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| 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) | sdf | | (b)Name of the Company / Organisation | Kali Mandal | | (c)Registered Address | ,, , ,,East,Delhi-0 | | (d)Legal Status of the Company | State Government | | (e)Joint Venture | No | |
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| 2. | | Address for the correspondence: | | (a)Name of the Applicant | Kali kumar mandal | | (b)Designation (Owner/ Partner/ CEO) | programmer | | (c)Address | 55 56 rajat vihar,khora noida,Gandhi Nagar,East,Delhi-123456 | | (d)Pin code | 123456 | | (e)E-mail | rupeshyadav12@gmail.com | | (f)STD Code. | 11(f)Telephone No. | 1234567 | | (g)Fax No. | 11123456 | | (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 | |
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| 3. | | Category of the Project/Activity as per Schedule of EIA Notification,2006: | | (a.I)Project/Activity | 1(b) Offshore and onshore oil and gas exploration, development & production
5(h) Integrated paint industry
| | Minor Activity | | | (b)Category | A | | (c)Proposal Number | IA/GJ/IND2/26591/2013 | | (d)Master Proposal Number(Single Window) | SW/180941/2020 | | (e)EAC concerned (for category A Projects only) | Industrial Projects - 3 | | (f)Project Type | Modernization |
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| 4. | | Location of the Project: | | (a)Plot/Survey/Khasra No. | 1 | | (b)Pincode | 110059 | | (c)Bounded Latitudes (North) | | | From | | | Degree | 1 | | Minutes | | | Second | | | From | | | Degree | 1 | | Minutes | | | Second | | | (d)Bounded Longitudes (East) | | | From | | | Degree | 1 | | Minutes | | | Second | | | From | | | Degree | 1 | | Minutes | | | Second | | | (e)Survey of India Topo Sheet No. | 1 | | (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 | 1 | | (j)Seismic Zone | 1 | |
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| 5. | | (a)Number of States in which Project will be Executed | 1 | | (b)Main State of the project | Gujarat | |
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| Details of State(s) of the project |
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| S. No. | State Name | District Name | Tehsil Name | Village Name |
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| (1.) | Gujarat | Ahmedabad | Ahmadabad City | 5tq4 | | (2.) | Gujarat | Bhavnagar | Bhavnagar | |
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| 6. | | Details of Terms of Reference (ToR)/EC: | | (a)MoEF&CC / SEIAA File Number | | | (c)Date of Issue of TOR | 14 Aug 2014 | | (f)Previous TOR Letter | Copy of Previous TOR letter | | (b)Date of Apply of EC | 09 Sep 2021 | | (c)Date of Issue of EC | 30 Nov 2015 | | (d)Previous EC Letter | Copy of Previous EC letter | |
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| 7. | | Details of Public Consultation: | | (a)Whether the Project Exempted from Public Hearing? | Yes | | (b)Reason | sadf | | (c)Supporting Document | Copy of Supporting Document | |
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| 8. | | Details of Project Configuration/Product: | | Details Not Applicable | |
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| 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): | | (a)Details of certified report on compliance of earlier environmental clearance condition | | (i)Certified Compliance By | Regional | | (ii)Details of Regional Office of MoEFCC / Zonal Office of CPCB / SPCB / UTPCC from which certified report on | Bangalore | | (iii)Letter No. | 1 | | (iv)Status of Compliance | Compiled | | (v)Certified report on compliance of earlier environmental clearance conditions (Including Monitoring Report) | Copy of Certified Compliance Report | | (vi)Date of site visit | Oct 7 2020 12:00AM | | (b)Details of Capacity Expansion | |
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| S. No. | Product/Activity (Capacity/Area) | Quantity From | Quantity To | Total | Unit | Other Unit | Mode of Transport / Transmission of Product | Other Mode of Transport / Transmission of Product |
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| (1.) | 1 | 1 | 1 | 2 | Tons per Annum(TPA) | | Road | |
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| | | (c)Details of Configuration | |
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| S. No. | Plant / Equipment / Facility | Existing Configuration | Proposed Configuration | Final configuration after expansion | Remarks |
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| (1.) | 1 | 1 | 1 | 1 | 1 |
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| 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 | 07 Oct 2020 | | (iv)Valid Upto | 16 Oct 2020 | | (v)File No. | 1 | | (vi)Application No. | 1 | | (vii)Copy of Consent to operate valid as on date | Copy of Consent to Operate | |
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| 10. | | Project Cost: | | (a)Total Cost of the Project at current price level (in Crores) | 5 | | (b) Funds Allocated for Environment Management (Capital) (in Crores) | 1 | | (c) Funds Allocated Towards CER (Corporate Environment Responsibility) (in Crores) | 1 | | (d) Funds Allocated for Environment Management Plan (EMP) (Recurring per Annum) (in Crores) | 3 | |
