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) Premium Island Resort at Lalaji Bay, Long Island
(b)Name of the Company / Organisation ANDAMAN AND NICOBAR ISLANDS INTEGRATED DEVELOPMENT CORPOARTION
(c)Registered Address ANIIDCO Ltd Vikas Bhawan Port Blair,,South Andaman,Andaman and Nicobar-744101
(d)Legal Status of the Company State PSU
(e)Joint Venture No
2.
Address for the correspondence:
(a)Name of the Applicant Mohammed Pervaiz
(b)Designation (Owner/ Partner/ CEO) GeneralManager
(c)Address ANIIDCO Ltd Vikash Bahwan,PO 180 Port Blair,Port Blair,Andamans,Andaman and Nicobar-744101
(d)Pin code 744101
(e)E-mail aniidco@gmail.com
(f)STD Code. 0(f)Telephone No. 232098
(g)Fax No. 232501
(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 B1
   Reason for Applying at Ministry Other
   Other Reason for Applying at Ministry Project involves CRZ clearance
(c)Proposal Number IA/AN/MIS/97931/2019
(d)Master Proposal Number(Single Window) SW/97925/2019
(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. Survey No. 1/1, 1/1/1, 1/2 long Island
(b)Pincode 744203
(c)Bounded Latitudes (North)
From
Degree 12.404164
Minutes
Second
From
Degree 12.414240
Minutes
Second
(d)Bounded Longitudes (East)
From
Degree 92.943714
Minutes
Second
From
Degree 92.949797
Minutes
Second
(e)Survey of India Topo Sheet No. 86D/15/5
(f)Uploaded Topo Sheet File Copy of Topo Sheet File
(g)Maximum Elevation Above Means Sea Level(AMSL) 2
(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 5
5.
(a)Number of States in which Project will be Executed 1
(b)Main State of the project Andaman and Nicobar
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 Building and Construction Project
(c)Supporting Document Copy of Supporting Document
8.
Details of Project Configuration/Product:
     8.1.       Project Configuration
S. No.Plant/Equipment/FacilityConfigurationRemarks
(1.)Desalination Plant240 KLD
(2.)Solar Power Plant2.4 MW
(3.)Diesel Power Plant0.6 MW
(4.)Floating Jetty1 No
(5.)Sewage Treatment Plant255 KLD
(6.)Rain Water Harvesting210 KLD / 76 ML annually
(7.)Resort220 keys
     8.2.       Product
S. No.Product/Activity (Capacity/Area)QuantityUnitOther UnitMode of Transport / Transmission of ProductOther Mode of Transport / Transmission of Product
(1.)Biodegradable waste122.4Tons per AnnumOthersTreated Onsite
(2.)Residue (Non-Biodegradable)2.4Tons per AnnumOthersSea
(3.)Waste Water293Kilo Litre per DayPipe Conveyor
(4.)Recyclable Waste (Non-Biodegradable)81.6Tons per AnnumOthersSea
(5.)Oil and Grease1.8Tons per AnnumOthersSea
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) 379
(b) Funds Allocated for Environment Management (Capital) (in Crores) 4.43
(c) Funds Allocated Towards CER (Corporate Environment Responsibility) (in Crores) 1.90
(d) Funds Allocated for Environment Management Plan (EMP) (Recurring per Annum) (in Crores) 0.55
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 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.)PreCast Concrete0Tons per Annum0OthersSea0 OthersNACopy of Linkage
14.
Baseline Data :
(a)Period of Base Line Data Collection FROM 26 Feb 2019 To 10 Mar 2019
(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.)PM2.5Micro Gram per Meter Cube28122860
(2.)PM10Micro Gram per Meter Cube542854100
(3.)NOxMicro Gram per Meter Cube00080
(4.)SO2Micro Gram per Meter Cube00080
    14.2.     No. of Ground Water monitoring locations : 4
S. No.Criteria Pollutants Other Criteria PollutantsHeavy MetalUnitOther UnitMaximum ValueMinimum ValueDesirable LimitMaximum Permissible Limit
(1.)Chloridesmg/l1692501000
(2.)Fluoridemg/l0.12011.5
(3.)pHNA7.67.36.58.5
(4.)TSSmg/l4000
(5.)TDSmg/l4682785002000
(6.)Total Hardnessmg/l386218200600
(7.)Heavy MetalsIronmg/l0.090.010.30.3
    14.3.     No. of Surface Water monitoring locations : 0
S. No.Criteria Pollutants Other Criteria PollutantsUnitOther UnitMaximum ValueMinimum ValueClassification of inland water body
(1.)CODmg/l00B
(2.)BODmg/l00B
(3.)pHmg/l00B
(4.)DOmg/l00B
    14.4.     No. of Ambient Noise monitoring locations : 2
S. No.Parameter UnitMaximum ValueMinimum ValuePrescribed Standard
(1.)Leq(Day)A-weighted decibels(dB(A))242265
(2.)Leq(Night)A-weighted decibels(dB(A))201855
    14.5.     No. of Soil Sample Monitored locations : 4
S. No.Parameter UnitOther UnitMaximum ValueMinimum Value
(1.)pH7.45.8
(2.)K(Potassium)Milligram per Kilogram11894
(3.)Electric ConductivityMillisiemens per Centimetre320190
(4.)P(Phosphorus)Milligram per Kilogram126104
(5.)N(Nitrogen)Milligram per Kilogram210116
14.6.
