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
S.No.Item Details
Is your project Comes under Notified Industrial Area NA
Whether proposal involved violation of EIA notificationN/A
Weather Consent to Establishment ObtainedN/A
Upload copy of CTE N/A
1.
Name of the Project/s Construction of twin tube road tunnel connecting Borivali in Mumbai and Tiku-ji-niwadi in Thane, Maharashtra
Brief summary of projectAnnexure-Brief summary of project
Proposal Number IA/MH/MIS/70715/2017
Project Cost 300000 lacs
2.
S. No. in the schedule7(f) Highways
Project Sector INFRA-2
3. Proposed capacity/area/length/tonnage to be handled/command area/lease area/number or wells to be drilled Approx 10 km ha.
4.
New/Expansion/ModernizationNew
5. Existing Capacity/Area etc. 10 ha.
6. Category of project i.e. 'A' or 'B' A
7.
Does it attract the general condition? If yes, please specify Yes
a) Protected areas notified under the wildlife (Protection) Act, 1972
8.
Does it attract the specific condition? If yes, please specify No
9.
Location of the projectMumbai and Thane, Maharashtra
Shape of the project landBlock (Polygon)
Uploaded GPS fileAnnexure-GPS file      
Uploaded copy of survey of India ToposheetAnnexure-Survey of india toposheet
Plot/Survey/Khasra No.Magathane in Mumbai, Yeoor & Manpada in Thane
Town / VillageMagathane in Mumbai, Yeoor & Manpada in Thane
State of the projectMaharashtra
Details of State of the project
S.no State Name District Name Tehsil Name
(1.)MaharashtraMumbai (Suburban)Borivali
(2.)MaharashtraThaneThane
10.
Nearest railway station along with distance in kms Dahisar Railway Station, 1.9 km approx, 1.9 km
Nearest airport along with distance in kms Mumbai Airport, 15 km, 14 km
11. Nearest Town/City/District Headquarters along with distance in kms Nearest City: Mumbai 0 km, Distt. Headquarters: Mumbai 0 km , 0 km
12. Village Panchayats, Zila Parishad, Muncipal Corporation, Local body (Complete postal address with telephone nos. to be given) 1. Magathane, Borivali, Mumbai, Maharashtra; 2. Tikujiniwadi, Thane, Thane, Maharashtra
13. Name of the Applicant S
14. Registered Address Maharashtra state road development corporation opposite Bandra Reclamation bus depot Bandra (W) Mumbai
15.
Address for correspondance:
Name of the Company MAHARASHTRA STATE ROAD DEVELOPMENT CORPORATION
Name of the Applicant S
Designation (Owner/ Partner/ CEO) Executive Engineer
Pin code 400050
E-mail msrdcmumbaipune@gmail.com
Telephone No. 22-26558175
Fax No. 22-022-26417893
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 detailsAnnexure-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 numberN/A
Date of submissionN/A
20. If No, Reason 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
StatusApplication for Forest Clearance yet to be submitted
(ii) Whether the proposal involves approval/clearance under the wildlife (Protection) Act,1972?Yes
StatusApplication for Wildlife Clearance yet to be submitted
(iii) Whether the proposal involves approval/clearance under the C.R.Z notification, 2011?No
22.
Whether there is any Government Order/Policy relevant/relating to the site?No
23.
Whether any Forest Land Involved?Yes
Area of Forest land Involved (hectares)yet to be measured 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 CourtN/A
(b) Name of the Sub courtN/A
(c) Case No.N/A
(d) Orders/directions of the court, if any and relevance with the proposed projectN/A
(II) Activity
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 As proposed project is 6 lane road tunnel connecting Borivali and Thane. Minimum rock cover will be around 35 m which goes upto 350 m maximum. Only strip of land will be acquired along the project alignment. Therefore, impact on the land use pattern in project area will be insignificant, though detailed assessment will be conducted.
