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 Greenfield Common Hazardous Waste Treatment, Storage and Disposal Facility (CHWIF) cum Incineration facility at Plot No. 48, Village Rampara, Tehsil Chotila, Dist. Surendranagar, Gujarat.
Brief summary of projectAnnexure-Brief summary of project
Proposal Number IA/GJ/MIS/95505/2019
Project Cost 2500 lacs
2.
S. No. in the schedule7(d) Common hazardous waste treatment, storage and disposal facilities (TSDFs)
Project Sector INFRA-2
3. Proposed capacity/area/length/tonnage to be handled/command area/lease area/number or wells to be drilled Total Area: 72,877 sq.m (Total Incinerator Area: 4232 sq.m + Total TSDF Area: 68645 sq.m) ha.
4.
New/Expansion/ModernizationNew
5. Existing Capacity/Area etc. 7.2 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 projectPlot No 48, Village Rampara, Chotila, District Surendranagar, 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. 48, near Village Rampara, Taluka Chotila, District Surendranagar
Town / VillageRampara Village
State of the projectGujarat
Details of State of the project
S.no State Name District Name Tehsil Name
(1.)GujaratSurendranagarChotila
10.
Nearest railway station along with distance in kms Than railway station, 10.29 km
Nearest airport along with distance in kms Rajkot Airport, 45.84 km
11. Nearest Town/City/District Headquarters along with distance in kms Chotila , 6.96 km
12. Village Panchayats, Zila Parishad, Muncipal Corporation, Local body (Complete postal address with telephone nos. to be given) Gram Panchayat Rupavati (Rampara), Taluka Chotila, Dist. Surendranagar, Gujarat.
13. Name of the Applicant Reenaben
14. Registered Address 8, Madhavvatika, Above Golden Super Market, Limbudiwadi, Rajkot
15.
Address for correspondance:
Name of the Company VARNI ENVIRO CARE PRIVATE LIMITED
Name of the Applicant Reenaben
Designation (Owner/ Partner/ CEO) Director
Pin code 360001
E-mail ashirwadpm@gmail.com
Telephone No. 0281-2586416
Fax No. 0281-
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 Yes
Uploaded detailsAnnexure-Uploaded details
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 Existing land use is fallow land. Site Location Map is shown as Annexure 2. The project site on Google Satellite Image and Topo sheet is presented at Annexure 3.
1.2 Clearance of existing land, vegetation and buildings? No Not Applicable, as existing land is a fallow land.
1.3 Creation of new land uses? Yes Agricultural fallow land will be converted into industrial use for Disposal of Hazardous waste in a confined area along with Industrial plant for Liquid + Solid Waste Incineration facility. There will be development of secured landfill site with common hazardous waste incineration plant in the area.
1.4 Pre-construction investigations e.g. bore houses, soil testing? No Geotechnical investigations like soil testing and similar activities will be conducted prior to construction.
1.5 Construction works? Yes Major construction work will involve civil works of Incineration Facility, Solid and Liquid Storage Areas, Weighbridge, Admin, Internal Roads, Utility areas, Green Belt and Landfill site etc. Site Layout Map is presented at Annexure 4. Area Break Up of total site area is presented at Annexure 5.
1.6 Demolition works? No Demolition works are not envisaged since there is no existing infrastructure at the proposed site.
1.7 Temporary sites used for construction works or housing of construction workers? No Most of the construction workers will be hired locally and workers housing will be provided in temporary structures.
1.8 Above ground buildings, structures or earthworks including linear structures, cut and fill or excavations and fill or excavations Yes All building will be above ground except landfill cell, foundations and underground storage tank.
1.9 Underground works including mining or tunnelling? No Not Applicable. No mining activity is envisaged.
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? No Not Applicable since the proposed facility is TSDF and Incineration of Hazardous Solid and Liquid Waste. The description of TSDF and Incineration is given in Annexure 7.