Details of Ground Water Table:
(a)Range of Water Table Pre-Monsoon Season (Meters Below Ground Level (m bgl)) From 1 To 1.2
(b)Range of Water Table Post-Monsoon Season (Meters Below Ground Level (m bgl)) From 1 To 1.2
(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.)Sea5320.5Copy of Permission LetterPipelineIntake Well007 Mar 2019532
15.1.
(a)Whether Desalination is proposed Yes
(b)Desalination Capacity (KLD) 240
(c)Quantity of Brine (KLD) 293
(d)Mode of Disposal of Brine Pipeline with Multi-Port Diffuser
    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 Water204255STPReuse within the Plant & Recycling204
16.1.
(a)Total Waste Water Generation (Kilolitre per Day) 204
(b)Total Discharged Water (Kilolitre per Day) 0
(c)Total Reused Water (Kilolitre per Day) 204
    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.)BiodegradableMunicipal Solid Waste122.4Tons0OthersIn-situ TreatmentTreatment, Storage and Disposal Facility(TSDF)
(2.)Non-BiodegradableMunicipal Solid Waste81.6Tons25OthersSeaAuthorized Recyclers
18.
    18.1.     Air Quality Impact Prediction
S. No.Criteria Pollutants Other Criteria PollutantsUnitBaseline ConcentrationDistance GLCIncremental ConcentrationTotal GLCPrescribed Standard
(1.)NOxMicrogram per Meter Cube00.051280
(2.)PM10Microgram per Meter Cube540.05560100
(3.)PM2.5Microgram per Meter Cube280.0533260
(4.)SO2Microgram per Meter Cube00.051280
    18.2.     Stack Details
S. No.Source FuelStack Height(m)Stack Diameter(m)PollutantsOther PollutantsEmission (GLS)
(1.)NANA00PM100
19.
Power Requirement:
(a)Quantity (Kilo Volt Amps (kVA)) 2400
(b)Source Solar Power Plant
(c)Uploaded Copy of Agreement Copy of Agreement
(d)Standby Arrangement (Details of DG Sets) 0.6 MW Diesel Power Plant
(e)Stack Height (in m) 15
20.
Land Ownership Pattern:
(a)Forest Land (ha.) 0
(b)Private Land (ha.) 0
(c)Government Land (ha.) 0
(d)Revenue Land (ha.) 42.2
(e)Other Land (ha.) 0
    Total Land (ha.) 42.2
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.) : Revenue Land 42.2
    Total (ha.) 42.2
    22.     Land requirement for various activities
S. No.Description of Activity / Facility / Plant / Others OthersLand Requirement (ha.)Remarks
(1.)Built Up Area3.96Total built up area requirement
Total (ha.) 3.96
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.)NPANA0NA
(4.)ESAsNA0NA
(5.)Wildlife CorridorsNA0NA
(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.)ForestLalaji Bay RF0RF area is outside the Project area
(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) 25
(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) 42.2
(b)Land yet to be acquired(Ha) 0
(c)Status of Land acquisition if not acquired -
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 ? Yes
(i)Details of Water Bodies in Buffer Area Andaman Sea
(ii)Direction of Water Bodies in Buffer Area East
(iii)Distance of Water Bodies in Buffer Area 0
31.
Manpower Requirement:
(a)Permanent Employment-During Construction 0
(b)Permanent Employment-During Operation 20
(c)Temporary Employment- During Construction 220
(d)Temporary Employment- During Operation 200
(e)No. of working days 365
(f)Total Manpower 440
32.
Green Belt in Ha:
(a)Total Area of Green Belt 16.88
(b)Percentage of Total Project Area 40.00
(c)No. of Plants to be Planted 1000
(d)Funds Allocated for Plantation 2000000
(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
S. No.Item Details
1.
Project Details:
(a)CRZ Classification III
(b)Location Type Non-Eroding Coast
(c)Details of Mangroves Land Involved, if Any NA
(d)Area of Mangroves Land (hectare) 0
(e)EIA (Terrestrial) Studies Not Carried Out
(i)Give Reason As theproject falls under building and constructio
(f)EIA (Marine) Studies Not Carried Out
(i)Give Reason As theproject falls under building and constructio
(g)Disaster Management Plan/National Oil Spill Disaster Contigency Plan Disaster Management Plan has been prepared
2.
