APPENDIX I | (See Paragraph-6) | FORM 1 | | Note : If space provided against any parameter is inadequate, Kindly upload supporting document under 'Additional Attachments if any' at the last part of the Form1. Please note that all such Annexures must be part of single pdf document. | (I) Basic Information | | | Is your project Comes under Notified Industrial Area | NA |
| | Whether proposal involved violation of EIA notification | N/A | | Weather Consent to Establishment Obtained | N/A | | Upload copy of CTE | N/A |
| 1. | |
Name of the Project/s | Development of Haryana Section from Km 0+000 to Km 135+056 of Delhi–Amritsar-Katra Expressway | Brief summary of project | Annexure-Brief summary of project | Proposal Number | IA/HR/NCP/141416/2020 | Project Cost | 373700 lacs | |
| 2. | |
S. No. in the schedule | 7(f) Highways
| Project Sector | INFRA-1 | |
| 3. | Proposed capacity/area/length/tonnage to be handled/command area/lease area/number or wells to be drilled | 135.056 km ha. | | 4. | New/Expansion/Modernization | New | | | 5. | Existing Capacity/Area etc. | . ha. | | 6. | Category of project i.e. 'A' or 'B' | A | | 7. | Does it attract the general condition? If yes, please specify | No | | | 8. | Does it attract the specific condition? If yes, please specify | No | | | 9. | |
Location of the project | Haryana State | Shape of the project land | Block (Polygon) | Uploaded GPS file | Annexure-GPS file  | Uploaded copy of survey of India Toposheet | Annexure-Survey of india toposheet | Plot/Survey/Khasra No. | List shall be provided in EIA Report | Town / Village | Village List attached as additional Document | State of the project | Haryana | |
| Details of State of the project |
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S.no | State Name | District Name | Tehsil Name |
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(1.) | Haryana | Kaithal | Kaithal | (2.) | Haryana | Karnal | Assandh | (3.) | Haryana | Sonipat | Gohana | (4.) | Haryana | Sonipat | Kharkhoda | (5.) | Haryana | Jind | Narwana | (6.) | Haryana | Jind | Safidon | (7.) | Haryana | Rohtak | Rohtak | | 10. | |
Nearest railway station along with distance in kms | Bhainswan Station, 1.2 km | Nearest airport along with distance in kms | Delhi, 35 km | |
| 11. | Nearest Town/City/District Headquarters along with distance in kms | Bahadurgarh , 6.8 km | | 12. | Village Panchayats, Zila Parishad, Muncipal Corporation, Local body (Complete postal address with telephone nos. to be given) | Municipal Committee, Jhajjar
Address: - Near Old Tehsil, Jhajjar
Contact No. with STD Code: 01251-252009
Municipal Council, Kaithal
Address: - Committee Chowke, Kaithal
Contact No.with STD Code: 01746-232987,232513 | | 13. | Name of the Applicant | Dr Biswajit | | 14. | Registered Address | G-5 & 6, Sector-10, Dwarka, New DElhi-110075 | | 15. | |
Address for correspondance: | Name of the Company | DR.B.Mukhopadhyay | Name of the Applicant | Dr Biswajit | Designation (Owner/ Partner/ CEO) | General Manager | Pin code | 110075 | E-mail | biswajit@nhai.org | Telephone No. | 11-25074200 | Fax No. | 11-25093543 | 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 | |
| 16. | Details of Alternative Sites examined, if any. Location of these sites should be shown on a toposheet | Yes | Uploaded details | Annexure-Uploaded details | |
| 17. | Whether part of Interlinked projects? | No | | 18. | Whether separate application of Interlinked project has been submitted? | N/A | | 19. | If Yes, MoEF file number | N/A | Date of submission | N/A | | | | 21. | Whether the proposal involves Approval/ Clearance under: if yes, details of the same and their status to be given | (i) Whether the proposal involves approval/clearance under the Forest (Conservation) Act,1980? | Yes | Status | Application for Forest Clearance yet to be submitted | (ii) Whether the proposal involves approval/clearance under the wildlife (Protection) Act,1972? | No | (iii) Whether the proposal involves approval/clearance under the C.R.Z notification, 2011? | No | | | | 23. | Whether any Forest Land Involved? | Yes | Area of Forest land Involved (hectares) | 48 ha. | |
| 24. | Whether there is any litigation pending against the project and/or land in which the project is proposed to be set up? | No | (a) Name of the Court | N/A | (b) Name of the Sub court | N/A | (c) Case No. | N/A | (d) Orders/directions of the court, if any and relevance with the proposed project | N/A | |
