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 MANUFACTURING of ASBESTOS CEMENT SHEETS (Corrugated & Plain) & NON ASBESTOS FLAT SHEETS
Brief summary of projectAnnexure-Brief summary of project
Proposal Number IA/AS/IND/99846/2019
Project Cost 7174.59 lacs
2.
S. No. in the schedule4(c) Asbestos milling and asbestos based products
Project Sector Industrial Projects - 1
3. Proposed capacity/area/length/tonnage to be handled/command area/lease area/number or wells to be drilled Proposed Production: 80,000 TPA (including both Asbestos and Non Asbestos), ASBESTOS Corrugated sheets 40000 TPA, ASBESTOS Plain sheets 10000 TPA, NON ASBESTOS FLAT SHEETS 30000 TPA ha.
4.
New/Expansion/ModernizationNew
5. Existing Capacity/Area etc. 4.34 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 projectVillage–SILA, Tehsil–Mouza Silasundarighopa, Distt. – KAMRUP, Assam
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.43,24,25,122,149,580,195,147,522,353,439,392
Town / VillageSila
State of the projectAssam
Details of State of the project
S.no State Name District Name Tehsil Name
(1.)AssamKamrupGuwahati
10.
Nearest railway station along with distance in kms Changsari, 4 km
Nearest airport along with distance in kms Gopinath Bordoloi Airport, 25 km
11. Nearest Town/City/District Headquarters along with distance in kms Changsari , 4 km
12. Village Panchayats, Zila Parishad, Muncipal Corporation, Local body (Complete postal address with telephone nos. to be given) Dhopatari Gaon Panchayat, Bezara Anchalik Panchayat
13. Name of the Applicant DEEPAK
14. Registered Address H.No. 62 , Tarun Nagar, Bye lane 2 , GS road, Kamrup
15.
Address for correspondance:
Name of the Company JRT INDUSTRIES LLP
Name of the Applicant DEEPAK
Designation (Owner/ Partner/ CEO) PARTNER
Pin code 781005
E-mail sonali.jumbogroup@gmail.com
Telephone No. 0361-2465630
Fax No. 0361-
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 No
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?No
(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?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 Land use has been changed from non- agriculture land to industrial land.
1.2 Clearance of existing land, vegetation and buildings? Yes In proposed plant area, there are no trees except scattered bushes. Apart from this many varieties of grass creepers and climbers are found. Removal of bushes, grass creepers and climbers may take place.
1.3 Creation of new land uses? Yes Part of area will be used for locating the plant which will include Platform, Structures & Ladder etc.
1.4 Pre-construction investigations e.g. bore houses, soil testing? Yes To be done.
1.5 Construction works? Yes Construction will include Shed, Platform, foundations, Structures & Ladder etc.
1.6 Demolition works? No No demolition works
1.7 Temporary sites used for construction works or housing of construction workers? No Local persons will be employed.
1.8 Above ground buildings, structures or earthworks including linear structures, cut and fill or excavations and fill or excavations Yes There will be excavation, cut and fill during the process of construction of Shed, Foundation, Platform, Structures & Ladder etc
1.9 Underground works including mining or tunnelling? No No underground works including mining or tunneling will be required.
1.10 Reclamation works? No No reclamation work will be required.
1.11 Dredging? No No Dredging will be involved
1.12 Offshore structures? No Not Applicable
1.13 Production and manufacturing processes? Yes Proposed Production: 80,000 MTPA (including both Asbestos and Non Asbestos) ASBESTOS Corrugated sheets 40000 TPA ASBESTOS Plain sheets 10000 TPA NON ASBESTOS FLAT SHEETS 30000 TPA The manufacturing of asbestos cement corrugated sheets is done by wet process also known as Hatschek process.
1.14 Facilities for storage of goods or materials? Yes Storages facilities for fibre, paper pulp, ordinary Portland cement, fly ash, etc will be provided.
