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 Approval of Terms of Reference for Proposed Commercial Complex & Multiplex at Khaiber Pass, New Delhi
Brief summary of projectAnnexure-Brief summary of project
Proposal Number IA/DL/NCP/98581/2019
Project Cost 3963300000 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 ... ha.
4.
New/Expansion/ModernizationNew
5. Existing Capacity/Area etc. ... 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 projectat Khaiber Pass, New Delhi
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.at Khaiber Pass, New Delhi
Town / VillageMall Road
State of the projectDelhi
Details of State of the project
S.no State Name District Name Tehsil Name
(1.)DelhiNorthModeltown
10.
Nearest railway station along with distance in kms New Delhi Railway Station, 5.6 km
Nearest airport along with distance in kms Indira Gandhi International Airport, 18.5 km
11. Nearest Town/City/District Headquarters along with distance in kms New Delhi , .. km
12. Village Panchayats, Zila Parishad, Muncipal Corporation, Local body (Complete postal address with telephone nos. to be given) Municipal Corporation Delhi Civil Line Zone, Rajpur Road, Civil Lines Delhi-110054
13. Name of the Applicant PRADEEP
14. Registered Address NORTH DELHI METRO MALL PVT LTD, GROUND FLOOR, NEAR KHYBER PASS PETROL PUMP, CIVIL LINES, DELHI-110054
15.
Address for correspondance:
Name of the Company NORTH DELHI METRO MALL PVT LTD
Name of the Applicant PRADEEP
Designation (Owner/ Partner/ CEO) DIRECTOR
Pin code 110054
E-mail north.mall@yahoo.com
Telephone No. 011-23810057
Fax No. 011-
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 Proposed development is as per local development plan of DDA.
1.2 Clearance of existing land, vegetation and buildings? No No clearance of existing land, vegetation & buildings is required, as the land is free from any vegetation & structure.
1.3 Creation of new land uses? No No new land use is proposed. The proposed site is for commercial development.
1.4 Pre-construction investigations e.g. bore houses, soil testing? Yes Soil testing and ground water investigation has been done.
1.5 Construction works? Yes Construction work will be carried out as State/ Central Govt. guidelines.
1.6 Demolition works? No Not Applicable
1.7 Temporary sites used for construction works or housing of construction workers? Yes Mostly, local labors will be employed. However temporary labour camps will be established for labourers during the construction stage. All the construction activities including storage of raw materials will be confined to the storage spaces earmarked on project site only.
1.8 Above ground buildings, structures or earthworks including linear structures, cut and fill or excavations and fill or excavations Yes Complex shall be constructed above ground and there will be a basement to be used for parking and other purposes (pump house, installation STP and for other service departments). The earthwork is involved for foundation and laying of underground services etc. Excavated soil will be used for site leveling, back filling/filling and road construction. Top 200 mm layer of soil will be separately stored and used for landscaping/horticulture development work.
1.9 Underground works including mining or tunnelling? Yes Underground works includes excavation of earth for construction of foundation etc.
1.10 Reclamation works? No Not Applicable
1.11 Dredging? No Not Applicable
1.12 Offshore structures? No Not Applicable
1.13 Production and manufacturing processes? No Not Applicable
1.14 Facilities for storage of goods or materials? Yes Temporary storage facilities will be created during construction phase for storage of construction materials.
1.15 Facilities for treatment or disposal of solid waste or liquid effluents? Yes For disposal of the solid wastes segregation at source will be done and it will be send to dumping yard for further treatment. For treatment of Sewerage, Sewage Treatment Plants will be provided. The treated sewage will be used for flushing, cooling and horticultural purposes in the complex.
1.16 Facilities for long term housing of operational workers? No Not Applicable
1.17 New road, rail or sea traffic during construction or operation? Yes Road traffic is expected to be increased during construction and operation phases of the project. No significant impact is anticipated on road and rail traffic due to construction of this complex.
1.18 New road, rail, air water borne or other transport infrastructure including new or altered routes and stations, ports, airports etc? Yes Service road with adequate width shall be made and will be transferred the same to the Government.
