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 Capacity Enhancement of existing Secured Landfill at Common Hazardous Waste Treatment, Storage and Disposal Facilities (TSDF)
Brief summary of projectAnnexure-Brief summary of project
Proposal Number IA/HP/MIS/78530/2018
Project Cost 2200 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 20 Lakh MT ha.
4.
New/Expansion/ModernizationNew
5. Existing Capacity/Area etc. 14.16 ha.
6. Category of project i.e. 'A' or 'B' A
7.
Does it attract the general condition? If yes, please specify Yes
d) Inter-State boundaries and international boundaries
8.
Does it attract the specific condition? If yes, please specify No
9.
Location of the projectMajra,Dabhota
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.1244/1,1437/1,1430/1 & 1510/1
Town / VillageVillage-Majra, P.O. Dabhota, Tehsil Nalagarh
State of the projectHimachal Pradesh
Details of State of the project
S.no State Name District Name Tehsil Name
(1.)Himachal PradeshSolanNalagarh(T)
10.
Nearest railway station along with distance in kms Ghanauli, 14 km
Nearest airport along with distance in kms Chandigarh, 42 km
11. Nearest Town/City/District Headquarters along with distance in kms Nalagarh , 12.5 km
12. Village Panchayats, Zila Parishad, Muncipal Corporation, Local body (Complete postal address with telephone nos. to be given) Village-Majra, P.O. Dabhota, Tehsil Nalagarh, Distt. Solan, Himachal Pradesh - 174101
13. Name of the Applicant Ashok
14. Registered Address Village Majra, PO Dabhota, Tehsil Nalagarh, Distt Solan, Himachal Pradesh,
15.
Address for correspondance:
Name of the Company SHIVALIK SOLID WASTE MANAGEMENT LTD
Name of the Applicant Ashok
Designation (Owner/ Partner/ CEO) CEO
Pin code 174101
E-mail shivaliksolidwastemanagement@gmail.com
Telephone No. 01795-260427
Fax No. 01795-
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?Yes
Uploaded Order/PolicyAnnexure-Uploaded order/policy
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 There will be no changes in land use due to proposed expansion. Expansion will be done through increasing the vertical height of the land fill site.
1.2 Clearance of existing land, vegetation and buildings? No Clearance of existing land, vegetation and building is not required as the project is an expansion of the existing facility.
1.3 Creation of new land uses? No Not applicable.
1.4 Pre-construction investigations e.g. bore houses, soil testing? Yes Geotechnical investigation has been done prior to the start the work
1.5 Construction works? Yes Civil construction activities are involved for development of secured landfill facility (SLF) of Integrated Common Hazardous Waste Treatment, Storage and Disposal Facility (TSDF).
1.6 Demolition works? No Not applicable
1.7 Temporary sites used for construction works or housing of construction workers? No Not applicable
1.8 Above ground buildings, structures or earthworks including linear structures, cut and fill or excavations and fill or excavations Yes The proposed construction/development involves enhancing the existing capacity of secured landfill facility (SLF) of Common Hazardous Waste Treatment, Storage and Disposal Facility (TSDF). Excavation will be done for Landfill for laying liner and leachate collection system. The excavated soil shall be used for construction of earthen bunds and landfill lining.
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? No Not applicable
1.14 Facilities for storage of goods or materials? Yes Proposed project is for capacity enhancement of existing secured landfill facility (SLF) at existing TSDF site. Existing facilities for storage of Hazardous material will be used.
1.15 Facilities for treatment or disposal of solid waste or liquid effluents? Yes Proposed project is capacity enhancement of existing secured landfill facility (SLF) at the same TSDF site. Existing facilities for stabilization of hazardous waste and treatment leachate by MEE shall be used.
1.16 Facilities for long term housing of operational workers? No Mostly local workers will be involved.
1.17 New road, rail or sea traffic during construction or operation? No The proposed site is well connected by road. Therefore, no new road will be constructed.
1.18 New road, rail, air water borne or other transport infrastructure including new or altered routes and stations, ports, airports etc? No This is an expansion project on the existing premises. Therefore, no new road infrastructure or altered routes and stations etc shall be constructed.