1.14 Facilities for storage of goods or materials? Yes Separate storage areas will be provided for solid and liquid waste as well as other materials as per requirement in their individual areas earmarked on the site as per layout plan.
1.15 Facilities for treatment or disposal of solid waste or liquid effluents? Yes Solid Waste: Incinerator ash will be disposed into adjoining landfill. Liquid Waste: Leachate from the landfill site will be disposed off to Spray Dryer / Quencher System. The scrubber media discarded occasionally, will be disposed to ETP and then to Spray Dryer. The domestic waste water, scrubber waters and other washing waters will be treated in ETP and treated outlet from ETP will be sent to spray dryer.
1.16 Facilities for long term housing of operational workers? No No Long term Housing is envisaged in the project. Mostly local people will be hired for operation of the various plants and equipment’s.
1.17 New road, rail or sea traffic during construction or operation? Yes There will be marginal increase in road traffic for transportation of waste to the site. There will be no increase in rail and sea traffic.
1.18 New road, rail, air water borne or other transport infrastructure including new or altered routes and stations, ports, airports etc? Yes Depending upon the site required infrastructure will be developed.
1.19 Closure or diversion of existing transport routes or infrastructure leading to changes in traffic movements? No Closure or diversion of existing routes in traffic movement is not foreseen.
1.20 New or diverted transmission lines or pipelines? No Not envisaged in the project
1.21 Impoundment, damming, culverting, realignment or other changes to the hydrology of watercourses or aquifers? No Not envisaged in the project
1.22 Stream crossings? No There is no any stream crossing through the project site.
1.23 Abstraction or transfers of water from ground or surface waters? Yes Source of water – Borewell. Necessary CGWA permission will be taken for abstraction of ground water resources. The area falls under safe zone as per Ground Water Availability.
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 Construction phase Transport of personnel: 100 These workers will not require any special transport facilities since they will be hired locally. Operation Phase Transport of personnel: 50 employees will be working for the proposed project and they will be locally hired. So no special transport facility will be provided for local persons.
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 Since local people will be hired, influx of people will be minimum. Construction Phase - 100 workers Operation Phase - 50 workers
1.29 Introduction of alien species? No No
1.30 Loss of native species or genetic diversity? No No
1.31 Any other actions? No 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) Yes The site is Agriculture fallow land.
2.2 Water (expected source & competing users) unit: KLD Yes Total water demand will be 254 KLD, which will be met with from borewell. ETP Treated waters will be send to spray dryer. Water Consumption and Waste Water Generation, Water Balance diagram is presented at Annexure 8.
2.3 Minerals (MT) No Not applicable
2.4 Construction material – stone, aggregates, sand / soil (expected source – MT) Yes Construction materials like stones, aggregates, sand, bricks, steel, cement, rubble, etc. will be procured from the local market of the region.
2.5 Forests and timber (source – MT) No Not Applicable
2.6 Energy including electricity and fuels (source, competing users) Unit: fuel (MT),energy (MW) Yes Power requirement of 1000 KVA at site will be supplied by MGVCL One DG set of will be installed for emergency backup supply. Capacity of DG Sets as below: 1000 KVA (1 No.) Fuel Requirement: 250 lit/hr. of HSD will be required for D.G set. 450 Kg/Hr. HSD / FO will be required for Process.
2.7 Any other natural resources (use appropriate standard units) No Not Applicable
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 Different category of incinerable & landfillable hazardous waste will be handled at site as per Hazardous and Other Wastes (Management and Transboundary Movement) Amendment Rules, 2016.
3.2 Changes in occurrence of disease or affect disease vectors (e.g. insect or water borne diseases) No No change or occurrence of disease vectors.
3.3 Affect the welfare of people e.g. by changing living conditions? Yes The employment opportunities generated due to the proposed project will improve the living standard positively.
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 No mining of area is anticipated. Only filling and leveling / grading of site will be carried out.
