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) Kaleshwaram Lift Irrigation Scheme (b)Name of the Company / Organisation IRRIGATION AND CAD DEPARTMENT (c)Registered Address Superintending engineer, Sripada Yellampally project circle, LMD Colony, Karimnagar,,Khammam,Telangana-505527 (d)Legal Status of the Company State Government (e)Joint Venture No 2. Address for the correspondence: (a)Name of the Applicant Superintending Engineer (b)Designation (Owner/ Partner/ CEO) SE (c)Address Superintending engineer sripada yellampally project circle LMd colony Karimnagar,,Karimnagar,Karimnagar,Telangana-505527 (d)Pin code 505527 (e)E-mail sekarimnagar@gmail.com (f)STD Code. 878(f)Telephone No. 2227023 (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 1(c) River Valley projects Minor Activity (b)Category A (c)Proposal Number IA/TG/RIV/65564/2017 (d)Master Proposal Number(Single Window) SW/95115/2019 (e)EAC concerned (for category A Projects only) River Valley and Hydroelectric Projects (f)Project Type Fresh EC 4. Location of the Project: (a)Plot/Survey/Khasra No. Kannepally (b)Pincode 505504 (c)Bounded Latitudes (North) From Degree 18.51 Minutes Second From Degree 18.77 Minutes Second (d)Bounded Longitudes (East) From Degree 79.93 Minutes Second From Degree 79.94 Minutes Second (e)Survey of India Topo Sheet No. 6 (f)Uploaded Topo Sheet File Copy of Topo Sheet File (g)Maximum Elevation Above Means Sea Level(AMSL) 260 (h)Uploaded (kml) File Copy of Kml File       (i)Distance of Nearest HFL from the project boundary within the study area 38 (j)Seismic Zone 3 5. (a)Number of States in which Project will be Executed 1 (b)Main State of the project Telangana Details of State(s) of the project S. No. State Name District Name Tehsil Name Village Name (1.) Telangana Karimnagar Mahadevpur Kannepally (2.) Telangana Karimnagar Mahadevpur 6. Details of Terms of Reference (ToR): (a)MoEF&CC / SEIAA File Number J-12011/20/2017-IA-!(R) (b)Date of Apply of TOR 20 Jun 2017 (c)Date of Issue of TOR / Standard ToR 04 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 : 24 Aug 2018 Copy of advertisement : Copy of Advertisement Copy of Public Hearing : Copy of Public Hearing Date : 24 Aug 2018 Distance of Public Hearing Venue from the Proposed Project : 15 BLM Gardens State : Telangana District : Karimnagar Tehsil : Kataram Village : Garepally 200 Compensation was demanded by farmers and the same will be done as per RFCTLARR Act 2013 of GoI/State R&R rules. District Collector 8. Details of Project Configuration/Product:      8.1.       Project Configuration S. No. Plant/Equipment/Facility Configuration Remarks (1.) 18211 TANK FILLING      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.) 18211 18211 Hectares Road 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) 499.23 (b) Funds Allocated for Environment Management (Capital) (in Crores) 98.02 (c) Funds Allocated Towards CER (Corporate Environment Responsibility) (in Crores) 7.02 (d) Funds Allocated for Environment Management Plan (EMP) (Recurring per Annum) (in Crores) 16.40 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 30488.3 (b)Existing quantity of raw material/fuel N/A (c)Total quantity of raw material/fuel 30488.3     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.) Steel 1443 Tons per Annum Ramagundam railway station Rail 77 Captive Copy of Linkage (2.) Cement 9627.6 Tons per Annum Oriental cement factory located at Basantpur Road,Pipe Conveyor 110 Open Market Copy of Linkage (3.) Sand 19417.7 Tons per Annum Bed of Godavari river Road 11 Captive Copy of Linkage 14. Baseline Data : (a)Period of Base Line Data Collection FROM 01 Jul 2017 To 31 Mar 2018 (b)Season Winter     14.1.     