| 1 | Construction, operation or decommissioning of the Project involving actions, which will cause physical changes in the locality (topography, land use, changes in water bodies, etc.) | S.No | Information/Checklist confirmation | Yes/No | Details there of (with approximate quantities/rates, wherever possible) with source of information data | 1.1 | Permanent or temporary change in land use, land cover or topography including increase in intensity of land use (with respect to local land use plan) | Yes | The proposed greenfield alignment of expressway passes through agricultural, barren, plantation and settlements. Thus, the land-use within the proposed RoW shall undergo a change due to proposed
development. Mitigation measures shall be taken in order to neutralize the impacts on land use. | 1.2 | Clearance of existing land, vegetation and buildings? | Yes | Trees and existing structures along the proposed RoW shall be removed in order to construct the road | 1.3 | Creation of new land uses? | Yes | Land-use within the proposed RoW shall undergo a change due to proposed development. The agricultural lands, Forest area, Settlements will be developed into paved area. Greenbelt development as part of avenue and median plantation shall be done along both sides of the road and at the median of highway as per provision of IRC SP21:2009. | 1.4 | Pre-construction investigations e.g. bore houses, soil testing? | Yes | Geotechnical investigation, Topographical & CPR survey, LA survey, Tree enumeration, soil testing etc. shall be conducted as a part of pre-construction investigation. | 1.5 | Construction works? | Yes | Project pertains to construction of highways | 1.6 | Demolition works? | Yes | Some structures falling in the proposed RoW shall be demolished | 1.7 | Temporary sites used for construction works or housing of construction workers? | Yes | Local labour camp shall be established after taking consent from concerned State Pollution Control Board and district administration. Minimum 500m distance shall be maintained from water body, settlement area, forest area, etc. | 1.8 | Above ground buildings, structures or earthworks including linear structures, cut and fill or excavations and fill or excavations | Yes | RoB and bridge shall be constructed. However, exact quantification of cut & fill material shall be assessed during EIA Stage. | 1.9 | Underground works including mining or tunnelling? | Yes | There will be no mining or tunnelling works for construction of Highway. The Mining activities shall be limited for borrow area and minor minerals. Separate environment clearance shall be applied based on merit of the project | 1.10 | Reclamation works? | Yes | The excavation of borrow area shall form pits which shall be reclaimed by borrow area management plan. | 1.11 | Dredging? | No | No dredging is required | 1.12 | Offshore structures? | No | No offshore structure in proposed project | 1.13 | Production and manufacturing processes? | No | This is a highway project. No production or manufacturing processes are involved. | 1.14 | Facilities for storage of goods or materials? | Yes | The construction materials shall be stored at designated places after taking consent from SPCB and district administration | 1.15 | Facilities for treatment or disposal of solid waste or liquid effluents? | Yes | Municipal Solid waste shall be stored in colored bins for segregation at site itself and shall be disposed at government approved sites only as per Solid Waste Management Rules, 2016. Sewage generated in construction camps shall be routed to septic tanks with soak pit or bio-toilets. Construction wastes will be managed as per Construction and Demolition Wastes Management Rules, 2016. | 1.16 | Facilities for long term housing of operational workers? | No | Work force during operation shall be limited for very few nos. and thus any permanent housing is not required. | 1.17 | New road, rail or sea traffic during construction or operation? | No | The proposed project shall itself act as a mode of transportation and the existing road and rail routes are enough for transport of construction materials. Hence, any new mode of transportation is not
