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 “Proposed expansion for manufacturing of various Dye intermediates, dyes and pigments” by Tehcnichem Organics Pvt. Ltd. at Survey No. 347, Village -Lunej, Ta- Khambhat, Dist. - Anand, Gujarat.
Brief summary of projectAnnexure-Brief summary of project
Proposal Number IA/GJ/IND2/83133/2018
Project Cost 1375 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 Total capacity: 600 MTPM, Toal Land Area: 19200 sq. m ha.
4.
New/Expansion/ModernizationNew
5. Existing Capacity/Area etc. 35 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. 347 Village: Lunej, Tal: Khambhat, Dist.: Anand 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.Survey No. 347
Town / VillageLunej
State of the projectGujarat
Details of State of the project
S.no State Name District Name Tehsil Name
(1.)GujaratAnandKhambhat
10.
Nearest railway station along with distance in kms Khambhat, 6.0 km
Nearest airport along with distance in kms Vadodra, 80 km
11. Nearest Town/City/District Headquarters along with distance in kms Khambhat , 4.7 km
12. Village Panchayats, Zila Parishad, Muncipal Corporation, Local body (Complete postal address with telephone nos. to be given) Tehsil: Khambhat
13. Name of the Applicant Bharat
14. Registered Address Survey No. 347, Village Lunej, Tehsil khambhat, Dist Anand, Gujarat
15.
Address for correspondance:
Name of the Company TECHNICHEM ORGANICS PVT. LTD.
Name of the Applicant Bharat
Designation (Owner/ Partner/ CEO) Director
Pin code 388620
E-mail technichemorganics@gmail.com
Telephone No. 079-27544346
Fax No. 079-
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 Land use pattern, land cover and topography of the area may be temporary changed because the new construction carried out for proposed expansion in the existing premises.
1.2 Clearance of existing land, vegetation and buildings? Yes It’s an expansion project in the same plant premises. Necessary permission was already obtained at the time of project commission for existing plant.
1.3 Creation of new land uses? No --
1.4 Pre-construction investigations e.g. bore houses, soil testing? Yes If required
1.5 Construction works? Yes Construction work will be done as per the plant design.
1.6 Demolition works? No Not required
1.7 Temporary sites used for construction works or housing of construction workers? No No, Housing will not be required. Workers will come from nearby villages.
1.8 Above ground buildings, structures or earthworks including linear structures, cut and fill or excavations and fill or excavations Yes It will be as per the plant design.
1.9 Underground works including mining or tunnelling? No No underground work will be carried out.
1.10 Reclamation works? No No reclamation work will be carried out.
1.11 Dredging? No N.A.
1.12 Offshore structures? No N.A.
1.13 Production and manufacturing processes? Yes Production is as per Annexure-I and manufacturing process is as per Annexure-II.
1.14 Facilities for storage of goods or materials? Yes Unit will create storage facilities of products, raw materials as per the MSIHC rules.
1.15 Facilities for treatment or disposal of solid waste or liquid effluents? Yes Solid waste: Hazardous solid waste will be disposed off at TSDF site. Liquid Effluent: Effluent will be treated in ETP followed to RO. Permeate of RO will be reused and reject will be evaporated in in-house MEE & spray dryer and unit will maintain “zero liquid discharge”. Detail of water balance is given in Annexure-III. Details of hazardous waste are given in Annexure- IV.
1.16 Facilities for long term housing of operational workers? Yes Workers will come from nearby local area and hence such facilities will not be required.
1.17 New road, rail or sea traffic during construction or operation? No Not Required
1.18 New road, rail, air water borne or other transport infrastructure including new or altered routes and stations, ports, airports etc? No No road or rails are envisaged outside the plant premises.
1.19 Closure or diversion of existing transport routes or infrastructure leading to changes in traffic movements? No No closure or diversion of existing routes is required.
1.20 New or diverted transmission lines or pipelines? No N.A.
1.21 Impoundment, damming, culverting, realignment or other changes to the hydrology of watercourses or aquifers? No No any changes to the hydrology of watercourses will be caused.
