| 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 | | | Is your project Comes under Notified Industrial Area | NA |
| | Whether proposal involved violation of EIA notification | N/A | | Weather Consent to Establishment Obtained | N/A | | Upload copy of CTE | N/A |
| | 1. | |
| Name of the Project/s | Proposed Pigments & Dyes Manufacturing Unit | Brief summary of project | Annexure-Brief summary of project | | Proposal Number | IA/GJ/IND2/91048/2019 | | Project Cost | 1000 lacs | |
| | 2. | |
| S. No. in the schedule | 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 | 1200 MT/Month ha. |
| | 4. | | New/Expansion/Modernization | New |
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| | 5. | Existing Capacity/Area etc. | 0 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 |
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| | 9. | |
| Location of the project | SURVEY NO. 202 / 6 PAIKY SOKHADA, KHAMBHAT-388620, ANAND, GUJARAT | | Shape of the project land | Block (Polygon) | | Uploaded GPS file | Annexure-GPS file  | | Uploaded copy of survey of India Toposheet | Annexure-Survey of india toposheet | | Plot/Survey/Khasra No. | SURVEY NO. 202 / 6 PAIKY | | Town / Village | Lunej | | State of the project | Gujarat | |
| | Details of State of the project |
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| S.no | State Name | District Name | Tehsil Name |
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| (1.) | Gujarat | Anand | Khambhat |
| | 10. | |
| Nearest railway station along with distance in kms | khambhat, 7 km | Nearest airport along with distance in kms | Vadodara, 83 km | |
| | 11. | Nearest Town/City/District Headquarters along with distance in kms | Khambhat , 7 km | | | 12. | Village Panchayats, Zila Parishad, Muncipal Corporation, Local body (Complete postal address with telephone nos. to be given) | khambhat Nagar Palika, khambhat, Anand, Gujarat |
| | 13. | Name of the Applicant | Jyantikumar |
| | 14. | Registered Address | Survey No. 202/6/p, sokhda, khambhat,, anand, gujarat |
| | 15. | |
| Address for correspondance: | | Name of the Company | COSMIC PIGMENTS AND INTERMEDIATES | | Name of the Applicant | Jyantikumar | | Designation (Owner/ Partner/ CEO) | Partner | | Pin code | 388620 | | E-mail | cosmic.ec2019@gmail.com | | Telephone No. | 0261-2413801 | | Fax No. | 0261- | | 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 |
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| | 17. | Whether part of Interlinked projects? | No |
| | 18. | Whether separate application of Interlinked project has been submitted? | N/A |
| | 19. | | If Yes, MoEF file number | N/A | | Date of submission | N/A |
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| | | | 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 |
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| | 22. | | Whether there is any Government Order/Policy relevant/relating to the site? | No |
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| | 23. | | Whether any Forest Land Involved? | No | | Area of Forest land Involved (hectares) | N/A |
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| | 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 Court | N/A | | (b) Name of the Sub court | N/A | | (c) Case No. | N/A | | (d) Orders/directions of the court, if any and relevance with the proposed project | N/A |
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| 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 | -- | | 1.2 | Clearance of existing land, vegetation and buildings? | No | -- | | 1.3 | Creation of new land uses? | No | The project site is located on level ground, which does not require any major land filling for area grading work. | | 1.4 | Pre-construction investigations e.g. bore houses, soil testing? | No | -- | | 1.5 | Construction works? | Yes | For detail Please refer Annexure – II | | 1.6 | Demolition works? | No | -- | | 1.7 | Temporary sites used for construction works or housing of construction workers? | No | -- | | 1.8 | Above ground buildings, structures or earthworks including linear structures, cut and fill or excavations and fill or excavations | Yes | For detail Please refer Annexure – II | | 1.9 | Underground works including mining or tunnelling? | No | -- | | 1.10 | Reclamation works? | No | -- | | 1.12 | Offshore structures? | No | -- | | 1.13 | Production and manufacturing processes? | Yes | For detail Please refer Annexure -III | | 1.14 | Facilities for storage of goods or materials? | Yes | Area for storage tank farm, raw materials and finished products will be developed for the proposed project.
