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 | | | Is your project Comes under Notified Industrial Area | NA |
| | Whether proposal involved violation of EIA notification | N/A | | Weather Consent to Establishment Obtained | N/A | | Upload copy of CTE | N/A |
| | 2. | |
S. No. in the schedule | 8(b) Townships and Area Development projects.
| Project Sector | INFRA-1 | |
| 3. | Proposed capacity/area/length/tonnage to be handled/command area/lease area/number or wells to be drilled | 1,96,477.04 ha. | | 4. | New/Expansion/Modernization | New | | | 5. | Existing Capacity/Area etc. | 0 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 project | Village- Badshahpur, Sector- 68, Gurgaon | 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. | Village- Badshahpur, Sector- 68, District- Gurgaon | Town / Village | Badshahpur, Gurgaon | State of the project | Haryana | |
| Details of State of the project |
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S.no | State Name | District Name | Tehsil Name |
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(1.) | Haryana | Gurgaon | Gurgaon | | 10. | |
Nearest railway station along with distance in kms | Gurgaon Railway Station, 12.18 km | Nearest airport along with distance in kms | Indira Gandhi International Airport, 21.40 km | |
| 11. | Nearest Town/City/District Headquarters along with distance in kms | Gurgaon , 0 km | | 12. | Village Panchayats, Zila Parishad, Muncipal Corporation, Local body (Complete postal address with telephone nos. to be given) | Gurgaon | | 13. | Name of the Applicant | Rajesh | | 14. | Registered Address | B-292, Chander Kanta Complex, Shop No.-8, New Ashok Nagar, New Delhi | | 15. | |
Address for correspondance: | Name of the Company | GOLDEN GLOW ESTATE | Name of the Applicant | Rajesh | Designation (Owner/ Partner/ CEO) | Draftsman | Pin code | 201301 | E-mail | goldenglow35@gmail.com | Telephone No. | 011-24378784 | Fax No. | 011- | 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 number | N/A | Date of submission | 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 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 | |
| 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 | Land has been allotted for setting up of Group Housing Colony by Haryana Government Town and Country Planning Department under Memo No.ZP-564/SD (BS)/2013/45734 dated. 15/7/2013. | 1.2 | Clearance of existing land, vegetation and buildings? | No | This was a vacant piece of land covered with grass. Later 26,109.00 m2 construction has been done on site. | 1.3 | Creation of new land uses? | No | Land has been allotted for setting up of Group Housing Colony by Haryana Government Town and Country Planning Department under Memo No.ZP-564/SD (BS)/2013/45734 dated. 15/7/2013. | 1.4 | Pre-construction investigations e.g. bore houses, soil testing? | Yes | Pre-construction investigations & soil testing has been done. | 1.5 | Construction works? | Yes | All construction activities have been confined within the project premises and there is no physical change outside the project boundary, same will be followed for the further construction. | 1.6 | Demolition works? | No | Project site was vacant land. Demolition was not required. | 1.7 | Temporary sites used for construction works or housing of construction workers? | Yes | All the construction activity including stocking of raw materials has been confined within the project site only. Temporary labour hutments are proposed. Local labours from nearby area have been hired. Sanitation facilities are developed at site. Same will be incorporated for the future construction. | 1.8 | Above ground buildings, structures or earthworks including linear structures, cut and fill or excavations and fill or excavations | Yes | Excavation was carried out for foundation of buildings and basements. The excavated soils have been used in back filling. | 1.9 | Underground works including mining or tunnelling? | No | No underground works including mining/ tunneling is required except excavation of earth. | 1.10 | Reclamation works? | No | No reclamation work required. | 1.11 | Dredging? | No | No dredging required. | 1.12 | Offshore structures? | No | No offshore structures required. | 1.13 | Production and manufacturing processes? | No | No production/manufacturing process involved in project. | 1.14 | Facilities for storage of goods or materials? | Yes | Construction materials are being stored at site. | 1.15 | Facilities for treatment or disposal of solid waste or liquid effluents? | Yes | Solid Waste:
The solid waste generated from the project will be in the form of:
Construction Waste:
Left over cement and mortars, cement concrete blocks, aggregate, sand and other inorganic material have been recycled and reused as granular subbase (GSB) layer of pavement. Earth rendered surplus from the excavation has been utilized in the embankment works.