1.19 Closure or diversion of existing transport routes or infrastructure leading to changes in traffic movements? No Not Applicable
1.20 New or diverted transmission lines or pipelines? No Not Applicable
1.21 Impoundment, damming, culverting, realignment or other changes to the hydrology of watercourses or aquifers? No Not Applicable
1.22 Stream crossings? No Not Applicable
1.23 Abstraction or transfers of water from ground or surface waters? No Main source of water is municipal water supply augmented with the water supply from Delhi Jal Board. Complex will need 967 KLD of total water. The domestic water requirement will be 365 KLD.
1.24 Changes in water bodies or the land surface affecting drainage or run-off? No Not Applicable
1.25 Transport of personnel or materials for construction, operation or decommissioning? Yes During construction phase transport of personnel as well as construction materials would be required. The personnel would preferably be engaged from nearby areas. Precaution will be taken to reduce the impact of vehicular movement by trying to avoid the vehicular trips during peak hours.
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? Yes Minor and temporary impacts on environment are anticipated due to the increased traffic
1.28 Influx of people to an area in either temporarily or permanently? Yes Minor and temporary impacts on environment are anticipated due to the increased traffic
1.29 Introduction of alien species? No Not Applicable
1.30 Loss of native species or genetic diversity? No Not Applicable
1.31 Any other actions? No 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 The land for the proposed project is duly approved by DDA for commercial use.
2.2 Water (expected source & competing users) unit: KLD Yes Main source of water supply is municipal water supply by Delhi Jal Board.
2.3 Minerals (MT) No Not Applicable
2.4 Construction material – stone, aggregates, sand / soil (expected source – MT) Yes All materials for construction will be arranged through their nominated contractors / suppliers.
2.5 Forests and timber (source – MT) No Not Applicable
2.6 Energy including electricity and fuels (source, competing users) Unit: fuel (MT),energy (MW) Yes Complex will need 7869 KVA of electricity. Developer will provide D.G sets of 9870 KVA for power backup in case of electricity failure.
2.7 Any other natural resources (use appropriate standard units) No Not Applicable
3 Use, storage, transport, handling or production of substances or materials, which could be harmful to human health or the environment or raise concerns about actual or perceived risks to human health
S.No Information/Checklist confirmation Yes/No Details thereof (with approximate quantities/rates, wherever possible) with source of information data
3.1 Use of substances or materials, which are hazardous (as per MSIHC rules) to human health or the environment (flora, fauna, and water supplies No Not Applicable
3.2 Changes in occurrence of disease or affect disease vectors (e.g. insect or water borne diseases) No Not Applicable
3.3 Affect the welfare of people e.g. by changing living conditions? Yes Socio-economic standard of people will increase due to more employment opportunities provided by this project. This will lead to increased quality of life.
3.4 Vulnerable groups of people who could be affected by the project e.g. hospital patients, children, the elderly etc. No Not Applicable
3.5 Any other causes No Not Applicable
4 Production of solid wastes during construction or operation or decommissioning (MT/month)
S.No Information/Checklist confirmation Yes/No Details thereof (with approximate quantities/rates, wherever possible) with source of information data
4.1 Spoil, overburden or mine wastes No Not Applicable
4.2 Municipal waste (domestic and or commercial wastes) Yes Around 2.91 TPD of domestic waste will be generated from this complex. After segregation at source waste will be send to dumping yard.
4.3 Hazardous wastes (as per Hazardous Waste Management Rules) Yes Used oil and used batteries from D.G. Sets and will be stored and resold to authorized agency.
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 Sludge will be used in horticulture as manure.
4.7 Construction or demolition wastes Yes Construction waste will be used in building making. There is no demolition work carried out.
4.8 Redundant machinery or equipment No Not Applicable
4.9 Contaminated soils or other materials No Not Applicable
4.10 Agricultural wastes No Not Applicable
4.11 Other solid wastes No Not Applicable
5 Release of pollutants or any hazardous, toxic or noxious substances to air(Kg/hr)
S.No Information/Checklist confirmation Yes/No Details thereof (with approximate quantities/rates, wherever possible) with source of information data
5.1 Emissions from combustion of fossil fuels from stationary or mobile sources Yes Normal Vehicular emissions will be there. Emissions from D.G. Sets will take place. Stack Heights of all D.G. Sets shall be as per SPCB/CPCB norms
5.2 Emissions from production processes No Not Applicable
5.3 Emissions from materials handling including storage or transport Yes Emissions from the vehicles/ machinery used for the construction.
