Report Part 1

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

	Whether proposal involved violation of EIA notification	N/A
	Weather Consent to Establishment Obtained	N/A
	Upload copy of CTE	N/A

Name of the Project/s	GUJARAT BHAL CONSTRUCTION LIMITED
Brief summary of project	Annexure-Brief summary of project
Proposal Number	IA/GJ/NCP/67353/2017
Project Cost	16029 lacs

S. No. in the schedule	7(c) Industrial estates/ parks/ complexes/ areas, export processing Zones
Project Sector	INFRA-1

Proposed capacity/area/length/tonnage to be handled/command area/lease area/number or wells to be drilled

100,18,301 square meter i.e 2504 acre ha.

New/Expansion/Modernization

New

Existing Capacity/Area etc.

10018301 ha.

Category of project i.e. 'A' or 'B'

Does it attract the general condition? If yes, please specify

Does it attract the specific condition? If yes, please specify

Location of the project	DHOLKA
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.	VARIOUS SURVEY NUMBERS OF BORU,BHOLAD AS PER FORM 1
Town / Village	Dholka
State of the project	Gujarat

Details of State of the project
S.no	State Name	District Name	Tehsil Name
(1.)	Gujarat	Ahmedabad	Dholka

10.

Nearest railway station along with distance in kms	Dholka, 12 km
Nearest airport along with distance in kms	Ahmedababd, 23 km

11.

Nearest Town/City/District Headquarters along with distance in kms

ahmedabad , 30 km

12.

Village Panchayats, Zila Parishad, Muncipal Corporation, Local body (Complete postal address with telephone nos. to be given)

not applicable

13.

Name of the Applicant

udayan

14.

Registered Address

231,Platinum Plaza,Opp IOC petrol Pump,Satya Marg,JUdges Bunglow,Bodakdev: 380051

15.

Address for correspondance:
Name of the Company	UDAYAN
Name of the Applicant	udayan
Designation (Owner/ Partner/ CEO)	engineer
Pin code	380054
E-mail	ikagzigpcb@gmail.com
Telephone No.	79-40025663
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	Yes
Uploaded details	Annexure-Uploaded details

17.

Whether part of Interlinked projects?

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

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?

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 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

(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

this is an area development project

1.2

Clearance of existing land, vegetation and buildings?

Yes

As per form 1 and project summary

1.3

Creation of new land uses?

Yes

As per form 1 and project summary

1.4

Pre-construction investigations e.g. bore houses, soil testing?

As per form 1 and project summary

1.5

Construction works?

As per form 1 and project summary

1.6

Demolition works?

As per form 1 and project summary

1.7

Temporary sites used for construction works or housing of construction workers?

As per form 1 and project summary

1.8

Above ground buildings, structures or earthworks including linear structures, cut and fill or excavations and fill or excavations

Yes

As per form 1 and project summary

1.9

Underground works including mining or tunnelling?

As per form 1 and project summary

1.10

Reclamation works?

As per form 1 and project summary

1.11

Dredging?

As per form 1 and project summary

1.12

Offshore structures?

As per form 1 and project summary

1.13

Production and manufacturing processes?

Yes

As per form 1 and project summary

1.14

Facilities for storage of goods or materials?

Yes

As per form 1 and project summary

1.15

Facilities for treatment or disposal of solid waste or liquid effluents?

Yes

As per form 1 and project summary

1.16

Facilities for long term housing of operational workers?

Yes

As per form 1 and project summary

1.17

New road, rail or sea traffic during construction or operation?

Yes

As per form 1 and project summary

1.18

New road, rail, air water borne or other transport infrastructure including new or altered routes and stations, ports, airports etc?

Yes

As per form 1 and project summary

1.19

Closure or diversion of existing transport routes or infrastructure leading to changes in traffic movements?

As per form 1 and project summary

1.20

New or diverted transmission lines or pipelines?

As per form 1 and project summary

1.21

Impoundment, damming, culverting, realignment or other changes to the hydrology of watercourses or aquifers?

As per form 1 and project summary

1.22

Stream crossings?

As per form 1 and project summary

1.23

Abstraction or transfers of water from ground or surface waters?

Yes

As per form 1 and project summary

1.24

Changes in water bodies or the land surface affecting drainage or run-off?

As per form 1 and project summary

1.25

Transport of personnel or materials for construction, operation or decommissioning?

Yes

As per form 1 and project summary

1.26

Long-term dismantling or decommissioning or restoration works?

As per form 1 and project summary

1.27

Ongoing activity during decommissioning which could have an impact on the environment?

As per form 1 and project summary

1.28

Influx of people to an area in either temporarily or permanently?

Yes

As per form 1 and project summary

1.29

Introduction of alien species?

As per form 1 and project summary

1.30

Loss of native species or genetic diversity?

As per form 1 and project summary

1.31

Any other actions?

