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. Apicore Pharmaceutical Private Limited
Brief summary of projectAnnexure-Brief summary of project
Proposal Number IA/GJ/IND2/92692/2019
Project Cost 888.5 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 1697.32 kg/Month ha.
4.
New/Expansion/ModernizationExpansion
Proposal NumberIA/GJ/IND2/92688/2007
MoEFCC file number(Previous EC)J-11011/454/2007-IA-II(I)
Uploaded EC letterAnnexure-Uploaded EC letter
5. Existing Capacity/Area etc. 3464.231 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 projectDhobikuwa, Padra, Vadodara
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. 252-253
Town / VillageDhobikuwa
State of the projectGujarat
Details of State of the project
S.no State Name District Name Tehsil Name
(1.)GujaratVadodaraPadra
10.
Nearest railway station along with distance in kms Bhoj, 4.8 km
Nearest airport along with distance in kms Vadodara, 25.2 km
11. Nearest Town/City/District Headquarters along with distance in kms Padra , 7.9 km
12. Village Panchayats, Zila Parishad, Muncipal Corporation, Local body (Complete postal address with telephone nos. to be given) Padra nagar palika: Tower Rd, Near Hajrat Pibava Miya Banquet Hall, Maruti Nagar, Padra, Gujarat 391440
13. Name of the Applicant Maulik
14. Registered Address Block No. 252-253, Village: Dhobikuwa, Opposite jain irrigation, Padra-Jambusar Road, Taluka-Padra, District- Vadodara
15.
Address for correspondance:
Name of the Company M/S. APICORE PHARMACEUTICALS PRIVATE LIMITED
Name of the Applicant Maulik
Designation (Owner/ Partner/ CEO) AuthorizedSignatory
Pin code 391440
E-mail maulik.suthar@apicore.com
Telephone No. 2662-267172
Fax No. 2662-
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 Not Applicable as the proposed project will come in existing premises.
1.2 Clearance of existing land, vegetation and buildings? No There will not be any clearance of vegetation.
1.3 Creation of new land uses? No Not Applicable
1.4 Pre-construction investigations e.g. bore houses, soil testing? No Not Applicable as the proposed project will come in existing premises.
1.5 Construction works? Yes Major construction activity is required for proposed expansion project.
1.6 Demolition works? No Not Applicable, there is no requirement of demolition work.
1.7 Temporary sites used for construction works or housing of construction workers? No Local workers will be employed for the construction activity.
1.8 Above ground buildings, structures or earthworks including linear structures, cut and fill or excavations and fill or excavations No Above ground construction work will be carried out. Cut & fill excavation will be limited to foundation work.
1.9 Underground works including mining or tunnelling? No Not Applicable
1.10 Reclamation works? No Not Applicable
1.11 Dredging? No Not Applicable
1.12 Offshore structures? No Not Applicable
1.13 Production and manufacturing processes? Yes Detailed of manufacturing process are given in Section 2.3 of PFR
1.14 Facilities for storage of goods or materials? Yes Solid raw materials and products will be stored a designated area within premises. Liquid raw materials will be stored in drums and major Petroleum Class "A" Solvents (25 KL X 4 Nos. tanks) shall be stored underground tanks. PESO license has been obtained for the same storage from CCoE, PESO, Nagpur; PESO License is given as Annexure- 7 in Additional Attachment to Form-1.
1.15 Facilities for treatment or disposal of solid waste or liquid effluents? Yes In existing unit the generated effluent is treated through own ETP and ETP treated effluent is sent to the CETP for further treatment. The details of effluent treatment are given in Section 2.7.1 of PFR. Solid waste is sent to authorized TSDF site for the safe disposal and incinerable waste is sent to CHWIF. The details of Solid & hazardous waste generation and disposal are given in Section 2.7.2 of PFR.
1.16 Facilities for long term housing of operational workers? No None.
1.17 New road, rail or sea traffic during construction or operation? No Not Applicable, as the project site is well connected with state highway.