4.2 Municipal waste (domestic and or commercial wastes) Yes MSW and Recyclables will be sent to approved recyclers.
4.3 Hazardous wastes (as per Hazardous Waste Management Rules) Yes Details of Hazardous Waste Generation and Management facility is given in Annexure 10
4.4 Other industrial process wastes No No industrial process waste is envisaged in the project.
4.5 Surplus product No No Surplus product is envisaged in the project.
4.6 Sewage sludge or other sludge from effluent treatment Yes Domestic Sewage along with other washings will be treated in ETP and will be sent to Spray Dryer. Details of Waste Water Treatment Facility is presented in Annexure 9.
4.7 Construction or demolition wastes Yes All structures will be newly constructed. There is no demolition activity on site. Minor construction waste generated during construction activity on site will be managed as per the C & D Waste Rules by the Construction company.
4.8 Redundant machinery or equipment No Not Applicable
4.9 Contaminated soils or other materials No No Contaminated soils or other material is envisaged as the site is a vacant land.
4.10 Agricultural wastes Yes Cleaning and clearing of the site will be disposed of as MSW
4.11 Other solid wastes No Incinerator Ash will be disposed of in the in-house secured landfill cell.
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 Construction phase Emission of fossil fuels shall be from use of Construction machineries, vehicles. Operation Phase Adequate stack height is provided to flue gas stacks of D.G. Set and Incinerator. Stack emission quality will be maintained as per the GPCB norms. Stack details are presented in Annexure 12. Fuel Consumption Details are presented in Annexure 11.
5.2 Emissions from production processes Yes Gaseous emissions of PM, Pb, SO2, CO, VOC, NH3 and NOx as per Air Quality Standards are envisaged.
5.3 Emissions from materials handling including storage or transport No Adequate cover will be provided in storage area and on trucks for transportation of materials / waste to the site and out of the site.
5.4 Emissions from construction activities including plant and equipment Yes During construction activities, emissions will be in the form of dust. Suitable dust suppression techniques such as waster sprinkling will be taken at these times as relevant.
5.5 Dust or odours from handling of materials including construction materials, sewage and waste Yes Obnoxious odour of solid and liquid waste will be limited to plant area is envisaged. Odor Control Plan shall be made and followed.
5.6 Emissions from incineration of waste Yes Emission of PM, Pb, SO2, CO, VOC, NH3, NOx are envisaged from Incinerator. Online monitoring system will be installed and emission parameters will be continuously monitored. The Incinerator design is made in such a way that emissions are within the permissible limits as laid by Air quality standards.
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 No Not Applicable
6.2 From industrial or similar processes Yes Noise from Operation of D.G. Set and Pumps, Incineration system etc. This will be controlled by periodic maintenance of equipment’s. In Operational areas PPEs will be used during operations.
6.3 From construction or demolition Yes Temporary noise generation during construction activities.
6.4 From blasting or piling No Not Applicable
6.5 From construction or operational traffic Yes Minor increase due to vehicular movement during construction and operation phase.
6.6 From lighting or cooling systems No Not Applicable
6.7 From any other sources No Not Envisaged
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 Occasional spills may occur. These will not affect water or land because of appropriate flooring & presence of spill control procedures in place in entire plant premises. Moreover all of the Hazardous wastes will be disposed of as per guidelines of CPCB/SPCB/MOEF. All spillages will be arrested and will be taken to ETP for treatment before utilization in Spray Dryer.
7.2 From discharge of sewage or other effluents to water or the land (expected mode and place of discharge) Yes Sewage will also be treated in ETP along with other liquid waste. The leachate generated from landfill will be treated in ETP and sent to spray dryer.
7.3 By deposition of pollutants emitted to air into the land or into water Yes Shall be provided with EIA report after air dispersion modeling using site specific meteorological data.
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 Release of pollutants in air will be within acceptable limits of SPCB as pollution control equipment’s will be provided.
