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 M/s Ishanga Lifescience Pvt Ltd
Brief summary of projectAnnexure-Brief summary of project
Proposal Number IA/GJ/IND2/82494/2018
Project Cost 1165.0 lacs
2.
S. No. in the schedule5(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 193, 0.6378 ha.
4.
New/Expansion/ModernizationNew
5. Existing Capacity/Area etc. 193 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 projectSurvey No.: 310/1/2/3, Madhvas, Tal: Kalol, Dist: Panchmahal
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.Survey No. 310/1/2/3
Town / VillageMadhvas
State of the projectGujarat
Details of State of the project
S.no State Name District Name Tehsil Name
(1.)GujaratPanchmahalKalol
(2.)GujaratPanchmahalKalol
10.
Nearest railway station along with distance in kms Vadodara, 40.0 km
Nearest airport along with distance in kms Vadodara, 35.8 km
11. Nearest Town/City/District Headquarters along with distance in kms Kalol , 4.03 km
12. Village Panchayats, Zila Parishad, Muncipal Corporation, Local body (Complete postal address with telephone nos. to be given) survey no. 310/1/2/3, Madhvas, Tal: Kalol, Dist.: Panchmahal - 389003
13. Name of the Applicant RAMLAL
14. Registered Address Survey no.: 310/1/2/3, Madhvas, Tal: Kalol, Dist.: Panchmahal
15.
Address for correspondance:
Name of the Company ISHANGA LIFE SCIENCE
Name of the Applicant RAMLAL
Designation (Owner/ Partner/ CEO) Director
Pin code 389350
E-mail ishanga123@yahoo.com
Telephone No. 02676-223702
Fax No. 02676-
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 Permanent land will be utilized for proposed activity located at Madhvas village.
1.2 Clearance of existing land, vegetation and buildings? Yes It is Non- agricultural land
1.3 Creation of new land uses? Yes Land of non agricultural will be used for manufacturingof proposed products.
1.4 Pre-construction investigations e.g. bore houses, soil testing? Yes Already done
1.5 Construction works? Yes New construction will be carried out.
1.6 Demolition works? Yes Part of existing structure will be modified.
1.7 Temporary sites used for construction works or housing of construction workers? No Local construction workers will be hired.
1.8 Above ground buildings, structures or earthworks including linear structures, cut and fill or excavations and fill or excavations Yes Plant layout is attached as Annexure: III.
1.9 Underground works including mining or tunnelling? No No such underground activity is involved.
1.10 Reclamation works? No Not Required.
1.11 Dredging? No Not Required.
1.12 Offshore structures? No Not Required.
1.13 Production and manufacturing processes? Yes Production capacity is attached as Annexure: IV and manufacturing process is attached as Annexure: VI.
1.14 Facilities for storage of goods or materials? Yes Proper facility for storage of raw material and finished goods will be provided in the unit.
1.15 Facilities for treatment or disposal of solid waste or liquid effluents? Yes Details of facilities for treatment of liquid effluent are given in Annexure: VII. Hazardous waste details attached as Annexure: XI.
1.16 Facilities for long term housing of operational workers? No Plot will be utilized for industrial purpose only.
1.17 New road, rail or sea traffic during construction or operation? No This is a private land. Road infrastructure is well developed.
1.18 New road, rail, air water borne or other transport infrastructure including new or altered routes and stations, ports, airports etc? No Not applicable
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 There will not be any said work at the site.
1.21 Impoundment, damming, culverting, realignment or other changes to the hydrology of watercourses or aquifers? No Not applicable
1.22 Stream crossings? No No such activity is involved in the proposed project.
1.23 Abstraction or transfers of water from ground or surface waters? Yes The water will be taken from Bore-well. Necessary permission will be obtained.
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 There will be routine movement of construction material, labor and raw materials to the site by road trucks.
1.26 Long-term dismantling or decommissioning or restoration works? No The proposed activity will be carried out in existing premises.
1.27 Ongoing activity during decommissioning which could have an impact on the environment? No Construction debris will be used for foundation and road making within the plot.
1.28 Influx of people to an area in either temporarily or permanently? No Local people will be employed for proposed activity
1.29 Introduction of alien species? No No such activity will be associated with the expansion project.
1.30 Loss of native species or genetic diversity? No No such activity is involved which can leads to loss of native species or genetic diversity.
1.31 Any other actions? No Not required other action
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 It is private & Non agricultural land.
2.2 Water (expected source & competing users) unit: KLD Yes Water consumption and waste water generation detail is attached as Annexure: VII. Source : Own borewell
2.3 Minerals (MT) No Not Applicable
2.4 Construction material – stone, aggregates, sand / soil (expected source – MT) Yes Various construction materials will be required in small quantity. MATERIALS QUANTITY Brick 1,20,000 Nos Cement 6000 Nos Sand 1000 MT Steel 75 MT
2.5 Forests and timber (source – MT) No No forest and timber products are used.
2.6 Energy including electricity and fuels (source, competing users) Unit: fuel (MT),energy (MW) Yes Fuel and Energy consumption detail is attached as Annexure: VIII.