As per form 1 and project summary

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

As per form 1 and project summary

2.2

Water (expected source & competing users) unit: KLD

Yes

As per form 1 and project summary

2.3

Minerals (MT)

As per form 1 and project summary

2.4

Construction material – stone, aggregates, sand / soil (expected source – MT)

Yes

As per form 1 and project summary

2.5

Forests and timber (source – MT)

As per form 1 and project summary

2.6

Energy including electricity and fuels (source, competing users) Unit: fuel (MT),energy (MW)

Yes

as per form 1

2.7

Any other natural resources (use appropriate standard units)

Yes

as per form 1

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

as per form1

3.2

Changes in occurrence of disease or affect disease vectors (e.g. insect or water borne diseases)

3.3

Affect the welfare of people e.g. by changing living conditions?

Yes

3.4

Vulnerable groups of people who could be affected by the project e.g. hospital patients, children, the elderly etc.

3.5

Any other causes

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

Yes

As per form 1 and project summary

4.2

Municipal waste (domestic and or commercial wastes)

Yes

As per form 1 and project summary

4.3

Hazardous wastes (as per Hazardous Waste Management Rules)

Yes

As per form 1 and project summary

4.4

Other industrial process wastes

Yes

As per form 1 and project summary

4.5

Surplus product

Yes

As per form 1 and project summary

4.6

Sewage sludge or other sludge from effluent treatment

Yes

As per form 1 and project summary

4.7

Construction or demolition wastes

4.8

Redundant machinery or equipment

Yes

As per form 1 and project summary

4.9

Contaminated soils or other materials

4.10

Agricultural wastes

4.11

Other solid wastes

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 form 1 and project summary

5.2

Emissions from production processes

Yes

As per form 1 and project summary

5.3

Emissions from materials handling including storage or transport

Yes

As per form 1 and project summary

5.4

Emissions from construction activities including plant and equipment

Yes

As per form 1 and project summary

5.5

Dust or odours from handling of materials including construction materials, sewage and waste

5.6

Emissions from incineration of waste

As per form 1 and project summary

5.7

Emissions from burning of waste in open air (e.g. slash materials, construction debris)

Yes

5.8

Emissions from any other sources

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

As per form 1 and project summary

6.2

From industrial or similar processes

Yes

As per form 1 and project summary

6.3

From construction or demolition

Yes

As per form 1 and project summary

6.4

From blasting or piling

6.5

From construction or operational traffic

Yes

As per form 1 and project summary

6.6

From lighting or cooling systems

Yes

As per form 1 and project summary

6.7

From any other sources

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

As per form 1 and project summary

7.2

From discharge of sewage or other effluents to water or the land (expected mode and place of discharge)

As per form 1 and project summary

7.3

By deposition of pollutants emitted to air into the land or into water

As per form 1 and project summary

7.4

From any other sources

As per form 1 and project summary

7.5

Is there a risk of 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

As per form 1 and project summary

8.2

From any other causes

As per form 1 and project summary

8.3

Could the project be affected by natural disasters causing environmental damage (e.g. floods, earthquakes, landslides, cloudburst etc)?

As per form 1 and project summary

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

As per form 1 and project summary

9.2

Lead to after-use of the site, which could have an impact on the environment

Yes

As per form 1 and project summary

9.3

Set a precedent for later developments

Yes

As per form 1 and project summary

9.4

Have cumulative effects due to proximity to other existing or planned projects with similar effects

(III)

Environmental Sensitivity

S.No

Areas

Name/Identity

Aerial distance (within 15km.) Proposed project location boundary

Areas protected under international conventions, national or local legislation for their ecological, landscape, cultural or other related value

Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests

Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration

Inland, coastal, marine or underground waters

State, National boundaries

Routes or facilities used by the public for access to recreation or other tourist, pilgrim areas

Defence installations

Densely populated or built-up area

Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship, community facilities)

Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals)

Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded)

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

(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
EDS querry reply

Essential Detail Sought:
Sno.	EDS Letter	Remarks	Date of EDS
1.	NA	The correction have been made as per the instruction received	13 Sep 2017
2.	NA	please upload and submit these below information as separate file 1. In Form-1, area is mentioned as Zero (0). Please indicate total area of the proposed Industrial Estate. 2. Please furnish the list of A category and B category industries, as per the EIA notification proposed in industrial area separately.	12 Sep 2017
3.	NA	The correction have been made as per the instruction received	23 Aug 2017
4.	NA	1. In Form-1, area is mentioned as Zero (0). Please indicate total area of the proposed Industrial Estate. 2. Please furnish the list of A category and B category industries, separately.	22 Aug 2017

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	udayan
Designation	engineer
Name of Company (Applicant Name should not be given here)	UDAYAN
Address	231,Platinum Plaza,Opp IOC petrol Pump,Satya Marg,JUdges Bunglow,Bodakdev: 380051