No. of ambient Air Quality (AAQ) monitoring locations : 3 S. No. Criteria Pollutants Other Criteria Pollutants Unit Maximum Value Minimum Value 98 Percentile Value Prescribed Standard (1.) PM2.5 Micro Gram per Meter Cube 26.66 13 25.44 60 (2.) NOx Micro Gram per Meter Cube 36.76 20.56 36.14 80 (3.) PM10 Micro Gram per Meter Cube 71.66 54.33 53.33 100 (4.) SO2 Micro Gram per Meter Cube 9.81 4.63 9.64 80     14.2.     No. of Ground Water monitoring locations : 4 S. No. Criteria Pollutants Other Criteria Pollutants Heavy Metal Unit Other Unit Maximum Value Minimum Value Desirable Limit Maximum Permissible Limit (1.) pH NA 7.61 7.09 6.5 8.5 (2.) Fluoride mg/l 0.63 0.16 1 1.5 (3.) Heavy Metals Lead mg/l 0.004 0 0.01 0.01 (4.) Others Temperature Others C 27 27 0 0 (5.) TDS mg/l 2120 292 500 2000 (6.) Chlorides mg/l 1000 16.87 250 1000 (7.) Total Hardness mg/l 500 112 200 600 (8.) TSS NA 0 0 0 0     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.) DO mg/l 5.7 5.1 D (2.) COD mg/l 25.6 9.6 D (3.) pH NA 8.13 7.6 D (4.) BOD mg/l 5.6 0 D     14.4.     No. of Ambient Noise monitoring locations : 3 S. No. Parameter Unit Maximum Value Minimum Value Prescribed Standard (1.) Leq(Day) A-weighted decibels(dB(A)) 44.16 41.96 55 (2.) Leq(Night) A-weighted decibels(dB(A)) 36.12 35.66 45     14.5.     No. of Soil Sample Monitored locations : 7 S. No. Parameter Unit Other Unit Maximum Value Minimum Value (1.) pH 9.05 6.31 (2.) N(Nitrogen) Kilogram per hectare 307.07 91.51 (3.) K(Potassium) Others mg/100gm 69.83 9.57 (4.) P(Phosphorus) Kilogram per hectare 809.86 76.63 (5.) Electric Conductivity Millisiemens per Centimetre 1519 60.1 14.6. Details of Ground Water Table: (a)Range of Water Table Pre-Monsoon Season (Meters Below Ground Level (m bgl)) From 58 To 58 (b)Range of Water Table Post-Monsoon Season (Meters Below Ground Level (m bgl)) From 128 To 128 (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 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.) Surface 12 1 Copy of Permission Letter Canal Intake Well F.No.6/231/2017-PA (S)/1327-28 30 Oct 2017 12 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.) waste water from labour camps 9.6 10 septic tank and soak pit Others septic tank 4.8 4.8 16.1. (a)Total Waste Water Generation (Kilolitre per Day) 9.6 (b)Total Discharged Water (Kilolitre per Day) 4.8 (c)Total Reused Water (Kilolitre per Day) 4.8     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.) Solid waste Municipal Solid Waste 114.9 Tons 1.45 Road Authorized Recyclers 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.) PM10 Microgram per Meter Cube 69 5 69 148 100 (2.) SO2 Microgram per Meter Cube 9.44 3 11.8 22 80 (3.) NOx Microgram per Meter Cube 33.58 3 41.96 82 80 (4.) PM2.5 Microgram per Meter Cube 25.32 1 16.96 43 60     18.2.     Stack Details S. No. Source Fuel Stack Height(m) Stack Diameter(m) Pollutants Other Pollutants Emission (GLS) (1.) na na 0 0 Others na 0 19. Power Requirement: (a)Quantity (Kilo Volt Amps (kVA)) 29000 (b)Source TSNPDCL /TSTRANSCO (c)Uploaded Copy of Agreement Not Applicable (d)Standby Arrangement (Details of DG Sets) 125 Kva X 2 No’s (e)Stack Height (in m) 4 20. Land Ownership Pattern: (a)Forest Land (ha.) 259 (b)Private Land (ha.) 640 (c)Government Land (ha.) 568 (d)Revenue Land (ha.) 0 (e)Other Land (ha.) 0     Total Land (ha.) 1467 21. Present Land Use Breakup of the Study Area in Ha: (a)Agriculture Area (ha.) 35574 (b)Waste/Barren Land (ha.) 0 (c)Grazing/ Community Land (ha.) 0 (d)Surface Water Bodies (ha.) 7978 (e)Settlements (ha.) 1634 (f)Industrial (ha.) 0 (g)Forest (ha.) 22348 (h)Mangroves (ha.) 0 (i)Marine Area (ha.) 0 (j)Others (ha.) : Scrub forest 726     Total (ha.) 68260     22.     