5.4 Emissions from construction activities including plant and equipment Yes Slight emissions from welding activities and working of construction equipment/ machinery shall be complied with PUC certificate only.
5.5 Dust or odours from handling of materials including construction materials, sewage and waste Yes Water will be sprinkled on the roads to minimize the dust generation during construction activities.
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 No -
6.2 From industrial or similar processes No Not Applicable
6.3 From construction or demolition Yes Noise Pollution Control: Noise pollution will be due to operation of machinery as well as transportation vehicles. Following precautions shall be taken to control noise pollution : High noise generating construction activities would be carried out only during day time. Installation, use and maintenance of mufflers on equipment. Workers working near high noise construction machinery would be supplied with ear muffs/ear plugs.
6.4 From blasting or piling No Not Applicable
6.5 From construction or operational traffic Yes Traffic will increase due to the use of vehicles by visitors. Noise levels due to vehicles will be there. To reduce the noise level green belts and tree shall be there which shall act as good noise absorbers.
6.6 From lighting or cooling systems No Not Applicable
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 The waste oil generated during operation phase from the DG sets will be collected and separately stored in HDPE drums over concrete floor within the premises before final disposal. All precautionary steps will be taken to avoid spillage It will be directly transferred to authorized recyclers.
7.2 From discharge of sewage or other effluents to water or the land (expected mode and place of discharge) Yes Generated Sewage from the project will be treated in the STP (550 KLD) proposed onsite, and recycled within the proposed project facility for gardening DG cooling, etc.
7.3 By deposition of pollutants emitted to air into the land or into water No D.G. Sets will be used as a source of power back up in case of power failure of main supply. These D.G. Sets will be installed as per guidelines of SPCB/ CPCB. Hence, there will be no impact on air.
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 Promoters will install STPs to treat the waste water. Treated effluent will be used for flushing, horticultural purposes, DG cooling etc.
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 Promoters will install STPs to treat the waste water. Treated effluent will be used for flushing, horticultural purposes, DG cooling etc.
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)? No The project site falls in Seismic Zone-IV. The Design and architecture of buildings will be earthquake resistant. Chances of Floods are very less. Landslides and cloud bursting will not take place at all.
9 Factors which should be considered (such as consequential development) which could lead to environmental effects or the potential for cumulative impacts with other existing or planned activities in the locality
S.No Information/Checklist confirmation Yes/No Details thereof (with approximate quantities/rates, wherever possible) with source of information data
9.1 Lead to development of supporting utilities, ancillary development or development stimulated   by the project which could have impact on the environment e.g.:
  • Supporting infrastructure (roads, power supply,waste or waste water treatment, etc.)
  • housing development
  • extractive industries
  • supply industries
  • Other
No Not Applicable
9.2 Lead to after-use of the site, which could have an impact on the environment No Not Applicable
9.3 Set a precedent for later developments No Not Applicable
9.4 Have cumulative effects due to proximity to other existing or planned projects with similar effects No Not Applicable
(III) Environmental Sensitivity
S.No Areas Name/Identity Aerial distance (within 15km.) Proposed project location boundary
1 Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
No There are no national park and bird sanctuary lies within 10 Km radius of the project site. Okhla Bird Sanctuary is located at 17.7 km in the SE direction from the project site.
2 Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests No Not applicable
3 Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration No Not applicable
4 Inland, coastal, marine or underground waters No Not applicable
5 State, National boundaries No Delhi-U. P. border is at 6 km, NE
6 Routes or facilities used by the public for access to recreation or other tourist, pilgrim areas No Not applicable
7 Defence installations No Not within 10 km. radius from the proposed project site. Hindon Air Base is situated at 12.5 km, E.
8 Densely populated or built-up area Yes Old Delhi, 3.5 km, S
9 Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship, community facilities) No Manmade community facilities such as, schools, places of worship are planned but are not close to the site. These installations will not have any impact due to construction of proposed project.
10 Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) No -
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 Seismic Zone 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 ApplicantPRADEEP
DesignationDIRECTOR
Name of Company (Applicant Name should not be given here)NORTH DELHI METRO MALL PVT LTD
AddressNORTH DELHI METRO MALL PVT LTD, GROUND FLOOR, NEAR KHYBER PASS PETROL PUMP, CIVIL LINES, DELHI-110054
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