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 No Stream Crossing
1.23 Abstraction or transfers of water from ground or surface waters? Yes In the existing facility water requirement will be met from the borewell.
1.24 Changes in water bodies or the land surface affecting drainage or run-off? No No change in the water bodies or the land surface is expected,which will affect drainage or runoff.
1.25 Transport of personnel or materials for construction, operation or decommissioning? Yes Transport of personnel/material during construction and operation phase shall be met through local resources.
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? No No additional work force is required.
1.29 Introduction of alien species? No Not applicable
1.30 Loss of native species or genetic diversity? No Not applicable
1.31 Any other actions? No Not applicable
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 The expansion of capacity of SLF is within the existing site.
2.2 Water (expected source & competing users) unit: KLD No There is no additional water requirement the same is being met from existing bore well.
2.3 Minerals (MT) No Not applicable
2.4 Construction material – stone, aggregates, sand / soil (expected source – MT) Yes Stones, aggregates etc will be taken from local market.
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 The power requirement will be met through 373 KW connecting loads of Himachal Pradesh State Electricity Board (HPSEB). In case of power failure, 1 D.G. Set can be used (100 KVA capacity).
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 No The process of storage, treatment of hazardous waste is not likely to involve the use of hazardous chemical as per MSIHC Rules. All the industrial Hazardous waste collected at proposed site are scientifically treated/stabilized as per CPCB guidelines before disposing in secured landfill. Hence no health impacts envisaged.
3.2 Changes in occurrence of disease or affect disease vectors (e.g. insect or water borne diseases) Yes Suitable drainage and waste management measures will be adopted in both the construction and operational phase which will restrict stagnation of water or accumulation of waste. This will effectively restrict the reproduction and growth of disease vectors. To prevent the adverse effects of hazardous waste during storage handling & disposal regular health checkups &PPE shall be provided to workers.
3.3 Affect the welfare of people e.g. by changing living conditions? Yes The scientific management of Hazardous waste shall improve the overall environment of the area.
3.4 Vulnerable groups of people who could be affected by the project e.g. hospital patients, children, the elderly etc. No No vulnerable groups of people who could be affected by the project
3.5 Any other causes No None envisaged
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 Management of Municipal Solid waste from office, canteen, etcis being by using canteen waste for making biogas and manure and disposal of other waste as per MSW (Management & Handling) Rule, 2016 and amended thereof.
4.3 Hazardous wastes (as per Hazardous Waste Management Rules) Yes Proposed project is capacity enhancement of existing secured landfill facility (SLF) at the same site to treat and dispose the hazardous waste as defined under Hazardous Wastes (Management, Handling& Transboundary Movement) Rules 2016.
4.4 Other industrial process wastes No Not Applicable
4.5 Surplus product No Not Applicable
4.6 Sewage sludge or other sludge from effluent treatment Yes Residue from MEE shall be disposed in Landfill Site.
4.7 Construction or demolition wastes No Not envisaged
4.8 Redundant machinery or equipment No Not Applicable
4.9 Contaminated soils or other materials No The hazardous waste shall be stored in covered area paved with liner system.
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 Emissions from DG set and Boiler stack(MEE)containing PM, SO2 and NOX within permissible limit will be let-out through stack.Emission data from Boiler stack as below: - PM: 30 mg/Nm3 SO2:< 3 mg/Nm3 NOX: 10 mg/Nm3
5.2 Emissions from production processes No No point source emission from the process of disposal of hazardous waste.
5.3 Emissions from materials handling including storage or transport Yes Dust generation due to material handling and transportation during operation phase shall be controlled by sprinkling water.
5.4 Emissions from construction activities including plant and equipment Yes Fugitive emissions are likely during the construction & transportation activities due to use of construction equipment. These are temporary in nature.
5.5 Dust or odours from handling of materials including construction materials, sewage and waste Yes Dust generation during the construction phase shall be suppressed by sprinkling water. The hazardous waste shall be transported in closed containers and will be stored & treated in a confined area and its processing within a time limit.