1.2 Clearance of existing land, vegetation and buildings? No Not Applicable
1.3 Creation of new land uses? Yes Portals of tunnel at both ends will be only above ground structures
1.4 Pre-construction investigations e.g. bore houses, soil testing? Yes As part of detailed project road, pre-construction investigations e.g. bore holes, soil testing, geo-technical investigations will be carried out for design purpose
1.5 Construction works? Yes "Construction works shall mainly involves the following activities: • Site clearance, excavation and leveling • Drilling of tunnels •Transportation, storage and handling of construction materials; • Mobilization and demobilization of men and machinery; • Civil construction of road, structures, portals, etc."
1.6 Demolition works? No not applicable
1.7 Temporary sites used for construction works or housing of construction workers? Yes At the time of construction, temporary construction camp for about 250 to 300 skilled & semi skilled labourers near both the portals respectively, each will be located at least 500m away from the portal, any ecologically sensitive areas or water bodies. The camp will be restored after completion of project construction.
1.8 Above ground buildings, structures or earthworks including linear structures, cut and fill or excavations and fill or excavations Yes For tunnelling and road construction, about 466,016 m3 muck will be generated, of which about 30% of the volume will be reused for construction.
1.9 Underground works including mining or tunnelling? Yes Entire 10 km long tunnel will be underground and only portals on both the ends will be above ground
1.10 Reclamation works? No Not applicable
1.11 Dredging? No Not applicable
1.12 Offshore structures? No Not applicable
1.13 Production and manufacturing processes? No Not applicable
1.14 Facilities for storage of goods or materials? Yes Temporary stores shall be constructed for storage of construction goods and materials in the construction camps during the construction period only
1.15 Facilities for treatment or disposal of solid waste or liquid effluents? No During construction Sanitary toilets shall be provided with soak pits and tanks in the labour camps.Construction debris and excavated material will be utilized in construction of road. For municipal solid wastes, the wastes shall be collected & disposed suitably in compost pit and / or transported in covered trucks to approved municipal disposal sites through contractors. Hazardous waste generated from maintenance of machineries will be disposed to authorised agencies.
1.16 Facilities for long term housing of operational workers? No Long term housing for about 50 workers working at toll booths and other patrolling and maintenance works is proposed.
1.17 New road, rail or sea traffic during construction or operation? No Existing transport facilities will only be used to transport the construction material to site. Only construction vehicles and machinery would be additional traffic during construction.
1.18 New road, rail, air water borne or other transport infrastructure including new or altered routes and stations, ports, airports etc? No Only existing facilities will be used
1.19 Closure or diversion of existing transport routes or infrastructure leading to changes in traffic movements? No Not Applicable
1.20 New or diverted transmission lines or pipelines? Yes Utilities like electric poles, transformers etc. will be shifted with the permission of concerned departments before starting the construction. These diverted utilities shall be relocated within the proposed ROW
1.21 Impoundment, damming, culverting, realignment or other changes to the hydrology of watercourses or aquifers? Yes No impoundment, damming, realignment or other changes to the hydrology of watercourses or aquifers due to the construction and operation of the project tunnel and road. During widening of the project road, drainage pattern will be maintained. There will be provision of 10 Box Culverts / Pipe Culverts besides for runoff movement and to maintain drainage pattern.
1.22 Stream crossings? Yes There are few drains will be crossed by the project road through suitable bridges and structures.
1.23 Abstraction or transfers of water from ground or surface waters? No For construction of the project road approx. 400,000 KL water will be required. Rain water harvesting will be adopted to meet water requirements. However, additional water may be sourced from groundwater with due permission from CGWA.
1.24 Changes in water bodies or the land surface affecting drainage or run-off? No There are a number of seasonal streams will be crossed by the project road through suitable bridges and structures without affecting their course.
1.25 Transport of personnel or materials for construction, operation or decommissioning? Yes Transport of personnel or materials for construction and operation phase shall be through existing road and the railways. Work force from local areas shall be preferred and engaged for construction works.