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| 11. | | Whether project attracts the General Condition specified in the Schedule of EIA Notification ? | Yes | | a)Protected areas notified under the wildlife (Protection) Act, 1972 | Yes | | b)Critically polluted areas as notified by the Central Pollution Control Board(CPCB) from time to time | Yes | | c)Notified Eco-sensitive areas | Yes | | d)Inter-State boundaries and international boundaries | Yes |
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| 12. | | Whether project attract the Specific Condition specified in the Schedule of EIA Notification ? | Yes | | 8.(a) | If any Industrial Estate/Complex / Export processing Zones /Special Economic Zones/Biotech Parks / Leather Complex with homogeneous type of industries such as Items 4(d), 4(f), 5(e), 5(f), or those Industrial estates with pre –defined set of activities (not necessarily homogeneous, obtains prior environmental clearance, individual industries including proposed industrial housing within such estates /complexes will not be required to take prior environmental clearance, so long as the Terms and Conditions for the industrial estate/complex are complied with (Such estates/complexes must have a clearly identified management with the legal responsibility of ensuring adherence to the Terms and Conditions of prior environmental clearance, who may be held responsible for violation of the same throughout the life of the complex/estate |
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| 13. | | Raw Material / Fuel Requirement: | | (a)Proposed quantity of raw material/fuel | 1 | | (b)Existing quantity of raw material/fuel | N/A | | (c)Total quantity of raw material/fuel | 1 | |
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| 13.1. Raw Material / Fuel Profile |
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| 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 |
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| (1.) | No Data | 1 | Tons per Annum | | 1 | Rail | | 1 | Linkage | | Copy of Linkage |
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| 14. | | Baseline Data : | | (a)Period of Base Line Data Collection | FROM 01 Oct 2020 To 09 Oct 2020 | | (b)Season | Summer | |
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| 14.1. No. of ambient Air Quality (AAQ) monitoring locations : 1 |
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| S. No. | Criteria Pollutants | Other Criteria Pollutants | Unit | Maximum Value | Minimum Value | 98 Percentile Value | Prescribed Standard |
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| (1.) | SO2 | | Micro Gram per Meter Cube | 12 | 1 | 1 | 1 | | (2.) | PM10 | | Micro Gram per Meter Cube | 12 | 1 | 1 | 1 | | (3.) | NOx | | Nano Gram per Meter Cube | 12 | 1 | 1 | 1 | | (4.) | PM2.5 | | Micro Gram per Meter Cube | 12 | 1 | 1 | 1 |
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| 14.2. No. of Ground Water monitoring locations : 1 |
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| S. No. | Criteria Pollutants | Other Criteria Pollutants | Heavy Metal | Unit | Other Unit | Maximum Value | Minimum Value | Desirable Limit | Maximum Permissible Limit |
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| (1.) | pH | | | mg/l | | 12 | 1 | 1 | 1 | | (2.) | Chlorides | | | mg/l | | 12 | 1 | 11 | 1 | | (3.) | TSS | | | mg/l | | 12 | 1 | 1 | 1 | | (4.) | TDS | | | NA | | 12 | 1 | 1 | 1 | | (5.) | Fluoride | | | mg/l | | 12 | 1 | 1 | 1 | | (6.) | Total Hardness | | | mg/l | | 12 | 11 | 1 | 1 |
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| 14.3. No. of Surface Water monitoring locations : 1 |
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| S. No. | Criteria Pollutants | Other Criteria Pollutants | Unit | Other Unit | Maximum Value | Minimum Value | Classification of inland water body |
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| (1.) | BOD | | mg/l | | 12 | 1 | B | | (2.) | pH | | mg/l | | 12 | 1 | A | | (3.) | DO | | mg/l | | 12 | 1 | B | | (4.) | COD | | mg/l | | 12 | 1 | A |
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| 14.4. No. of Ambient Noise monitoring locations : 1 |
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| S. No. | Parameter | Unit | Maximum Value | Minimum Value | Prescribed Standard |
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| (1.) | Leq(Night) | A-weighted decibels(dB(A)) | 12 | 1 | 1 | | (2.) | Leq(Day) | A-weighted decibels(dB(A)) | 12 | 1 | 1 |
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| 14.5. No. of Soil Sample Monitored locations : 1 |
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| S. No. | Parameter | Unit | Other Unit | Maximum Value | Minimum Value |
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| (1.) | P(Phosphorus) | Millisiemens per Centimetre | | 12 | 1 | | (2.) | N(Nitrogen) | Milligram per Litre | | 12 | 1 | | (3.) | K(Potassium) | Millisiemens per Centimetre | | 12 | 1 | | (4.) | pH | Millisiemens per Centimetre | | 12 | 1 | | (5.) | Electric Conductivity | Millisiemens per Centimetre | | 12 | 1 |
