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 Redevelopment of staff colony at Azadpur
Brief summary of projectAnnexure-Brief summary of project
Proposal Number IA/DL/NCP/100312/2019
Project Cost 180000000 lacs
2.
S. No. in the schedule8(b) Townships and Area Development projects.
Project Sector INFRA-1
3. Proposed capacity/area/length/tonnage to be handled/command area/lease area/number or wells to be drilled 4,21,885.56 m2 ha.
4.
New/Expansion/ModernizationNew
5. Existing Capacity/Area etc. 9.2 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 projectAzadpur
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.Azadpur
Town / VillageAzadpur
State of the projectDelhi
Details of State of the project
S.no State Name District Name Tehsil Name
(1.)DelhiNorth WestModel Town
10.
Nearest railway station along with distance in kms Azadpur Metro Station, 0.07 km
Nearest airport along with distance in kms IGI Airport, 18.5 km
11. Nearest Town/City/District Headquarters along with distance in kms Jahangir Puri , 0.35 km
12. Village Panchayats, Zila Parishad, Muncipal Corporation, Local body (Complete postal address with telephone nos. to be given) North Delhi Municipal Corporation Civic Centre Delhi
13. Name of the Applicant B
14. Registered Address O/o Addl. Deputy Commissioner (L&E)
15.
Address for correspondance:
Name of the Company NORTH DELHI MUNICIPAL CORPORATION
Name of the Applicant B
Designation (Owner/ Partner/ CEO) AC
Pin code 110033
E-mail azadpurdfi@gmail.com
Telephone No. 120-4352889
Fax No. 120-
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 No change in landuse, as site is already marked for residential staff quarters , comes under Zone-C
1.2 Clearance of existing land, vegetation and buildings? Yes As redevelopment of the site shall be done so clearance of existing vegetation involve also the existing structure shall be demolished
1.3 Creation of new land uses? Yes New residential and commercial towers will be constructed
1.4 Pre-construction investigations e.g. bore houses, soil testing? Yes Soil investigation, geotechnical survey and other testing is conducted.
1.5 Construction works? Yes construction works for building will involve however All construction activities of area will be confined within the project premises; there will be no physical changes outside the project boundary. Construction of building will be done systematically, with economy of materials and with due care on environmental protection.
1.6 Demolition works? Yes Site has pre existing structures which shall be demolished first so demolition works involve
1.7 Temporary sites used for construction works or housing of construction workers? Yes All the construction activity including stocking of raw materials will be confined within the project site only. Inside the proposed site, a small area will be utilized temporarily for construction of sheds for the labor. Local labors from nearby area will be hired. Sanitation facilities will be developed at site.
1.8 Above ground buildings, structures or earthworks including linear structures, cut and fill or excavations and fill or excavations Yes Excavation will be carried out for foundation of building. The total excavated quantity of earth material for site area will be approx. 5 lakhs m3. The excavated soil will be re used in backfilling and other area development activities.
1.9 Underground works including mining or tunnelling? No
1.10 Reclamation works? No
1.11 Dredging? No
1.12 Offshore structures? No
1.13 Production and manufacturing processes? No
1.14 Facilities for storage of goods or materials? Yes Raw material will be stored at site in a covered area. Cement will be separately stored under cover in bales. Sand will be stacked neatly under tarpaulin cover. Bricks and steel will be laid in open.
1.15 Facilities for treatment or disposal of solid waste or liquid effluents? Yes C& D waste during construction phase shall be stored at site and will be transport to the recycling plant , However Waste during operational stage shall be collected ans stored within site approx. 6.6 TPD waste generate, bio degradable waste of the site shall be sent to OWC, present within site and recyclable will be handed to approved vendor
1.16 Facilities for long term housing of operational workers? No Local laborers will be hired from nearby areas during construction phase. So, there will be no need to create permanent facilities for long-term housing of operational workers.
1.17 New road, rail or sea traffic during construction or operation? No Since site is adjacent to GT Road,No new rail/road construction will be done
1.18 New road, rail, air water borne or other transport infrastructure including new or altered routes and stations, ports, airports etc? No
1.19 Closure or diversion of existing transport routes or infrastructure leading to changes in traffic movements? Yes Closure or diversion of existing transport route shall affect traffic movement, but this will be of temporary phase.
1.20 New or diverted transmission lines or pipelines? No
1.21 Impoundment, damming, culverting, realignment or other changes to the hydrology of watercourses or aquifers? No
1.22 Stream crossings? No
1.23 Abstraction or transfers of water from ground or surface waters? Yes Construction Phase: It is estimated approx. 27 KLD of fresh water will be required for drinking purpose which will be imported in form of bottled cans from the local fresh water supplier during the days of construction. It is envisaged that approx. 4846 ML of treated/fresh water will be required for the water curing of building structures. Operational Phase: Total water demand for the project including main and other uses will be 1,353 KLD. Main source of supply shall be municipal supply. Th
1.24 Changes in water bodies or the land surface affecting drainage or run-off? Yes Currently there is no water bodies present at the site. Runoff will increase due to increased paved surface. However, increased runoff will be managed by well-designed storm water drain network.