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 Occurrence of spillage is envisaged during storage, handling and charging of waste material in various operations of facilities. The storages shall be designed as Hazardous Storage Guidelines. The plant shall have an Onsite & Offsite Emergency Plan.
8.2 From any other causes Yes Common risks in factories such as Electric Shock, Hit by Objects, Fall/Slips, Hot Work such as Welding and Cutting & during maintenance activities.
8.3 Could the project be affected by natural disasters causing environmental damage (e.g. floods, earthquakes, landslides, cloudburst etc)? Yes Project area is categorized in the seismic zone III, which is classified as Moderate Damage Risk Zone. The structure Design will be as per Codes to negate the threat of environmental and other damages.
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 The project will indirectly lead to industrial growth in the region and also facilitate other industries in the Industrial Belts of Central Saurashtra, Ahmedabad and other Industrial areas of Gujarat State due to availability of a secured landfill and incineration facility for safe disposal of industrial hazardous waste from the nearby Industries.
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 -
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 such areas within 15 km of site.
2 Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Yes Water Body: Bhogava River: 3.2 Km, SE. Maha River: 4.3 Km, NE. Machhon Nadi: 9.05 Km, W. Maha Nadi Reservoir: 6.27 Km, N. Nava Pond: 2.6 Km, SE. Nearest Forest: Rampara Reserve Forest: 0.3 Km, NW. Devsar Reserve Forest: 4.60 Km, ENE. Vavdi Reserve Forest: 7.33 Km, NE. Kalyani Reserve Forest: 7.81 Km, NW. Lakhamachi Reserve Forest: 8.64 Km, NW. Mandav Reserve Forest – 2.5 km, NNW
3 Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration No No such areas within 15 km of site.
4 Inland, coastal, marine or underground waters Yes Water Body: Bhogava River: 3.2 Km, SE. Maha River: 4.3 Km, NE. Machhon Nadi: 9.05 Km, W. Maha Nadi Reservoir: 6.27 Km, N. Nava Pond: 2.6 Km, SE.
5 State, National boundaries No No
6 Routes or facilities used by the public for access to recreation or other tourist, pilgrim areas Yes Road ways: NH-8A: 6.34 Km, S. SH-119: 2.7 Km, E. SH-113: 9.61 Km, N.
7 Defence installations No No such area within 10 Km from Project Site.
8 Densely populated or built-up area Yes Chotila: 6.96 Km, S
9 Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship, community facilities) Yes School: Shri N.N Shah High School: 5.96 Km, SSE. Primary School Sangani: 6.76 Km, SE. Hospital: Sarvajanik Hospital: 6.96 Km, S. Ochwani Hospital: 7.44 Km, S.
10 Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) No Not Applicable
11 Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) No Not Applicable
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 As per the geological map published by Geological survey of India, The area comes under the moderate risk zone (Zone-III) of the Seismic Zonation.
(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
ADS Letter
      Essential Detail Sought : NIL
            Additional Detail Sought:
Sno. ADS Letter Remarks Date of ADS
1. ADS Reply LetterUploaded the reply of query raised during EAC (Infra-2) meeting held on dated 26th March, 2019: 1. Revised Form I [mentioning complete details of facilities: Total Capacity of TSDF (3,25,000 MT Capacity), 7 years of Life span] 2. Detailed Site Alternative. (As per the meeting, Site 2 located near Surai was suggested by EAC Committee based on CPCB Criteria of Site selection/knock out criteria). Kindly consider the proposal and do the needful. 18 Dec 2019
2.NA

Kindly see the final minutes of 39th meeting of EAC (Infra-2)

05 Apr 2019
(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 ApplicantReenaben
DesignationDirector
Name of Company (Applicant Name should not be given here)VARNI ENVIRO CARE PRIVATE LIMITED
Address8, Madhavvatika, Above Golden Super Market, Limbudiwadi, Rajkot
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