required. | 1.18 | New road, rail, air water borne or other transport infrastructure including new or altered routes and stations, ports, airports etc? | No | Not required | 1.19 | Closure or diversion of existing transport routes or infrastructure leading to changes in traffic movements? | Yes | The proposed project highway crossing some existing roads. Thus, diversion of traffic shall be planned before commencement of construction in consultation with local traffic police and shall be duly implemented. | 1.20 | New or diverted transmission lines or pipelines? | Yes | Transmission lines crossed by the proposed alignment shall be shifted with the consent of electricity dept. | 1.21 | Impoundment, damming, culverting, realignment or other changes to the hydrology of watercourses or aquifers? | Yes | The excavation required for construction of the highway shall be minimal and in no way shall intersect the groundwater table. Adequate cross drainage structures shall be provided to maintain the hydrology of the area. Hence any significant impact is not envisaged. | 1.22 | Stream crossings? | Yes | The Proposed alignment is crossing rivers and other small nallahs & canals. The complete details shall be provided in the EIA report. | 1.23 | Abstraction or transfers of water from ground or surface waters? | Yes | Water requirement for construction activities shall be sourced from surface water bodies through Tanker after necessary approval. | 1.24 | Changes in water bodies or the land surface affecting drainage or run-off? | Yes | Temporary change is expected during construction. However, adequate nos. of cross drainage structures shall be provided to maintain the natural water flow (hydrology) of the area. | 1.25 | Transport of personnel or materials for construction, operation or decommissioning? | Yes | Covered Tippers & trolleys shall be utilised for transportation of construction materials. | 1.26 | Long-term dismantling or decommissioning or restoration works? | No | Not required. | 1.27 | Ongoing activity during decommissioning which could have an impact on the environment? | No | Not applicable | 1.28 | Influx of people to an area in either temporarily or permanently? | Yes | Temporary influx of people shall occur in form of workers, labours and engineers during construction phase. | 1.29 | Introduction of alien species? | No | No alien species shall be introduced. The avenue and median shall only involve plantation of native species after consultation with forest department. | 1.30 | Loss of native species or genetic diversity? | Yes | Trees coming within proposed ROW will be felled for construction of highways. However, compensatory and avenue plantation will be done using native plant species to maintain genetic diversity. | 1.31 | Any other actions? | No | Not applicable | | 2 | Use of Natural resources for construction or operation of the Project (such as land, water, materials or energy, especially any resources which are non-renewable or in short supply): | S.No | Information/Checklist confirmation | Yes/No | Details thereof (with approximate quantities/rates, wherever possible) with source of information data | 2.1 | Land especially undeveloped or agricultural land (ha) | Yes | About 2,040 ha are is required for this project. The proposed alignment majorly comprise of agricultural land with patches of forest and settlement area. | 2.2 | Water (expected source & competing users) unit: KLD | Yes | About 79,67,889 KL Water will be required during construction phase which will be sourced by approved sources through Tankers | 2.4 | Construction material – stone, aggregates, sand / soil (expected source – MT) | Yes | 2,22,62,045 Cum of Earthwork, 13,51,688 cum of GSB, 96,402 MT of Bitumen, 5,412 MT of Emulsion, 3,47,228 MT of Cement, 6,61,441 Cum of stone dust, 3,54,899 Cum of Sand, 61,711 MT of Steel and 78,59,185 cum of Fly Ash | 2.5 | Forests and timber (source – MT) | No | - | 2.6 | Energy including electricity and fuels (source, competing users) Unit: fuel (MT),energy (MW) | Yes | The Energy required during Construction phase shall be taken from local electricity distribution company. DG sets shall also be set-up as a source of alternative power. | 2.7 | Any other natural resources (use appropriate standard units) | No | Not Applicable | | 3 | Use, storage, transport, handling or production of substances or materials, which could be harmful to human health or the environment or raise concerns about actual or perceived risks to human health | S.No | Information/Checklist confirmation | Yes/No | Details thereof (with approximate quantities/rates, wherever possible) with source of information data | 3.1 | Use of substances or materials, which are hazardous (as per MSIHC rules) to human health or the environment (flora, fauna, and