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 Integrated Municipal Solid Waste Processing facility Rewari
Brief summary of projectAnnexure-Brief summary of project
Proposal Number IA/HR/MIS/69625/2017
Project Cost 650 lacs
2.
S. No. in the schedule7(i) Common Municipal Solid Waste Management Facility (CMSWMF)
Project Sector INFRA-2
3. Proposed capacity/area/length/tonnage to be handled/command area/lease area/number or wells to be drilled 19 acres ha.
4.
New/Expansion/ModernizationNew
5. Existing Capacity/Area etc. 197 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 projectNear Ramsinghpura Village Rewari
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.00
Town / VillageVillage Ramsinghpura
State of the projectHaryana
Details of State of the project
S.no State Name District Name Tehsil Name
(1.)HaryanaRewariRewari
10.
Nearest railway station along with distance in kms Bawal railway station, 3.19 km
Nearest airport along with distance in kms New Delhi Airport, 76 km
11. Nearest Town/City/District Headquarters along with distance in kms Rewari , 5.7 km
12. Village Panchayats, Zila Parishad, Muncipal Corporation, Local body (Complete postal address with telephone nos. to be given) Rewari Municipal Council Near Bharawas Gate, Rewari. 01274-225263
13. Name of the Applicant Ajay
14. Registered Address Rewari Municipal council Near Bharawas Gate
15.
Address for correspondance:
Name of the Company REWARI MUNICIPAL COUNCIL
Name of the Applicant Ajay
Designation (Owner/ Partner/ CEO) Engineer
Pin code 123401
E-mail rewari2017@gmail.com
Telephone No. 0141-4160568
Fax No. 0141-
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) Yes Total land = 19 acres The project will change the land use, land cover or topography with respect to local land use as it was an barren land which will be converted into industrial land and will be developed into Integrated Municipal Solid Waste Management Facility. The project will be developed as in accordance with local development plan.
1.2 Clearance of existing land, vegetation and buildings? No NA
1.3 Creation of new land uses? Yes Barren land converted into industrial use. Development of secured landfill facility Municipal Solid waste treatment
1.4 Pre-construction investigations e.g. bore houses, soil testing? Yes Preliminary Survey shows that average quality of soil is available. Detailed Soil Investigation shall be done during EIA study
1.5 Construction works? Yes Construction of • Intermediate storage • Wheel wash facility • Office building • Approach and internal road • Compound wall • Secured landfill cell in phases • Leachate well • Ground water monitoring well
1.6 Demolition works? No NA
1.7 Temporary sites used for construction works or housing of construction workers? Yes Local laborers to be employed from nearby villages. If required make labor camp with basic amenities shall be set up within the site only.
1.8 Above ground buildings, structures or earthworks including linear structures, cut and fill or excavations and fill or excavations Yes All buildings (i.e. Shed, Lab, Office etc.) are above ground except landfill cells, foundations and underground storage tank.
1.9 Underground works including mining or tunnelling? Yes NA
1.10 Reclamation works? No NA
1.11 Dredging? No NA
1.12 Offshore structures? No NA
1.13 Production and manufacturing processes? Yes Detail process description is discussed in Pre-feasibility report
1.14 Facilities for storage of goods or materials? Yes MSW collected will be stored, segregated, processed and disposed by different means
1.15 Facilities for treatment or disposal of solid waste or liquid effluents? Yes Detail disposal of solid waste is discussed in Pre-feasibility report
1.16 Facilities for long term housing of operational workers? No Priority to be given to local villagers
1.17 New road, rail or sea traffic during construction or operation? Yes Only Road traffic will increase. Traffic due to transportation of construction material during construction phase, during nonpeak, day hours of approximately 5 trucks. During operation phase: Approximately 20 trucks. Increase in Vehicular traffic due to commute of employees and workers during construction and operation phase.
1.18 New road, rail, air water borne or other transport infrastructure including new or altered routes and stations, ports, airports etc? No Existing infrastructure is sufficient to cater the extra traffic load due to the proposed project.