2.7 Any other natural resources (use appropriate standard units) No No other natural resources will be used.
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 List of hazardous raw material is given in Annexure-XI.
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 New employment will be formed.
3.4 Vulnerable groups of people who could be affected by the project e.g. hospital patients, children, the elderly etc. No There will be no such effects due to the new project.
3.5 Any other causes No None
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 No such waste will be generated from the proposed project activity.
4.2 Municipal waste (domestic and or commercial wastes) Yes Some municipal waste will be generated.
4.3 Hazardous wastes (as per Hazardous Waste Management Rules) Yes Detail of Hazardous waste management attached as Annexure: XI.
4.4 Other industrial process wastes No No such waste will be generated.
4.5 Surplus product No No such waste will be generated.
4.6 Sewage sludge or other sludge from effluent treatment Yes Sewage is diverted to soak pit and ETP sludge is disposed off to landfill site.
4.7 Construction or demolition wastes No -----
4.8 Redundant machinery or equipment No All equipments will be newly purchased.
4.9 Contaminated soils or other materials No There will be no contamination to soils. Entire open space will be made RCC.
4.10 Agricultural wastes No No any agricultural waste will be generated.
4.11 Other solid wastes No Other solid waste will be disposed off as per guidelines.
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 is attached as Annexure: IX.
5.2 Emissions from production processes Yes Detail of process gas emissions is attached as Annexure-X.
5.3 Emissions from materials handling including storage or transport Yes Details are given in Annexure –X.
5.4 Emissions from construction activities including plant and equipment No Emissions from the cement mixers will be controlled.
5.5 Dust or odours from handling of materials including construction materials, sewage and waste No All the raw materials and solvents will be handled in closed conditions.
5.6 Emissions from incineration of waste No There is no incinerator in the premises
5.7 Emissions from burning of waste in open air (e.g. slash materials, construction debris) No Not applicable, since burning of waste will not be practiced.
5.8 Emissions from any other sources No No other emissions will be observed.
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 No significant noise, vibration or emission of light & heat from the unit. The noise level will be within the prescribed limit.
6.2 From industrial or similar processes No Noise proof equipments will be used for industrial processes.
6.3 From construction or demolition No -----
6.4 From blasting or piling No No such activity will be carried out.
6.5 From construction or operational traffic Yes Adequate measures will be taken by the unit.
6.6 From lighting or cooling systems No -----
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 Proper storage facility for hazardous chemicals and waste will be provided in the unit.
7.2 From discharge of sewage or other effluents to water or the land (expected mode and place of discharge) Yes Sewage effluent will be disposed into soak pit system. Industrial effluent will be treated & recycle back in the unit. Unit will achieve zero liquid discharge.
7.3 By deposition of pollutants emitted to air into the land or into water Yes Process emission details is attached as annexure- X.
7.4 From any other sources No No other sources will be there.
7.5 Is there a risk of long term build up of pollutants in the environment from these sources? No There will not be any long term build up of pollutants in the environment from these sources.
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 Risk assessment will be carried out.
8.2 From any other causes No No risk of accident from any other causes. Adequate precautionary measure will be taken by the unit.
8.3 Could the project be affected by natural disasters causing environmental damage (e.g. floods, earthquakes, landslides, cloudburst etc)? No Structures will be made earthquake proof and no possibility of flood is identified.
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 Employment generation, exposure to new technology, skill up gradation, Local ancillary development like rewinding of motors, maintenance people, wiremen, etc will be increased.
9.2 Lead to after-use of the site, which could have an impact on the environment No There will be no significant impact on environment.
9.3 Set a precedent for later developments No The project is conventional one.
9.4 Have cumulative effects due to proximity to other existing or planned projects with similar effects No There will be no cumulative effect from the proposed expansion project.
(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 No protected area within 10 km from the proposed project boundary.
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 No ----
5 State, National boundaries No Not Applicable
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 Applicable
8 Densely populated or built-up area Yes Kalol approximate distance is 4 km
9 Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship, community facilities) Yes Hospital- Approximate 3.8 Km School-Approximate- 0.3 km
10 Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) No Not Applicable
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 Not Applicable
(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
required details uploaded with Additional Information
            Essential Detail Sought:
Sno. EDS Letter Remarks Date of EDS
1.NAThe correction have been made as per the instruction received 29 Oct 2018
2.NAPlease provide the following information: (1) Availability of land with the PP. (2) Permission from the concerned authority for setting up industry in the proposed area/conversion of land for industrial purpose. (3) Requirement of water, source and Effluent treatment plan 17 Oct 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 ApplicantRAMLAL
DesignationDirector
Name of Company (Applicant Name should not be given here)ISHANGA LIFE SCIENCE
AddressSurvey no.: 310/1/2/3, Madhvas, Tal: Kalol, Dist.: Panchmahal
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