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 Pumped Storage Project (1350 MW) at Upper Sileru
Brief summary of projectAnnexure-Brief summary of project
Proposal Number IA/AP/RIV/101074/2019
Project Cost 1105410 lacs
2.
S. No. in the schedule1(c) River Valley projects
Project Sector River Valley and Hydroelectric Projects
3. Proposed capacity/area/length/tonnage to be handled/command area/lease area/number or wells to be drilled 1350 MW ha.
4.
New/Expansion/ModernizationNew
5. Existing Capacity/Area etc. 0 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 projectSileru Village, Gudem Kotha Veedhi(M), Visakhapatnam Dist, Andhra Pradesh
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.1069,1070(Sileru RL), 1545,1547,1548(Gudem RF), 732(Sileru PF), 1,2 (Batsaluru RF)
Town / VillageVisakhapatnam District and East Godavari District
State of the projectAndhra Pradesh
Details of State of the project
S.no State Name District Name Tehsil Name
(1.)Andhra PradeshVisakhapatnamGudem kotha veedhi
(2.)OrissaMalkangiriKalimela
10.
Nearest railway station along with distance in kms Narsipatnam, 120 km
Nearest airport along with distance in kms Rajahmumdry, 170 km
11. Nearest Town/City/District Headquarters along with distance in kms Narsipatnam , 120 km
12. Village Panchayats, Zila Parishad, Muncipal Corporation, Local body (Complete postal address with telephone nos. to be given) Sileru Village, Gudem Kothaveedhi (M), Visakhapatnam District 531105, Visakhapatnam ZP
13. Name of the Applicant Yakama Koteswara Rao
14. Registered Address Vidyut Soudha, Hyderabad, 500082
15.
Address for correspondance:
Name of the Company Andhra Pradesh Power Generation Corporation Limited
Name of the Applicant Yakama Koteswara Rao
Designation (Owner/ Partner/ CEO) Chief Engineer/Civil/Hydel,GS,C&I
Pin code 520004
E-mail environment.apgenco@gmail.com
Telephone No. 866-2526411
Fax No. 866-
Copy of documents in support of the competence/authority of the person making this application to make application on behalf of the User Agency . NIL
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?No
(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)380 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 Total land to be acquired for the project is 410 Ha. The details of land to be acquired are given as below: Private land --- Forest land 380 ha APGENCO land 30 ha Total 410 ha The land is to be acquired for various project appurtenances are listed as below: Project Components, colony, roads etc 150ha Muck disposal area 260 ha Total 410 ha
1.2 Clearance of existing land, vegetation and buildings? Yes Forest land will be used for the project
1.3 Creation of new land uses? Yes The Upper Sileru pumped Storage Project envisages construction of intake structure, water conveyance system includes Head Race Tunnel, surge shaft, Tail Race Tunnel, Pressure shaft/ Penstocks etc., power house, weir and other structures such as colony, STP etc. as mentioned in the PFR/DPR.
1.4 Pre-construction investigations e.g. bore houses, soil testing? Yes boreholes are taken for investigation
1.5 Construction works? Yes The pumped Storage Project at Upper Sileru envisages construction of intake structure, water conveyance system includes Head Race Tunnel, surge shaft, Pressure shaft/ Penstocks, Tail Race Tunnel, etc., power house, weir and other structures such as colony, STP etc. as mentioned in PFR/DPR.
1.6 Demolition works? No No
1.7 Temporary sites used for construction works or housing of construction workers? Yes Temporary sites for construction shall be developed near project area.
1.8 Above ground buildings, structures or earthworks including linear structures, cut and fill or excavations and fill or excavations Yes As mentioned in the DPR
1.9 Underground works including mining or tunnelling? Yes Head Race Tunnel, surge shaft, Tail Race Tunnel, Pressure shaft/ Penstocks, adits etc as mentioned in the final DPR.
1.10 Reclamation works? Yes The construction sites shall be suitably landscaped on completion of construction activities, so that it integrates with the natural surroundings.
1.11 Dredging? No No
1.12 Offshore structures? No NA
1.13 Production and manufacturing processes? Yes Mentioned in Annexure-1.
1.14 Facilities for storage of goods or materials? Yes Temporary/permanent storage sheds are proposed.
1.15 Facilities for treatment or disposal of solid waste or liquid effluents? Yes STP will be provided for treatment of sewage from the plant&colony. Solid waste management will be adopted as per recommendations in the EIA report.
1.16 Facilities for long term housing of operational workers? Yes About 100 quarters will be constructed for operational staff in the existing APGENCO land in Sileru village.
