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 Environmental Clearance for propose Synthetic Organic Chemicals and Pesticides manufacturing unit at GIDC, Dahej
Brief summary of projectAnnexure-Brief summary of project
Proposal Number IA/GJ/IND2/114411/2019
Project Cost 1875 lacs
2.
S. No. in the schedule5(b) Pesticides industry and pesticide specific intermediates (excluding formulations)
5(f) Synthetic organic chemicals industry (dyes & dye intermediates; bulk
Project Sector Industrial Projects - 2
3. Proposed capacity/area/length/tonnage to be handled/command area/lease area/number or wells to be drilled 2350 MTPA ha.
4.
New/Expansion/ModernizationNew
5. Existing Capacity/Area etc. 1.945 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 projectD-2/CH-51, GIDC Dahej – II, Village - Dahej, Tehsil - Vagra, Dist. - 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.D-2/CH-51, GIDC Dahej – II
Town / VillageDahej
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 Bharuch Railway Station, 39.13 km
Nearest airport along with distance in kms Vadodara Airport, 91.34 km
11. Nearest Town/City/District Headquarters along with distance in kms Dahej , 4.02 km
12. Village Panchayats, Zila Parishad, Muncipal Corporation, Local body (Complete postal address with telephone nos. to be given) Dahej village – 4.02 km in West direction
13. Name of the Applicant Sonir
14. Registered Address D-2/CH-51, GIDC Dahej - II
15.
Address for correspondance:
Name of the Company JEEVAN CHEMICALS PVT. LTD.
Name of the Applicant Sonir
Designation (Owner/ Partner/ CEO) Director
Pin code 400092
E-mail jeevanec2019@gmail.com
Telephone No. 022-28990487
Fax No. 022-28991597
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) Yes Project site is located in the Dahej GIDC II, which is well developed designated industrial area and well connected with roads and rail network.
1.2 Clearance of existing land, vegetation and buildings? No There is no vegetation and building on the project site.
1.3 Creation of new land uses? Yes Project land will be developed for industrial activities.
1.4 Pre-construction investigations e.g. bore houses, soil testing? Yes Soil testing will be carried out before detailed engineering design.
1.5 Construction works? Yes Industrial building, admin block, storage area for raw material and finished product, treatment area etc will be constructed above the ground.
1.6 Demolition works? No Not applicable as project site is open land.
1.7 Temporary sites used for construction works or housing of construction workers? No Local personnel will be employed for the construction works.
1.8 Above ground buildings, structures or earthworks including linear structures, cut and fill or excavations and fill or excavations Yes Excavation for foundation work and construction work for industrial unit.
1.9 Underground works including mining or tunnelling? No Not Applicable
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? Yes Proposed project is pesticide and synthetic organic chemicals, detail is given in PFR.
1.14 Facilities for storage of goods or materials? Yes The Separate area will be provided for the storage of finished goods and raw materials.
1.15 Facilities for treatment or disposal of solid waste or liquid effluents? Yes • Wastewater from industrial activities will be treated in ETP having primary treatment followed by MEE to achieving GPCB norms. • Sewage will be treated in septic tank/soak pit. • Solid/hazardous waste collection, storage, transportation and disposal will be done as per Hazardous and Other Wastes (Management and Trans boundary Movement) Rules, 2016.
1.16 Facilities for long term housing of operational workers? No Local personnel will be employed, hence not applicable.
1.17 New road, rail or sea traffic during construction or operation? No Existing road network will be used for transportation.
1.18 New road, rail, air water borne or other transport infrastructure including new or altered routes and stations, ports, airports etc? No Proposed project will be established in GIDC II which is already having infrastructure facility.
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 Water will be sourced from GIDC water supply system.
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 Existing road network will be used for transportation of material and personnel.
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? Yes 55 nos. of personnel will be employed during operation phase.
1.29 Introduction of alien species? No Local species will be planted within green belt.
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 Project area (20,000 sq. m) will be developed for industrial activities. Layout plan is showing as Figure 3-3 in PFR.
2.2 Water (expected source & competing users) unit: KLD Yes Source: Dahej GIDC water supply system Water Requirement – Operation • Domestic : 2.75 KLD • Industrial : 34.85 KLD • Greenbelt : 10.00 KLD TOTAL : 47.60 KLD
2.3 Minerals (MT) No Not Applicable
2.4 Construction material – stone, aggregates, sand / soil (expected source – MT) Yes Construction materials like stone, aggregates, Sand, morrum will be purchase from local market.
2.5 Forests and timber (source – MT) No None
2.6 Energy including electricity and fuels (source, competing users) Unit: fuel (MT),energy (MW) Yes Electricity Requirement Source : Dakshin Gujarat Vij Company Limited (DGVCL) • Requirement: 525 KVA • D. G. set: 500 KVA for standby Fuel Requirement: • NG: 300 Nm3/Hr. • HSD: 65 L/Hr. sourced from local market
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 Yes All hazardous chemicals will be stored in separate storage area with proper safety equipments i.e. dyke wall, tank farm, extinguishers, etc.