1.22 Stream crossings? No Not applicable
1.23 Abstraction or transfers of water from ground or surface waters? Yes Source of water supply- Bore well.
1.24 Changes in water bodies or the land surface affecting drainage or run-off? No Surrounding water bodies and land use will not be affected due to water consumption.
1.25 Transport of personnel or materials for construction, operation or decommissioning? No Raw material & finished product will be transported on existing road. New road construction will be developed inside the plant premises.
1.26 Long-term dismantling or decommissioning or restoration works? No No dismantling or decommissioning works are required to carry out. Therefore, land use will not be impacted.
1.27 Ongoing activity during decommissioning which could have an impact on the environment? No N.A.
1.28 Influx of people to an area in either temporarily or permanently? Yes Temporarily during construction phase and permanent during operational phase.
1.29 Introduction of alien species? No N.A.
1.30 Loss of native species or genetic diversity? No N.A.
1.31 Any other actions? No No additional actions will be implemented.
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 expansion will be in the same plant premises. Conversion from Agriculture to non-agriculture for industrial purpose is done.
2.2 Water (expected source & competing users) unit: KLD Yes Water consumption & waste water generation is given in Annexure-III. Source of raw water supply will be Bore well.
2.3 Minerals (MT) No N.A.
2.4 Construction material – stone, aggregates, sand / soil (expected source – MT) Yes Cement, Stone, Steel etc. will be used for construction activities as per the requirements. Quantity is still not worked out.
2.5 Forests and timber (source – MT) No No forest products will be used for construction work as well as during the operational phase. Timber will be used for office furniture only.
2.6 Energy including electricity and fuels (source, competing users) Unit: fuel (MT),energy (MW) Yes Power source: MGVCL Power requirement: Existing: 250 KW Proposed:1250 KW Total: 1500 KW Fuel: Existing: Coal/Biofuel : 8.0 MT/Day LDO: 1.25 KL/day Proposed: Coal/Biofuel : 40 MT/Day LDO: 1.25 KL/day HSD-30 lit/hr.(D G Set)
2.7 Any other natural resources (use appropriate standard units) No No other natural resources will be utilized.
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 HCl, NaOH, H2SO4, Ethyl acetate, Toluene, Aniline, methanol, Nitric Acid, Oleum, Potassium Hydroxide, etc. are main hazardous chemical to be handled by the unit. For storage of hazardous chemicals adequate measures will be taken and it will be as per MSIHC rules.
3.2 Changes in occurrence of disease or affect disease vectors (e.g. insect or water borne diseases) No N.A.
3.3 Affect the welfare of people e.g. by changing living conditions? No The living conditions of the people will not be affected as the proposed production activities are going to take place within the notified industrial 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 N.A.
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 soil, overburden or mine wastes is generated.
4.2 Municipal waste (domestic and or commercial wastes) No N.A.
4.3 Hazardous wastes (as per Hazardous Waste Management Rules) No As per Annexure-IV
4.4 Other industrial process wastes No N.A.
4.5 Surplus product No N.A.
4.6 Sewage sludge or other sludge from effluent treatment Yes ETP Sludge and spray dryer salt is and will be sent to TSDF for final disposal.
4.7 Construction or demolition wastes No N.A.
4.8 Redundant machinery or equipment No N.A.
4.9 Contaminated soils or other materials No N.A.
4.10 Agricultural wastes No N.A.
4.11 Other solid wastes Yes Process sludge, ETP Sludge & Discarded Drums/containers.
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 As per Annexure-V
5.2 Emissions from production processes Yes As per Annexure-V
5.3 Emissions from materials handling including storage or transport No Not applicable as all raw materials, products and hazardous chemicals will be stored in and transported by closed containers.
5.4 Emissions from construction activities including plant and equipment No N.A.
5.5 Dust or odours from handling of materials including construction materials, sewage and waste No N.A.
5.6 Emissions from incineration of waste No N.A.
5.7 Emissions from burning of waste in open air (e.g. slash materials, construction debris) No N.A.
5.8 Emissions from any other sources No N.A.
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 generation of noise due to operation of various equipments/ machineries. Adequate sound enclosures will be provided to all the equipments and machineries generating high noise & ear protecting devices will be provided to the workers working in such areas where noise levels will be high. Greenbelt development will help to abate noise levels.
