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) Incorporation of service jetties and allied facilities at Rozi Pier Port, Jamnagar by M/s. Gujarat Maritime Board (b)Name of the Company / Organisation Gujarat Maritime Board (c)Registered Address NIL (d)Legal Status of the Company NIL (e)Joint Venture No 2. Address for the correspondence: (a)Name of the Applicant (b)Designation (Owner/ Partner/ CEO) Deputy General Manager (Env) (c)Address NIL (d)Pin code 382010 (e)E-mail aasharma.envgmb@gmail.com (f)STD Code. (f)Telephone No. (g)Fax No. 23248733 (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 7(e) Ports, Harbours Minor Activity (b)Category A (c)Proposal Number IA/GJ/MIS/164848/2017 (d)Master Proposal Number(Single Window) SW/164842/2020 (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. Rozi Pier Port (b)Pincode 382010 (c)Bounded Latitudes (North) From Degree 22.564608 Minutes Second From Degree 22.569703 Minutes Second (d)Bounded Longitudes (East) From Degree 70.040131 Minutes Second From Degree 70.045925 Minutes Second (e)Survey of India Topo Sheet No. F42K2 (f)Uploaded Topo Sheet File Copy of Topo Sheet File (g)Maximum Elevation Above Means Sea Level(AMSL) 1 (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 Gujarat Details of State(s) of the project S. No. State Name District Name Tehsil Name Village Name (1.) West Bengal Paschim bardhaman Barabani Panuria, Kantapahari, Jamgram, Shibdhawra, Banddhawra, Lalbandh, Gourangdih and Bhuiapara 6. Details of Terms of Reference (ToR): (a)Whether TOR is mandatory for submitting application Yes (b)MoEF&CC / SEIAA File Number 10-44/2017-IA-III (c)Date of Apply of TOR 30 Jan 2017 (d)Date of Issue of TOR / Standard ToR 07 Sep 2017 (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 Details No. of People Attended Issues Raised Designation of Presiding Officer Other Designation of Presiding Officer (1.) Date of Advertisement : 24 Jan 2019 Copy of advertisement : Copy of Advertisement Copy of Public Hearing : Copy of Public Hearing Date : 27 Feb 2019 Distance of Public Hearing Venue from the Proposed Project : 0 At Rozi Pier Port State : Gujarat District : Jamnagar Tehsil : Jamnagar Village : Rozi Pier Port, Jamnagar 109 Impacts due to proposed project Others Resident Additional Collector & Additional District Magistrate 8. Details of Project Configuration/Product:      8.1.       Project Configuration S. No. Plant/Equipment/Facility Configuration Remarks (1.) Rozi Pier Port Ports & Harbours      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.) Cargo handling capacity 8 Others MMTPA 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) 71.15 (b) Funds Allocated for Environment Management (Capital) (in Crores) 4.13 (c) Funds Allocated Towards CER (Corporate Environment Responsibility) (in Crores) 0.7115 (d) Funds Allocated for Environment Management Plan (EMP) (Recurring per Annum) (in Crores) 0.535 11. Whether project attracts the General Condition specified in the Schedule of EIA Notification ? Yes c)Notified Eco-sensitive areas 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 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 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.) Aggregate 20000 Cubic Meter per Day Approved Dealer Road 0 Others Approved Dealer Copy of Linkage (2.) "C" Class Rubble Stone 160000 Others MT Nearby village Road 0 Others Nearby village Copy of Linkage (3.) cement 15000 Others MT Approved Dealer Road 0 Others Approved Dealer Copy of Linkage (4.) Sand 17000 Cubic Meter per Day Local Road 0 Others Approved river source Copy of Linkage (5.) Coarse rubble black 100000 Others MT Nearby village Road 0 Others Nearby village Copy of Linkage (6.) Water 1000 Others KL Private tankers Road 0 Others Private Tankers Copy of Linkage (7.) Fill material 570000 Cubic Meter per Day Nearby village Road 0 Others Nearby village Copy of Linkage (8.) Quarry Riprap 6600 Cubic Meter per Day Nearby village Road 0 Others Nearby village Copy of Linkage 14. Baseline Data : (a)Period of Base Line Data Collection FROM 01 Dec 2017 To 28 Feb 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.) PM10 Micro Gram per Meter Cube 81.5 52.1 81.1 100 (2.) PM2.5 Micro Gram per Meter Cube 43.2 20.9 42.9 60 (3.) SO2 Micro Gram per Meter Cube 18.5 12.9 18.5 80 (4.) NOx Micro Gram per Meter Cube 17.4 12.3 17.2 80     14.2.     