1.26 Long-term dismantling or decommissioning or restoration works? No No such activity is required at the project site
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? No For construction of the project road 250 to 300 persons will be deployed during construction phase temporarily depending upon quantum of work at one point of time. Most of the unskilled workers shall be from local area only. Temporary housing at site shall be provided only for the skilled and semi skilled workers.
1.29 Introduction of alien species? No Not applicable.
1.30 Loss of native species or genetic diversity? No Not applicable.
1.31 Any other actions? No None
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 Undeveloped land will be used. Land Requirement - about 215.89 ha as per preliminary estimate
2.2 Water (expected source & competing users) unit: KLD Yes Estimated water requirement for construction phase will be 400,00 KL. Groundwater and surface water will source to meet the water requirement during construction phase of the project road.
2.3 Minerals (MT) Yes Earth, aggregate and sand minerals will be required for construction of the project road.
2.4 Construction material – stone, aggregates, sand / soil (expected source – MT) Yes Earth, aggregate and sand minerals will be required for construction of the project road. Approximate quantities are; • Sand/Aggregate (cum) - 166,524 • Earth material (cum) - 2439137 • Bitumen (Emulsion) in MT - 852 • Bitumen (60/70) in MT - 10708 • Cement (MT) - 11728.
2.5 Forests and timber (source – MT) No Not Applicable
2.6 Energy including electricity and fuels (source, competing users) Unit: fuel (MT),energy (MW) Yes 18 megawatts required for TBM and Diesel at 1000lit/day during peak period and 200lit/day during normal periods
2.7 Any other natural resources (use appropriate standard units) No None
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 No Not applicable
3.2 Changes in occurrence of disease or affect disease vectors (e.g. insect or water borne diseases) Yes Proper hygienic conditions shall be maintained at construction site to prevent spread of water, air and vector borne diseases shall be prevented. Stagnation of water in construction camps shall be avoided to prevent malaria. First aid kit, stock of antibiotics for common infections and dispensary at site will be maintained.
3.3 Affect the welfare of people e.g. by changing living conditions? Yes The project will affect positively to the welfare of people by providing a faster and fuel efficient way of transport in the Mumbai city reducing vehicular pollution
3.4 Vulnerable groups of people who could be affected by the project e.g. hospital patients, children, the elderly etc. Yes Unlikely. However, it will be ascertained in the detailed survey to be conducted during the assessment.
3.5 Any other causes No Not applicable
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 Waste material will be generated during the construction phase due to excavation, quarrying operation. This material shall be reused based on suitability of material and the unused material shall be disposed to authorized landfill site.
4.2 Municipal waste (domestic and or commercial wastes) Yes The total quantities of solid waste generated during construction phase of the proposed project will be 600 kg/day.
4.3 Hazardous wastes (as per Hazardous Waste Management Rules) Yes The wastes generated during construction do not contain any hazardous, toxic or radioactive materials.
4.4 Other industrial process wastes No not applicable
4.5 Surplus product No not applicable
4.6 Sewage sludge or other sludge from effluent treatment No Sewage will be generated from construction worker’s camps for which septic tanks and mobile STP will be provided.
4.7 Construction or demolition wastes Yes Waste material will be generated during the construction phase due to excavation, quarrying operation. This material shall be reused based on suitability of material and the unused material shall be disposed to authorized landfill site.
4.8 Redundant machinery or equipment No not applicable
4.9 Contaminated soils or other materials No not applicable
4.10 Agricultural wastes No not applicable
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 This includes fugitive emissions from construction machinery (stationary) and vehicles (mobile source) and use of DG sets during both construction and operational phase. Quantification will be incorporated in EIA report. Mitigation measures like water sprinklers, covered material carrying vehicles, use of Euro certified vehicles, use of PUC certified vehicles and properly maintained vehicle and machines, barricading the casting yards and work places etc. will be undertaken to reduce emissions.
