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 Construction of Adi Badri Dam on Somb Nadi and its piped link to Sarasvati Nadi and Sarasvati Reservoir
Brief summary of projectAnnexure-Brief summary of project
Proposal Number IA/HR/RIV/76129/2018
Project Cost 10870 lacs
2.
S. No. in the schedule1(c) River Valley projects
Project Sector River Valley and Hydroelectric Projects
3. Proposed capacity/area/length/tonnage to be handled/command area/lease area/number or wells to be drilled 861 ha-m ha.
4.
New/Expansion/ModernizationNew
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 Yes
a) Protected areas notified under the wildlife (Protection) Act, 1972
d) Inter-State boundaries and international boundaries
8.
Does it attract the specific condition? If yes, please specify No
9.
Location of the projectVillage Maatar, tehsil Nahan, District Sirmour, Himachal Pradesh
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 Maatar, tehsil Nahan, District Sirmour, Himachal Pradesh ; Toposheet No, 53F/6,53F/7
Town / VillageVillage Maatar
State of the projectHaryana
Details of State of the project
S.no State Name District Name Tehsil Name
(1.)HaryanaYamunanagarJagadhri
(2.)Himachal PradeshSirmaurNahan(T)
10.
Nearest railway station along with distance in kms Yamuna Nagar, 38 km
Nearest airport along with distance in kms Chandigarh, 59 km
11. Nearest Town/City/District Headquarters along with distance in kms Yamuna Nagar , 38 km
12. Village Panchayats, Zila Parishad, Muncipal Corporation, Local body (Complete postal address with telephone nos. to be given) Sirmour
13. Name of the Applicant Vikas
14. Registered Address Sinchai Bhawan, Sec-5, Panchkula, Haryana
15.
Address for correspondance:
Name of the Company IRRIGATION AND WATER RESOURCES DEPARTMENT HARYANA
Name of the Applicant Vikas
Designation (Owner/ Partner/ CEO) S.D.O
Pin code 135001
E-mail xenshdjdr@gmail.com
Telephone No. 1732-237027
Fax No. 1732-
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?Yes
StatusForest Clearance Under Process(Stage-I)
(ii) Whether the proposal involves approval/clearance under the wildlife (Protection) Act,1972?Yes
StatusApplication for Wildlife Clearance yet to be submitted
(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?Yes
Area of Forest land Involved (hectares)31.16 ha.
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 Topography of the submergence area of the reservoir will be changed due to construction of dam and road network, Land use change to water body
1.2 Clearance of existing land, vegetation and buildings? Yes Clearance of existing vegetation will be required during construction phase of dam
1.3 Creation of new land uses? Yes Forest /agriculture land to water bodies
1.4 Pre-construction investigations e.g. bore houses, soil testing? Yes Pre-construction activities like bore hole (5), standard penetration test and soil testing as per IS: 1892-1997 has been carried out
1.5 Construction works? Yes The project comprises the construction of following: Dam and is appurtenant works, Design of Head Regulator for Somb-Sarasvati Link Channel., Design of Somb - Sarasvati Link Channel and its appurtenant works, Design of storage reservoir and its appurtenant works (on about 109 ha Panchayat Land). (Named as Sarasvati Storage Reservoir), filling of Sarasvati Storage Reservoir
1.6 Demolition works? No The project does not entail any demolition works
1.7 Temporary sites used for construction works or housing of construction workers? Yes Temporary labour camps would be required for construction phase.
1.8 Above ground buildings, structures or earthworks including linear structures, cut and fill or excavations and fill or excavations Yes Dam will be constructed as superstructure (30 m )
1.9 Underground works including mining or tunnelling? Yes Mining will be done for reservoir and underground pipe link
1.10 Reclamation works? No No reclamation works
1.11 Dredging? No -
1.12 Offshore structures? No Not Applicable
1.13 Production and manufacturing processes? No No manufacturing process is involved in project per se, which are based on consumptive use of available /stored discharge in river.
1.14 Facilities for storage of goods or materials? No Project is not a goods manufacturing or production unit. However, during project construction/operation, storage for materials like cement/ steel, Heavy Machinery equipment /aggregate/ sand etc. would be needed.