1.19 Closure or diversion of existing transport routes or infrastructure leading to changes in traffic movements? No NA
1.20 New or diverted transmission lines or pipelines? No NA
1.21 Impoundment, damming, culverting, realignment or other changes to the hydrology of watercourses or aquifers? No NA
1.22 Stream crossings? No NA
1.23 Abstraction or transfers of water from ground or surface waters? No Water shall be available from Municipal Corporation Rewari.
1.24 Changes in water bodies or the land surface affecting drainage or run-off? No NA
1.25 Transport of personnel or materials for construction, operation or decommissioning? Yes Laborers and raw material will be transported via the existing Infrastructure
1.26 Long-term dismantling or decommissioning or restoration works? No Not Applicable. Closure of landfill cell at end as per CPCB guidelines. Green belt/garden will be developed
1.27 Ongoing activity during decommissioning which could have an impact on the environment? No NA
1.28 Influx of people to an area in either temporarily or permanently? No Priority will be given to local area people
1.29 Introduction of alien species? No NA
1.30 Loss of native species or genetic diversity? No NA
1.31 Any other actions? No NA
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 Barren land
2.2 Water (expected source & competing users) unit: KLD Yes Construction Phase: 8 KLD Source: Municipal Corporation of Rewari Operation Phase: 80.06 KLD Source: Ground water / Treated sewage from Municipal Corporation of Rewari
2.3 Minerals (MT) No NA
2.4 Construction material – stone, aggregates, sand / soil (expected source – MT) Yes Cement, Steel, Rocks and aggregates, Sand, Geo Membrane Stone, Aggregate, Steel, Cement Source: Local Supplier
2.5 Forests and timber (source – MT) No NA
2.6 Energy including electricity and fuels (source, competing users) Unit: fuel (MT),energy (MW) Yes 1 D.G set of 250 KVA will be utilized for power during construction phase. During operation phase 250KW power will be taken from of State Electricity Board and for emergency 1 D.G set of 250 KVA will be utilized as backup.
2.7 Any other natural resources (use appropriate standard units) No NA
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 Spent Oil from DG Set 300 Liters/Year. Different category of incinerable & Landfillable hazardous waste will be handled at site As per Hazardous Waste management and Handling Rules 2008 and amendments thereafter
3.2 Changes in occurrence of disease or affect disease vectors (e.g. insect or water borne diseases) No NA
3.3 Affect the welfare of people e.g. by changing living conditions? No Improved living condition by direct & indirect employment.
3.4 Vulnerable groups of people who could be affected by the project e.g. hospital patients, children, the elderly etc. No NA
3.5 Any other causes No NA
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 All the excavated material generated out of foundation excavation will be used for construction of embankment of the cell.
4.2 Municipal waste (domestic and or commercial wastes) Yes The Municipal solid waste handled during operation phase is expected to be 197 TPD in 2017, 236 TPD in 2025 and 283 TPD in 2035.
4.3 Hazardous wastes (as per Hazardous Waste Management Rules) Yes Used Oil (Category: 5.1) will be generated from MSW site. Most of the oil will be utilized in greasing etc. of machineries and balance which shall be sent to authorized recyclers.
4.4 Other industrial process wastes No NA
4.5 Surplus product No NA
4.6 Sewage sludge or other sludge from effluent treatment Yes 6 Kg/day will be generated in Leachate & Effluent treatment plant which will be disposed off in the landfill after dewatering
4.7 Construction or demolition wastes Yes The construction waste will consist of construction debris along with cement bags, steel in bits and pieces, insulating and packaging materials etc. Cement bags, waste paper and cardboard packing material will be sold off to recyclers. Unusable steel scrap will also be collected at site and sold to recyclers
4.8 Redundant machinery or equipment No NA
4.9 Contaminated soils or other materials No NA
4.10 Agricultural wastes No NA
4.11 Other solid wastes No NA
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 Not envisaged except for movement of vehicles for transporting waste to site.
5.2 Emissions from production processes Yes Air emissions will be generated from production process based on RDF. The same will be treated as per the SPCB/CPCB norms using flue gas cleaning system before its release in environment.
5.3 Emissions from materials handling including storage or transport No NA
5.4 Emissions from construction activities including plant and equipment Yes Fugitive emissions during unloading of construction material, concrete mixers etc.