1.18 New road, rail, air water borne or other transport infrastructure including new or altered routes and stations, ports, airports etc? No Not Applicable
1.19 Closure or diversion of existing transport routes or infrastructure leading to changes in traffic movements? No Not Applicable
1.20 New or diverted transmission lines or pipelines? No Not Applicable
1.21 Impoundment, damming, culverting, realignment or other changes to the hydrology of watercourses or aquifers? No Not Applicable
1.22 Stream crossings? No Not Applicable
1.23 Abstraction or transfers of water from ground or surface waters? Yes Currently water is extracted from ground permission from CGWA obtained (letter is enclosed as Annexure-5 in Additional Attachments to Form-1). Application will be made for additional quantity.
1.24 Changes in water bodies or the land surface affecting drainage or run-off? No Not Applicable
1.25 Transport of personnel or materials for construction, operation or decommissioning? Yes Currently all the raw materials and products are transported by road only. The practice will be continued after expansion.
1.26 Long-term dismantling or decommissioning or restoration works? No Not Applicable
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? Yes For proposed expansion project total 357 (existing 247 and additional 110) personnel will be required.
1.29 Introduction of alien species? No None
1.30 Loss of native species or genetic diversity? No None
1.31 Any other actions? No None
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 carried out in existing premises. Total land area of unit is 32,000 m2.
2.2 Water (expected source & competing users) unit: KLD Yes Water Requirement: • Existing: 78.1 KL/d • Proposed: 69.4 KL/d (65.4 KL/d fresh + 4 KL/d recycled) • Total after Expansion: 147.5 KL/d (143.5 KL/d fresh + 4 KL/d recycled) Source: bore well Detailed water balance in given in Section 2.7.1 of PFR
2.3 Minerals (MT) No None
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 None
2.6 Energy including electricity and fuels (source, competing users) Unit: fuel (MT),energy (MW) Yes Power Requirement: • Existing: 1510 kW • Proposed: 550 kW DG Set: • Existing: 125 kVA x 1 No. • Proposed: 750 kVA x 1 No. Fuel: LDO for fired Boiler: • Existing: 18 KL/Month • Proposed: 18 KL/Month Diesel for DG • Existing: 700 L/Month • Proposed: 870 L/Month
2.7 Any other natural resources (use appropriate standard units) No None
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 All hazardous chemicals will be stored in separate storage area with proper safety equipments i.e. dyke wall, extinguishers, etc. For details refer list of raw material given in Section 2.4 of PFR
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 Living conditions of nearby people will be improved through proposed CSR activity.
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 Not Applicable
4.2 Municipal waste (domestic and or commercial wastes) Yes Commercial wastes will be sold to recyclers.
4.3 Hazardous wastes (as per Hazardous Waste Management Rules) Yes Details of Generation, storage, treatment and disposal of solid and hazardous waste is given in Section 2.7.2 of PFR
4.4 Other industrial process wastes No None
4.5 Surplus product No None
4.6 Sewage sludge or other sludge from effluent treatment Yes Sludge from ETP is sent to authorize TSDF site for secured land filling, same practice will be continued after expansion.
4.7 Construction or demolition wastes No Not Applicable
4.8 Redundant machinery or equipment No None
4.9 Contaminated soils or other materials No None
4.10 Agricultural wastes No None
4.11 Other solid wastes No None
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 Emission of PM, SO2 and NOX will be will be within the limit prescribed by CPCB/GPCB from the stacks attached with Boiler and DG sets. Section 2.7.3 of PFR
5.2 Emissions from production processes No HCl & Cl2 is generated from Process Acidic and Alkaline Scrubber attached in existing production activities. After expansion same pollutant will be generated.
5.3 Emissions from materials handling including storage or transport Yes Particulate matter is bound to generate due to handling of materials i.e. raw material, products etc. Mitigation measures will be routinely followed to control the fugitive dust concentration.