1.15 Facilities for treatment or disposal of solid waste or liquid effluents? No Project process does not entail generation of solid or liquid waste. However, sewerage & solid waste will be generated from labour camp for which STP & septic tank shall be proposed in the EMP. Municipal Solid waste would be disposed as per MSW Rules 2016 for which Sanitation and solid waste management plan shall be formulated under EMP. However, as far as disposal of muck is concerned, a separate muck management plan shall be prepared under EMP.
1.16 Facilities for long term housing of operational workers? No The operational staff would be housed close to construction site and upon commissioning of the project construction staff would be shifted to other projects.
1.17 New road, rail or sea traffic during construction or operation? Yes During construction stage, road traffic will increase due to transportation of construction material, equipment and machines. Afterwards, Road will be utilized to facilitate transportation means for the local inhabitants which is proposed in DPR.
1.18 New road, rail, air water borne or other transport infrastructure including new or altered routes and stations, ports, airports etc? Yes New road connectivity will be provided to facilitate the local inhabitants which will be the part of DPR
1.19 Closure or diversion of existing transport routes or infrastructure leading to changes in traffic movements? No There would not be any closure or diversion of existing roads or routes leading to any traffic diversion.
1.20 New or diverted transmission lines or pipelines? Yes Transmission line for evacuation of power and new pipelines shall be laid .
1.21 Impoundment, damming, culverting, realignment or other changes to the hydrology of watercourses or aquifers? Yes Impoundment and damming in the proposed project are on a seasonal river. Hence the anticipated adverse changes in the hydrology of water course will be bare minimum whereas the release of environmental flow will ensure the beneficial changes in hydrology
1.22 Stream crossings? Yes The same shall be identified during the process of detailed investigations for approach roads, aquaducts, etc.
1.23 Abstraction or transfers of water from ground or surface waters? Yes The proposed project will involve transfer of Water of Somb Nadi for the rejuvenation of Sarasvati river through Sarasvati reservoir
1.24 Changes in water bodies or the land surface affecting drainage or run-off? Yes The proposed project will change the waterbodies on account of reservoir formation as a result of construction of dam.
1.25 Transport of personnel or materials for construction, operation or decommissioning? Yes Construction would entail, transportation of construction material locally and from outside. During construction, the labour from labour camps shall be daily transported to the work site and on de - commissioning, the personnel shall be shifted from the project site except the persons required for operation phase
1.26 Long-term dismantling or decommissioning or restoration works? No NA
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? Yes About 200 persons shall be employed during peak construction phase. The influx of labour shall be limited being confined during construction period
1.29 Introduction of alien species? No Only indigenous species will be planted
1.30 Loss of native species or genetic diversity? No -
1.31 Any other actions? No All other aspects prescribed in the TOR shall be complied.
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 31.16 hectares Forest land will be changed to water body
2.2 Water (expected source & competing users) unit: KLD Yes The water requirement (100 KLD) for construction shall be mainly met from the river water and the domestic/drinking water from underground sources from nearby private tube well
2.3 Minerals (MT) Yes No minerals shall be used for the construction of the project except the minor minerals i.e. boulder, sand, coarse aggregate and bajri.
2.4 Construction material – stone, aggregates, sand / soil (expected source – MT) Yes Detail will be provided in EIA Report.
2.5 Forests and timber (source – MT) No The conventional use of fuel wood by the labor shall be totally banned and it will be substituted through use of LPG/ Kerosene. Timber shall be required only for construction works in buildings.
2.6 Energy including electricity and fuels (source, competing users) Unit: fuel (MT),energy (MW) Yes Construction power shall be met from the existing transmission network in the area. LPG cylinders shall be used as fuel in lieu of fuel wood. The demand of POL and HSD oil shall be met from outside.
2.7 Any other natural resources (use appropriate standard units) Yes Use of solar heater and light in the project area shall be provided in the EMP.
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 -
3.2 Changes in occurrence of disease or affect disease vectors (e.g. insect or water borne diseases) Yes There is a slight possibility of increase in some vector population due to impoundment of water in reservoir and stagnant water u/s of cross regulators, .
3.3 Affect the welfare of people e.g. by changing living conditions? Yes The project will open new vista of employment and increase business which will lead to better living conditions. Project will uplift the economy of the local people by direct and indirect employment opportunity especially tourism.