5.2 Emissions from production processes Yes This includes emission from hot mix plants, Concrete batching plants and crushers limited to construction phase of the project only. Quantification will be incorporated in EIA report. Mitigation measures like water sprinklers, covered material carrying vehicles, use of Euro certified vehicles, use of PUC certified vehicles and properly maintained vehicle and machines, barricading the casting yards and work places etc. will be undertaken to reduce emissions.
5.3 Emissions from materials handling including storage or transport Yes Fugitive dust emission due to handling and loading-unloading activities is envisaged during construction. Frequent water sprinkling will be done to minimize the effect. Quantification will be incorporated in EIA report. Mitigation measures like water sprinklers, covered material carrying vehicles, use of Euro certified vehicles, use of PUC certified and properly maintained vehicle and machines, barricading the casting yards and work places etc. will be undertaken to reduce emissions.
5.4 Emissions from construction activities including plant and equipment Yes Equipments and plant will chiefly emit CO,NOX and VOC. The project may cause rise in dust levels during construction phase due to transport of construction material from crushers and borrow areas. Water sprinkling will be done at regular intervals to reduce dust generation. Mitigation measures like covered material carrying vehicles, use of Euro certified, PUC certified and properly maintained vehicle and machines, barricading the casting yards and work places etc. will be undertaken to reduce
5.5 Dust or odours from handling of materials including construction materials, sewage and waste Yes Dust will be generated during the transport of construction materials from crushers and borrow areas to the construction site. Quantification will be incorporated in EIA. Water sprinkling will be done at regular intervals to reduce control of dust generation. Mitigation measures like covered material carrying vehicles, use of Euro certified use of PUC certified vehicles and properly maintained vehicle and machines, barricading the casting yards and work places etc. will be undertaken to reduce
5.6 Emissions from incineration of waste No not applicable
5.7 Emissions from burning of waste in open air (e.g. slash materials, construction debris) No not applicable
5.8 Emissions from any other sources No not applicable
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 Properly maintained equipment will be used. High noise generating construction activities would be carried out only during day time. Workers working near high noise construction machinery would be supplied with ear muffs/ear plugs. Measures like use of Euro certified, PUC certified and properly maintained vehicle and machines, barricading the casting yards and work places etc will be undertaken
6.2 From industrial or similar processes No Not applicable
6.3 From construction or demolition Yes During Construction phase Noise pollution will be due to operation of machinery as well as transportation vehicles. High noise generating construction activities would be carried out only during day time. Workers working near high noise construction machinery would be supplied with ear muffs/ear plugs. Measures like use of Euro certified, PUC certified and properly maintained vehicle equipments and machines, barricading the casting yards and work places etc will be undertaken
6.4 From blasting or piling Yes Tunnel boring machine will be preferred over blasting to avoid ground level disturbances.
6.5 From construction or operational traffic No Night time operations above ground will be restricted during night time.
6.6 From lighting or cooling systems No Night time operations above ground will be restricted during night time.
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 Diesel, lubricants and used oil for/from Generators / maintainance will be stored with impervious secondary containments in environmentally sound manner.
7.2 From discharge of sewage or other effluents to water or the land (expected mode and place of discharge) No It will be ensured that no treated or untreated water will be poured into natural water body.
7.3 By deposition of pollutants emitted to air into the land or into water Yes Dust will be generated during construction phase from earthworks and movement of vehicles. Appropriate fugitive dust control measures, including water sprinkling of exposed areas, use of Euro certified vehicles, use of PUC certified vehicles and properly maintained vehicle and machines, and dust covers for trucks, will be provided to minimize any impacts. DG exhaust will be discharged at stipulated height by providing adequate stack height to the DG sets.
7.4 From any other sources No Not applicable
7.5 Is there a risk of long term build up of pollutants in the environment from these sources? No not applicable
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 &diesel will be handled, stored &used at the construction and store sites. Adequate construction safety measures will be taken during the construction and operation phase. Contingency and Emergency plans will be prepared."