5.4 Emissions from construction activities including plant and equipment Yes Movement of construction equipment, for these operations as well as for transport of material will lead to increased level of PM, SO2 and NOX in the nearby areas, however, emission in the construction activities shall be low in magnitude, temporary in nature and reversible.
5.5 Dust or odours from handling of materials including construction materials, sewage and waste Yes Dust will generate during construction and handling of materials but due care would be taken and sprinkling of water would be done at regular interval to settle the dust.
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 Not Applicable
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 levels near the sources such as Boiler, D. G. Set etc., will be in the limit prescribed by CPCB/GPCB.
6.2 From industrial or similar processes Yes The noise levels near the sources such as Boiler, D. G. Set etc., will be in the limit prescribed by CPCB/GPCB.
6.3 From construction or demolition Yes During construction, minor noise will be generated.
6.4 From blasting or piling No Not Applicable
6.5 From construction or operational traffic No During the construction phase, noise will be generated from movement of vehicles, earth work etc. The construction site will be shielded to avoid the noise propagation and transportation of the material and machineries will be carried out at the peak time of the day. During operation phase, raw material and products will be transported at the peak time of the day
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 Yes All the liquid and solid materials are stored separately in the designated storage area and in dedicated closed storage tanks. Details of storage tanks are given in Section 2.4 of PFR.
7.2 From discharge of sewage or other effluents to water or the land (expected mode and place of discharge) No Currently domestic wastewater is disposed in septic tank. In existing unit wastewater from various industrial activities (process wastewater, cooling tower blow down, boiler blow down and washings) to the tune of 35.75 KL/d is treated is ETP & treated effluent is sent to CETP for further treatment. After expansion total 74 KL/d wastewater will be generated. Existing ETP is designed for the flow of 75 KLD and effluent to ETP after expansion will be 74 KLD hence existing ETP will be able to cater
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 Not Applicable, as expected impact on air, water and land is insignificant
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 Risk of fire, Explosion and toxic effect due to storage of chemicals and process. The risk assessment will be carried out and all mitigative measures will be implemented and taken care off to avoid any untoward incidence.
8.2 From any other causes No Not Applicable
8.3 Could the project be affected by natural disasters causing environmental damage (e.g. floods, earthquakes, landslides, cloudburst etc)? No There is no history of flood. The plant is designed considering seismic zone-III. Dusting expansion also additional civil work will be done considering 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 Not Applicable
9.2 Lead to after-use of the site, which could have an impact on the environment No Not Applicable
9.3 Set a precedent for later developments No Not Applicable
9.4 Have cumulative effects due to proximity to other existing or planned projects with similar effects No Not Applicable
(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 None within 10 km
2 Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Yes • Mahi River: 3.5 km in NNW • Narmada Canal: 4.8 km ENE • Mahuvad Pond: 1.8 km in NNE
3 Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration No None within 10 km
4 Inland, coastal, marine or underground waters Yes Gulf of Khambhat: 55.8 km in WSW
5 State, National boundaries No None within 15 km
6 Routes or facilities used by the public for access to recreation or other tourist, pilgrim areas Yes Sindhrot Check Dam 12.8 km in NNE
7 Defence installations No No Defense installations within 15 km
8 Densely populated or built-up area Yes • Vadodara city 19.3 km in ENE– population: 4165626 • PadraTown – 7.9 km in E – population: 265901
9 Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship, community facilities) Yes Hospitals, schools, places of worship, community facilities are presents within 10 km
10 Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) No None
11 Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) No None
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 Area fall in 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 ApplicantMaulik
DesignationAuthorizedSignatory
Name of Company (Applicant Name should not be given here)M/S. APICORE PHARMACEUTICALS PRIVATE LIMITED
AddressBlock No. 252-253, Village: Dhobikuwa, Opposite jain irrigation, Padra-Jambusar Road, Taluka-Padra, District- Vadodara
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