1.15 Facilities for treatment or disposal of solid waste or liquid effluents? Yes Wet ball mill will be installed and solid waste will be recycled. ETP will be provided, though, no liquid effluent will be discharged outside.
1.16 Facilities for long term housing of operational workers? No Workers will be engaged from nearby villages and they will return to their respective homes after work.
1.17 New road, rail or sea traffic during construction or operation? No Only approach road to the plant is proposed.
1.18 New road, rail, air water borne or other transport infrastructure including new or altered routes and stations, ports, airports etc? No There is no proposal for construction of new road, rail route etc..
1.19 Closure or diversion of existing transport routes or infrastructure leading to changes in traffic movements? No Not required
1.20 New or diverted transmission lines or pipelines? No Not required
1.21 Impoundment, damming, culverting, realignment or other changes to the hydrology of watercourses or aquifers? No Not Applicable
1.22 Stream crossings? No No stream crossings are involved.
1.23 Abstraction or transfers of water from ground or surface waters? Yes Source of water will be bore well. Total water requirement will be 100 KLD.
1.24 Changes in water bodies or the land surface affecting drainage or run-off? No There will be no effect on drainage or runoff.
1.25 Transport of personnel or materials for construction, operation or decommissioning? Yes Transportation of material will be by road and rail. 10 nos. of trucks of capacity 20 tonne each needed for transportation of material. (Will be done on contract basis through private transporter)
1.26 Long-term dismantling or decommissioning or restoration works? No Not Applicable
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 Total employment potential will be about 250 (direct 100 & indirect 150). Deserving & eligible local persons will be preferred.
1.29 Introduction of alien species? No NIL
1.30 Loss of native species or genetic diversity? No NIL
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 43241 m2/10.73 acres
2.2 Water (expected source & competing users) unit: KLD Yes Total water requirement will be 100 KLD. Source of water will be bore well.
2.3 Minerals (MT) No NIL
2.4 Construction material – stone, aggregates, sand / soil (expected source – MT) Yes Will be procured from local markets.
2.5 Forests and timber (source – MT) No Not required
2.6 Energy including electricity and fuels (source, competing users) Unit: fuel (MT),energy (MW) Yes Power requirement for the plant will be 1513.3 KW Source of power: Assam Electricity Board and SOLAR POWER DG sets of 900 KVA, and 320 KVA will be available as standby arrangement. Fuel requirement: 6000 L Diesel per month.
2.7 Any other natural resources (use appropriate standard units) No Not required
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 All the provisions of the Hazardous and Other Wastes (Management and Trans-boundary Movement) Rules, 2016 and its amendments are followed.
3.2 Changes in occurrence of disease or affect disease vectors (e.g. insect or water borne diseases) Yes Lungs and related diseases
3.3 Affect the welfare of people e.g. by changing living conditions? Yes • Project will provide employment opportunities, both direct and indirect, thus improving the economic status of the villagers. • Improved communication & education facilities to local community. • Community Health care programmes will be extended to both employees & nearby villagers.
3.4 Vulnerable groups of people who could be affected by the project e.g. hospital patients, children, the elderly etc. No The proposed project shall not affect any vulnerable groups of people in the near vicinity.
3.5 Any other causes No Not envisaged
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 No NIL
4.2 Municipal waste (domestic and or commercial wastes) No NIL
4.3 Hazardous wastes (as per Hazardous Waste Management Rules) Yes Used oil from D.G. Set will be carefully stored in HDPE drums in isolated covered facility and used in lubrication of steel templates /moulds. However, 0.25Kg/day dust of Asbestos mix materials shall be generated, which shall be collected by dust collector to avoid any health hazard and shall be kept clean and tidy at all times and shall be carefully packed in a polythene bag and recycled in process. This will be dealt as per rule 9 of hazardous and other wastes (Management and trans-boundary Mo
4.4 Other industrial process wastes Yes Sludge, Solids are re-used through the recycling for manufacturing of AC sheets
4.5 Surplus product Yes Will be stacked at one place and dispatched to the consumers.
4.6 Sewage sludge or other sludge from effluent treatment Yes Septic tank followed by soak pit will be provided for Sewage waste and disposal of sludge will be done through municipal corporation facility as and when required.
