c)No. of PDFs (Project Displaced Families) 122
(d)No. of PAFs (Project Affected Families) 2670
(e)Funds Allocated for R&R(in INR) (in Lacs) 404
(f)Status of R&R In-Progress
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 ? Yes
(i)Details of Water Bodies in Core Area 05 canals, 01 River, 09 Drain, 10 Nalas, 01 Dry Distributary and 05 Ponds
(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 50
(b)Permanent Employment-During Operation 80
(c)Temporary Employment- During Construction 1200
(d)Temporary Employment- During Operation 20
(e)No. of working days 340
(f)Total Manpower 1350
32.
Green Belt in Ha:
(a)Total Area of Green Belt 505.6
(b)Percentage of Total Project Area 29.45
(c)No. of Plants to be Planted 151680
(d)Funds Allocated for Plantation 227520000
(e)Uploaded Green Belt plan Copy of Green Belt Plan
    33.       Project Benefits
S. No. Type of Project BenefitsDetails of Project Benefits
NIL
   34.   CRZ Specific Details : Not Applicable
   35.   Sector Specific Details For INFRA-1
S. No.Item Details
1.
Details of Building Construction:
(a)Maximum Height of the Building (Meters) 0
(b)Total No. of Flats to be Build 0
(c)No. of Buildings 0
(d)Total plot area (sqm) 0
(e)Total built up area (sqm) 0
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 0
(d)Capacity 0
4.
Parking:
(a)Details of 4 Wheeler/ 2 Wheeler Parking N/A
5.
Energy Saving Measures:
(a)Source/Mode N/A
(b)Percentage 0
(c)Quantity 0
6.
Other details:
(a)Details of impact on Water Bodies and Drainage patters of catchment area 05 canals, 01 River, 09 Drain, 10 Nalas, 01 Dry Di
(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 252.8
9.
Details Bridges/ROB/Interchanges,Flyovers,Vehicle Underpass and Pedestrian Underpass
(a)Total No. of Bridges 24
(b)Total No. of ROB 3
(c)Total No. of Interchanges 7
(d)Total No. of Flyovers 0
(e)Total No. of Vehicle Underpass 1
(f)Total No. of Pedestrian Underpass 0
(g)Details of other utilities rail and road corridors LVUP - 38, SVUP – 110, Culverts - 221
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/IA0018
(ii)Name of the EIA Consultant Enviro Infra Solutions Pvt. Ltd.
(iii)Address 301,302 & 305, SRBC, Plot No. INS - 12, Sector - 9,Vasundhara, Ghaziabad. (U.P.) - 201012
(iv)Mobile No. 9818922344
(v)Landline No. 0120415118
(vi)Email Id eis@enviroinfrasolutions.com
(vii)Category of Accreditation A
(viii)Sector of Accreditation INFRA-1
(ix)Validity of Accreditation 09 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 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 ApplicantDr Biswajit Mukhopadhyay
DesignationGeneral Manager
Name of Company (Applicant Name should not be given here)National Highways Authority of India
AddressG-5 & 6, Sector-10, Dwarka, New DElhi-110075
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