1.25 Transport of personnel or materials for construction, operation or decommissioning? Yes Construction Phase During the construction phase, about 15-20 trucks are estimated per week for the transport of the material only as the local labor from the nearby area will be hired. However Adequate parking space within the project site for loading and unloading of materials will be provided. Operational Phase: Adequate parking space (5652 ECS) will be provided in operational phase. Operational Phase: Adequate parking space (5652 ECS) will be provided in operational phase.
1.26 Long-term dismantling or decommissioning or restoration works? No
1.27 Ongoing activity during decommissioning which could have an impact on the environment? No
1.28 Influx of people to an area in either temporarily or permanently? Yes During Construction phase Local laborers from nearby area will be employed. So, influx of people is temporary. In the operational phase, most of the expected occupants will be from the surrounding areas. Hence, the project will lead to a redistribution of occupants within the region.
1.29 Introduction of alien species? No
1.30 Loss of native species or genetic diversity? Yes The project construction activities will necessarily comprise of removal of vegetation and tree cover from the site. Clearing of vegetation on the site will involve removal of local floral species found on the site.
1.31 Any other actions? 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) No Land is developed as per the master plan
2.2 Water (expected source & competing users) unit: KLD Yes Total water requirement for proposed project is 1,353 KLD. The fresh water will be obtained from water supply department of DJB. Efficient dual flushing fixtures will be provided for conservation of fresh water. There will be a dual plumbing system for use of water for different applications thus saving on the high quality water
2.3 Minerals (MT) Yes Minerals such as sand and aggregates will be required during the construction phase.
2.4 Construction material – stone, aggregates, sand / soil (expected source – MT) Yes All materials for construction will be arranged through select suppliers.
2.5 Forests and timber (source – MT) Yes All material forests and timber will be provided by selected suppliers. However steel frames etc. shall be used to minimize the use of timber.
2.6 Energy including electricity and fuels (source, competing users) Unit: fuel (MT),energy (MW) Yes Demand load estimated for project is approx. 9543.83 kVA
2.7 Any other natural resources (use appropriate standard units) 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 Diesel for DG sets will be stored in drums in earmarked locations. It shall also be handled as per The Manufacture, Storage and Import of Hazardous Chemical Rules, 1989 and Material Safety Data Sheet.
3.2 Changes in occurrence of disease or affect disease vectors (e.g. insect or water borne diseases) No Suitable drainage and waste management measures (with frequent spray of insecticides etc.) will be adopted in both the construction and operational phase such that there will be no stagnation of water or accumulation of waste. This will effectively restrict the reproduction and growth of disease vectors.
3.3 Affect the welfare of people e.g. by changing living conditions? Yes Green building will be sustainable and involve welfare of occupants
3.4 Vulnerable groups of people who could be affected by the project e.g. hospital patients, children, the elderly etc. No
3.5 Any other causes 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 During construction phase, spoil and overburden waste is likely to be generated. As far as possible, the inert solid waste generated will be reused in construction work of roads/pavement depending upon the suitability of the material and the unused material shall be dumped to the closest land fill site.
4.2 Municipal waste (domestic and or commercial wastes) Yes • It is estimated that maximum solid waste generation would be about 6,639 kg/day;• These solid wastes will be collected separately by putting separate bins at the source of generation • Bio-degradable waste will be subjected to the compost/resultant will be used as manure.
4.3 Hazardous wastes (as per Hazardous Waste Management Rules) No
4.4 Other industrial process wastes No
4.5 Surplus product No
4.6 Sewage sludge or other sludge from effluent treatment Yes Sludge generated from the STP plant will be dried and later will be used as manure for green belt development.
4.7 Construction or demolition wastes Yes The construction waste will consist of excess earth and construction debris along with cement bags, steel in bits and pieces, insulating and packaging materials etc. Recyclable waste construction materials will be sold to recyclers. Unusable and excess construction debris will be disposed at designated places in tune with the local norms
4.8 Redundant machinery or equipment No
4.9 Contaminated soils or other materials No
4.10 Agricultural wastes Yes Landscape wastes of 1.5 kg/day will be generated.
4.11 Other solid wastes No
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 project does not envisage any major air pollution sources except operation of DG sets during power failure and vehicular traffic.
5.2 Emissions from production processes Yes No production processes involved. Hence, there will be no such emissions.
5.3 Emissions from materials handling including storage or transport Yes Small quantities of fugitive emissions are envisaged during transport and handling of construction materials. Such emissions will be temporary and controlled by the use of sprinkling and other viable techniques like covering of loose material.
