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 Gas supply infrastructure for Andaman & Nicobar Dual fuel Power Project
Brief summary of projectAnnexure-Brief summary of project
Proposal Number IA/AN/IND2/110118/2019
Project Cost 50000 lacs
2.
S. No. in the schedule6(a) Oil & gas transportation pipe line (crude and refinery/ petrochemical
Project Sector Industrial Projects - 2
3. Proposed capacity/area/length/tonnage to be handled/command area/lease area/number or wells to be drilled Approx. 0.065 MMTPA LNG or 85 MMSCM of RLNG shall be handled annually. ha.
4.
New/Expansion/ModernizationNew
5. Existing Capacity/Area etc. 0.72 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
c) Notified Eco-sensitive areas
8.
Does it attract the specific condition? If yes, please specify No
9.
Location of the projectHope Town in Ferrargunj Tehsil of South Andaman District.
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.Near Finger Jetty
Town / VillageHope Town, Bamboo Flat village
State of the projectAndaman and Nicobar
Details of State of the project
S.no State Name District Name Tehsil Name
(1.)Andaman and NicobarSouth AndamanPort Blair
10.
Nearest railway station along with distance in kms No railway Station in Andaman & Nicobar, 0 km
Nearest airport along with distance in kms Veer Savarkar International Airport, 4.5 km
11. Nearest Town/City/District Headquarters along with distance in kms Port Blair , 7.9 km
12. Village Panchayats, Zila Parishad, Muncipal Corporation, Local body (Complete postal address with telephone nos. to be given) Hope Town, South Andaman District
13. Name of the Applicant Krishna
14. Registered Address NTPC Vidyut Vyapar Nigam Limited
15.
Address for correspondance:
Name of the Company NTPC VIDYUT VYAPAR NIGAM LIMITED
Name of the Applicant Krishna
Designation (Owner/ Partner/ CEO) Chief General Manager
Pin code 110003
E-mail nvvn.environment@gmail.com
Telephone No. 11-24387049
Fax No. 11-01124367021
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? Yes
18. Whether separate application of Interlinked project has been submitted? Yes
19.
If Yes, MoEF file numberJ-13012/14/2018-IA.II(T)
Date of submission01/11/2018
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?No
(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?Yes
22.
Whether there is any Government Order/Policy relevant/relating to the site?Yes
Uploaded Order/PolicyAnnexure-Uploaded order/policy
23.
Whether any Forest Land Involved?No
Area of Forest land Involved (hectares)N/A
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) No As proposed project is floating on sea, no change in topography of the site are anticipated.
1.2 Clearance of existing land, vegetation and buildings? No There are no buildings and structures in the proposed project site, hence there is no requirement for the clearance of vegetation and buildings.
1.3 Creation of new land uses? Yes The proposed site will be converted to industrial use. Laying of pipeline may change land use temporarily.
1.4 Pre-construction investigations e.g. bore houses, soil testing? Yes Pre-construction activities like marine studies, geo technical studies will be carried out as per project requirements.
1.5 Construction works? Yes Site development and associated facilities will be constructed
1.6 Demolition works? No Nil
1.7 Temporary sites used for construction works or housing of construction workers? Yes Temporary offices and fabrication yard will be established within project site. In addition temporary accommodation with proper sanitation will be provided for construction workers.
1.8 Above ground buildings, structures or earthworks including linear structures, cut and fill or excavations and fill or excavations Yes Piling, foundation and above ground construction work will be carried out for the laying of pipeline and supporting facilities of project as per the requirements.
1.9 Underground works including mining or tunnelling? No Not Applicable
1.10 Reclamation works? No Not Applicable
1.11 Dredging? No As per the bathymetry charts, dredging is not envisaged. However, detailed studies shall be carried out to ascertain if captive and maintenance dredging is required.
1.12 Offshore structures? Yes Finger Jetty consisting of breasting dolphins and fenders to accommodate gas supply infrastructure on one side of finger jetty and LNG/CNG carrier on the other side will be constructed.
