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 Greenfield Multi-Purpose Plant for Manufacturing of Various Technical Grade Pesticides and Intermediates
Brief summary of projectAnnexure-Brief summary of project
Proposal Number IA/GJ/IND2/101977/2019
Project Cost 17000 lacs
2.
S. No. in the schedule5(b) Pesticides industry and pesticide specific intermediates (excluding formulations)
Project Sector Industrial Projects - 2
3. Proposed capacity/area/length/tonnage to be handled/command area/lease area/number or wells to be drilled Plot Area: 100272.418 sqm Pesticides Technical 26700 MTPA Intermediate 4400 MTPA 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 projectPlot No. D-3/5/3, GIDC Dahej Phase III, Vagara, Bharuch, Gujarat
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.Plot No. D-3/5/3
Town / VillageGIDC Dahej Phase III
State of the projectGujarat
Details of State of the project
S.no State Name District Name Tehsil Name
(1.)GujaratBharuchVagra
10.
Nearest railway station along with distance in kms Dahej Railway Station, 8.3 km
Nearest airport along with distance in kms Bharuch Railway Station, 73 km
11. Nearest Town/City/District Headquarters along with distance in kms Dahej , 7.78 km
12. Village Panchayats, Zila Parishad, Muncipal Corporation, Local body (Complete postal address with telephone nos. to be given) Padariya Village, Taluka:Vagra District: Bharuch, Gujarat
13. Name of the Applicant Saurabh
14. Registered Address 69/P, Village: Manjusar, Taluka: Savli, Vadodara
15.
Address for correspondance:
Name of the Company SHREEJI PESTICIDES PRIVATE LIMITED
Name of the Applicant Saurabh
Designation (Owner/ Partner/ CEO) ProjectHead
Pin code 391775
E-mail saurabh.srivastava@shreejipesticides.com
Telephone No. 0265-2331215
Fax No. 0265-
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 The proposed project site is located in Notified Industrial Estate.
1.2 Clearance of existing land, vegetation and buildings? Yes Minor site clearance activities shall be carried out to clear shrubs and weeds
1.3 Creation of new land uses? No Not Applicable
1.4 Pre-construction investigations e.g. bore houses, soil testing? Yes All the required pre-construction investigations will be conducted.
1.5 Construction works? Yes Construction of new plant facilities , utilities facility supporting expansion, warehouses, waste storage area, parking area etc.
1.6 Demolition works? No Not Applicable
1.7 Temporary sites used for construction works or housing of construction workers? No Local workers will be engaged for construction as well as operation phase. Hence, temporary housing structures will not be required for the construction workers.
1.8 Above ground buildings, structures or earthworks including linear structures, cut and fill or excavations and fill or excavations Yes Construction of plant building, storage areas and parking etc shall be carried out.
1.9 Underground works including mining or tunnelling? No No underground work (mining or tunnelling) planned for the proposed project.
1.10 Reclamation works? No No Reclamation work will be carried out
1.11 Dredging? No Not applicable
1.12 Offshore structures? No Not applicable
1.13 Production and manufacturing processes? Yes Manufacturing of Various Technical Grade Pesticides and Intermediates
1.14 Facilities for storage of goods or materials? Yes During construction stage necessary materials will be stored at designated locations within the existing site. During operation stage, chemicals and other materials will be stored in designated storage area/warehouses.
1.15 Facilities for treatment or disposal of solid waste or liquid effluents? Yes Liquid Effluent: Total effluent generation will be 520.52 KLD and Sewage generation will be 24 KLD. An Effluent Treatment Plant of 625 KLD will be provided to treat the effluent generated and STP of 25 KLD will be provided to treat the sewage. 5 KLD from group company will be treated in proposed Effluent treatment Plant. All the hazardous waste will be disposed off as per the Hazardous and Other Waste (Management and Transboundary Movement) Rule, 2016.
1.16 Facilities for long term housing of operational workers? No Not applicable as only local workers will be engaged during construction as well as operation phase of the proposed expansion.
1.17 New road, rail or sea traffic during construction or operation? No No new public road is planned as part of this development. There would be increase in project-related vehicular traffic during proposed activities. However, the existing infrastructure will meet the requirements and the same will be used.
1.18 New road, rail, air water borne or other transport infrastructure including new or altered routes and stations, ports, airports etc? No Existing infrastructure of road, rail, and air waterborne will meet the requirements and the same will be used.
1.19 Closure or diversion of existing transport routes or infrastructure leading to changes in traffic movements? No No closure or diversion of transport route proposed as part of the project.
