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 Revision in Environmental Clearance of Group Housing Colony
Brief summary of projectAnnexure-Brief summary of project
Proposal Number IA/HR/NCP/90796/2019
Project Cost 65000 lacs
2.
S. No. in the schedule8(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 Total Built-up Area - 189059.695 m2 ha.
4.
New/Expansion/ModernizationModernization
Proposal NumberIA/HR/NCP/90794/2011
MoEFCC file number(Previous EC)SEIAA/HR/2014//0347
Uploaded EC letterAnnexure-Uploaded EC letter
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 projectVillage Kherki Majra, Sector-102 A, Gurgaon, Haryana
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.Village Kherki Majra
Town / VillageVillage Kherki Majra
State of the projectHaryana
Details of State of the project
S.no State Name District Name Tehsil Name
(1.)HaryanaGurgaonGurgaon
10.
Nearest railway station along with distance in kms Basai Dhankot Rly Station, 2.31 km
Nearest airport along with distance in kms Indira Gandhi International Airport, 14.61 km
11. Nearest Town/City/District Headquarters along with distance in kms Sector-4, Gurgaon , 3.52 km
12. Village Panchayats, Zila Parishad, Muncipal Corporation, Local body (Complete postal address with telephone nos. to be given) Municipal Corporation Gurgaon
13. Name of the Applicant Rajiv
14. Registered Address Adani House, plot no. 83, Institutional Area
15.
Address for correspondance:
Name of the Company RADHEY BUILDHOME PVT LTD
Name of the Applicant Rajiv
Designation (Owner/ Partner/ CEO) Advisor
Pin code 12001
E-mail rajeevkumar.jha@adani.com
Telephone No. 0124-2555155
Fax No. 0124-
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 The land has been licensed by DTCP vide license no. 24 of 2012 dated 27.03.2012 for area admeasuring 17.9875 Acres to Radhey Buildhome Pvt. Ltd. in collaboration with Adani M2K Projects LLP for the development of Group Housing Colony. The project has already been granted Environment Clearance vide letter no SEIAA/HR/2014/347 dated 21.02. 2014.Construction has not yet started. Land use as per master plan is Residential and land cover will change from vacant land to group housing Colony.
1.2 Clearance of existing land, vegetation and buildings? Yes It is a vacant land with few herbs, shrubs & bushes; which shall be cleared before construction.
1.3 Creation of new land uses? No Construction work has not yet started. Hence, land use for existing land will change from vacant land to residential.
1.4 Pre-construction investigations e.g. bore houses, soil testing? Yes Pre-construction geo-technical investigation has been done.
1.5 Construction works? Yes Construction shall be done as per Master plan of Gurgaon.
1.6 Demolition works? No As it is a vacant land, hence no demolition is required.
1.7 Temporary sites used for construction works or housing of construction workers? No Approx. 1000 workers shall be engaged for construction of the group housing Colony are from nearby areas and hence there is no need of providing housing. Only temporary shelters shall be provided.
1.8 Above ground buildings, structures or earthworks including linear structures, cut and fill or excavations and fill or excavations No Above ground, the building shall be elevated up to maximum height of 92 m. Excavation up to 1 level of basement shall be done.
1.9 Underground works including mining or tunnelling? No It is a construction project. Hence no underground works are required except for excavation only foundation and basement.
1.10 Reclamation works? No No reclamation work will be done.
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 During Construction Phase: • Separate raw material yard shall be made within the project site. • Cement shall be separately stored under cover in bales. • Sand shall be stacked nearby under tarpaulin cover. • Bricks and steel shall be laid in open. During Operation Phase: As the project is a Group Housing Colony, the raw material shall be food, stationary & other household items which shall be stored in residential units and shops.
