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 Greenkem Organics Pvt. Ltd.
Brief summary of projectAnnexure-Brief summary of project
Proposal Number IA/GJ/IND2/80009/2018
Project Cost 4684 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 4116 TPA ha.
4.
New/Expansion/ModernizationNew
5. Existing Capacity/Area etc. 3.9385 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 projectPanoli
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. 2317
Town / VillagePanoli
State of the projectGujarat
Details of State of the project
S.no State Name District Name Tehsil Name
(1.)GujaratBharuchAnklesvar
10.
Nearest railway station along with distance in kms Ankleshwar Railway Station, 12 km
Nearest airport along with distance in kms Surat Air Port, 71 km
11. Nearest Town/City/District Headquarters along with distance in kms Ankleshwar , 12 km
12. Village Panchayats, Zila Parishad, Muncipal Corporation, Local body (Complete postal address with telephone nos. to be given) Panoli GIDC Estate
13. Name of the Applicant Prafulbhai
14. Registered Address Plot No. 2317, Panoli GIDC Estate, At Sanjali, Tehsil : Ankleshwar, Dist.: Bharuch
15.
Address for correspondance:
Name of the Company GREENKEM ORGANICS PRIVATE LIMITED
Name of the Applicant Prafulbhai
Designation (Owner/ Partner/ CEO) Authorised Signatory
Pin code 394115
E-mail finance@greenkem.in
Telephone No. 261-2551475
Fax No. 261-
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 There will be no significant change in land cover and topography of the region.
1.2 Clearance of existing land, vegetation and buildings? No No vegetation in the area of proposed activity.
1.3 Creation of new land uses? No There will be development of Industrial Shed in GIDC Plot.
1.4 Pre-construction investigations e.g. bore houses, soil testing? No Not Required.
1.5 Construction works? Yes Industrial shed construction is in progress for API Products ( EC Granted from SEIAA, Gujarat) .
1.6 Demolition works? No Local Labors will be hired for construction works.
1.7 Temporary sites used for construction works or housing of construction workers? No Not Required.
1.8 Above ground buildings, structures or earthworks including linear structures, cut and fill or excavations and fill or excavations No Not Required.
1.9 Underground works including mining or tunnelling? No No mining or tunneling envisaged.
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 List of Product as per Annexure – 1 and Manufacturing Process as per Annexure – 2 attached in Form - 1
1.14 Facilities for storage of goods or materials? Yes Covered shed will be provided for the storage of goods and raw material.
1.15 Facilities for treatment or disposal of solid waste or liquid effluents? Yes ETP Will provide for effluent treatment and Solid / Hazardous waste will be disposed off to TSDF / CHWIF as per waste category.
1.16 Facilities for long term housing of operational workers? No Not Required.
1.17 New road, rail or sea traffic during construction or operation? No No.
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? No
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? No Water will be meeting through GIDC Water Connection.
1.24 Changes in water bodies or the land surface affecting drainage or run-off? No
1.25 Transport of personnel or materials for construction, operation or decommissioning? Yes Transportation of personnel or raw material and products will be primarily by road & rail only.
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 There is already influx of people due to GIDC Area.
1.29 Introduction of alien species? No
1.30 Loss of native species or genetic diversity? No
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 Proposed activity is within the Panoli GIDC Industrial Estate.
2.2 Water (expected source & competing users) unit: KLD Yes Total Fresh Water Consumption : 72.8 KLD Water Source: Panoli GIDC Water supply as per Annexure – 3 in Form - 1 .
2.3 Minerals (MT) No Not Applicable
2.4 Construction material – stone, aggregates, sand / soil (expected source – MT) Yes For development of industrial shed / building construction material will be required, which will be met through nearest market.
2.5 Forests and timber (source – MT) Yes Open market or office building.
2.6 Energy including electricity and fuels (source, competing users) Unit: fuel (MT),energy (MW) Yes Electricity from DGVCL. LNG for Boiler.
2.7 Any other natural resources (use appropriate standard units) No Not Any
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 Lit of hazardous substances which are used in manufacturing process are enlisted in manufacturing Process description Annexure – 2, enclosed in Form - 1.
3.2 Changes in occurrence of disease or affect disease vectors (e.g. insect or water borne diseases) No Not Any
3.3 Affect the welfare of people e.g. by changing living conditions? Yes The impact would be positive impact, as the project will create / increase employment both during the construction and operation phase of the project.