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| 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 | | (b)Range of Water Table Post-Monsoon Season (Meters Below Ground Level (m bgl)) | From 1 To 1 | | (c)Whether Ground Water Intersection will be there ? | Yes | | (d)Upload Copy of Central Ground Water Authority Letter | Copy of Central Ground Water Authority Letter | | (e)Letter No. | 1 | | (f)Date of Issue | 29 Sep 2020 | |
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| 15. Details of Water Requirement (During Operation) |
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| 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 |
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| (1.) | Surface | | 1 | 1 | Copy of Permission Letter | Pipeline | | Barrage | | 1 | 15 Oct 2020 | 1 |
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| 15.1. | | (a)Whether Desalination is proposed | Yes | | (b)Desalination Capacity (KLD) | 1 | | (c)Quantity of Brine (KLD) | 1 | | (d)Mode of Disposal of Brine | 1 | |
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| 16. Waste Water Management(During Operation) |
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| 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) |
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| (1.) | 1 | 1 | 1 | 1 | Discharge into Surface Water Body | | | 1 |
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| 16.1. | | (a)Total Waste Water Generation (Kilolitre per Day) | 1 | | (b)Total Discharged Water (Kilolitre per Day) | 1 | | (c)Total Reused Water (Kilolitre per Day) | 0 | |
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| 17. Solid Waste Generation/Management |
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| 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 |
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| (1.) | 1 | Industrial Waste | | 1 | Tons | 1 | Rail | | Treatment, Storage and Disposal Facility(TSDF) | |
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| 18.1. Air Quality Impact Prediction |
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| S. No. | Criteria Pollutants | Other Criteria Pollutants | Unit | Baseline Concentration | Distance GLC | Incremental Concentration | Total GLC | Prescribed Standard |
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| (1.) | NOx | | Microgram per Meter Cube | 1 | 1 | 1 | 3 | 1 | | (2.) | SO2 | | Microgram per Meter Cube | 1 | 1 | 1 | 3 | 1 | | (3.) | PM10 | | Microgram per Meter Cube | 1 | 1 | 1 | 4 | 1 | | (4.) | PM2.5 | | Microgram per Meter Cube | 1 | 1 | 1 | 4 | 1 |
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| 18.2. Stack Details |
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| S. No. | Source | Fuel | Stack Height(m) | Stack Diameter(m) | Pollutants | Other Pollutants | Emission (GLS) |
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| (1.) | 1 | 11 | 1 | 1 | PM10 | | 1 |
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| 19. | | Power Requirement: | | (a)Quantity (Kilo Volt Amps (kVA)) | 1 | | (b)Source | 1 | | (c)Uploaded Copy of Agreement | Copy of Agreement | | (d)Standby Arrangement (Details of DG Sets) | 1 | | (e)Stack Height (in m) | 1 | |
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| 20. | | Land Ownership Pattern: | | (a)Forest Land (ha.) | 1 | | (b)Private Land (ha.) | 1 | | (c)Government Land (ha.) | 1 | | (d)Revenue Land (ha.) | 1 | | (e)Other Land (ha.) | 1 | | Total Land (ha.) | 5 | |
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| 21. | | Present Land Use Breakup of the Study Area in Ha: | | (a)Agriculture Area (ha.) | 1 | | (b)Waste/Barren Land (ha.) | 1 | | (c)Grazing/ Community Land (ha.) | 1 | | (d)Surface Water Bodies (ha.) | 1 | | (e)Settlements (ha.) | 1 | | (f)Industrial (ha.) | 11 | | (g)Forest (ha.) | 1 | | (h)Mangroves (ha.) | 11 | | (i)Marine Area (ha.) | 11 | | (j)Others (ha.) : 1 | 1 | | Total (ha.) | 40.0000 | |
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| 22. Land requirement for various activities |
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| S. No. | Description of Activity / Facility / Plant / Others | Others | Land Requirement (ha.) | Remarks |
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| (1.) | Main Plant | | 1 | 1 |
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| 23. | | Ecological and Environmental Sensitivity (Within 10 Km):- WLS-Wild Life Sanctuaries; NPA-Notified Protected Area; ESAs-Eco Sensitive Areas; ESZs-Eco Sensitive Zones : | |
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| 23.1. Details of Ecological Sensitivity : |
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| S. No. | Details of Ecological Sensitivity | Name | Distance from the Project (Km) | Remarks |
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| (1.) | ESAs | 11 | 11 | 1 | | (2.) | WLS | 1 | 11 | 1 | | (3.) | NPA | 1 | 11 | 1 | | (4.) | ESZs | 1 | 1 | 1 | | (5.) | Corridors | 11 | 1 | 1 | | (6.) | Critically Polluted Area | 1 | 11 | 1 | | (7.) | Wildlife Corridors | 1 | 11 | 1 |
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| 23.2. Details of Environmental Sensitivity : |