No. of Ground Water monitoring locations : 3 S. No. Criteria Pollutants Other Criteria Pollutants Heavy Metal Unit Other Unit Maximum Value Minimum Value Desirable Limit Maximum Permissible Limit (1.) pH NA 8.2 7.2 6.5 8.5 (2.) Total Hardness mg/l 1230 300 200 600 (3.) Chlorides mg/l 862 461 250 1000 (4.) TSS mg/l 0 0 0 0 (5.) TDS mg/l 2486 1485 500 2000 (6.) Fluoride mg/l 0.07 0.01 1.0 1.5 (7.) Heavy Metals Iron mg/l 0.28 0.21 0.3 0     14.3.     No. of Surface Water monitoring locations : 2 S. No. Criteria Pollutants Other Criteria Pollutants Unit Other Unit Maximum Value Minimum Value Classification of inland water body (1.) pH NA 8.29 8.16 D (2.) DO mg/l 5.5 5.2 D (3.) BOD mg/l 2.4 2.2 D (4.) COD mg/l 7.3 6.8 D     14.4.     No. of Ambient Noise monitoring locations : 8 S. No. Parameter Unit Maximum Value Minimum Value Prescribed Standard (1.) Leq(Day) A-weighted decibels(dB(A)) 70.3 50.4 Industrial 75 / Residential 55 (2.) Leq(Night) A-weighted decibels(dB(A)) 65.9 39.9 Industrial 70 / Residential 45     14.5.     No. of Soil Sample Monitored locations : 4 S. No. Parameter Unit Other Unit Maximum Value Minimum Value (1.) pH 7.72 7.4 (2.) N(Nitrogen) Kilogram per hectare 65.4 56.8 (3.) P(Phosphorus) Kilogram per hectare 28.1 20.5 (4.) Electric Conductivity Others micro ohms/cm 621 584 (5.) K(Potassium) Kilogram per hectare 72.4 56.4 14.6. Details of Ground Water Table: (a)Range of Water Table Pre-Monsoon Season (Meters Below Ground Level (m bgl)) From 2.05 To 56.25 (b)Range of Water Table Post-Monsoon Season (Meters Below Ground Level (m bgl)) From 1.74 To 38.41 (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.) Others GWSSB through tankers 243.5 0 Not Appliacble modeOthers Road Others Tankers 0 07 Sep 2017 243.5 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.) Sewage 19 20 Sewage Treatment Plant Others Greenbelt 19 0 (2.) Washings 119 120 ETP Reuse within the Plant & Recycling,Others Reuse for Sprinkling and washing 107 12 16.1. (a)Total Waste Water Generation (Kilolitre per Day) 138 (b)Total Discharged Water (Kilolitre per Day) 12 (c)Total Reused Water (Kilolitre per Day) 126     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.) Garbage Municipal Solid Waste 27.4 Tons 0 Road Others Municipal Authority (2.) Waste Oil Hazardous Waste (as per Hazardous and Other Waste Management rules 2016) 0.08 Kilolitre 0 Road Others Disposed to authorized vendor (3.) ETP Sludge Hazardous Waste (as per Hazardous and Other Waste Management rules 2016) 1.8 Tons 0 Road Others Disposed to authorized vendor 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 81.5 5 1.2 82.8 100 (2.) NOx Microgram per Meter Cube 17.4 5 0 17.5 80 (3.) SO2 Microgram per Meter Cube 18.5 5 0 18.6 80 (4.) PM2.5 Microgram per Meter Cube 43.2 5 0 43.3 60     18.2.     Stack Details S. No. Source Fuel Stack Height(m) Stack Diameter(m) Pollutants Other Pollutants Emission (GLS) (1.) 160 kVA DG set HSD 8 0.2 PM10 0 19. Power Requirement: (a)Quantity (Kilo Volt Amps (kVA)) 625 (b)Source GEB Grid (c)Uploaded Copy of Agreement Not Applicable (d)Standby Arrangement (Details of DG Sets) 160 kVA DG set (e)Stack Height (in m) 8 20. Land Ownership Pattern: (a)Forest Land (ha.) 0 (b)Private Land (ha.) 0 (c)Government Land (ha.) 9.2 (d)Revenue Land (ha.) 0 (e)Other Land (ha.) 0     Total Land (ha.) 9.2 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.) 9.2 (g)Forest (ha.) 0 (h)Mangroves (ha.) 0 (i)Marine Area (ha.) 0 (j)Others (ha.) : NA 0     Total (ha.) 9.2000     22.     