1.15 Facilities for treatment or disposal of solid waste or liquid effluents? Yes During Construction phase: Total 1000 labors shall be employed during the construction phase and hence the solid waste generation shall be 150 kg/day which shall be disposed off at municipal solid waste site. Construction debris like concrete will be recycled and will be used in lean concrete, brick work wastage shall be reused for waterproofing for terrace, toilets etc. and rest shall be sent to the approved construction and demolition facility. The sewage waste shall be treated in mobile to
1.16 Facilities for long term housing of operational workers? No During Construction phase: The workers during construction phase shall be hired from nearby areas. During Operation Phase: As this is a Group Housing Colony, separate housing will not be required as staff will be from nearby areas.
1.17 New road, rail or sea traffic during construction or operation? No No new road, rail or sea traffic is proposed. Existing transportation facilities will be used during construction or 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 Sector roads are already existing in the plot. Transportation measures exists near site. Nearest Railway Station- Basai Dhankot Rly Station- 2.31 km SSE Nearest Airport- Indira Gandhi International Airport- 14.61 km NE Nearest NH - NH-8 – 6.66 km SSE
1.19 Closure or diversion of existing transport routes or infrastructure leading to changes in traffic movements? No No closure or diversion of existing transport routes or infrastructure leading to changes in traffic movements will be made.
1.20 New or diverted transmission lines or pipelines? Yes Diversion of 66 KV line has been done.
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 water courses is required.
1.22 Stream crossings? No No stream crossing.
1.23 Abstraction or transfers of water from ground or surface waters? No No abstraction or transfer of water from ground or surface will be done. The water shall be supplied through Municipal Supply.
1.24 Changes in water bodies or the land surface affecting drainage or run-off? No There shall be no change in water bodies or the land surface effective drainage or run-off.
1.25 Transport of personnel or materials for construction, operation or decommissioning? Yes During Construction phase: Materials during construction phase shall be transported by truck, trolley etc. During Operation Phase: Car, two-wheeler, etc. shall be used.
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 During Construction phase: Temporary influx of people in the form of labors is envisaged. Average 1000 nos. of labors shall be employed. During Operation Phase: As this is a Group Housing Colony project, the population of 8122 personnel are envisaged including residents- 5096, community block- 2225, community shopping- 128, visitors -509 and maintenance staff- 164.
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) Yes Plot area- 72792.71 m2 of undeveloped land has been allotted and possession certification obtained from DTCP Haryana to Radhey Buildhome Pvt. Ltd. in collaboration with Adani M2K Projects LLP
2.2 Water (expected source & competing users) unit: KLD Yes Source during Construction phase: Water shall be taken from water tanker supplier which supply treated water from STP of nearby area/HUDA STP. Source & Quantity during Operation Phase: The ultimate source of water will be through Municipal Supply to be arranged by HUDA.Total water requirement for the group housing Colony will be 962 KLD out of which fresh water required 574 KLD. Detailed water Management & water Balance are given in Pre-Feasibility report.
2.3 Minerals (MT) Yes Iron, steel, etc. shall be used for construction purposes.
2.4 Construction material – stone, aggregates, sand / soil (expected source – MT) No The major materials required for construction of the project shall be steel, iron, tiles, glass, cement, agate, bricks, flooring tiles/stones, sanitary and hardware items, electrical fittings, etc.
2.5 Forests and timber (source – MT) Yes Plywood for doors & windows shall be used which shall be procured from local market.
2.6 Energy including electricity and fuels (source, competing users) Unit: fuel (MT),energy (MW) Yes Source of Electricity – Dakshin Haryana Bijli Vitran Nigam Ltd. (DHBVN). Total Electrical load (after Revision) – 6770.60 KVA. D.G. sets for power back up (after Revision)- 2×750 KVA, 1×1250 KVA, 2×1010 KVA
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 No storage of hazardous substances (as per MSIHC rules) will be done.
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 shall be adopted during construction and operational phase which will restrict stagnation of water or accumulation of water. 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 During Construction phase: Employment opportunities provided due to the project shall lead to better quality of life and shall also set a standard for future developments in the area. Moreover, this project shall provide employment to average 1000 local labors during construction phase. During Operation Phase: As it will be a group housing Colony there shall be several services which will generate direct & indirect employment for the people of nearby 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 group of people will be affected by the project.
