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. UMA ORGANIC & CHEMICALS
Brief summary of projectAnnexure-Brief summary of project
Proposal Number IA/GJ/IND2/91957/2019
Project Cost 322 lacs
2.
S. No. in the schedule5(b) Pesticides industry and pesticide specific intermediates (excluding formulations)
Project Sector Industrial Projects - 2
3. Proposed capacity/area/length/tonnage to be handled/command area/lease area/number or wells to be drilled 569 ha.
4.
New/Expansion/ModernizationExpansion
Proposal NumberIA/GJ/IND2/91954/2019
MoEFCC file number(Previous EC)J-111025
Uploaded EC letterAnnexure-Uploaded EC letter
5. Existing Capacity/Area etc. 31.25 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 projectANKLESHWAR
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.3816
Town / VillageANKLESHWAR
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, 2 km
Nearest airport along with distance in kms VADODARA, 70 km
11. Nearest Town/City/District Headquarters along with distance in kms BHARUCH , 15 km
12. Village Panchayats, Zila Parishad, Muncipal Corporation, Local body (Complete postal address with telephone nos. to be given) Ankleshwar
13. Name of the Applicant RATILAL
14. Registered Address PLOT NO: 3816, GIDC ESTATE, ANKLESHWAR, DIST:- BHARUCH
15.
Address for correspondance:
Name of the Company UMA ORGANIC CHEMICALS
Name of the Applicant RATILAL
Designation (Owner/ Partner/ CEO) PARTNER
Pin code 393002
E-mail uma_organic3816@yahoo.in
Telephone No. 02646-223316
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?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) No As the proposed expansion is within the existing premises.
1.2 Clearance of existing land, vegetation and buildings? No Plots are already marked by the, GIDC Estate.
1.3 Creation of new land uses? No The project activity will be carried out in industrial plot so there will be no need to utilize of any new land.
1.4 Pre-construction investigations e.g. bore houses, soil testing? No As the proposed expansion is within the existing premises.
1.5 Construction works? Yes Construction work will be carried out as per plant design. Layout is attached as ANNEXURE-IV.
1.6 Demolition works? No Demolition work is not involved.
1.7 Temporary sites used for construction works or housing of construction workers? No There will be no temporary housing of workers at site.
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-IV.
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 List of raw material is attached as ANNEXURE-V. 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 by the unit.
1.15 Facilities for treatment or disposal of solid waste or liquid effluents? Yes ETP diagram is attached as ANNEXURE-VII.
1.16 Facilities for long term housing of operational workers? No Not required. Local people will be taken into service.
1.17 New road, rail or sea traffic during construction or operation? No The Notified area has well developed road facility. Unit will use existing road facility.
1.18 New road, rail, air water borne or other transport infrastructure including new or altered routes and stations, ports, airports etc? No The Notified area has well developed road facility. Unit will use existing road facility.
1.19 Closure or diversion of existing transport routes or infrastructure leading to changes in traffic movements? No Proposed project is located in Notified industrial area and there will be no closure or diversion of existing transport routes or infrastructure.
1.20 New or diverted transmission lines or pipelines? No There will be no such change caused due to the proposed project.
1.21 Impoundment, damming, culverting, realignment or other changes to the hydrology of watercourses or aquifers? No No change due to propose project.
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? No The unit will use water from GIDC water supply.
1.24 Changes in water bodies or the land surface affecting drainage or run-off? No There is no natural stream or water body present in proposed area as proposed project is in notified industrial estate.
1.25 Transport of personnel or materials for construction, operation or decommissioning? No Existing infrastructure facilities will be utilized for the transport of personnel/ materials for expansion project.
1.26 Long-term dismantling or decommissioning or restoration works? Yes Unit will dismantle existing machineries and install machineries as per requirement.
1.27 Ongoing activity during decommissioning which could have an impact on the environment? No Unit will dismantle existing machineries safe manner hence there will be no adverse impact on environment.
1.28 Influx of people to an area in either temporarily or permanently? No Local man power will be employed.
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 Proposed project is located in Notified Industrial Area, GIDC Estate.
