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. Prolife Industries Ltd.
Brief summary of projectAnnexure-Brief summary of project
Proposal Number IA/GJ/IND2/82929/2018
Project Cost 300 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 Total Plant Area 0.47 Ha.And existing production capacity is 75.0 MT/Month. And Now, unit has proposed Capacity 130 MT/Month additional quantity. ha.
4.
New/Expansion/ModernizationNew
5. Existing Capacity/Area etc. 0.47 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.-213, G.I.D.C. Estate Panoli, Dist-Bharuch, Gujarat
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, 10 km
Nearest airport along with distance in kms Surat, 85 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) Village-Panoli
13. Name of the Applicant Yogesh
14. Registered Address Plot No.213, G.I.D.C. Estate Panoli, Dist.-Bharuch
15.
Address for correspondance:
Name of the Company PROLIFE INDUSTRIES LTD
Name of the Applicant Yogesh
Designation (Owner/ Partner/ CEO) Director
Pin code 394115
E-mail prolifeindustries123@gmail.com
Telephone No. 02646-272490
Fax No. 02646-
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?Yes
Area of Forest land Involved (hectares)No ha.
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 project is in the notified GIDC Estate of Panoli, in a land area of 4700 Sq.mt. Hence, there will not be any change in land use of the proposed project.
1.2 Clearance of existing land, vegetation and buildings? No Not required.
1.3 Creation of new land uses? No The project is in the notified GIDC Estate of Panoli, in a land area of 4700 Sq.mt. Hence, there will not be any change in land use of the proposed project.
1.4 Pre-construction investigations e.g. bore houses, soil testing? No The plant is in existence.
1.5 Construction works? Yes The minor construction work for vessel assembling, storage area, etc. will be done.
1.6 Demolition works? No Not applicable.
1.7 Temporary sites used for construction works or housing of construction workers? No For construction, workers will be available from near by local area.
1.8 Above ground buildings, structures or earthworks including linear structures, cut and fill or excavations and fill or excavations No The plant is in existence.
1.9 Underground works including mining or tunnelling? No Not required.
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 Details of products is given at Annexure – A. The details on raw material and manufacturing process with flow diagram are attached as Annexure – B & Annexure – C.
1.14 Facilities for storage of goods or materials? Yes The storage facilities will be provided as per statutory requirements under Factory’s Act and MSIHC Rules 1989 under EP Act.
1.15 Facilities for treatment or disposal of solid waste or liquid effluents? Yes (1).Existing: Generated Industrial waste water is treated into ETP and then treated water send to PETL for further treatment. (2).Proposed: Generated Industrial waste water will be treated into ETP and then treated send to (in-house) MEE for further treatment. After adequate treatment, Condensed water will be recycled within the plant premises
1.16 Facilities for long term housing of operational workers? No There will not be requirement of long term housing of operational workers.
1.17 New road, rail or sea traffic during construction or operation? No The unit being located in well established GIDC Estate, no new road required.
1.18 New road, rail, air water borne or other transport infrastructure including new or altered routes and stations, ports, airports etc? No The unit being located in well established GIDC Estate, no new road required.
1.19 Closure or diversion of existing transport routes or infrastructure leading to changes in traffic movements? No No diversion will take place.
1.20 New or diverted transmission lines or pipelines? No The location of the unit is within area where industrial activities are in existence hence it is not required.
1.21 Impoundment, damming, culverting, realignment or other changes to the hydrology of watercourses or aquifers? No The hydrology of watercourses or aquifers will not be affected, as it is to be set up within the established industrial area where industrial activities are in existence.
1.22 Stream crossings? No There is no stream crossing.
1.23 Abstraction or transfers of water from ground or surface waters? Yes The Water requirement will be satisfied through GIDC water supply.
1.24 Changes in water bodies or the land surface affecting drainage or run-off? No The drainage pattern will not be affected.
1.25 Transport of personnel or materials for construction, operation or decommissioning? Yes Transportation of personnel, raw material and product will be primarily by road only.
1.26 Long-term dismantling or decommissioning or restoration works? No Not required.
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? No The workers will be available from near by local area.
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 ---
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 expansion project is in the notified GIDC Estate of Panoli, in a land area of 4700 Sq.mt. Hence, there will not be any change in land use.
2.2 Water (expected source & competing users) unit: KLD Yes The water demand will be satisfied through GIDC water supply. The daily total maximum water requirement, after proposed expansion, will be 31 KL/day. The breaking according to its use is shown at Annexure - D.