1.13 Production and manufacturing processes? No Not applicable.
1.14 Facilities for storage of goods or materials? Yes Liquefied Natural Gas (LNG) storage on Floating Storage units and Regasification facilities (FSRU) or other suitable technology.
1.15 Facilities for treatment or disposal of solid waste or liquid effluents? Yes Only small quantity i.e. about 0.5 KL/year of hazardous oily waste will be generated from the proposed LNG/CNG terminal during periodic maintenance, which will be given to authorized agencies. An effluent management scheme would be implemented which involve collection, treatment and recirculation/disposal of various effluents.
1.16 Facilities for long term housing of operational workers? No No housing facility in the project will be provided. Operational workers/staff will reside in nearby town/city.
1.17 New road, rail or sea traffic during construction or operation? Yes Existing approach road connecting the proposed LNG terminal with nearest road will be strengthened suitably. Road traffic and marine traffic will increase during construction and operational phase of the facility.
1.18 New road, rail, air water borne or other transport infrastructure including new or altered routes and stations, ports, airports etc? Yes Existing sea route and Finger jetty will be used during construction and operational phase.
1.19 Closure or diversion of existing transport routes or infrastructure leading to changes in traffic movements? No Not Envisaged
1.20 New or diverted transmission lines or pipelines? Yes New gas pipelines will be installed.
1.21 Impoundment, damming, culverting, realignment or other changes to the hydrology of watercourses or aquifers? No Not envisaged.
1.22 Stream crossings? No No stream crossing is involved.
1.23 Abstraction or transfers of water from ground or surface waters? Yes No extraction of ground water is envisaged. About 3 m3/day water is required for domestic purposes to be sourced from the desalination/R.O Plant.
1.24 Changes in water bodies or the land surface affecting drainage or run-off? No Not change is envisaged.
1.25 Transport of personnel or materials for construction, operation or decommissioning? Yes During construction phase, construction workforce persons will be transported and during operational phase, working manpower movement is envisaged from nearby areas.
1.26 Long-term dismantling or decommissioning or restoration works? No No dismantling or decommissioning or restoration works is required.
1.27 Ongoing activity during decommissioning which could have an impact on the environment? No Not envisaged.
1.28 Influx of people to an area in either temporarily or permanently? Yes There will be temporary influx of people in area during construction and permanent during operational phase.
1.29 Introduction of alien species? No Not envisaged.
1.30 Loss of native species or genetic diversity? No Not envisaged.
1.31 Any other actions? No NIl
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) No As proposed project will float on sea, no land would be required. However Duel Fuel Power project would install on 2 acres government land.
2.2 Water (expected source & competing users) unit: KLD Yes About 3 m3/day water is required for domestic purposes to be sourced from the desalination/R.O Plant to be installed.
2.3 Minerals (MT) No Not required.
2.4 Construction material – stone, aggregates, sand / soil (expected source – MT) Yes After detailed engineering, the quantities required will be estimated. These material will be sourced locally.
2.5 Forests and timber (source – MT) No Use of timber is not envisaged. However, for jetty and other floating structure, wood may be required.
2.6 Energy including electricity and fuels (source, competing users) Unit: fuel (MT),energy (MW) Yes During construction phase, power required will be generated from temporary DG sets. During operation phase, energy requirement of 1000 KVA shall be met through captive power units on gas infrastructure using gas engines.
2.7 Any other natural resources (use appropriate standard units) No No other natural resources will be used.
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 LNG/CNG, acids and lube oil.
3.2 Changes in occurrence of disease or affect disease vectors (e.g. insect or water borne diseases) No Not envisaged.
3.3 Affect the welfare of people e.g. by changing living conditions? No The project will provide employment during construction phase. During operation phase, limited employment opportunities will be available. The proposed project along with proposed Gas Power Project shall improve the environmental quality by replacing DG Sets presently being used for power generation. Improved Power Supply shall also improve the job opportunities.
3.4 Vulnerable groups of people who could be affected by the project e.g. hospital patients, children, the elderly etc. No None.
3.5 Any other causes No Nil.
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 Spoil generated shall be handled & disposed off suitably.
