Report Part 1

Form-2

APPLICATION FOR PRIOR ENVIRONMENTAL CLEARANCE

S. No.

Item

Details

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)	testing Proposal
(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

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

Category of the Project/Activity as per Schedule of EIA Notification,2006:
(a.I)Project/Activity	5g(a)-Grain Based distilleries for Ethanol Blended Petrol
Minor Activity
(b)Category	B2
Reason for Applying at Ministry	Select
Zero Liqued Discharged	Yes
(c)Proposal Number	IA/BR/IND2/222231/2021
(d)Master Proposal Number(Single Window)	SW/222230/2021
(e)EAC concerned (for category A Projects only)	NIL
(f)Project Type	Fresh EC

Location of the Project:
(a)Plot/Survey/Khasra No.	11
(b)Pincode	853202
(c)Bounded Latitudes (North)
From
Degree	22
Minutes	23
Second	24
From
Degree	66
Minutes	68
Second	69
(d)Bounded Longitudes (East)
From
Degree	25
Minutes	26
Second	27
From
Degree	70
Minutes	71
Second	72
(e)Survey of India Topo Sheet No.	22
(f)Uploaded Topo Sheet File	Copy of Topo Sheet File
(g)Maximum Elevation Above Means Sea Level(AMSL)	22
(h)Uploaded (kml) File	Copy of Kml File
(i)Distance of Nearest HFL from the project boundary within the study area	22
(j)Seismic Zone	1

(a)Number of States in which Project will be Executed	1
(b)Main State of the project	Bihar

Details of State of the project
S. No.	State Name	District Name	Tehsil Name	Village Name
NIL

Details of Project Configuration/Product:

6.1. Project Configuration
S. No.	Plant/Equipment/Facility	Configuration	Remarks
(1.)	222	333	444

6.2. Product
S. No.	Product/Activity (Capacity)	Quantity	Unit	Other Unit	Mode of Transport / Transmission of Product	Other Mode of Transport / Transmission of Product
(1.)	22	55	Kilo Litre per Day		Road

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

7.1.

Details of CTE
(i)Whether CTE obtained ?	NA
(ii)Copies of all CTE obtained since inception	NA
(iii)Date of Issue	28 Jun 2021
(iv)Valid Upto	03 Jul 2021
(v)File No.	222
(vi)Application No.	333
(vii)Copy of CTE valid as on date	Copy of Consent to Operate

7.2.

Details of Consent to Operate
(iii)Date of Issue	01-01-1900 00:00:00
(iv)Valid Upto	01-01-1900 00:00:00
(v)File No.	NA
(vi)Application No.	NA
(vii)Copy of Consent to operate valid as on date	NA

Project Cost:
(a)Total Cost of the Project at current price level (in Crores)	20
(b) Funds Allocated for Environment Management (Capital) (in Crores)	10
(c) Funds Allocated for Environment Management Plan (EMP) (Recurring per Annum) (in Crores)	10

Whether project attracts the General Condition specified in the Schedule of EIA Notification ?

9. Raw Material / Fuel Profile
S. No.	Type	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)
(1.)	New	70% Per Chloric Acid (Acid)	22	Tons per Annum		22	Road		33

10. Details of Water Requirement
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		11	22	Copy of Permission Letter	Pipeline		Barrage		44	02 Jul 2021	33

11.

(a)Total Waste Water Generation
(b)Total Discharged Water
(c)Total Reused Water

11.1. Waste Water Management
S. No.	Type/Source	Quantity of Waste Water Generated (Kilolitre per Day)	Treatment Capacity (Kilolitre per Day)	Quantity of Treated water & Resives or Recycle (Kilolitre per Day)	Mode of Disposal	ZLD Plan Letter
(1.)	112	2	33	44	ZLD		Copy of ZLD Plan

12. 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.)	ww	Municipal Solid Waste		22	Tons	33	Road		Treatment, Storage and Disposal Facility(TSDF)

13.

Power Requirement:
(a)Quantity (Kilo Volt Amps (kVA))	111
(b)Source	222
(c)Standby Arrangement (Details of DG Sets)	Yes
(d)Stack Height (in m)	22

14.

Land Ownership Pattern:
(a)Forest Land (ha.)	11
(b)Private Land (ha.)	22
(c)Government Land (ha.)	33
(d)Revenue Land (ha.)	44
(e)Other Land (ha.)	55
Total Land (ha.)	20

15.

Present Land Use Breakup of the Study Area in Ha:
(a)Agriculture Area (ha.)	11
(b)Waste/Barren Land (ha.)	222
(c)Grazing/ Community Land (ha.)	33
(d)Surface Water Bodies (ha.)	44
(e)Settlements (ha.)	66
(f)Industrial (ha.)	77
(g)Forest (ha.)	55
(h)Mangroves (ha.)	88
(i)Marine Area (ha.)	99
(j)Others (ha.) : ss	22
Total (ha.)	717.0000

16.

Details of Ecological & Environmental Sensitivity : -

16.1. Details of Ecological Sensitivity : No
S. No.	Details of Ecological Sensitivity	Name	Distance from the Project (Km)	Remarks
NIL

16.2. Details of Environmental Sensitivity : No
S. No.	Details of Environmental Sensitivity	Other Details of Environmental Sensitivity	Name	Distance from the Project (Km)	Remarks
NIL

17.

(a)Whether Noc / Permission from the competent authority is required?	No
(b)Whether NBWL recommendation is required?	No

18.

Forest Land:
Whether any Forest Land involved?	No

19.

Tree Cutting:
(a)No. of Trees Cut for the Project (if Forest Land not Involved)	11
(b)Details of Tree Cutting and Planting of Trees	Not Applicable

20.

Land Acquisition Status:
(a)Acquired Land(Ha)	22
(b)Land yet to be acquired(Ha)	33
(c)Status of Land acquisition if not acquired	44

21.

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

22.

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

23.

Manpower Requirement:
(a)Permanent Employment	11
(b)Temporary /Contractual Employment	11
(c)Total Manpower	22
(d)No. of working days	1

24.

Green Belt in Ha:
(a)Total Area of Green Belt	11
(b)Percentage of Total Project Area	55.00
(c)No. of Plants to be Planted	33
(d)Funds Allocated for Plantation	22
(e)Uploaded Green Belt plan	Copy of Green Belt Plan

25. Project Benefits
S. No.	Type of Project Benefits	Details of Project Benefits
(1.)	Environmental	en

27. CRZ Specific Details : Not Applicable

28. Sector Specific Details : NOT APPLICABLE

30. Sector Specific Details For Industrial Projects - 2

S. No.

Item

Details

S. No.

Item

Details

30.

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

31.

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

32.

Details of EIA Consultant:
(a)Have you hired Consultant for preparing document?	No
(i)Reason for not Hiring the Consultant	asasas

33.

Documents to be Attached:
(a)Uploaded Copy of EMP Report	Copy of EMP
(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
Uploaded Scanned copy of notarized affidavit (self declaration as mentioned in the Notification dated 16.06.2021).	Copy of Uploaded Scanned copy of notarized affidavit
(g)Uploaded Additional File	Copy of Additional File
(h)Uploaded Proposal Presentation (To be given in EAC meeting)	Copy of Uploaded Proposal Presentation
Uploaded Scanned copy of notarized affidavit (self declaration as mentioned in the Notification dated 16.06.2021).	Copy of Uploaded Scanned copy of notarized affidavit

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