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| S. No. | Details of Environmental Sensitivity | Other Details of Environmental Sensitivity | Name | Distance from the Project (Km) | Remarks |
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| (1.) | Forest | | 1 | 1 | 1 | | (2.) | Archaeological Sites | | 1 | 1 | 1 | | (3.) | Defence Installations | | 1 | 11 | 1 |
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| 24. | | Forest Land: | | Whether any Forest Land involved? | No | |
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| 26. | | Land Acquisition Status: | | (a)Acquired Land(Ha) | 1 | | (b)Land yet to be acquired(Ha) | 1 | | (c)Status of Land acquisition if not acquired | 1 | |
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| 27. | | Rehabilitation and Resettlement (R&R): | | (a)No. of Villages | 1 | | (b)No. of Households | 1 | | (c)No. of PDFs (Project Displaced Families) | 1 | | (d)No. of PAFs (Project Affected Families) | 11 | | (e)Funds Allocated for R&R(in INR) (in Lacs) | 1 | | (f)Status of R&R | Completed | |
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| 28. | | Details of Presence of Schedule-I Species: | | (a)Whether there is Presence of Schedule-I Species ? | Yes | | (i)Details of Schedule-I Species | 1 | | (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 | 1 | | (iii)Period of Implementation | 1 | | (c)Whether conservation plan for Schedule-I Species has been approved by competent authority ? | Yes | | (i)Uploaded copy of approval | Copy of approval | | (ii)Letter No. | 1 | | (iii)Date of issue | 08 Oct 2020 | | (iv)Recommendation | 1 | |
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| 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 | 1 | | (b)Whether there is Diversion Required ? | Yes | | (i)Details of Diversion Required | 1 | | (ii)Details of Study Conducted | 1 | | (c)Whether permission has been obtained from competent authority ? | Yes | | (i)Uploaded copy of permission | Copy of permission | | (ii)Letter No. | 11 | | (iii)Date of issue | 13 Oct 2020 | | (iv)Recommendation | 1 | |
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| 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 | 1 | | (ii)Direction of Water Bodies in Buffer Area | North | | (iii)Distance of Water Bodies in Buffer Area | 1 | |
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| 31. | | Manpower Requirement: | | (a)Permanent Employment-During Construction | 60 | | (b)Permanent Employment-During Operation | 2 | | (c)Temporary Employment- During Construction | 2 | | (d)Temporary Employment- During Operation | 3 | | (e)No. of working days | 1 | | (f)Total Manpower | 67 | |
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| S. No. | Description | Existing | Proposed | Total |
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| (1.) | Total Area of Green Belt | 1 | 1 | 2 | | (2.) | Percentage of Total Project Area | 1 | 1 | 2 | | (3.) | No. of Plants | 1 | 1 | 2 | | (4.) | Funds Allocated | 11 | 1 | 12 |
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| 33. Project Benefits |
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| S. No. | Type of Project Benefits | Details of Project Benefits |
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| (1.) | Environmental | tg |
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| 34. CRZ Specific Details : Not Applicable |
| 35. Sector Specific Details For Industrial Projects - 3 |
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| 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 ? | Yes | | (b)Name of the Court | Districts Courts | | (c)Name of the Sub Court | Allahabad | | (d)Case No. | 1 | | (e)Orders/Directions of the court ,if any and its relevance with the proposed project | 1 | | (f)Case Details | 1 | | (g)Uploaded Court Order | Copy of Court Order | |
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| 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 ? | Yes | | (b)Details of Direction Issued Under Environment (Protection) Act / Air (Prevention & Control of Pollution)) Act / Water (Prevention & Control of Pollution) Act | 1 | | (c)Uploaded Copy of Direction Issued Under Environment (Protection) Act / Air (Prevention & Control of Pollution)) Act / Water (Prevention & Control of Pollution) Act | Copy of Direction Issued | | (d)Compliance status of the directions | 1 | |
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| 38. | | Details of EIA Consultant: | | (a)Have you hired Consultant for preparing document? | Yes | | (i)Accreditation No. | 1 | | (ii)Name of the EIA Consultant | 1 | | (iii)Address | 1 | | (iv)Mobile No. | 8499838909 | | (v)Landline No. | 1 | | (vi)Email Id | abc12@gmail.com | | (vii)Category of Accreditation | A | | (viii)Sector of Accreditation | Industrial Projects - 3 | | (ix)Validity of Accreditation | 01 Oct 2020 | | (x)Uploaded Certificate of Accreditation certified by QCI/NABET | Copy of Certificate of Accreditation | |
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| 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 | Kali kumar mandal | | Designation | programmer | | Name of Company (Applicant Name should not be given here) | Kali Mandal | | Address | Delhi |
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