4.7 Construction or demolition wastes No Not Applicable
4.8 Redundant machinery or equipment No Not Applicable
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 Use of Diesel for running of DG sets; due to plying of trucks, tractors etc. To avoid emissions, stack height of 2m above roof level for each D.G. sets meeting all the norms prescribed by CPCB shall be installed.
5.2 Emissions from production processes No NIL
5.3 Emissions from materials handling including storage or transport Yes Dust & Asbestos Fiber emission can be anticipated from handling and transportation. Dust suppression will be done by water sprinkling during the above mentioned activities. Asbestos material shall be transported in lined polythene or impermeable woven covered with tarpaulin.
5.4 Emissions from construction activities including plant and equipment Yes Fugitive dust emissions may be generated from construction activities and vehicular movement. These emissions will be temporary and will be controlled.
5.5 Dust or odours from handling of materials including construction materials, sewage and waste Yes Dust emission due to handling of material.
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 Source of noise are running of plant, running of DG sets, loading & unloading, vehicle movement etc.
6.2 From industrial or similar processes No Not Applicable
6.3 From construction or demolition No Not Applicable
6.4 From blasting or piling No No blasting is proposed.
6.5 From construction or operational traffic Yes Due to plying of trucks
6.6 From lighting or cooling systems Yes Negligible
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 Used oil generated will be stored in HDPE drums and kept in covered rooms under lock & key and will be sold to authorize vendors only. To prevent leakages and spills, absorbent pads shall be used. Asbestos mix material storage and handling will be carried out at isolated places in controlled conditions and shall be kept clean and tidy at all times and shall be carefully packed in a polythene bag.
7.2 From discharge of sewage or other effluents to water or the land (expected mode and place of discharge) No Only sanitary waste @ 45 Litre per day per worker is expected which will be treated in septic tank and soak pit.
7.3 By deposition of pollutants emitted to air into the land or into water Yes During mixing of compounds before moulding dust is generated, which will be done in vacuumed area and dust discharge shall be collected by dust collector and reused in the process.
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 NIL
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 No Probability of accident on account of explosion, spillages, fire or hazardous substances etc. is low. Proper maintenance, operation and leakage proof conditions of machinery eliminates possibilities of fire. Fire extinguishers will be made available near all machines and all persons would be properly trained to quench the fire at source itself. No other major risks will be involved.
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 area under study falls in Zone-V, according to the Indian Standard Seismic Zoning Map. Suitable seismic coefficients in horizontal and vertical directions respectively, will be adopted while designing the structure. Production will be affected during high rainfall.
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 • Improve socio-economic status of villages around the factory. • Benefit local people due to employment. • Improvement in educational facilities.
9.2 Lead to after-use of the site, which could have an impact on the environment No Proper care shall be taken to avoid any adverse impact on the environment.
9.3 Set a precedent for later developments Yes Systematic timely monitoring and adoption of corrective action will avoid environmental degradation
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 NONE
2 Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Yes Brahamputra river 5.5 KM SOUTH, Puthimari river 9.0 KM NW
3 Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration No NONE
4 Inland, coastal, marine or underground waters No NONE
5 State, National boundaries No NONE
6 Routes or facilities used by the public for access to recreation or other tourist, pilgrim areas Yes NH-31 1.3 KM WEST, NH-15 12 KM NORTH
7 Defence installations No NIL
8 Densely populated or built-up area Yes Guwahati 11 km SE
9 Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship, community facilities) Yes Guwahati 11 km SE
10 Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) No NIL
11 Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) No NONE
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 NONE
(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 : 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 ApplicantDEEPAK
DesignationPARTNER
Name of Company (Applicant Name should not be given here)JRT INDUSTRIES LLP
AddressH.No. 62 , Tarun Nagar, Bye lane 2 , GS road, Kamrup
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