5.5 Dust or odours from handling of materials including construction materials, sewage and waste Yes Dust and Odour will be generated during transportation and handling of Municipal solid waste. Same will be kept under control by water spraying, odour control measures and other methods.
5.6 Emissions from incineration of waste No NA
5.7 Emissions from burning of waste in open air (e.g. slash materials, construction debris) No NA
5.8 Emissions from any other sources Yes D. G Emission
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 Increase in noise level due to the movement of vehicles and construction machinery
6.2 From industrial or similar processes Yes Noise will be generated during MSW processing but same will be kept as per noise limitation of SPCB.
6.3 From construction or demolition Yes Minor increase in noise due to transportation of construction material
6.4 From blasting or piling No NA
6.5 From construction or operational traffic Yes Minor increase due to transportation activity
6.6 From lighting or cooling systems No NA
6.7 From any other sources No NA
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 Spent oil will be stored in container at a designated area and will be sent to authorized recycle As Suggested in Hazardous Waste management and Handling Rules 2016, hence impact is not envisaged
7.2 From discharge of sewage or other effluents to water or the land (expected mode and place of discharge) No There will be no discharge of waste water from the proposed MSW processing facility to water or the land. Leachate, effluent and sewage will be collected and treated in treatment plant for safe disposals as per CPCB/SPCB norms.
7.3 By deposition of pollutants emitted to air into the land or into water No NA
7.4 From any other sources No NA
7.5 Is there a risk of long term build up of pollutants in the environment from these sources? No NA
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 • Hazards pertaining to fires in project/plant area • Fire in diesel storage areas, garbage storage areas and disposal areas • Proper fire management systems will be installed
8.2 From any other causes Yes During Construction phase there are possibilities of accidents, fall, cut or Burn injuries during cutting and welding activities. During operation phase possibility of accidents due to fire hazard may occur. Same will be addressed as per norms.
8.3 Could the project be affected by natural disasters causing environmental damage (e.g. floods, earthquakes, landslides, cloudburst etc)? No The project fall under seismic zone IV
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 This is a new project; The existing infrastructure around the project site will be used. The effluent treatment plant will be developed within the plant premises for the treatment of leachate and sewage.
9.2 Lead to after-use of the site, which could have an impact on the environment Yes Sanitary Land filling site shall be capped as per the MSW rules and other statutory norms of state.
9.3 Set a precedent for later developments Yes Integrated MSW processing facility and Waste to Compost plant with Sanitary Land fill will reduce the burden of MSW and only processing inerts/rejects will be disposed.
9.4 Have cumulative effects due to proximity to other existing or planned projects with similar effects No NA
(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 NA
2 Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests No NA
3 Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration No NA
4 Inland, coastal, marine or underground waters No NA
5 State, National boundaries No Inter State boundary of Haryana and Rajasthan lies at a distance of 2.23 km from project site.
6 Routes or facilities used by the public for access to recreation or other tourist, pilgrim areas No NA
7 Defence installations No NA
8 Densely populated or built-up area Yes Rewari lies at a distance of 5.7 km from project site.
9 Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship, community facilities) Yes Rewari lies at a distance of 5.7 km from Integrated MSW Processing facility.
10 Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) No NA
11 Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) No NA
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 NA
(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:
Sno. ADS Letter Remarks Date of ADS
1. ADS Reply LetterEDS Reply as per 32nd EAC Meeting held on 2nd & 4th July 2018. 11 Feb 2019
2.NAKindly see the final minutes of 32nd meeting of EAC (Infra-2) 16 Jul 2018
3. ADS Reply Letter24th & 30th EAC Meeting (EDS Reply along with Form-1) 21 May 2018
4.NAKindly see the final minutes. 03 May 2018
5. ADS Reply LetterForm-1 29 Mar 2018
6.NAas per 24 EAC minutes 07 Nov 2017
(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 ApplicantAjay
DesignationEngineer
Name of Company (Applicant Name should not be given here)REWARI MUNICIPAL COUNCIL
AddressRewari Municipal council Near Bharawas Gate
Print