4.2 Municipal waste (domestic and or commercial wastes) Yes During construction and operation stage small quantity of domestic waste will be generated which will be handed over to local municipal authorities.
4.3 Hazardous wastes (as per Hazardous Waste Management Rules) Yes A small quantity i.e. about 0.5 KL/year of hazardous oily waste will be generated from the proposed LNG/CNG facility during periodic maintenance. Hazardous waste will be collected and stored at specific identified area at site. Authorized agency will be hired to dispose the collected Hazardous waste.
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 Yes Sewage sludge generated from the STP will be used for green belt development at nearby area.
4.7 Construction or demolition wastes Yes Construction waste shall be suitably disposed off.
4.8 Redundant machinery or equipment No No redundant machinery or equipment is envisaged.
4.9 Contaminated soils or other materials No Not applicable
4.10 Agricultural wastes No No agriculture waste will be generated
4.11 Other solid wastes No No other waste is envisaged.
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 Proven efficient gas engines/DG sets of 1000 KVA will be used for Power generation during operation phase, which shall run on LNG/CNG/Diesel as fuel. NOX burners will maintain the NOx emissions less than prescribed limits. No other air pollution is envisaged.
5.2 Emissions from production processes No Not applicable as no production of gas involved. The proposed project is for gas infrastructure.
5.3 Emissions from materials handling including storage or transport Yes Only some amount of VOC emissions due to leakages, are envisaged during storage and transportation.
5.4 Emissions from construction activities including plant and equipment No No construction is proposed on ground except laying of few gas pipelines.
5.5 Dust or odours from handling of materials including construction materials, sewage and waste No No construction is proposed on ground except laying of few gas pipelines.
5.6 Emissions from incineration of waste No No incinerators are proposed.
5.7 Emissions from burning of waste in open air (e.g. slash materials, construction debris) No No waste is proposed to be burned at site.
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 Pumps, blowers, and Natural gas based Engines for generation of captive power for proposed project.
6.2 From industrial or similar processes No No industrial or other processes are envisaged.
6.3 From construction or demolition Yes During construction phase the construction equipment will generate noise, which will be monitored and maintain the noise level within permissible limit. No demolition is envisaged.
6.4 From blasting or piling No Not applicable.
6.5 From construction or operational traffic No Not applicable.
6.6 From lighting or cooling systems No State of Art lighting and cooling system will be used to regulate the level of noise, vibration and emission of heat.
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 There is a risk of contamination of coastal water due to leakage of Oils, which will be mitigated using state of the art technology.
7.2 From discharge of sewage or other effluents to water or the land (expected mode and place of discharge) Yes Very small quantity of Domestic sewage will be generated from facility, which will be treated in sewage treatment plant.
7.3 By deposition of pollutants emitted to air into the land or into water No Not envisaged as the project is based on gas, which is considered to be as clean fuel technology. Suitable environmental control measures shall be adopted to minimise the impacts.
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 No long term built up of pollutant is envisaged.
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 LNG/CNG is safe and will be stored in double walled containers with proper relief system. Moreover fully automated intrinsically safe LNG/CNG protection system during storage, handling, regasification and transportation to power plant will be provided. State of the art Fire and Gas detection system, spill detection system, emergency shutdown system and other trip systems will be installed. Further Onsite and off-site Disaster Management Plan will be prepared and implemented.
8.2 From any other causes No No.
8.3 Could the project be affected by natural disasters causing environmental damage (e.g. floods, earthquakes, landslides, cloudburst etc)? Yes The proposed gas related infrastructure is located in seismic Zone-V (IS 1893, Part-I: 2002) and accordingly the facilities will be designed and constructed to withstand earthquake of Zone-V and other natural disaster like cyclone and flood. During events of floods/ cyclones/tsunami, standard operating procedure w.r.t. safety of and power plant will be followed.
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 A&N Islands shall be the 100% beneficiary of the gas supply and power generated from the proposed power project. Proposed project will benefit and strengthen the power-supply gap and improve the energy availability in A&N Island and consequently stimulate the development of the region. The project will replace the existing old power generating units which uses diesel as fuel. The clean fuel technology will contribute in reduction of environmental pollution.