1.17 New road, rail or sea traffic during construction or operation? Yes No rail or sea facilities are required. Existing roads will be utilized. Project approach roads from existing road and internal roads will be formed.
1.18 New road, rail, air water borne or other transport infrastructure including new or altered routes and stations, ports, airports etc? Yes As mentioned in the item 1.17
1.19 Closure or diversion of existing transport routes or infrastructure leading to changes in traffic movements? No No
1.20 New or diverted transmission lines or pipelines? No New transmission lines from the proposed project switch yard will be laid by APTRASCO.
1.21 Impoundment, damming, culverting, realignment or other changes to the hydrology of watercourses or aquifers? Yes A weir with Rubber dam will be constructed to impound 1.7 TMC of water for pumping back to existing Guntawada reservoir during off-peak hours/grid surplus. No new submergence is envisaged due to the project.
1.22 Stream crossings? Yes Appropriate cross drainage arrangements shall be made.
1.23 Abstraction or transfers of water from ground or surface waters? No No ground water will be tapped.
1.24 Changes in water bodies or the land surface affecting drainage or run-off? Yes Limited extent. Appropriate cross drainage arrangements shall be made.
1.25 Transport of personnel or materials for construction, operation or decommissioning? Yes Construction materials will be transported to the site using existing roads.
1.26 Long-term dismantling or decommissioning or restoration works? No No
1.27 Ongoing activity during decommissioning which could have an impact on the environment? No No
1.28 Influx of people to an area in either temporarily or permanently? Yes The project will provide temporary employment for 1000 people during peak construction stage, regular and contract employment for 500 people during operation phase.
1.29 Introduction of alien species? No No
1.30 Loss of native species or genetic diversity? Yes The project envisages acquisition of about 380 ha of forest land. The impacts on native species or genetic diversity shall be assessed as a part of EIA Study. Appropriate Biodiversity Conservation and Management plan for the Native, Rare & Endangered floral and faunal species getting affected due to the project shall be proposed in the EMP report.
1.31 Any other actions? No No
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 380 ha of forest land and 30 Ha of APGENCO land will be acquired
2.2 Water (expected source & competing users) unit: KLD Yes Smaller quantity will be utilized for the domestic usage for the colony
2.3 Minerals (MT) No No
2.4 Construction material – stone, aggregates, sand / soil (expected source – MT) Yes Approximate quantities of construction material are as follows. Cement: 8.57 Lakh tonnes Sand: 12.1 Lakh cum Aggregate: 24.14 lakh cum (This will be recovered from the excavated muck)
2.5 Forests and timber (source – MT) No No
2.6 Energy including electricity and fuels (source, competing users) Unit: fuel (MT),energy (MW) Yes Electricity required will be met from the existing station.
2.7 Any other natural resources (use appropriate standard units) No No
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 Lube oils/Governor oils in smaller quantities will be stored for usage
3.2 Changes in occurrence of disease or affect disease vectors (e.g. insect or water borne diseases) Yes Pondage for 1.7 TMC will be created. Appropriate management measures will be suggested as a part of the EIA study.
3.3 Affect the welfare of people e.g. by changing living conditions? Yes Details of employment and various welfare schemes for locals shall be outlined as a part of Area development activities and the details will be outlined in the EIA report. A provision of 0.5% of the project cost is earmarked for Local Area Development
3.4 Vulnerable groups of people who could be affected by the project e.g. hospital patients, children, the elderly etc. No Hospital and colonies are located away from the project activities. The impacts on the if any shall be covered as a part of the EIA study.
3.5 Any other causes No No
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 About 127.02 lakh cum muck will be generated during construction phase shall be partly ( 24.14 lakh cum) used and balance quantity 100 lack cum will be disposed at designated disposal sites. Details will be discussed in the EIA report.
4.2 Municipal waste (domestic and or commercial wastes) Yes Municipal waste management will be mentioned in the EIA report
4.3 Hazardous wastes (as per Hazardous Waste Management Rules) Yes Limited extent.
4.4 Other industrial process wastes No Nil
4.5 Surplus product No Nil
4.6 Sewage sludge or other sludge from effluent treatment Yes Limited extent
4.7 Construction or demolition wastes Yes Limited extent
4.8 Redundant machinery or equipment No Nil
4.9 Contaminated soils or other materials No Nil
4.10 Agricultural wastes No Nil
4.11 Other solid wastes No Nil
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 The plying of various construction machinery and vehicles will cause emissions which are marginal.