water supplies | Yes | Adequate safety measures will be taken during construction phase. Hazardous substance like bitumen and waste oil from machineries will be stored at designated place and will be handled as per MSIHC rules. | 3.2 | Changes in occurrence of disease or affect disease vectors (e.g. insect or water borne diseases) | No | Construction camp sites will be provided with septic tanks with soak pit / bio-toilet / portable STP facility. At regular intervals disinfectants will be applied to restrict vector growth. Suitable drainage and waste management measures will be adopted, which will prevent stagnation of water or accumulation of waste. | 3.3 | Affect the welfare of people e.g. by changing living conditions? | Yes | The proposed project will result in appreciable welfare of the people with respect to health care, educational, employment and agriculture developments as a result of fast connectivity of these facilities. Over all there will be improvement in quality of life of people. | 3.4 | Vulnerable groups of people who could be affected by the project e.g. hospital patients, children, the elderly etc. | Yes | Schools, hospitals and other sensitive receptors along the proposed alignment shall be affected due to proposed development. Measures will be adopted based on consultation with the affected population.
Due to better connectivity of Hospitals after construction of highway, the patients will be able to reach hospital quickly and get treatment on time. | 3.5 | Any other causes | No | No such other causes | | 4 | Production of solid wastes during construction or operation or decommissioning (MT/month) | S.No | Information/Checklist confirmation | Yes/No | Details thereof (with approximate quantities/rates, wherever possible) with source of information data | 4.1 | Spoil, overburden or mine wastes | Yes | During construction, excavated materials, Spoil, overburden or mine waste is likely to be generated. All these materials will be consumed for rehabilitation of borrow and mining areas. Remaining wastes will be managed as per Construction and Demolition Waste Management Rules 2016. | 4.2 | Municipal waste (domestic and or commercial wastes) | Yes | Municipal solid waste shall be generated from the labour camps. The solid waste will be collected & disposed suitably in compost pit and / or transported in covered trucks at approved municipal disposal sites through Contractors. These wastes will be managed as per Solid Waste Management Rules, 2016. | 4.3 | Hazardous wastes (as per Hazardous Waste Management Rules) | Yes | Spent oil from construction equipment / vehicles and DG sets generated during construction phase will be appropriately stored, handled and properly disposed off through authorized recyclers. | 4.4 | Other industrial process wastes | Yes | Insignificant amount of processing waste may be generated from Hot mix / batch mix plant which will be collected and utilized towards strengthening internal road in the campsite or other haulage roads. | 4.5 | Surplus product | No | Not Applicable | 4.6 | Sewage sludge or other sludge from effluent treatment | Yes | Sanitary toilets shall be provided with septic tank followed by soak pits, bio toilets or Portable STP in the labour camps. The sludge will be used as manure in greenbelt development. | 4.7 | Construction or demolition wastes | Yes | Demolition wastes will be generated from abandoned structures in the project RoW. Construction wastes will be generated from time to time during construction of road which will be used for levelling of road alignment. These wastes will be managed as per Construction and Demolition Waste Management Rules, 2016. | 4.8 | Redundant machinery or equipment | Yes | Some redundant machinery or equipment will be stored at construction camp in pre-designated space to avoid any contamination of soil. | 4.9 | Contaminated soils or other materials | No | No contaminated soil or material is anticipated to be generated. | 4.10 | Agricultural wastes | No | No agricultural waste is anticipated at the project site | 4.11 | Other solid wastes | No | Not Applicable | | 5 | Release of pollutants or any hazardous, toxic or noxious substances to air(Kg/hr) | S.No | Information/Checklist confirmation | Yes/No | Details thereof (with approximate quantities/rates, wherever possible) with source of information data | 5.1 | Emissions from combustion of fossil fuels from stationary or mobile sources | Yes | Point source emissions