6.2 From industrial or similar processes Yes Noise will be generated from industrial process and it will be below the statutory norms.
6.3 From construction or demolition Yes Noise generated from the construction activities will be within tolerable limits. No demolition work will be carried out for the proposed unit. Therefore, no noise will be generated due to demolition.
6.4 From blasting or piling No N.A.
6.5 From construction or operational traffic Yes There will be momentary increase in the noise level due to traffic during operational phase.
6.6 From lighting or cooling systems No N.A.
6.7 From any other sources No N.A.
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 No Industry will provide adequate storage area for the safe storage of products, raw materials and hazardous chemicals. Proper care for handling of hazardous material will be taken as per the MSIHC rules & HW Management Rules.
7.2 From discharge of sewage or other effluents to water or the land (expected mode and place of discharge) Yes Domestic effluent will be disposed off into soak pit through septic tank and necessary care will be taken & industrial effluent will be spray dried after recovery of usable water through RO and condensate from MEE; hence no industrial effluent will be disposed off anywhere.
7.3 By deposition of pollutants emitted to air into the land or into water No No major impact is anticipated by deposition of pollutants emitted to air, into the land or into water due to all the necessary air pollution control measures to be adopted for controlling the air pollution within the norms specified by Central/State Pollution Control Board.
7.4 From any other sources No N.A.
7.5 Is there a risk of long term build up of pollutants in the environment from these sources? No No major impact is anticipated due to fact that all necessary steps will be provided to control air pollution, water pollution and noise levels within the Central/ State Pollution Control Board Norms.
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 During the construction work no hazardous substances will be used, handled and stored. Therefore, no risk of accidents is anticipated due to hazardous substances. We shall follow the Guidelines of factory act to minimize the accident.
8.2 From any other causes No N.A.
8.3 Could the project be affected by natural disasters causing environmental damage (e.g. floods, earthquakes, landslides, cloudburst etc)? No May effect by earthquakes because industry will be located in earth quake zone-III.
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 No impact on the surrounding environment is envisaged due to following facts: ? Existing roads and transportation facilities will be utilized. ? Power demand will be met through MGVCL. ? D.G. set will be installed for supply of electricity during the time of power supply fails. ? Proper storage area will be provided having RCC flooring and covered with roof.
9.2 Lead to after-use of the site, which could have an impact on the environment No N.A.
9.3 Set a precedent for later developments No N.A.
9.4 Have cumulative effects due to proximity to other existing or planned projects with similar effects No N.A.
(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 There are no such areas within 15 km from proposed project area.
2 Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests No Coastal zone-area not falls within 15 km from proposed project boundary.
3 Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration No There are no such areas within 15 km from proposed project area.
4 Inland, coastal, marine or underground waters No Coastal zone-area not falls within 15 km from proposed project boundary.
5 State, National boundaries No There are no such areas within 15 km from proposed project area.
6 Routes or facilities used by the public for access to recreation or other tourist, pilgrim areas No There are no such areas within 15 km from proposed project area.
7 Defence installations No There are no such areas within 15 km from proposed project area.
8 Densely populated or built-up area Yes Khambhat is densely populated area- 4.7 km
9 Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship, community facilities) Yes Major hospitals, schools, places of worship, community facilities at Khambhat, which is 4.7 km away from project site.
10 Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) No There are no such areas within 15 km from proposed project area.
11 Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) No There are no such areas within 15 km from proposed project area.
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 Area is susceptible to earthquakes (falls under 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 26 Oct 2018
2.NAPlease provide the following information:- (1) The project name (not the company name) shall be appropriately mentioned in S.No.1 of Form 1. (2) Availability of the proposed land with the PP and permission for its industrial use 25 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 ApplicantBharat
DesignationDirector
Name of Company (Applicant Name should not be given here)TECHNICHEM ORGANICS PVT. LTD.
AddressSurvey No. 347, Village Lunej, Tehsil khambhat, Dist Anand, Gujarat
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