Description of the Project Under Consideration:
(a)Type of Project Resort/Buildings/Civic Amenities
(i)Agency Name for Preparing CRZ Maps NCSCM
(ii)Total Area/Built-up Area (hectare) 39600
(iii)Height of Structure 9
(iv)FSI Ratio 0.094
(v)The governing Town Planning Rules/Regulations Andaman Panchayat Regulations 1984
(vi)Details of Provision of Car Parking Area 50
3.
Distance of Project (in meters) from ltl/htl to be stated :
(a)Clause of CRZ Notification Under which the Project is a Permissible/Regulated Activity III
(b)Whether CRZ Map Indicating HTL,LTL Demarcation in 1:4000 Scale Prepared? Yes
(i)Distance of Project (in meters) from HTL to be Stated 50
(ii)Uploaded Maps(Shape File) Copy of Maps
(iii)Distance of Project(in meters) from LTL to be Stated 100
(iv)Uploaded Maps(Shape File) Copy of Maps
(c)Whether Project Layout Superimposed on CRZ Map 1:4000 Scale ? Yes
(i)Uploaded Maps (Shape File) Copy of Maps
(d)Whether CRZ Map 1:25000 Covering 7 km Radius Around Project Site Prepared ? No
(e)Whether CRZ Map Indicating CRZ-I,II,III and IV Including Other Notified ESAs Prepared Yes
(i)Uploaded Maps (kml File) Copy of Maps
(f)NOC from State Pollution Control Boards Obtained No
(g)Details of Rain Water Harvesting System
4.
Recommendation of State Coastal Zone Management Authority:
(a)Copy of CZMA Copy of CZMA
(b)State the Conditions Imposed Project is Recommended by following safety measure
(c)Social and Environmental Issues and Mitigations Measures Suggested Including but not Limited to R&R, Water, Air, Hazardous Wastes, Ecological aspects, etc. (Brief Details to be Provided) EMP report uploaded
   35.   Sector Specific Details For INFRA-2
S. No.Item Details
1.
Details of Building Construction:
(a)Maximum Height of the Building (Meters) 9
(b)Total No. of Flats to be Build 220
(c)No. of Buildings 1
(d)Total plot area (sqm) 422000
(e)Total built up area (sqm) 39600
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 220
(b)Capacity 15000
(c)No. of Recharge Pits 0
(d)Capacity 0
4.
Parking:
(a)Details of 4 Wheeler/ 2 Wheeler Parking 50
5.
Energy Saving Measures:
(a)Source/Mode solar
(b)Percentage 80
(c)Quantity 2.4
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. 163
(ii)Name of the EIA Consultant WAPCOS LIMITED
(iii)Address 76C, Institutional Area, Sector 18, Gurugram - 122015, Haryana
(iv)Mobile No. 9811487830
(v)Landline No. 0124239739
(vi)Email Id environment@wapcos.co.in
(vii)Category of Accreditation A
(viii)Sector of Accreditation INFRA-2
(ix)Validity of Accreditation 01 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 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.NAAs per EIA Notification, 2006 and its amendments, project falls under item 8(a) of the schedule to the Notification shall be appraised based on the Form 1, 1-A and Conceptual plan. Kindly submit/upload requisite documents along with SCZMA recommendation and plan for Corporate Environment Responsibility (CER) as specified under Ministry’s Office Memorandum vide F.No. 22-65/2017-IA.III dated 1st May 2018. 22 Apr 2019
2.NAThe correction have been made as per the instruction received 29 Apr 2019
3.NAForm-1 submitted/uploaded is not in the prescribed format given in EIA Notification, 2006. Conceptual Plan is also not submitted. Please submit/upload Form-1 as prescribed in the EIA Notification, 2006. Also submit/upload conceptual Plan and revised CER Plan as specified under Ministry’s Office Memorandum vide F.No. 22-65/2017-IA.III dated 1st May 2018. 23 May 2019
4.NAThe correction have been made as per the instruction received 25 May 2019
            Additional Detail Sought:
Sno. ADS Letter Remarks Date of ADS
1. ADS Reply LetterCompliance of 42nd EAC (Infra-2) MoM for Long Island Project, Andaman and Nicobar Islands 27 Aug 2019
2. ADS Reply LetterCompliance of 42nd EAC (Infra-2) MoM for Long Island Project, Andaman and Nicobar Islands 27 Aug 2019
3. ADS Reply LetterCompliance of 42nd EAC (Infra-2) MoM for Long Island Project, Andaman and Nicobar Islands 27 Aug 2019
4.NA

Kindly see the final Minutes of the 42nd EAC (Infra-2) metting held during 10-12 July, 2019

26 Jul 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 ApplicantMohammed Pervaiz
DesignationGeneralManager
Name of Company (Applicant Name should not be given here)ANDAMAN AND NICOBAR ISLANDS INTEGRATED DEVELOPMENT CORPOARTION
AddressANIIDCO Ltd Vikas Bhawan Port Blair
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