Operational Phase:
The solid waste generated from project will be mainly domestic in nature and the quantity of the waste will be 3,197 | 1.16 | Facilities for long term housing of operational workers? | No | Temporary hutments for labours have been made on site for labours with proper sanitation facility. Same will be incorporated for the further construction. | 1.17 | New road, rail or sea traffic during construction or operation? | No | The project site is adjacent to SH-13 road. Only internal roads; paths have been developed for vehicular movements for transportation of construction material during construction phase whereas internal tracks and paths have been developed for traffic circulation (to avoid any congestion) during operational phase. | 1.18 | New road, rail, air water borne or other transport infrastructure including new or altered routes and stations, ports, airports etc? | No | The project site is adjacent to sector road. The nearest highway is SH-13. which is approx. 0.5 km away from project site | 1.19 | Closure or diversion of existing transport routes or infrastructure leading to changes in traffic movements? | No | Since the project site is adjacent to Sector road which has low traffic density, there was no need for diversion or closure of existing traffic routes. | 1.20 | New or diverted transmission lines or pipelines? | No | There will not be any new/diverted transmission lines or pipelines around the proposed project. | 1.21 | Impoundment, damming, culverting, realignment or other changes to the hydrology of watercourses or aquifers? | No | No impoundment, damming, culverting, realignment or other changes to the hydrology of surface watercourses is proposed. | 1.22 | Stream crossings? | No | There are no streams running across the site. | 1.23 | Abstraction or transfers of water from ground or surface waters? | Yes | During construction phase, water has been obtained through Private water tankers During operation phase, water supply will be provided through the HUDA. About 589 KLD of fresh water will be required during operation phase of the project. | 1.24 | Changes in water bodies or the land surface affecting drainage or run-off? | Yes | Runoff will increase due to increased paved surface. However, increased runoff will be managed by well-designed rainwater harvesting system and storm water management plan. | 1.25 | Transport of personnel or materials for construction, operation or decommissioning? | Yes | During the construction phase, about 15-20 trucks were estimated per week and the same will be required for the remaining construction Phase. Adequate parking space within the project site for loading and unloading of materials has been provided.
Adequate parking space (1,655 ECS) will be provided for operational phase to the resident’s occupants of the premises. | 1.26 | Long-term dismantling or decommissioning or restoration works? | No | No Long term dismantling or decommissioning or restoration works are involved. | 1.27 | Ongoing activity during decommissioning which could have an impact on the environment? | No | None | 1.28 | Influx of people to an area in either temporarily or permanently? | No | Local laborers from nearby area have been employed during the construction phase and will also be the same for the further construction phase. In the operation phase, most of the expected occupants will be from the surrounding areas. Hence, the project will lead to a redistribution of occupants within the city. Thus, no significant influx of people is envisaged. | 1.29 | Introduction of alien species? | No | The landscaping will be carried out with mainly local species with a few ornamental varieties of flora that are well suited to the local conditions. | 1.30 | Loss of native species or genetic diversity? | No | There will be no significant impact on the native species or genetic diversity. | 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 | Land has been allotted for setting up of Group Housing Colony by Haryana Government Town and Country Planning Department under Memo No.ZP-564/SD(BS)/2013/45734 dated. 15/7/2013. | 2.2 | Water (expected source & competing users) unit: KLD | Yes | During construction phase, 976 ML amount of water is required which is being provided by treated water from HUDA. During operation phase, water supply will be provided through the HUDA. About 589 KLD of fresh water will be required during operation phase of the project. | 2.3 | Minerals (MT) | Yes | Minerals such as sand and aggregates are being used and the same will be used for the further construction. | 2.4 | Construction material – stone, aggregates, sand / soil (expected source – MT) | Yes | All materials for construction are being arranged through local suppliers the same arrangement will be done for the remaining construction. | 2.5 | Forests and timber (source – MT) | Yes | All material forests and timber is being provided by selected suppliers. However steel frames etc are used to minimize the use of timber. | 2.6 | Energy including electricity and fuels (source, competing users) Unit: fuel (MT),energy (MW) | Yes | The total demand load is estimated at 11,000 KVA. Power backup for the Group housing colony will be through 5 number of DG sets of total capacity 10,000 KVA (i.e. 5 X 2000) | 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 | Diesel for DG sets has been stored in HDPE drums in earmarked locations. It