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 project for manufacturing of various Dye intermediates and dyes by Urmit Chemicals Pvt. Ltd.
Brief summary of projectAnnexure-Brief summary of project
Proposal Number IA/GJ/IND2/89506/2018
Project Cost 500 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 1) Dyes Intermediates: 150 MTPM 2) Acid Dyes, Direct dyes and Reactive Dyes: 100 MTPM 3) Basic Dyes: 50 MTPM 4) Basic Dyes liquid: 100 MTPM Total Production: 400 MTPM Land Area = 5662 m2 ha.
4.
New/Expansion/ModernizationNew
5. Existing Capacity/Area etc. 00 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. 1384, Village: Rajpur, Tal: Kadi, Dist: Mahesana, 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. 1384
Town / VillageRajpur
State of the projectGujarat
Details of State of the project
S.no State Name District Name Tehsil Name
(1.)GujaratMahesanaKadi
10.
Nearest railway station along with distance in kms Kadi Railway Station, 11 km
Nearest airport along with distance in kms Sardar Vallabhbhai Patel International Airport (Ahmedabad), 38 km
11. Nearest Town/City/District Headquarters along with distance in kms Kadi , 10 km
12. Village Panchayats, Zila Parishad, Muncipal Corporation, Local body (Complete postal address with telephone nos. to be given) District Collector Office Block No.3, MS Building, Rajmahal Road, Mehsana, Gujarat – 384001 Phone no. +91 2762 222203
13. Name of the Applicant Amit
14. Registered Address Survey no. 1384, Village: Rajpur, Tal.: Kadi, Dist: Mehsana, Gujarat
15.
Address for correspondance:
Name of the Company URMIT CHEMICALS PVT. LTD.
Name of the Applicant Amit
Designation (Owner/ Partner/ CEO) Director
Pin code 380050
E-mail urmitchem@gmail.com
Telephone No. 79-26583055
Fax No. 79-
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 Temporary change in topography of land during the plant construction activities and it will be a temporary effect.
1.2 Clearance of existing land, vegetation and buildings? Yes Land is converted to “non-agriculture” use for industrial purpose. The area is free from existing buildings& vegetation.
1.3 Creation of new land uses? No N.A.
1.4 Pre-construction investigations e.g. bore houses, soil testing? No Not required
1.5 Construction works? Yes Construction work will be done as per the requirement of proposed project.
1.6 Demolition works? No Not required
1.7 Temporary sites used for construction works or housing of construction workers? No Most of the workers are from nearby villages, so housing for construction workers is not required.
1.8 Above ground buildings, structures or earthworks including linear structures, cut and fill or excavations and fill or excavations No There is no existing above ground buildings, structures or earthworks. Proposed structures will be as per the plant design.
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 Production and manufacturing process is as per Annexure-I & II.
1.14 Facilities for storage of goods or materials? Yes Unit will create storage facilities for raw materials, intermediates and products as per the MSIHC and explosive rules.
1.15 Facilities for treatment or disposal of solid waste or liquid effluents? Yes Effluent from Dyes plant will be treated in ETP-1 followed by RO, RO permeate will be reused again. Effluent from dye intermediate will be treated in ETP -2 along with reject of RO and after that the entire effluent will be spray dried in spray dryer. 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? No Not required as Local workers are involved.
1.17 New road, rail or sea traffic during construction or operation? No No new roads and railare envisioned.
1.18 New road, rail, air water borne or other transport infrastructure including new or altered routes and stations, ports, airports etc? No Not required
1.19 Closure or diversion of existing transport routes or infrastructure leading to changes in traffic movements? No No closure or diversion of existing transport routes or infrastructure required.
1.20 New or diverted transmission lines or pipelines? No Not required
1.21 Impoundment, damming, culverting, realignment or other changes to the hydrology of watercourses or aquifers? No No changes to the hydrology of watercourses will be caused.
1.22 Stream crossings? No N.A.
1.23 Abstraction or transfers of water from ground or surface waters? Yes Abstraction of water from ground source and necessary water recharging mechanism will be adopted.
1.24 Changes in water bodies or the land surface affecting drainage or run-off? No Unit will notdischarge wastewater on land, hence land surface will not affected by proposed activities.
1.25 Transport of personnel or materials for construction, operation or decommissioning? Yes Employees and materials to and from the site will be transported by road.