are anticipated from the Mixing Plants, operation of DG sets, etc. Vehicles transporting construction materials, construction equipment and machinery will be another source of emissions. During Operational phase, the emissions will be from vehicles running on the highway. | 5.2 | Emissions from production processes | No | The Proposed Project is for construction of expressway. Hence, no production process is involved in the project. | 5.3 | Emissions from materials handling including storage or transport | Yes | Fugitive emission is envisaged during handling, transport, loading and unloading of construction materials. | 5.4 | Emissions from construction activities including plant and equipment | Yes | During Construction phase, the emissions will be from Mixing Plant and other Machineries. Movement of construction vehicles and other related activities will also generate emissions. | 5.5 | Dust or odours from handling of materials including construction materials, sewage and waste | Yes | Dust emission is envisaged during handling, transport, loading and unloading of construction materials. | 5.6 | Emissions from incineration of waste | No | No incineration of waste is proposed | 5.7 | Emissions from burning of waste in open air (e.g. slash materials, construction debris) | No | No burning of waste will be undertaken at the project highway | 5.8 | Emissions from any other sources | No | - | | 6 | Generation of Noise and Vibration, and Emissions of Light and Heat: | S.No | Information/Checklist confirmation | Yes/No | Details thereof (with approximate quantities/rates, wherever possible) with source of information data | 6.1 | From operation of equipment e.g. engines, ventilation plant, crushers | Yes | From construction equipment (like Excavator, Dumper, etc.) noise level in the tune of 85 to 110 dB (A) may be generated. However, adequate mitigation measures will be taken to control the noise levels and reduce the noise level till it reaches to receptor. | 6.2 | From industrial or similar processes | No | The Proposed Project is for construction of highways. Hence, no industrial process is involved. | 6.3 | From construction or demolition | Yes | Temporary Noise pollution in the tune of approx. 85 to 110 dB (A) is expected due to construction activities. Demolition of structures falling within ROW will also generate certain noise. | 6.4 | From blasting or piling | No | There will be no blasting required at the project highway. | 6.5 | From construction or operational traffic | Yes | Approximately 65 to 75 dB (A) noise may be generated from the vehicles approaching the site. During operation of road, noise generation will be mainly due to vehicles on road. | 6.6 | From lighting or cooling systems | No | Not applicable | 6.7 | From any other sources | No | Not applicable | | 7 | Risks of contamination of land or water from releases of pollutants into the ground or into sewers, surface waters, groundwater, coastal waters or the sea: | S.No | Information/Checklist confirmation | Yes/No | Details thereof (with approximate quantities/rates, wherever possible) with source of information data | 7.1 | From handling, storage, use or spillage of hazardous materials | Yes | Hazardous materials like bitumen and waste oil shall be stored and handled, thus some risk may involve. However adequate construction safety measures will be taken. | 7.2 | From discharge of sewage or other effluents to water or the land (expected mode and place of discharge) | No | Labour camps shall be provided with sanitary toilets with soak pits or portable STP or bio-toilets | 7.3 | By deposition of pollutants emitted to air into the land or into water | Yes | Surface run-off from construction area shall be protected by providing silt fencing along the nearby water body. | 7.4 | From any other sources | No | No such any other sources. | 7.5 | Is there a risk of long term build up of pollutants in the environment from these sources? | No | No Such risk. | | 8 | Risk of accidents during construction or operation of the Project, which could affect human health or the environment | S.No | Information/Checklist confirmation | Yes/No | Details thereof (with approximate quantities/rates, wherever possible) with source of information data | 8.1 | From explosions, spillages, fires etc from storage, handling, use or production of hazardous substances | Yes | Flammable and hazardous substance like bitumen and diesel will be handled, stored at designated place. Adequate