For detail Please refer Annexure -IV | | 1.15 | Facilities for treatment or disposal of solid waste or liquid effluents? | Yes | Facilities for treatment or disposal of effluents are given as Annexure – V & Facilities for treatment or disposal of hazardous waste is given as Annexure – VI. | | 1.16 | Facilities for long term housing of operational workers? | No | The unit shall be running round the clock. The operational staff will be recruited locally and working in shift, hence no housing for the operational workers. | | 1.17 | New road, rail or sea traffic during construction or operation? | No | There will not be any new road/rail or sea traffic during construction or operational phase. | | 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 | There will not be said work at the site. | | 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? | Yes | Raw water will be sourcing from farming Well. Estimated. | | 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 | By road 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? | No | During construction work local workers will be hired. In Operational phase 50 no. of workers/staff will be required for the proposed project. | | 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 | -- | | 2.2 | Water (expected source & competing users) unit: KLD | Yes | Water Source = Ground water
Water balance is given as Annexure – VII | | 2.4 | Construction material – stone, aggregates, sand / soil (expected source – MT) | Yes | Construction materials, like steel, cement, crushed stones, sand, rubble, etc. required for the project shall be procured from the local market of the region. | | 2.5 | Forests and timber (source – MT) | No | -- | | 2.6 | Energy including electricity and fuels (source, competing users) Unit: fuel (MT),energy (MW) | Yes | Fuel :
Briquette : 4000 Kg/Hrs
Natural gas : 960 C.Mt/Hrs
/HSD for Dg set: 100 lit/Hrs
Energy :
1200 KWA from MGVCL
250 KWA × 2 Nos. = 500 KWA from D.G. Set (Emergency power back up) | | 2.7 | Any other natural resources (use appropriate standard units) | No | -- | |
| 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 | For details please refer Annexure – IX | | 3.2 | Changes in occurrence of disease or affect disease vectors (e.g. insect or water borne diseases) | No | -- | | 3.3 | Affect the welfare of people e.g. by changing living conditions? | Yes | Direct/Indirect employment | | 3.4 | Vulnerable groups of people who could be affected by the project e.g. hospital patients, children, the elderly etc. | No | -- | | 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 | -- | | 4.2 | Municipal waste (domestic and or commercial wastes) | No | -- | | 4.3 | Hazardous wastes (as per Hazardous Waste Management Rules) | Yes | Facilities for treatment or disposal of effluents are given as Annexure – V & Facilities for treatment or disposal of hazardous waste is given as Annexure – VI. | | 4.4 | Other industrial process wastes | Yes | Please refer Annexure –VI | | 4.5 | Surplus product | No | -- | | 4.6 | Sewage sludge or other sludge from effluent treatment | Yes | Please refer Annexure – VI | | 4.7 | Construction or demolition wastes | No | -- | | 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 | Yes | Please refer Annexure –VI | |
| 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 Please refer Annexure – VIII | | 5.2 | Emissions from production processes | Yes | Stack emission will remain within the norms prescribed by CPCB. Please refer Annexure – VIII | | 5.3 | Emissions from materials handling including storage or transport | Yes | For details Please refer Annexure – VIII | | 5.4 | Emissions from construction activities including plant and equipment | No | -- | | 5.5 | Dust or odours from handling of materials including construction materials, sewage and waste | No | Due to construction & vehicle movement dust emission is likely to occur. | | 5.6 | Emissions from incineration of waste | No | -- | | 5.7 | Emissions from burning of waste in open air (e.g. slash materials, construction debris) | No | -- | | 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 level will be within the prescribed limit. Adequate preventive & control measures will be taken at noisy area. No significant noise, vibration or emission of light & heat from the unit. | | 6.2 | From industrial or similar processes | Yes | -do- | | 6.3 | From construction or demolition | No | -- | | 6.4 | From blasting or piling | No | -- | | 6.5 | From construction or operational traffic | No | -- | | 6.6 | From lighting or cooling systems | Yes | Adequate Lighting is provided in unit and also local ventilation system is provided. | | 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 | For detail please refer Annexure – IX | | 7.2 | From discharge of sewage or other effluents to water or the land (expected mode and place of discharge) | No | -- | | 7.3 | By deposition of pollutants emitted to air into the land or into water | No | -- | | 7.4 | From any other sources | No | -- | | 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 | For detail please refer Annexure – IX | | 8.2 | From any other causes | Yes | For detail please refer Annexure – X | | 8.3 | Could the project be affected by natural disasters causing environmental damage (e.g. floods, earthquakes, landslides, cloudburst etc)? | No | -- | |
| 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 | For detail please refer Annexure – XI | | 9.2 | Lead to after-use of the site, which could have an impact on the environment | No | -- | | 9.3 | Set a precedent for later developments | No | -- | | 9.4 | Have cumulative effects due to proximity to other existing or planned projects with similar effects | No | -- | |
| (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 5 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 | Yes | Sabarmati river is around 24 Km away from the project site.
And costal zone is around 15.02 Km away from the project site. | | 3 | Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration | No | No protected area or sensitive species within 5 km from the proposed project boundary. | | 4 | Inland, coastal, marine or underground waters | No | -- | | 5 | State, National boundaries | No | NA | | 6 | Routes or facilities used by the public for access to recreation or other tourist, pilgrim areas | No | NA | | 7 | Defence installations | No | NA | | 8 | Densely populated or built-up area | No | -- | | 9 | Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship, community facilities) | No | NA | | 10 | Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) | No | NA | | 11 | Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) | No | NA | | 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 | NA | | | (IV) | Proposed Terms of Reference for EIA studies | | | Essential Detail Sought: |
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| Sno. | EDS Letter | Remarks | Date of EDS |
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| 1. | NA | The correction have been made as per the instruction received | 21 Jan 2019 | | 2. | NA | Please provide the following information:
(1) Provide project name (not PPs name nor company name) in S.No. 1 of Form 1.
(2) Please provide the copy of land allotted in the name of PP and permission for its industrial use.
(3)Please confirm whether the unit 2 and Unit 1 are adjacent units. And if so, justification for applying separately. | 10 Jan 2019 |
| | 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 Applicant | Jyantikumar | | Designation | Partner | | Name of Company (Applicant Name should not be given here) | COSMIC PIGMENTS AND INTERMEDIATES | | Address | Survey No. 202/6/p, sokhda, khambhat,, anand, gujarat |
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