9.2 Lead to after-use of the site, which could have an impact on the environment No Not envisaged.
9.3 Set a precedent for later developments Yes The project would initiate various types of commercial activities in the area.
9.4 Have cumulative effects due to proximity to other existing or planned projects with similar effects No Other projects with similar effects are not envisaged.
(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 Cellular Jail Monuments, a UNESCO world heritage site located at about 3.1 Km (South East) from the project site. The list of ecologically sensitive areas are presented at point no.2.
2 Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Yes Ecosensitive areas within 10 Km of project; 1.Mt. Harriet National Park: 3.4Km, 2. Snake Island Sanctuary-I: 7.0km, 3.Snake Island Sanctuary-II:7.1Km,4.Loha Barrack sanctuary :11.2Km, 5.Mt. Harriet Hills:0.7km. Protected/ reserve forest/hillocks. a. Mount Harriet Shoal Bay RF (0.7 km,N), b. South Andaman RF (8.5 km,N), c. Port Mouat Brindaban RF-I (5.1km,W), d. Jirkatang RF (5.6km, NW), e. Port Mouat Brindaban RF-II (4.5km,WNW),f.Namunaghar PF- (2.8km,SW), g.Mangrove Swamp- (2.5km,WNW)
3 Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration Yes 1. Mangroves in Bamboo flat: 1.3 km 2. Mt. Harriet National park : 3.4 km 3. Snake Island Sanctuary-I: 7.0 km 4. Sanke Island Sanctuary-II: 7.1 km 5. Loha Barrack crocodile sanctuary: 11.2 km, 6.Mt. Harriet Hills 0.7 Km North However, during the detailed EIA study more information on flora and fauna will be collected and sensitive species of flora & fauna would be identified for breeding and nesting will be collected on these aspects.
4 Inland, coastal, marine or underground waters Yes A&N is an archipelago of over 572 Islands located in the Bay of Bengal.
5 State, National boundaries Yes Nearest National Highway NH-223 is at a distance of 8 km in North direction.
6 Routes or facilities used by the public for access to recreation or other tourist, pilgrim areas Yes Tourist sites are being accessed through coastal road and Water Ways.
7 Defence installations Yes Navy’s Floating Dry Dock : 2.8 km Air force Station Prothrapur : 9 Km.
8 Densely populated or built-up area Yes Port Blair : 7.9 Km
9 Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship, community facilities) Yes Public health centers, schools, places of worship, community facilities are available within 15 km.
10 Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) Yes There are different Ecological Sensitive Sites/ National Park/Tourist Places/Wildlife Sanctuary located within in 15 km radius. Tourism is a major activity in the area.
11 Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) No Nil
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 The area falls in Seismic Zone-V which as per IS 1893 (Part-1): 2002. The proposed site location does not falls under Tsunami effected area (flood prone area). Gas supply infrastructure will be designed by taking all safety factors for earthquakes and flooding. Due to geological conditions of the area, possibility of subsidence, landslides and erosion is not anticipated.
(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) NIL
            Essential Detail Sought:
Sno. EDS Letter Remarks Date of EDS
1.NAThe correction have been made as per the instruction received 20 Aug 2019
2.NAAs per the details provided, the project shall be treated as an integral part of the project for which ToR has been granted by the EAC (Thermal). Necessary amendment in ToR may be obtained accordingly. Further, the pipeline project as standalone, as per the details provided, doesnot require prior EC. 14 Aug 2019
3.NAThe correction have been made as per the instruction received 13 Aug 2019
4.NAPlease see that the proposed project may require appraisal by the EAC (Thermal) as an integrated project. Proposal may be submitted accordingly. If the proposal requires appraisal by the EAC (Industry-2), the details of pipeline route vis-a-vis National Park/Sanctuary etc may be submitted. Please also inform the source of raw material/product and details of installation in the sea 08 Jul 2019
      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 ApplicantKrishna
DesignationChief General Manager
Name of Company (Applicant Name should not be given here)NTPC VIDYUT VYAPAR NIGAM LIMITED
AddressNTPC Vidyut Vyapar Nigam Limited
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