2.2 Water (expected source & competing users) unit: KLD Yes Water consumption detail, Waste water generation detail and Water Balance diagram is attached as ANNEXURE – VIII.
2.3 Minerals (MT) No Not required
2.4 Construction material – stone, aggregates, sand / soil (expected source – MT) Yes Various construction materials will be required.
2.5 Forests and timber (source – MT) Yes Wood will be required in small quantity for doors, windows, furniture, etc.
2.6 Energy including electricity and fuels (source, competing users) Unit: fuel (MT),energy (MW) Yes Detail of electricity and fuel is attached as ANNEXURE – IX.
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 --
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 Due to the proposed construction activity, living standards of surrounding people will have positive impact. i.e., Increase in employment indirectly.
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 Not Applicable
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) Yes Garden waste will be disposed as per municipal waste guideline.
4.3 Hazardous wastes (as per Hazardous Waste Management Rules) Yes Hazardous waste as per Hazardous waste management rules is attached as ANNEXURE – X.
4.4 Other industrial process wastes No
4.5 Surplus product No
4.6 Sewage sludge or other sludge from effluent treatment Yes There will be a generation of ETP sludge from the effluent treatment facility.
4.7 Construction or demolition wastes No Small quantity of construction waste free from any hazardous content will be generated which will be used for filling in low lying area.
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 Not Applicable.
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-XI.
5.2 Emissions from production processes Yes Process gas emission is attached as ANNEXURE-XII.
5.3 Emissions from materials handling including storage or transport Yes There will be chances of fugitive emission during the various industrial activities. However, there will be a provision of adequate control measures to prevent it.
5.4 Emissions from construction activities including plant and equipment Yes Temporary in nature, which may originate during construction of building or roads, this will be taken care by proper dust suppression by sprinkling of water and providing PPE to all workers
5.5 Dust or odours from handling of materials including construction materials, sewage and waste No -All raw material and product will transfer through close system so chances for fugitive emission will be very less. During the construction activity continuous water sprinkling will be adopted to control dusting.
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 No burning activity will be carried out within the premises.
5.8 Emissions from any other sources No No other emissions from any other source.
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 not any major source of noise and vibration except plant, machinery. However, Adequate noise and vibration control systems such as equipment foundation pads, dampeners, silencers, acoustic encloses etc and air pre-heater will be provided.
6.2 From industrial or similar processes No Adequate measures will be taken by the unit.
6.3 From construction or demolition No Adequate measures will be taken by the unit.
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 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 No All necessary safety measures will be provided for handling, spillage and storage of hazardous chemicals.
7.2 From discharge of sewage or other effluents to water or the land (expected mode and place of discharge) No Domestic water will be treated along with industrial effluent.
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 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 There will be chances of risk of accident from the proposed activity. Adequate control measures will be provided. Proper on site and off site emergency plans will be prepared. Unit will carry out each and every activity in a safety manner.
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)? Yes However, the unit will be designed and constructed considering the impact of floods, earthquakes etc.
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, etc.
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 Notified area is already well developed.
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 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
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
6 Routes or facilities used by the public for access to recreation or other tourist, pilgrim areas No
7 Defence installations No
8 Densely populated or built-up area Yes Ankleshwar. The proposed site is located within earmarked industrial estate developed by GIDC. The Ankleshwar town is 2.00 Km away from the project site.
9 Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship, community facilities) Yes Academic institutes and hospitals are located within 15 km radius from the project site.
10 Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) No
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
(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
BRIEF SUMMARY OF PROJECT
CTO before 2006 and after 2006
            Essential Detail Sought:
Sno. EDS Letter Remarks Date of EDS
1.NAThe correction have been made as per the instruction received 30 Jan 2019
2.NAPlease mention project name (not the PPs name or company name) in S.No.1 of Form 1. Please provide the copy of CTO (existing and before the year 2006) 21 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 ApplicantRATILAL
DesignationPARTNER
Name of Company (Applicant Name should not be given here)UMA ORGANIC CHEMICALS
AddressPLOT NO: 3816, GIDC ESTATE, ANKLESHWAR, DIST:- BHARUCH
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