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? Yes Water will be sourced from GIDC. No groundwater will be abstracted
1.24 Changes in water bodies or the land surface affecting drainage or run-off? No There will not be any run off/discharge affecting the water bodies or land surface. However, storm water drain shall also be designed keeping in mind the natural drainage pattern of the region.
1.25 Transport of personnel or materials for construction, operation or decommissioning? Yes Transportation of workers, material and products during the construction and operational phase shall be met by existing road transport only. There would be increase in project-related vehicular traffic but the existing infrastructure will meet the requirements and the same will be used.
1.26 Long-term dismantling or decommissioning or restoration works? No No long term dismantling or decommissioning or restoration work will be undertaken
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? Yes Workers will be hired on contract basis during construction activities and material movement etc. Total no of employee during construction phase will be 430 and during operation phase permanent employees will be 150 and temporary employees will be 400. Locally available manpower shall be utilized
1.29 Introduction of alien species? No No alien species (plant or animal) will be introduced
1.30 Loss of native species or genetic diversity? No No native species or generic diversity will be lost from the project.
1.31 Any other actions? No Not envisaged
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 The proposed project will be undertaken in the Notified Industrial Estate, GIDC, Dahej.
2.2 Water (expected source & competing users) unit: KLD Yes Water will be sourced from GIDC and total water requirement will be 1445 KLD (Fresh water from GIDC: 1183.4 KLD + Recycle and treated water 261.6 KLD).
2.3 Minerals (MT) No Not envisaged
2.4 Construction material – stone, aggregates, sand / soil (expected source – MT) Yes Construction materials, like steel, cement, crushed stones, sand, rubble, etc. required for the project shall be procured from the local market.
2.5 Forests and timber (source – MT) No Not envisaged
2.6 Energy including electricity and fuels (source, competing users) Unit: fuel (MT),energy (MW) Yes Electricity: 4550 KW of power will be sourced from Dakshin Gujarat Vij Company Ltd.(DGVCL) D.G Set: 4 Nos. of D.G set of 750 KWH each will be used as emergency back-up Fuel: FO (25 KLD) sourced from HPCL or Natural Gas (33000 SCM) from GAIL or Coal (62 TPD) Indignious or Imported will be used as fuel in utilities and HSD ( 25 KLD) will be used as fuel in DG set
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 Following hazardous materials will be stored at site: Process /Distillation Residue 1102.68 MT/year, Date Expired /off Specification Products 25 MT /year, Spent Solvent 150 MT/ month, MEE Salt 10 MT/day
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 The project will benefit the people living in the neighbouring areas by providing them with additional direct and indirect employment opportunities associated with the operation of the plant. Total no of employee during construction phase will be 430 and during operation phase permanent employees will be 150 and temporary employees will be 400.
3.4 Vulnerable groups of people who could be affected by the project e.g. hospital patients, children, the elderly etc. No Not applicable as the proposed project will be within Notified Industrial Estate only
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 Municipal waste generated will be handled as per the Solid Waste Management Rules, 2016.
4.3 Hazardous wastes (as per Hazardous Waste Management Rules) Yes Hazardous waste such as ETP sludge, salt from MEE will be sent to BEIL, Ankleshwar for landfilling. All expired and off spec pesticide, Process residue , Spent solvent, spent carbon from ETP & sludge from wet scrubber will be sent to CHWIF, BEIL, Ankleshwar. Used oil shall be sold to CPCB authorized recycler / re-processor.
4.4 Other industrial process wastes No Not applicable
4.5 Surplus product No No surplus product anticipated.
4.6 Sewage sludge or other sludge from effluent treatment Yes STP sludge will be used as manure for greenbelt development and ETP sludge will be sent to TSDF for disposal.
4.7 Construction or demolition wastes Yes Only construction waste and debris will be generated due to construction which shall be disposed of as per Construction and Demolition Waste Management Rules, 2016.
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 Flue gas Emission: PM SO2 & NOx from D.G sets and Boilers. Proper adequate APCM will be provided to control the gaseous emissions.
5.2 Emissions from production processes Yes Process gas Emission: PM, H2S, NO2, HCl, HBr, Cl2 from manufacturing activity. However, adequate infrastructure for monitoring and control will be in place to minimise and comply with conditions as prescribed by GPCB.
5.3 Emissions from materials handling including storage or transport Yes There will be fugitive emissions from the product and raw material storage area including transport. However adequate control and monitoring measures will be undertaken to control them. Material handling will be in closed system and Minor fugitive emission for short span of time due to transportation activity only.
5.4 Emissions from construction activities including plant and equipment Yes Fugitive dust emission from site preparation activities generated by earth-moving equipment. Engines of temporary DG sets will generate PM, SO2, NOx. Movement of vehicles during construction will be generated for a temporary period. Periodic water sprinkling will be carried out in the work area and non-metallic roads to prevent dust emission from wind and vehicular movements.