was also being handled as per The Manufacture, Storage and Import of Hazardous Chemical Rules, 2000. | 3.2 | Changes in occurrence of disease or affect disease vectors (e.g. insect or water borne diseases) | No | Suitable drainage and waste management measures (with frequent spray of insecticides etc.) were adopted in the construction phase and same will be adopted for the remaining construction phase and operational phase such that there will be no stagnation of water or accumulation of waste. This will effectively restrict the reproduction and growth of disease vectors. | 3.3 | Affect the welfare of people e.g. by changing living conditions? | Yes | Socio-economic standard of people will improved due to increased direct or indirect employment opportunities provided by this project. This will be continued in the further construction phase and afterwards also which lead to better quality of life and will also set a standard for future developments in the area. | 3.4 | Vulnerable groups of people who could be affected by the project e.g. hospital patients, children, the elderly etc. | No | Impacts of this type are not expected. | 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 | No such spoil, overburden or mine wastes has been generated. | 4.2 | Municipal waste (domestic and or commercial wastes) | Yes | The total municipal (domestic) solid waste to be generated is approx. 3,197 kg/day.
Biodegradable waste (60%) 1,918.2 kg/day (Waste vegetables and foods etc.)
Non-biodegradable waste (30%) 959.1 kg/day (Papers, cartons, thermocol, plastics, glass etc.)
Inert waste (10%) 319.7 kg/day
Total 3,197 kg/day | 4.3 | Hazardous wastes (as per Hazardous Waste Management Rules) | Yes | The hazardous wastes along with other wastes in the project are used oil from DG sets, which is classified as per The Hazardous Waste Category 5.1 as per The Hazardous Wastes (Management & Handling) Rules, 1989.
Used oil from DG sets has been stored in HDPE drums in isolated covered facility. This used oil has been sold to authorized recyclers. Suitable care is taken so that spills/leaks of used oil from storage is avoided. | 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 | 70.85 kg/day of Sludge generated from the STP plant will be dried and later will be used as manure for green belt development. | 4.7 | Construction or demolition wastes | Yes | The construction waste consists of excess earth and construction debris along with cement bags, steel in bits and pieces, insulating and packaging materials etc.
Recyclable waste construction materials are being sold to recyclers. Unusable and excess construction debris is disposed at designated places in tune with the local norms. | 4.8 | Redundant machinery or equipment | No | Redundant machinery has not been generated. | 4.9 | Contaminated soils or other materials | No | Contaminated soils or other material has not been generated. | 4.10 | Agricultural wastes | Yes | Landscape wastes of 0.12 kg/day will be generated. | 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 | The project does not envisage any major air pollution sources except operation of DG sets during power failure and vehicular traffic. | 5.2 | Emissions from production processes | No | No production processes involved. Hence, there is no such emission. | 5.3 | Emissions from materials handling including storage or transport | Yes | Small quantities of fugitive emissions are envisaged during transport and handling of construction materials. Such emissions will be temporary and controlled by the use of sprinkling and other viable techniques like covering of loose material. | 5.4 | Emissions from construction activities including plant and equipment | Yes | This is restricted to the construction phase and the construction site only. | 5.5 | Dust or odours from handling of materials including construction materials, sewage and waste | Yes | Dust is anticipated during loading and unloading of construction material and excavation of upper earth surface. These are however being temporary in nature, which is being controlled by providing water sprinklers. Tarpaulin cover has been provided on stored loose materials to reduce the dust emission. | 5.6 | Emissions from incineration of waste | No | No incineration of wastes is proposed. | 5.7 | Emissions from burning of waste in open air (e.g. slash materials, construction debris) | No | Open burning of biomass/other material is prohibited on site. | 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 | Source of noise in the operational phase will be from backup DG sets (which will be in operation only during power failure) and pumps & motors. All the machinery will be of highest standard of reputed make and will comply with standard i.e. The DG set room will be provided with acoustic enclosure to have minimum 25 dB(A) insertion loss or for meeting the ambient noise standard whichever is on higher side as per E (P) Act, GSR 371 (E) and its amendments. Therefore, no significant impact due to op | 6.2 | From industrial or similar processes | No | No industrial processes will be carried out in the proposed project. | 6.3 | From construction or demolition | Yes | Due to various construction activities, there is a short-term noise impacts in the immediate vicinity of the project site. The construction activities includes the following noise generating activities:
• Concreting, mixing & operation of DG sets.