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) No Will not generate.
4.3 Hazardous wastes (as per Hazardous Waste Management Rules) Yes There will be Empty barrels containing chemicals, ETP Sludge, etc….
4.4 Other industrial process wastes Yes Process waste will be disposed off at TSDF Site / CHWIF.
4.5 Surplus product No Not Any.
4.6 Sewage sludge or other sludge from effluent treatment Yes ETP Sludge will be disposed at Nearest TSDF Site.
4.7 Construction or demolition wastes No Not applicable
4.8 Redundant machinery or equipment No -
4.9 Contaminated soils or other materials No -
4.10 Agricultural wastes No -
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 There will be emission from combustion of fossil fuel i.e. LNG into boiler.
5.2 Emissions from production processes Yes There will be process emission from Reaction Vessels.
5.3 Emissions from materials handling including storage or transport Yes There will be particulate matter emission due to handling of raw material. Adequate cover and or dust extraction system will be provided.
5.4 Emissions from construction activities including plant and equipment Yes Dust / fugitive emissions, which are predominant, will be mitigated by use of water sprays to keep it under control. All construction equipment’s will be well maintained for ensuring lowest possible emissions.
5.5 Dust or odours from handling of materials including construction materials, sewage and waste Yes For construction materials, de – dusting measures like spraying of water, encasement of dumpers, barriers around the construction area etc. will be taken.
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 There will be Noise generation from operation of Machineries and Boiler.
6.2 From industrial or similar processes Yes There will be heat generation from boiler.
6.3 From construction or demolition No Not Applicable.
6.4 From blasting or piling No Not Applicable.
6.5 From construction or operational traffic No Not Applicable.
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 There will be risk of contamination of surface waters due to spillage of hazardous materials handling in monsoon season. However, Fixed pump and pipeline will be provided and activity will be done under shed to eliminate risk of contaminations.
7.2 From discharge of sewage or other effluents to water or the land (expected mode and place of discharge) Yes Sewage will be treated with Industrial Effluent into ETP.
7.3 By deposition of pollutants emitted to air into the land or into water No There will be emission of Particulate matter which will be control through Adequate APCM.
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.
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 There will be fire nearby Boiler or Hot Air Generator and Risk during handling of Hazardous Chemicals.
8.2 From any other causes No Not envisaged.
8.3 Could the project be affected by natural disasters causing environmental damage (e.g. floods, earthquakes, landslides, cloudburst etc)? No Not envisaged.
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 Heavy urbanization may have potential for cumulative impacts in the locality.
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
2 Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests No
3 Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration No
4 Inland, coastal, marine or underground waters Yes Narmada River @ 13 km
5 State, National boundaries No
6 Routes or facilities used by the public for access to recreation or other tourist, pilgrim areas Yes Public Transportation.
7 Defence installations No
8 Densely populated or built-up area Yes Ankleshwar city is 12 km away from site.
9 Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship, community facilities) No
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 No
(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 17 Nov 2018
2.NAThe correction have been made as per the instruction received 17 Nov 2018
3.NAPlease do not submit without proper justification and documents. For further clarity,if any required, discussion may be held in the Ministry 17 Oct 2018
4.NAThe correction have been made as per the instruction received 11 Oct 2018
5.NAWe reiterate our earlier observations. Project name (not the proponent name) needs to be mentioned in S.No.1 of Form 1. Further, as per the information provided, the project is category B project and requires appraisal at State level (SEAC/SEIAA) 09 Oct 2018
6.NAThe correction have been made as per the instruction received 05 Oct 2018
7.NAPlease see the earlier observations and submit the proposal accordingly 28 Sep 2018
8.NAThe correction have been made as per the instruction received 27 Sep 2018
9.NAPlease provide the details of project under project name. As such the project is a category B project and requires appraisal by SEAC/SEIAA. Please submit accordingly 27 Sep 2018
      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 ApplicantPrafulbhai
DesignationAuthorised Signatory
Name of Company (Applicant Name should not be given here)GREENKEM ORGANICS PRIVATE LIMITED
AddressPlot No. 2317, Panoli GIDC Estate, At Sanjali, Tehsil : Ankleshwar, Dist.: Bharuch
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