5.4 Emissions from construction activities including plant and equipment Yes This will be restricted to the construction phase and the construction site only.
5.5 Dust or odours from handling of materials including construction materials, sewage and waste Yes Dust is anticipated during loading and unloading of construction material and excavation of upper earth surface. These will however be temporary in nature, which will be controlled by providing water sprinklers. Tarpaulin cover will be provided on stored loose materials to reduce the dust emission.
5.6 Emissions from incineration of waste No
5.7 Emissions from burning of waste in open air (e.g. slash materials, construction debris) No
5.8 Emissions from any other sources No
6 Generation of Noise and Vibration, and Emissions of Light and Heat:
S.No Information/Checklist confirmation Yes/No Details thereof (with approximate quantities/rates, wherever possible) with source of information data
6.1 From operation of equipment e.g. engines, ventilation plant, crushers Yes Source of noise in the operational phase will be from backup DG sets (which will be in operation only during power failure) and pumps & motors. All the machinery will be of highest standard of reputed make and will comply with standard i.e. The DG set room will be provided with acoustic enclosure to have minimum 25 dB(A) insertion loss or for meeting the ambient noise standard whichever is on higher side as per E (P) Act, GSR 371 (E) and its amendments. Therefore, no significant impact due to op
6.2 From industrial or similar processes No
6.3 From construction or demolition Yes Due to various construction and demolition activities, there will be short-term noise impacts in the immediate vicinity of the project site. The construction activities will include the following noise generating activities: • Concreting, mixing & operation of DG sets. • Construction plant and heavy vehicle movement.
6.4 From blasting or piling No
6.5 From construction or operational traffic Yes Some noise will be generated from vehicular movement in the construction and operational phase but that will be mitigated with green belt.
6.6 From lighting or cooling systems No
6.7 From any other sources No
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 No The used oil from DG sets will be carefully stored in HDPE drums at isolated storage, and periodically sold to authorized recyclers. All precautions will be taken to avoid spillage from storage as per The Hazardous Wastes (Management & Handling) Rules, 1989.
7.2 From discharge of sewage or other effluents to water or the land (expected mode and place of discharge) No There will be no discharge of untreated sewage on land or into water bodies. Adequate treatment of sewage will be carried out in a STP of capacity 1200 KLD, proposed within the project premises. Treated sewage will be re-used for flushing, landscaping and HVAC Cooling.
7.3 By deposition of pollutants emitted to air into the land or into water No The DG Sets will be provided with stacks of adequate height. Hence dispersion will be achieved and avoid deposition of pollutants in significant concentrations at any single location.
7.4 From any other sources No
7.5 Is there a risk of long term build up of pollutants in the environment from these sources? 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 To deal with any fire related accident, fire fighting facility of single handed hydrant valve, long hose reel, and portable fire extinguisher shall be provided.
8.2 From any other causes No
8.3 Could the project be affected by natural disasters causing environmental damage (e.g. floods, earthquakes, landslides, cloudburst etc)? Yes Building design is being done taking into consideration the natural disasters like, earthquake
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 Appropriate infrastructure like roads, power supply, waste management and waste water treatment will be developed within the project site.
9.2 Lead to after-use of the site, which could have an impact on the environment Yes Will lead to urban expansion of the city
9.3 Set a precedent for later developments Yes being designed and developed under IGBC gold rating, where principles of sustainability have been incorporated into the design.
9.4 Have cumulative effects due to proximity to other existing or planned projects with similar effects Yes will have same impact as redevelopment take place in model town
(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 Central Ridge Forest-9 km
2 Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Yes Yamuna River-4.9 km Naini lake- 1.3 km
3 Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration Yes Central Ridge Forest-Approx. 9 km
4 Inland, coastal, marine or underground waters No
5 State, National boundaries Yes Delhi- UP Border-10 km Delhi-HR Border-15 km
6 Routes or facilities used by the public for access to recreation or other tourist, pilgrim areas Yes GT- Karnal Road-Adjacent, Azadpur flyover- 0.46 km
7 Defence installations No
8 Densely populated or built-up area Yes Jahangir Puri-Approx. 0.35 km Mauzi wal Bagh-Approx. 0.4 km
9 Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship, community facilities) Yes Holy Child Public School-Approx. 0.4 km
10 Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) Yes Yamuna River-Approx. 4.9 km
11 Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) No
12 Areas susceptible to natural hazard which could cause the project to present environmental problems (earthquakes, subsidence, landslides, erosion, flooding or extreme or adverse climatic conditions) similar effects Yes Earthquake- IV
(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 ApplicantB
DesignationAC
Name of Company (Applicant Name should not be given here)NORTH DELHI MUNICIPAL CORPORATION
AddressO/o Addl. Deputy Commissioner (L&E)
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