3.2 Changes in occurrence of disease or affect disease vectors (e.g. insect or water borne diseases) No None
3.3 Affect the welfare of people e.g. by changing living conditions? Yes Proposed project would have positive impact on the socio-economic of nearby area.
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 None
4.2 Municipal waste (domestic and or commercial wastes) Yes Organic waste generated from proposed staff will be disposed through authorized agency.
4.3 Hazardous wastes (as per Hazardous Waste Management Rules) Yes Solid/hazardous waste collection, storage, transportation and disposal will be done as per Hazardous and Other Wastes (Management and Trans boundary Movement) Rules, 2016.
4.4 Other industrial process wastes Yes Solid/hazardous waste is mentioned in PFR.
4.5 Surplus product No --
4.6 Sewage sludge or other sludge from effluent treatment Yes ETP sludge will be stored and disposed to TSDF site for land filling as per guideline.
4.7 Construction or demolition wastes Yes Recyclable construction waste like steel, iron rod etc. will be sold to the vendors, while inert waste (brick, concrete, masonry, aggregates etc.) will be reused for leveling and base material of internal road.
4.8 Redundant machinery or equipment No None
4.9 Contaminated soils or other materials No Pucca floor will be provided at storage and manufacturing area, so no chances of soil contamination.
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 from boiler, Thermopack and D.G. Set. Moreover the transportation of vehicles used for transportation of finished products; Raw materials; waste disposal etc. shall also generate the flue gas emission.
5.2 Emissions from production processes Yes Emission of NO2, HCl, HBr and NH3 from vent attached to reactor. Refer PFR.
5.3 Emissions from materials handling including storage or transport Yes The material handling including storage and transportation may contribute to fugitive and VOC emission.
5.4 Emissions from construction activities including plant and equipment Yes There will be flue gas emission and fugitive dust emission from construction activities.
5.5 Dust or odours from handling of materials including construction materials, sewage and waste Yes Dust will generate during construction and handling of materials. Mitigation measures will be provided to control it.
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 Noise from operation of equipment will be expected.
6.2 From industrial or similar processes Yes Noise will be generated from industrial activities.
6.3 From construction or demolition Yes Noise from construction activities will be generated.
6.4 From blasting or piling No Not Applicable
6.5 From construction or operational traffic Yes Due to construction and operational traffic, noise level would be increased for a short interval.
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 Fugitive emissions will be occurred during storage and handling of raw material. However, necessary precautionary measures will be taken.
7.2 From discharge of sewage or other effluents to water or the land (expected mode and place of discharge) No • Sewage will be treated in septic tank/soak pit system. • Industrial Effluent will be treated in ETP having primary treatment and MEE to achieving GPCB norms.
7.3 By deposition of pollutants emitted to air into the land or into water No Adequate stack height with SMF will be provided with flue gas stack. Caustic scrubber will be installed with process vent as air pollution control equipment.
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 Not Applicable
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 Detailed risk assessment will undertake for all hazardous chemicals and all the necessary precautionary measures as suggested in RA will be implemented.
8.2 From any other causes No Not Applicable
8.3 Could the project be affected by natural disasters causing environmental damage (e.g. floods, earthquakes, landslides, cloudburst etc)? No Project site is not affected by floods or earthquake. Disaster management plan will be in place for any emergency.
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 Proposed project will have positive impact on surrounding area due to development of GB, CER activities, direct and indirect employment etc.
9.2 Lead to after-use of the site, which could have an impact on the environment Yes Proposed project will have impact on environmental parameters. Environment management plan will be in place to mitigate the impact.
9.3 Set a precedent for later developments No --
9.4 Have cumulative effects due to proximity to other existing or planned projects with similar effects Yes There will be cumulative effects due to various chemical industries located in nearby area.
(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 Project site located in notified industrial area i.e. GIDC Dahej II.
2 Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Yes Narmada River 3.97 km in South direction
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 Yes Gulf of Khambhat Around 13.18 km in West direction
5 State, National boundaries No None
6 Routes or facilities used by the public for access to recreation or other tourist, pilgrim areas No None
7 Defence installations No None
8 Densely populated or built-up area Yes Dahej Village 4.02 km in West direction
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 available within study area
10 Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) No None
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 Project site is falls in Seismic Zone – III.
(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:
Sno. EDS Letter Remarks Date of EDS
1.NAThe correction have been made as per the instruction received 19 Aug 2019
2.NAPlease refer our earlier observations and information may be provided accordingly 19 Aug 2019
3.NAThe correction have been made as per the instruction received 16 Aug 2019
4.NAPlease inform whether the project site falls in the polluted area as per CPCB/NGT order 14 Aug 2019
      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 ApplicantSonir
DesignationDirector
Name of Company (Applicant Name should not be given here)JEEVAN CHEMICALS PVT. LTD.
AddressD-2/CH-51, GIDC Dahej - II
Print