5.5 Dust or odours from handling of materials including construction materials, sewage and waste Yes Maximum dust emissions are likely to be generated during the construction phase from handling of the materials such as cement, sand etc. Periodic water sprinkling will be carried out in the work area and non-metallic roads to prevent dust emission from wind and vehicular movements.
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 Burning of waste in open air will not be done.
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 The DG sets and high noise generating equipment’s such as compressors, boilers etc., will be provided with acoustic enclosures and mufflers. It will be ensured that noise is within the prescribed limits in the periphery of the facilities and terminals.
6.2 From industrial or similar processes Yes Noise shall be generated during operation, generation of heat due to combustion of fuel in boiler & DG set etc. However, PPEs like ear muffs & ear plugs shall be provided to the persons working in high noise areas. Noise levels were found to be well within permissible limit
6.3 From construction or demolition Yes Noise and vibration will be generated by construction equipment, fabrication etc., Noise control measures such as acoustic enclosures and ear plug/muffs to the work team will be provided.
6.4 From blasting or piling No Not envisaged
6.5 From construction or operational traffic Yes Trailer trucks, road tankers and open trucks used for movement of construction and operational activities will contribute to noise and vibration. However road movements will be speed limited and through authorized journey management plan.
6.6 From lighting or cooling systems Yes Lighting will be used for night activities and operational requirements within the Site. However, only required lux level will be maintained. Energy conservation lighting and fittings will be used.
6.7 From any other sources No None
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 material shall be stored in designated storage area. Other material will be stored in bags/drums on pallets with concrete flooring and no spillage is likely to occur. All liquid raw materials shall be transported through pumps and closed pipelines and no manual handling shall be involved.
7.2 From discharge of sewage or other effluents to water or the land (expected mode and place of discharge) No No process effluents shall be discharged on land. Sewage generated will be treated in proposed STP & treated water will be used in gardening. Industrial effluent from ETP will be sent to GIDC drain for deep sea disposal.
7.3 By deposition of pollutants emitted to air into the land or into water No Gaseous emissions PM, H2S, NO2, HCl, HBr, Cl2 from various process units will be released from the production processes. However, adequate infrastructure for monitoring and control are/will be in place to minimise and comply with conditions as prescribed by GPCB.
7.4 From any other sources No None
7.5 Is there a risk of long term build up of pollutants in the environment from these sources? No None as the proposed facilities will not discharge any unprotected emissions into air, land or water.
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 For proposed project an Emergency response plan will be prepared.
8.2 From any other causes No None
8.3 Could the project be affected by natural disasters causing environmental damage (e.g. floods, earthquakes, landslides, cloudburst etc)? No As proposed project will be at Notified Industrial Estate & The area has not recorded any natural disasters in the recent past.
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 envisaged
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 No Not envisaged
9.4 Have cumulative effects due to proximity to other existing or planned projects with similar effects No The proposed project will be within notified industrial estate.However, to study the effects, EIA would be conducted as per EIA notification, 2006.
(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 Envisaged
2 Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Yes Narmada Estuary 10.26 kms towards S, Water Bodies/Watercourses 0.55 km towards NE, Coastal Zone Coastal area is located at an aerial distance of 7.7 km towards W., Reserve Forests Dahej Reserve Forest at 8.6 kms towards SW
3 Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration Yes Afforested Mangroves at 8.6 kms towards SW
4 Inland, coastal, marine or underground waters Yes Inland, Coastal and marine water falls in study area
5 State, National boundaries No None Envisaged
6 Routes or facilities used by the public for access to recreation or other tourist, pilgrim areas No None Envisaged
7 Defence installations No None Envisaged
8 Densely populated or built-up area Yes Dahej at 7.78 km in SW
9 Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship, community facilities) Yes Hospitals, Schools, places of worship, community facilities are present in Notified Industrial Estate of GIDC in Study Area.
10 Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) No None Envisaged
11 Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) No None Envisaged
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 There is minor hazard probability in terms of natural hazard/disaster. All possible measures & precautions are considered and implemented to overcome the issues of hazards of any Natural calamity. However, a properly implemented DMP shall be in place to deal with any such incidences.
(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
Additional Attachments, if any
Attached File
Request letter for collection of baseline data for Winter Season
      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 ApplicantSaurabh
DesignationProjectHead
Name of Company (Applicant Name should not be given here)SHREEJI PESTICIDES PRIVATE LIMITED
Address69/P, Village: Manjusar, Taluka: Savli, Vadodara
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