1.26 Long-term dismantling or decommissioning or restoration works? No N.A.
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 operation 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 N.A.
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 Land is converted to “non-agriculture” use for industrial purpose. The area is free from existing buildings& vegetation.
2.2 Water (expected source & competing users) unit: KLD Yes Water requirement for domestic, industrial and greenbelt is estimated to be about 178 KLD. Source of water supply: Bore well.
2.3 Minerals (MT) No Not required
2.4 Construction material – stone, aggregates, sand / soil (expected source – MT) Yes Cement, Stone, Steel etc. will be used for construction activities. Exact quantity of each is still not worked out.
2.5 Forests and timber (source – MT) No Timber usage will be limited to office furniture only.
2.6 Energy including electricity and fuels (source, competing users) Unit: fuel (MT),energy (MW) Yes Energy: 500 KVA Source: from UGVCL Fuel for boiler, HAG & TFH: Coal- 51TPD D.G. set– 500 kVA HSD– 100ltr/hr
2.7 Any other natural resources (use appropriate standard units) No N.A.
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 Oleum, hydrochloric acid, sodium hydroxide, ammonia, acetic acidand other chemicals are considered as Haz. Chemicals and storage will be as per the 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 May improve the living standard positively through employment by unit.
3.4 Vulnerable groups of people who could be affected by the project e.g. hospital patients, children, the elderly etc. No N.A.
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 N.A.
4.2 Municipal waste (domestic and or commercial wastes) Yes Domestic waste will be generated by the employees at site.Itwill be disposed of through a septic tank and soak pit system.
4.3 Hazardous wastes (as per Hazardous Waste Management Rules) Yes As per Annexure-IV
4.4 Other industrial process wastes Yes As per Annexure-IV
4.5 Surplus product No N.A.
4.6 Sewage sludge or other sludge from effluent treatment Yes Domestic sewage will be disposed of through a septic tank and soak pit system. Sludge from the effluent treatment will be disposed to approve TSDF site.
4.7 Construction or demolition wastes No Construction wastes will be inert in nature and will be collected and utilized by filling of low-lying areas within the unit. No demolition work will be carried out for the proposed unit.
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 Used Lube Oil, Discarded Drums/ containers & Plastic Liners.
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 There are no emissions during handling or storage.
5.4 Emissions from construction activities including plant and equipment Yes There will be generation of particulate matter (PM) due to construction activities. Proper sprinkling of water will be done to reduce PM emissions.
5.5 Dust or odours from handling of materials including construction materials, sewage and waste Yes Sewage will be sent to soak pit & Water will be sprinkled to reduce dust emissions during construction.
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 equipment. Adequate sound enclosures will be provided to all equipment and machineries generating high noise. Ear protecting devices will be provided to the workers working in high noise areas.Greenbelt development will help to abate noise levels, too.
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 Level at different sources is expected to be coming below acceptable limit.
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 Yes Dyke wall will be provided to collect any spillage of hazardous material.
7.2 From discharge of sewage or other effluents to water or the land (expected mode and place of discharge) No Domestic sewage will be disposed of through a septic tank and soak pit system. Effluent from Dyes plant will be treated in ETP-1 followed by RO, RO permeate will be reused again. Effluent from dye intermediate will be treated in ETP -2 along with reject of RO and after that the entire effluent will be spray dried in spray dryer.
7.3 By deposition of pollutants emitted to air into the land or into water No No major impact is anticipated.
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 N.A.
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. During the operation of the Project, guidelines of factory act shall be followed to minimize the risk of accidents.
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)? Yes Project could be affected by natural disasters – floods, earthquakes. (Project area falls under Seismic 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 The Project will provide employment to nearby villages.However, no new housing development plans, extractive industries, and creation of new supply industries are envisioned for the project.
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 There are no such areas within 15 km from proposed project area.
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 There are no such areas within 15 km from proposed project area.
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 Kadi and Chhatral are the densely populated areas within 15 km radius of the project.
9 Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship, community facilities) Yes Schools and hospitals are present within 15 km radius of the project.
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 : NIL
      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 ApplicantAmit
DesignationDirector
Name of Company (Applicant Name should not be given here)URMIT CHEMICALS PVT. LTD.
AddressSurvey no. 1384, Village: Rajpur, Tal.: Kadi, Dist: Mehsana, Gujarat
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