5.2 Emissions from production processes No Nil
5.3 Emissions from materials handling including storage or transport Yes During construction phase there will be increase in vehicular movement. Construction material will be brought and stored at various sites. The emissions are anticipated on account of the following: • Loading and unloading of construction material and wastes • Vehicular movement over unpaved roads • Vehicles carrying material without proper covering, e.g., tarpaulin, etc. Due to blowing of wind especially when environment is dry, some of the stored material can get entrained in the atmosphe
5.4 Emissions from construction activities including plant and equipment Yes Limited extent. Will be explained in the EIA report.
5.5 Dust or odours from handling of materials including construction materials, sewage and waste Yes Dust generated due to handling of construction material will be controlled by sprinkling of water.
5.6 Emissions from incineration of waste No Nil
5.7 Emissions from burning of waste in open air (e.g. slash materials, construction debris) No Nil
5.8 Emissions from any other sources No Nil
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 Noise will be generated during construction phase as a result of operation of construction equipment. The noise likely to be generated due to operation of various construction equipment is given as below: Equipment Sound level (dB(A) Loaders and Excavator 72-82 Dumper 72-92 Tractors 76-92 Scrappers, graders 82-92 Pavers 86-88 Truck 84-94 Concrete mixers 75-85 Movable cranes 82-84 Pumps 68-70 Generators 72-82 Compressors 75-85 Impact will be studied as part of EIA studies
6.2 From industrial or similar processes Yes Noise levels are generated from Turbines & Generators. Expected noise level is 90 dB (A), necessary PPEs (Ear Muffs, closed chambers) will be provided for the personnel working in those areas. ii) Most of the equipment structures are static. The vibration effect of these will be only local and the design of supports and foundations will nullify the intensity of vibration. iii) Light emissions are not envisaged in the project. iv) Heat emissions are not envisaged in the project.
6.3 From construction or demolition Yes The impacts on ambient noise level due to construction activities shall covered as a part of the EIA study and appropriate mitigation measures shall be suggested.
6.4 From blasting or piling Yes Noise due to quarrying, blasting, vehicular movement will have some adverse impacts on the ambient noise levels in the area. The impacts on ambient noise level due to above referred activities shall covered as a part of the EIA study and appropriate mitigation measures shall be suggested.
6.5 From construction or operational traffic Yes Limited
6.6 From lighting or cooling systems No Nil
6.7 From any other sources No Nil
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 waste like used oil, generated from the use of diesel in DG sets, will be handled as per the norms and guidelines of CPCB/APPCB
7.2 From discharge of sewage or other effluents to water or the land (expected mode and place of discharge) Yes STP will be provided and treated sewage effluents will be utilized for greenbelt purpose
7.3 By deposition of pollutants emitted to air into the land or into water Yes Fugitive emissions in the limited area due to construction activities and vehicles movement.
7.4 From any other sources No Nil
7.5 Is there a risk of long term build up of pollutants in the environment from these sources? No No
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 Explosives shall be used very carefully by the experienced and certified persons. Blasting shall be done in accordance with the rule applicable of such work confirming all codes in respect of safety of human being and other objects
8.2 From any other causes No Nil
8.3 Could the project be affected by natural disasters causing environmental damage (e.g. floods, earthquakes, landslides, cloudburst etc)? Yes The project area falls in zone II of the seismic Zoning Map of India (IS 1893 – 2016). The structural design will adequately take care of this aspect. The project area is not prone to land slides, cloudbursts.
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 No ancillary industries
9.2 Lead to after-use of the site, which could have an impact on the environment No Mostly make-shift arrangements will be made at the site during the construction phase which will be dismantled after completion of the project as per the prevailing norms and guidelines. Very little permanent creation will be done and that will be utilized for post – construction operation and management.
9.3 Set a precedent for later developments Yes The increased power generation will provide an impetus to urbanization and industrialization improvement in power supply for rural and urban areas, which will result in overall development and improvement in quality of life.
9.4 Have cumulative effects due to proximity to other existing or planned projects with similar effects No Nil
(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 Nil
2 Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests No Nil
3 Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration No 380 Ha forest land will be used for the project activities. Important or sensitive species if any will be identified.
4 Inland, coastal, marine or underground waters No Nil
5 State, National boundaries No State Boundary with Odhissa
6 Routes or facilities used by the public for access to recreation or other tourist, pilgrim areas No Nil
7 Defence installations No Nil
8 Densely populated or built-up area No Nil
9 Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship, community facilities) No Nil
10 Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) Yes Forest area of 380 ha will be acquired.
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 No Nil
(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 : NIL
      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 ApplicantYakama Koteswara Rao
DesignationChief Engineer/Civil/Hydel,GS,C&I
Name of Company (Applicant Name should not be given here)Andhra Pradesh Power Generation Corporation Limited
AddressVidyut Soudha, Hyderabad, 500082
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