• Construction plant and heavy vehicle movement. | 6.4 | From blasting or piling | No | No blasting or mechanized piling has been done. | 6.5 | From construction or operational traffic | Yes | Some noise is being generated from vehicular movement in the construction and operational phase but that will be mitigated with green belt. | 6.6 | From lighting or cooling systems | No | No significant noise impact is result from lighting or cooling systems. | 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 used oil from DG sets has been carefully stored in HDPE drums at isolated storage, and periodically sold to authorized recyclers. All precautions are taken to avoid spillage from storage as per The Hazardous Wastes (Management & Handling) Rules, 1989. | 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 untreated sewage on land or into water bodies. Adequate treatment of sewage will be carried out in a STP of capacity 870 KLD, proposed within the project premises. Treated sewage will be re-used for flushing and horticulture | 7.3 | By deposition of pollutants emitted to air into the land or into water | No | The DG set will be provided with adequate stack height as per CPCB norms. | 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. | | 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 related accident, fire fighting facility of single handed hydrant valve, long hose reel, and portable fire extinguisher are provided. | 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 | The project falls under seismic active Zone IV indicating high damage risk zone. The buildings will be designed as earthquake resistant and comply with the required IS specifications. | | 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 | Appropriate infrastructure like roads, power supply, waste management and sullage treatment has been developed within the project site, and same will be done during the further construction phase. Land has been allotted for setting up of Group Housing Colony by Haryana Government Town and Country Planning Department under Memo No.ZP-564/SD(BS)/2013/45734 dated. 15/7/2013.
Group Housing Colony
Not Applicable | 9.2 | Lead to after-use of the site, which could have an impact on the environment | No | Not Anticipated | 9.3 | Set a precedent for later developments | Yes | The project will provide good infrastructure and better life style and will set an example for later developments in the areas. | 9.4 | Have cumulative effects due to proximity to other existing or planned projects with similar effects | No | Not Anticipated. | | (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 | Yes | Aravalli
Approx. 4 Km | 2 | Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests | Yes | New found Lake
Shallow water Lake Bhondsi Approx. 4 Km
Approx. 3 Km | 3 | Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration | No | None There is no ecological sensitive species of flora found in the study area | 4 | Inland, coastal, marine or underground waters | Yes | Ground water The depth of groundwater is 15-18 m below the ground level. | 5 | State, National boundaries | Yes | Delhi-Haryana Approx. 9.62 Km away at NE direction | 6 | Routes or facilities used by the public for access to recreation or other tourist, pilgrim areas | Yes | SH-13 SH-13 is approx. 0.5 km away from the project site. | 7 | Defence installations | No | No There are no defense installation | 8 | Densely populated or built-up area | Yes | Village Badshahpur
Noopur Jharsa
Aadarsh Enclave Approx. 1 Km
Approx. 1.1 Km
Approx 6.38 Km | 9 | Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship, community facilities) | Yes | Mittal Hospital
Government Boys High School
Sai Baba Temple Approx 1 Km
Approx .5 Km
Approx 8.1 Km | 10 | Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) | Yes | Nazafgarh Drain
Approx. 39.61 Km | 11 | Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) | No | No There is no area within 15 km which are subjected to pollution or environmental damage. | 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 | Earthquakes The site falls under the Zone IV as per the Seismic Zone Map of India and is thus prone to High damage risk zone. Adequate measures has been taken during the construction and same will be taken care in the remaining construction phase of the project. | | (IV) | Proposed Terms of Reference for EIA studies | | Additional Attachments, if any |
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Attached File |
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| | 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 Applicant | Rajesh | Designation | Draftsman | Name of Company (Applicant Name should not be given here) | GOLDEN GLOW ESTATE | Address | B-292, Chander Kanta Complex, Shop No.-8, New Ashok Nagar, New Delhi |
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