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 -
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 Noise levels are expected from the use ofpumps and motors. Necessary PPEs (earplug, muffs) will be provided for the personnel working in these areas. All other machinery shall be maintained to minimize the noise levels.
6.2 From industrial or similar processes Yes All machineries used for treatment of Hazardous Waste at TSDF site shall be maintained to minimize the noise levels.
6.3 From construction or demolition Yes Due to various construction activities there will be short term noise impacts in the immediate vicinity of the project site. Regular maintenance of all the machinery shall be carried out to minimize noise levels.
6.4 From blasting or piling No Not applicable
6.5 From construction or operational traffic Yes Noise generation due to vehicular movement during construction & operation phase shall not be very significant. However regular maintenance of vehicles shall be carried out. Additional plantation shall be undertaken.
6.6 From lighting or cooling systems No NA
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 The proposed expansion of capacity will have facility to store treat and dispose the hazardous waste as per the Hazardous Waste (Management Handling & Trans boundary Movement) Rules 2008. Spent oil from DG set shall be stored separately & sold to registered recycler.
7.2 From discharge of sewage or other effluents to water or the land (expected mode and place of discharge) No Leachate is pumped from leachate wells and sent to MEE at project site for treatment and disposal.
7.3 By deposition of pollutants emitted to air into the land or into water No The emissions from DG set /Boiler having appropriate Stack height is meeting MOEF /CPCB/SPCB guidelines preventing contamination of land and water by depositions of pollutants The emissions from the process of treatment & disposal of hazardous waste is fugitive in nature & is controlled by treatment in covered area and covering & by inert material and compaction at disposal site.
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 Implementation of proper Environmental Management Plan shall maintain the levels of pollutant within prescribed limits.
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 To deal with any fire, firefighting facility, fire extinguishers, Exit sign board, alternative source of electricity supply, fire alarm system, and water storage tank for firefighting has been provided at TSDF site. Spillage of waste is prevented by leak proof containment of waste. PPEs are provided to the worker. Training and awareness about the safety norms is being provided to all involved in project activities.
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)? Yes The project site falls in Seismic zone-IV, the area is prone to earthquake, landslides and erosion but construction have adequate chemical, physical and engineering properties to prevent breakage of liner system.
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 have positive impact on the environment in terms of better hazardous waste management in the region. More employment opportunities will be created and aesthetics of the area will be improved. No impact Not applicable Not applicable Sustainable disposal of hazardous waste. NA
9.2 Lead to after-use of the site, which could have an impact on the environment No The closure plan of the proposed project of secured landfill facility of Integrated Common Hazardous Waste Treatment, Storage and Disposal Facility (TSDF) includes development of greenery and management of storm water drainage. The post project monitoring shall be carried out in accordance with the prescribed norms.
9.3 Set a precedent for later developments Yes The project aims at providing high quality TSDFs for treatment of hazardous waste from existing and upcoming industrial units in the area.
9.4 Have cumulative effects due to proximity to other existing or planned projects with similar effects No There is no industrial unit in close proximity.
(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 There are no national park and Eco sensitive zone within 15 km from the proposed site.
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 Yes Nasrali Nala flows along the eastern margin.
5 State, National boundaries No Interstate boundary of Himachal and Punjab falls within 4.8 km radius from the proposed site.
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 Nalagarh is about 8 Km away from project site.
9 Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship, community facilities) Yes Hospitals, schools, community facilities are present within 10 km of the study area.
10 Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) No The site is an open scrub with a nominal forest cover.
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 The plant area falls in Seismic zone-IV, the area is prone to earthquake, landslides and erosion but construction have adequate chemical, physical and engineering properties to prevent failure on account of climatic condition.
(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 ApplicantAshok
DesignationCEO
Name of Company (Applicant Name should not be given here)SHIVALIK SOLID WASTE MANAGEMENT LTD
AddressVillage Majra, PO Dabhota, Tehsil Nalagarh, Distt Solan, Himachal Pradesh,
Print