construction safety measures will be taken. | 8.2 | From any other causes | No | No such impact is anticipated | 8.3 | Could the project be affected by natural disasters causing environmental damage (e.g. floods, earthquakes, landslides, cloudburst etc)? | No | Alignment of proposed expressway is found in Seismic Zone III (Moderate Damage Risk Zone) and Zone IV (High Damage Risk Zone). RoB, bridges or any other above ground structures shall be designed as per risk factor of respective seismic zone. | | 9 | Factors which should be considered (such as consequential development) which could lead to environmental effects or the potential for cumulative impacts with other existing or planned activities in the locality | S.No | Information/Checklist confirmation | Yes/No | Details thereof (with approximate quantities/rates, wherever possible) with source of information data | 9.1 | Lead to development of supporting utilities, ancillary development or development stimulated   by the project which could have impact on the environment e.g.:
- Supporting infrastructure (roads, power supply,waste or waste water treatment, etc.)
- housing development
- extractive industries
- supply industries
- Other
| Yes | The proposed project is an infrastructure development project and doesn’t require any support infrastructure. Ribbon development as likely with highway development may have certain impact on Social setup of the area. | 9.2 | Lead to after-use of the site, which could have an impact on the environment | No | The proposed highway shall help in development of the project region. | 9.3 | Set a precedent for later developments | Yes | Better connectivity will further improve the socioeconomic growth of the region. Project shall make way for many other developmental projects in the vicinity. | 9.4 | Have cumulative effects due to proximity to other existing or planned projects with similar effects | No | Not applicable | | (III) | Environmental Sensitivity | S.No | Areas | Name/Identity | Aerial distance (within 15km.) Proposed project location boundary | 1 | Areas protected under international conventions, national or local legislation for their ecological, landscape, cultural or other related value | No | No such area | 2 | Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests | No | No such area | 3 | Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration | No | No such area | 4 | Inland, coastal, marine or underground waters | No | - | 5 | State, National boundaries | No | Project section ends at interstate Haryana-Punjab State Border | 6 | Routes or facilities used by the public for access to recreation or other tourist, pilgrim areas | Yes | KMP, NH334B, SH18, NH709, SH16A, SH10, SH14, SH12, SH11A and NH152 | 7 | Defence installations | No | - | 8 | Densely populated or built-up area | Yes | Bahadurgarh about 6.5km
Rohtak about 11 km
Kaithal about 15 km | 9 | Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship, community facilities) | Yes | The alignment shall pass through from the vicinity of many such areas including places of worship, hospitals, schools and Community facilities etc. The details shall be provided in the
EIA report. | 10 | Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) | Yes | The project doesn’t pass through any such area. | 11 | Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) | No | - | 12 | Areas susceptible to natural hazard which could cause the project to present environmental problems (earthquakes, subsidence, landslides, erosion, flooding or extreme or adverse climatic conditions) similar effects | Yes | Alignment of proposed expressway is found in Seismic Zone III (Moderate Damage Risk Zone) and Zone IV (High Damage Risk Zone). | | (IV) | Proposed Terms of Reference for EIA studies | | Essential Detail Sought: |
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Sno. | EDS Letter | Remarks | Date of EDS |
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1. | NA | The correction have been made as per the instruction received | 12 Feb 2020 | 2. | NA | Please provide copy of NH notification | 12 Feb 2020 | | Additional Detail Sought : NIL | (V) | 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. | V.(i) | Name of Applicant | Dr Biswajit | Designation | General Manager | Name of Company (Applicant Name should not be given here) | DR.B.Mukhopadhyay | Address | G-5 & 6, Sector-10, Dwarka, New DElhi-110075 |
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