8.2 From any other causes No Not Applicable
8.3 Could the project be affected by natural disasters causing environmental damage (e.g. floods, earthquakes, landslides, cloudburst etc)? No Earthquake Disaster Management plan for construction and operation phase will be implemented
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
 No Not Applicable
9.2 Lead to after-use of the site, which could have an impact on the environment No Not Applicable
9.3 Set a precedent for later developments No Not Applicable
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
 Yes The Proposed Twin tunnel road alignment passes underneath Sanjay Gandhi national park minimum 30mt and 350m max, the protected area under Wildlife act 1972.
2 Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Yes The Proposed Twin tunnel road alignment passes underneath Sanjay Gandhi national park minimum 30mt and 350m max, the protected area under Wildlife act 1972.
3 Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration Yes The Proposed Borivali– Tikujiniwadi link road Twin tunnel road alignment passes underneath the Sanjay Gandhi national park protected under Wildlife act 1972 and is not expected to cause any influence
4 Inland, coastal, marine or underground waters Yes Tunnels will be suitably lined with concrete to avoid any contamination to underground water bodies if any.
5 State, National boundaries Yes No state/international boundary within 15 Km of project site. National park above the tunnel.
6 Routes or facilities used by the public for access to recreation or other tourist, pilgrim areas No No Such
7 Defence installations No Not applicable
8 Densely populated or built-up area No Not applicable
9 Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship, community facilities) No Not applicable
10 Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) Yes Tunnels will be suitably lined with concrete to avoid any loss of surface and groundwater bodies if any. Measures for protecting forests in the alignment will be identified and adopted during construction and operation phase.
11 Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) No No applicable
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 No The project location falls under seismic Zone-III
(IV) Proposed Terms of Reference for EIA studies
1 Uploaded Proposed TOR File Annexure-TOR file
2 Uploaded scanned copy of covering letter Annexure-scanned copy of covering letter
3 Uploaded Pre-Feasibility report(PFR) Annexure-PFR
4 Uploaded additional attachments(only single pdf file) Annexure-Additional attachments
            Essential Detail Sought:
Sno. EDS Letter Remarks Date of EDS
1.NAAs per the information furnished by you the present proposal is not National Highway / Expressway or State Highway. Hence the present proposal is not admissible under the EIA Notification, 2006. Please verify in this regard and also take action accordingly. 22 Oct 2018
2.NAThe correction have been made as per the instruction received 22 Oct 2018
3.NAPlease furnish the copy of notification declaring the proposed alignment/road as National or State Highway. 04 Oct 2018
4.NAThe correction have been made as per the instruction received 20 Sep 2018
5.NAAs per the information furnished by you the present proposal is not national high way.express way or state high way ,Hence the present proposal is not admissible under the EIA notification,2006.Please verify in this regard and also take action accordingly 19 May 2018
6.NAThe correction have been made as per the instruction received 17 May 2018
7.NAAs per the information furnished ,the present proposal is not admissible under the EIA notification,2006.Please verify in this regard and also take action accordingly. 03 Apr 2018
8.NAThe correction have been made as per the instruction received 28 Mar 2018
9.NA1.in your ADS letter it was mentioned that Construction of Twin tube each high way tunnel ,but in clarification it was not state highway or national high way .Pleae clarify in this regard 2.Whether it is express way 22 Mar 2018
10.NAThe correction have been made as per the instruction received 07 Mar 2018
11.NAPlease submit point wise details in the form of EDS letter 09 Feb 2018
12.NAThe correction have been made as per the instruction received 04 Feb 2018
13.NA1. Whether it is a New National Highway / Expressway or New State Highway? 2. As the proposed road is 10 km length only, whether it attacts EIA provision? 3. Whether it falls under category A/B project? 4. Which sanctuary falling within 5 km / 10 km distance of the proposed road and also submit Toposheet with ditance of the Sanctuary. 13 Nov 2017
      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 ApplicantS
DesignationExecutive Engineer
Name of Company (Applicant Name should not be given here)MAHARASHTRA STATE ROAD DEVELOPMENT CORPORATION
AddressMaharashtra state road development corporation opposite Bandra Reclamation bus depot Bandra (W) Mumbai
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