Land requirement for various activities S. No. Description of Activity / Facility / Plant / Others Others Land Requirement (ha.) Remarks (1.) Others jack well cum pump house, raising main, canals 1467 Total (ha.) 1467 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.) ESZs Pranahita Black buck wild life sanctuary 7 • Pranahita (Blackbuck) Wildlife Sanctuary – N Direction (7 Km – Eco-sensitive Zone boundary from the proposed lift point, 12 Km – Sanctuary boundary from the proposed lift point) (2.) Critically Polluted Area na 0 na (3.) Corridors na 0 NA (4.) Wildlife Corridors NA 0 NA (5.) ESAs Shivram wild life sanctuary 23 • Shivaram Wildlife Sanctuary – 23 Km from the proposed lift point – SW Direction (6.) NPA NA 0 NA (7.) WLS Shivram 23 • Shivaram Wildlife Sanctuary – 23 Km from the proposed lift point – SW Direction     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 Mahadevpur RF 5 LESS THAN 5 KM (2.) Defence Installations NA 0 NA (3.) Archaeological Sites NA 0 NA 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) 2450 (b)Details of Tree Cutting and Planting of Trees Not Applicable 26. Land Acquisition Status: (a)Acquired Land(Ha) 293 (b)Land yet to be acquired(Ha) 1174 (c)Status of Land acquisition if not acquired Still going on 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 Yet To Start 28. Details of Presence of Schedule-I Species: (a)Whether there is Presence of Schedule-I Species ? Yes (i)Details of Schedule-I Species Black-shouldered kite and Oriental honey buzzard are the only avifaunal species belonging to Schedule I of Wildlife (Protection) Act, 1972. (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 100000 (iii)Period of Implementation 3 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 ? Yes (i)Details of Water Bodies in Core Area Godavari river (b)Whether there is Diversion Required ? Yes (i)Details of Diversion Required lifting the water (ii)Details of Study Conducted DPR (c)Whether permission has been obtained from competent authority ? Yes (i)Uploaded copy of permission Copy of permission (ii)Letter No. F.No.6/231/2017-PA (S)/1327-28 (iii)Date of issue 30 Oct 2017 (iv)Recommendation NA 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 Tanks are present in command area (ii)Direction of Water Bodies in Buffer Area South (iii)Distance of Water Bodies in Buffer Area 2 31. Manpower Requirement: (a)Permanent Employment-During Construction 0 (b)Permanent Employment-During Operation 120 (c)Temporary Employment- During Construction 580 (d)Temporary Employment- During Operation 0 (e)No. of working days 8760 (f)Total Manpower 700 32. Green Belt in Ha: (a)Total Area of Green Belt 260 (b)Percentage of Total Project Area 17.72 (c)No. of Plants to be Planted 9220 (d)Funds Allocated for Plantation 2305 (e)Uploaded Green Belt plan Copy of Green Belt Plan     33.         Project Benefits S. No. Type of Project Benefits Details of Project Benefits (1.) Environmental • Agro forestry will be taken up in command area and it improves the ecosystem services. • Canal Bank plantation improves local biological diversity. (2.) Social • No Rehabilitation and Resettlement. • Altogether 88,608 households in the command area will be benefitted directly under the scheme. • The project requires only 1467 Ha for implementation of the scheme, out of which 258.028 Ha belongs to forest land and 640 Ha belongs to private land and the scheme does not envisage rehabilitation and resettlement. • The proposed project aims at providing Drinking water to projected population of 1,83,824 by the year 2051. The scheme also envisages filling of (3.) Financial • Agricultural linkages will be considerably improved. • The project improves total farm output and hence raises farm income. • Project improves yields through reduced crop loss due to erratic, unreliable or insufficient rainfall. • Extensive agricultural production supplies raw materials to the nearby small scale industries thereby increasing the economy in the region.    