3.5 Any other causes No None
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 During Construction phase: Solid waste of 150 kg/day shall be generated from the project & and the same shall be disposed off at municipal solid waste site. During Operation Phase: Approx. 2747 kg/day of solid waste shall be generated from the group housing Colony during operational phase. Detailed Solid Waste Management is given in Pre-Feasibility report.
4.3 Hazardous wastes (as per Hazardous Waste Management Rules) Yes During Construction phase: Used oil whenever generated from the DG sets shall be kept in leak proof containers in an isolated area and same shall be sent to approved recycler. During Operation Phase: 50 Lt/month of Used oil generated from diesel generators will be carefully stored in HDPE drums in isolated covered facility. The used oil will be sold to vendors authorized by Central Pollution Control Board for the treatment of the same. Suitable care will be taken so that spills / leaks o
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 About 54 kg/day of dried sludge will be generated from STP within Colony during operation phase. The sludge will be passed through filter press where it will be dewatered/ dried to form a cake and then will be used as manure in green areas. The unused sludge shall be given to farmers or nursery.
4.7 Construction or demolition wastes Yes Construction debris like concrete shall be used for flooring & back filling in roads etc.
4.8 Redundant machinery or equipment No Not applicable
4.9 Contaminated soils or other materials No Not applicable
4.10 Agricultural wastes No Not applicable
4.11 Other solid wastes Yes During Operation Phase: About 5-10 kg/ month e-waste shall be generated which shall be given to approved recycler of SPCB. Battery waste will be generated from inverters, UPS and will be treated as per Batteries (Management & Handling Rules, 2001).
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 During Construction phase: DG sets of capacity 125 KVA shall be installed acoustically enclosed with adequate stack height. During Operation Phase: The only source of emission from combustion of fuel in DG sets for power back up having capacity 2×750 KVA, 2×1010 KVA 1×1250 KVA. Stack height of 6 m above roof level for the DG set shall be provided. The DG set shall meet all the norms prescribed by CPCB.
5.2 Emissions from production processes No Not applicable
5.3 Emissions from materials handling including storage or transport Yes Dust shall be generated during construction, from the movement of transport vehicles & other construction activities. The effect shall be restricted to construction phase only. Water sprinklers shall be used for dust suppression. Material shall be stored under tarpaulin cover.
5.4 Emissions from construction activities including plant and equipment Yes Batching plant will be installed. Dust & emissions are likely to be generated during construction activities which shall be reduced by sprinkling of water in a specific time interval & timely maintenance schedule for machinery. Also, the machines shall be shut down during idle period.
5.5 Dust or odours from handling of materials including construction materials, sewage and waste Yes During loading & unloading of construction material dust is likely to be generated during construction phase. Water shall be sprinkled and tarpaulin cover shall be provided over stored raw material to reduce dust emission. Mobile toilets during construction phase shall be provided & waste water shall be treated in mobile toilets.
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 Open burning of biomass/ other material shall be prohibited.
5.8 Emissions from any other sources No None
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 During Construction phase: DG sets of capacity 125 KVA shall be installed acoustically enclosed. The equipment such as mixer machines, bulldozers, cranes, compactors & excavators shall be used which are of highest standard of reputed make and adhere to international standards. Hence an insignificant impact due to construction machinery is envisaged. Apart from this, the construction activities shall be restricted to day time only and timely maintenance of machinery shall be ensured.
6.2 From industrial or similar processes No Not applicable
6.3 From construction or demolition Yes Due to the various activities there shall be short-term noise impacts in the immediate vicinity of the project area during construction phase.
6.4 From blasting or piling Yes Piling shall be done.
6.5 From construction or operational traffic Yes Noise (70–75 dB (A)) shall be generated from vehicular movement in the construction and operational phase. Plantation around the boundary wall shall be done to reduce noise from traffic.