2.3 Minerals (MT) No Not required.
2.4 Construction material – stone, aggregates, sand / soil (expected source – MT) Yes Locally available construction materials will be utilized for construction activities.
2.5 Forests and timber (source – MT) No Not required
2.6 Energy including electricity and fuels (source, competing users) Unit: fuel (MT),energy (MW) Yes The power from Daxin Gujarat Vij Company Ltd (DGVCL) is available. There will be total power requirement will be 160KVA.
2.7 Any other natural resources (use appropriate standard units) No Not required.
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 The storage area for chemical is separated from the manufacturing area and there will be storage of various chemical within the plant premises as per the guideline prescribed in factory act.
3.2 Changes in occurrence of disease or affect disease vectors (e.g. insect or water borne diseases) No No such changes in the occurrence of diseases are anticipated.
3.3 Affect the welfare of people e.g. by changing living conditions? No The living conditions of the people will not be affected. There will be generation of employment for nearby people having positive impact.
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 ---
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 Not Applicable.
4.3 Hazardous wastes (as per Hazardous Waste Management Rules) Yes The details of Hazardous Waste are given at Annexure - E. That will be disposed off as per prescribed guidelines.
4.4 Other industrial process wastes Yes The details of Hazardous Waste are given at Annexure - E.
4.5 Surplus product No Not Applicable.
4.6 Sewage sludge or other sludge from effluent treatment No The domestic effluent will send to Septic tank/Soak Pit.
4.7 Construction or demolition wastes No Demolition work is not required and there will be minor construction activity.
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 ---
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 For details of flue gas emission, please refer Annexure - F.
5.2 Emissions from production processes Yes There will be process gas emission during manufacturing of products. The details of process gas emission is shown at Annexure –F.
5.3 Emissions from materials handling including storage or transport No If any, the fugitive emissions during handling of material within factory premises will be controlled by taking appropriate engineering control measures.
5.4 Emissions from construction activities including plant and equipment Yes There will be negligible emissions from minor construction activities for short time period & water sprinklers shall be utilized whenever necessary.
5.5 Dust or odours from handling of materials including construction materials, sewage and waste Yes There will be dust emissions during the construction material handling, however the required measures will be taken for the control and also it will be for the short period.
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 ---
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 noise making equipment will be within the close shed and are of very small capacity. Hence, noise level at the periphery of unit will be well within the norms.
6.2 From industrial or similar processes Yes All machinery/equipment will be well maintained, will have proper foundation with anti-vibrating pads wherever applicable and noise levels will be kept within permissible limits.
6.3 From construction or demolition No ---
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 ---
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 storage facilities will be constructed as per statutory requirements so as to minimize the chances of risk of contamination of land or water.
7.2 From discharge of sewage or other effluents to water or the land (expected mode and place of discharge) No The domestic effluent will send to Septic tank/Soak Pit.
7.3 By deposition of pollutants emitted to air into the land or into water No Not Applicable.
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 ---
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 The storage of such chemicals will be in accordance with prevailing statutory guideline so as to avoid the chances of such incident.
8.2 From any other causes No ---
8.3 Could the project be affected by natural disasters causing environmental damage (e.g. floods, earthquakes, landslides, cloudburst etc)? No Except from the Earthquake. The structural design will be in accordance with Seismic Zone specification.
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 The proposed industrial unit is to be established within the industrial estate. Hence, issues related to consequential development will not be there.
9.2 Lead to after-use of the site, which could have an impact on the environment No The proposed industrial unit is to be established within the industrial estate. Hence, issues related to consequential development will not be there.
9.3 Set a precedent for later developments No The proposed industrial unit is to be established within the industrial estate. Hence, issues related to consequential development will not be there.
9.4 Have cumulative effects due to proximity to other existing or planned projects with similar effects No The proposed industrial unit is to be established within the industrial estate. Hence, issues related to consequential development will not be there.
(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 Not Applicable.
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 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 The nearest city is Ankleshwar which is 2 km away from the project 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 Not Applicable.
11 Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) No Not Applicable.
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 The project may be affected by natural disasters like earthquakes and adequate measures during design and construction shall be taken to avoid such natural hazard.
(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 26 Oct 2018
2.NAPlease provide the following additional information: (1)Please fill project name (not the PPs name) in S.No.1 of Form 1 (2)CTO/EC for the existing operations. 22 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 ApplicantYogesh
DesignationDirector
Name of Company (Applicant Name should not be given here)PROLIFE INDUSTRIES LTD
AddressPlot No.213, G.I.D.C. Estate Panoli, Dist.-Bharuch
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