34.   CRZ Specific Details : Not Applicable    35.   Sector Specific Details For River Valley and Hydroelectric Projects S. No. Item Details 1. Project Sub Sector Irrigation Project 2. Name of the River Godavari 3. Whether Cumulative Impact Assessment and Carrying Capacity Study of River Basin is Carried Out? No      4.      Type of Project: (Construction of Dam/ Barrage/ Run of the River/ Lift Irrigation Scheme) S. No. Project Type Dam Height (in meters) Dam Length (in meters) Total Submergence Area (in hectare) Gross Command Area (GCA) (in hectare) Irrigable Command Area (ICA) (in hectare) Culturable Command Area (CCA) (in hectare) Total Command Area (in hectare) (1.) Lift Irrigation Scheme 00 0 0 0 18211 18211 18211 5. Powerhouse Installed Capacity No (a) Type of Powerhouse Surface (b) Capacity (in megawatts) 0 (c) No. of Tunnels 0 (d) No. of Units 0 (e) Bank of River Right 6. Generation of Electricity Annually. (a) Quantity of Generation of Electricity Annually (in giga watt hours) 0 (b) Water Availability at Various percentage S. No. Percentage Water availability (in cusecs) Dependable year Remarks (1.) 75 % 284.3 2012 (2.) 90 % 100 2012 (3.) 50 % 180 2012 (c) Machine Availability (in percent) 0 (d) Cost of Electricity Generation (in INR) 0 (e) Internal Rate of Return (in percent) 0 (f) Year of achievement of Internal Rate of Return 0 7. Catchment Area Treatment Plan Copy of Catchment Plan 8. Muck Management Plan (a)Muck Management Plan Copy of Muck Management Plan (b) Total Excavation Muck (in cubic meter) 116673 (c) Utilized for Construction (in cubic meter) 11667 (d) No. of Muck Disposal sites 3 (e) Total Muck Disposal Area (in hectare) 10 9. Fishery Development and Management Plan (a)Fishery Development and Management Plan Copy of Fishery Development and Management Plan (b) No. of Fish Species 105 (c) Name of the umbrella Fish Species (Scientific Name) Bagarius yarrelli 10. Status of Environmental Flow S. No. Season Average Inflow (in cumec) Percent of Flow (1.) Non-Lean Non-Monsoon 598.48 60 (2.) Lean 321 40 (3.) Monsoon 1077.63 80 11. Free Flow Stretch (in km) 25 12. Approval of Central Water Commission Yes (a)Approval Reference No. F.No.6/231/2017-PA (S)/1327-28 (a)Date of Approval 30 Oct 2017 (a)Copy of Approval Copy of approval 13. Approval of Central Electricity Authority No 14. Details of Coffer Dam (Upstream) None 15. Details of Coffer Dam (Downstream) None 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. QCI/NABET/EIA/1821/RA 0107 (ii)Name of the EIA Consultant Environmental health and safety consultants privat (iii)Address # 13/2, 1ST MAIN ROAD, NEAR FIRE STATION, INDUSTRIAL TOWN, RAJAJINAGAR,BENGALURU-560 010, KA (iv)Mobile No. 9886599677 (v)Landline No. 0802301620 (vi)Email Id ehscblr1974@gmail.com (vii)Category of Accreditation A (viii)Sector of Accreditation River Valley and Hydroelectric Projects (ix)Validity of Accreditation 12 Apr 2021 (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: Sno. ADS Letter Remarks Date of ADS 1. ADS Reply Letter Additional details sought during 22nd EAC meeting for Kaleshwaram Lift Irrigation Scheme File No. J-12011/20/2017-IA-1(R), Proposal No. IA/TG/RIV/65564/2017 24 Jul 2019 2. NA ok 12 Mar 2019

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 Superintending Engineer Designation SE Name of Company (Applicant Name should not be given here) IRRIGATION AND CAD DEPARTMENT Address Superintending engineer, Sripada Yellampally project circle, LMD Colony, Karimnagar