6.6 From lighting or cooling systems No Not Applicable
6.7 From any other sources No None
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 No handling or storage of hazardous material will be there. Only used oil will be generated from DG Sets and it shall be stored in HDPE drums and kept in covered rooms and shall be sold to authorized vendors only.
7.2 From discharge of sewage or other effluents to water or the land (expected mode and place of discharge) No During operational phase, STP of 950 KLD capacity shall be installed for treating 787 KLD of waste water and 388 KLD of treated water shall be reused in flushing and gardening. Excess treated water 320 KLD shall be disposed off in sewer line.
7.3 By deposition of pollutants emitted to air into the land or into water No None
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 During Construction Phase: All appropriate measures shall be taken to avoid accidents. During Operational Phase: Proper Disaster Management and firefighting system shall be installed at site.
8.2 From any other causes Yes During Construction Phase: All the labors shall be provided with suitable personal protective equipment (PPE) such as safety helmets, nose masks and ear muffs as required under the health & safety norms. Training and awareness about the safety norms shall be provided to all supervisors and labors involved in construction activity.
8.3 Could the project be affected by natural disasters causing environmental damage (e.g. floods, earthquakes, landslides, cloudburst etc)? No The area under study falls in Seismic zone IV, according to the Indian Standard Seismic Zoning Map. Suitable seismic coefficients in horizontal and vertical directions respectively, shall be adopted while designing the structure.
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 Not applicable
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 Yes It will attract people to develop organized group housing colony
9.4 Have cumulative effects due to proximity to other existing or planned projects with similar effects No No impact
(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 Sultanpur National Park: 7.90 Km SWW Sarai Allawardi Masjid, Gurgaon: 4.66 km NEE Baoli Ghaus Ali Shah, Gurgaon: 14.64 km SWW
2 Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Yes Watersources or other waterbodies Najafgarh Jheel:2.49 km NW Water Pond near Dharmapur:2.90 km NNE Water Pond near Dhanwanpur Village: 1.60 km SE Water Pond near Dhanwanpur: 1.69 km SEE Pond near Basai Village: 2.72 km SSE Pond near Basai Village: 2.84 km SSE Canal near Project Site: 0.83 km SSW Gata And Badshahpur Nadi: 1.82 km SSW Drain near Anand Park: 4.39 km NEE Drain near Palam Vihar: 6.83 km NEE Drain near Ikabalpur: 8.90 km W Drain near Kanganheri: 6.90 km NNE
3 Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration Yes Sultanpur National Park 7.90 km SWW
4 Inland, coastal, marine or underground waters No None
5 State, National boundaries Yes State Boundaries- Delhi: 2.87 km N
6 Routes or facilities used by the public for access to recreation or other tourist, pilgrim areas Yes Roads NH -8: 6.66 km SSE NH-236: 9.42 Km SEE Railway Station Gurgaon Rly Station: 3.72 Km NEE Basai Dhankot Railway Station: 2.31 Km SSE Garhi Harsaru Junction Rly Station: 6.57 Km SSW Bijwasan Railway Station: 9.46 Km NE Airport IGI Airport Delhi: 14.61 Km NE
7 Defence installations Yes Arjangarh Air Force Station 14.93 km SEE
8 Densely populated or built-up area Yes Sector-4, Gurgaon 3.52 km SEE
9 Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship, community facilities) Yes Hospital near Dhankot: 1.51 Km SSW Sarai Allawardi Masjid, Gurgaon: 4.66 Km NEE Temple near Kherki Majra: 0.88 Km NW
10 Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) Yes Sarai Allawardi Masjid, Gurgaon: 4.66 Km NEE Baoli Ghaus Ali Shah, Gurgaon: 14.64 Km SWW
11 Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) No None within 15 km area
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 Area falls in seismic zone IV. No flooding in the area according to previous record
(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) NIL
      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 ApplicantRajiv
DesignationAdvisor
Name of Company (Applicant Name should not be given here)RADHEY BUILDHOME PVT LTD
AddressAdani House, plot no. 83, Institutional Area
Print