Land requirement for various activities S. No. Description of Activity / Facility / Plant / Others Others Land Requirement (ha.) Remarks (1.) Others Rozi Pier Port 9.2 Total (ha.) 9.2 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.) Critically Polluted Area NA 0 NA (2.) NPA NA 0 NA (3.) ESAs Marine National Park and Sanctuary 0 Adjacent to Rozi Pier Port (4.) ESZs NA 0 NA (5.) Corridors NA 0 NA (6.) WLS NA 0 NA (7.) Wildlife Corridors NA 0 NA     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 NA 0 NA (2.) Archaeological Sites NA 0 NA (3.) Others Eco-sensitive Area Marine National Park and Sanctuary, Jamnagar 0 Adjacent to Rozi Pier Port (4.) Defence Installations 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) 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) 9.2 (b)Land yet to be acquired(Ha) 0 (c)Status of Land acquisition if not acquired NA 27. Rehabilitation and Resettlement (R&R): (a)No. of Villages (b)No. of Households (c)No. of PDFs (Project Displaced Families) (d)No. of PAFs (Project Affected Families) (e)Funds Allocated for R&R(in INR) (in Lacs) (f)Status of R&R NA 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 Arabian Sea (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 Arabian Sea (ii)Direction of Water Bodies in Buffer Area North (iii)Distance of Water Bodies in Buffer Area 0 31. Manpower Requirement: (a)Permanent Employment-During Construction 0 (b)Permanent Employment-During Operation 50 (c)Temporary Employment- During Construction 0 (d)Temporary Employment- During Operation 450 (e)No. of working days 300 (f)Total Manpower 500 32. Green Belt in Ha: (a)Total Area of Green Belt 1.98 (b)Percentage of Total Project Area 21.52 (c)No. of Plants to be Planted 2100 (d)Funds Allocated for Plantation 3800000 (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 Direct indirect Employment will be provided    34.   CRZ Specific Details S. No. Item Details 1. Project Details: (a)CRZ Classification IB (b)Location Type Non-Eroding Coast (c)Details of Mangroves Land Involved, if Any No Mangroves (d)Area of Mangroves Land (hectare) 0 (e)EIA (Terrestrial) Studies Carried Out (i)Summary Details of EIA (Terrestrial) Studies Terrestrial EIA carried out. The proposed project (ii)Uploaded Recommendation made in EIAs Copy of Recommendation made in EIAs (iii)Period of Study from (EIA Terrestrial) 01 Dec 2017 (iv)Period of Study To (EIA Terrestrial) 28 Feb 2018 (f)EIA (Marine) Studies Carried Out (i)Summary Details of EIA (Marine) Studies Marine EIA carried out (ii)Uploaded Recommendation made in EIAs Copy of Recommendation made in EIAs (iii)Period of Study from (EIA Marine) 01 Dec 2017 (iv)Period of Study to (EIA Marine) 28 Feb 2018 (g)Disaster Management Plan/National Oil Spill Disaster Contigency Plan Existing Rozi Pier Port having Disaster Management 2. Description of the Project Under Consideration: (a)Type of Project Others (i)Agency Name for Preparing CRZ Maps Institute of Remote Sensing, Anna University (ii)Please Specify with salient features The proposed project falls under CRZ-IVA and CRZ-1 (iii)Uploaded relevent Document Copy of relevent Document 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 IB (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 0 (ii)Uploaded Maps(Shape File) Copy of Maps (iii)Distance of Project(in meters) from LTL to be Stated 0 (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 ? Yes (i)Uploaded Maps (Shape File) Copy of Maps (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 GMB shall strictly adhere to provisions of CRZ Not (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) Provided in EIA Report    35.   Sector Specific Details For INFRA-2 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 0 5. Energy Saving Measures: (a)Source/Mode NA (b)Percentage 0 (c)Quantity 0 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 Industry No. of Units Category 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/1720/Ra 0097 (ii)Name of the EIA Consultant SV ENVIRO LABS AND CONSULTANTS (iii)Address Enviro House, B-1, Block-B, IDA, Autonagar, Visakhapatnam (iv)Mobile No. 9440338628 (v)Landline No. 0891275552 (vi)Email Id svenviro_labs@yahoo.co.in (vii)Category of Accreditation A (viii)Sector of Accreditation INFRA-2 (ix)Validity of Accreditation 30 Sep 2020 (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 Applicant Designation Deputy General Manager (Env) Name of Company (Applicant Name should not be given here) Gujarat Maritime Board Address "Sagar Bhavan", Sector 10/A, OPp: Air force Station, Sachivalaya, Gandhinagar - 382010

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