3.4 Vulnerable groups of people who could be affected by the project e.g. hospital patients, children, the elderly etc. No No hospital, school exists nearby the project area.
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 Yes In this project, it is proposed to collect the construction waste from various construction sites ,and disposed at sites identified in consultation with the district administration. Various construction sites would be properly leveled. The leveling or reclamation of various construction sites shall be made mandatory for the Contractor, involved in the construction work. The details of the same shall be covered as a part of EMP to be presented as a part of the EIA report.
4.2 Municipal waste (domestic and or commercial wastes) Yes Solid municipal waste shall be generated from labor camps. The collected bio-degradable waste shall be disposed at suitable landfill sites, organic waste will be suitably processed to for compost while the non-bio-degradable waste shall be incinerated. Commercial waste shall be stored and periodically disposed by auction.
4.3 Hazardous wastes (as per Hazardous Waste Management Rules) No No hazardous waste shall be generated
4.4 Other industrial process wastes No -
4.5 Surplus product No -
4.6 Sewage sludge or other sludge from effluent treatment Yes Effluent is not generated in project. However, liquid effluent shall be generated from the project colonies and labor camps which will be suitably processed through septic tanks/soak pits respectively. The liquid effluent after treatment shall be discharged into nearby stream.
4.7 Construction or demolition wastes Yes Construction or demolition waste from various construction sites shall be disposed at site identified in consultation with the district administrator.
4.8 Redundant machinery or equipment Yes The work shall be carried out contractually; therefore, the construction agency shall remove from the site all the redundant plant and equipment from the site after completion of the work.
4.9 Contaminated soils or other materials No No contamination of the soil or other materials is envisaged during construction or in operation phase. The POL shall be stored in proper containers and inside sheds / stores provided with suitable flooring and equipped with fire protection arrangements.
4.10 Agricultural wastes No No agriculture waste is produced during construction and operation of an irrigation project per se. However, the agriculture waste shall be produced after harvesting of crops, which shall be used by the farmers for various purposes
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 There will be emissions from use of vehicles and construction equipment which will be limited to project site only.
5.2 Emissions from production processes No No production process is contemplated in the project. Thus, it will not lead to any emission.
5.3 Emissions from materials handling including storage or transport Yes The use of transport vehicle for carriage of material shall lead to emission. However, there will be no emission during material handling except for the dust pollutants during handling of cement bags, which will be controlled.
5.4 Emissions from construction activities including plant and equipment Yes No production process is contemplated in the project. However emissions from plants & equipment shall follow applicable norms.
5.5 Dust or odours from handling of materials including construction materials, sewage and waste Yes Dust/odors may be produced from handling of material, municipal waste and sewage waste.
5.6 Emissions from incineration of waste No No,incineration at the site.
5.7 Emissions from burning of waste in open air (e.g. slash materials, construction debris) No No burning of material is proposed at any site
5.8 Emissions from any other sources No NA
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 will be generated during operation of construction equipment like concrete mixture. However, the impact shall be on the workers who are near to the site of operation. Since blasting is not contemplated now, there shall be no vibration
6.2 From industrial or similar processes No No industrial process is involved in the project.
6.3 From construction or demolition Yes Noise will be generated during operation of construction equipment
6.4 From blasting or piling No Not proposed
6.5 From construction or operational traffic Yes The movement of tippers/trucks for transportation of construction material and transit concrete mixtures during construction shall cause temporary increase in noise levels.
6.6 From lighting or cooling systems No No heat and light emissions except during welding operation are generated during the construction phase.
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 The oil spillage from the POL shall be collected in the settling tank and the oil separated before disposal of the liquid.
7.2 From discharge of sewage or other effluents to water or the land (expected mode and place of discharge) No The liquid effluent shall be generated from the labour camps which will be suitably processed through STP and septic tanks/soak pits respectively. The liquid effluent after treatment shall be discharged into nearby water body.
7.3 By deposition of pollutants emitted to air into the land or into water Yes Excavation and the running of excavators and loaders shall cause fugitive dust as well as gaseous emissions which get deposited on land and water.
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 No incidence of long term builds up of pollutants is expected as the project is likely to be completed within a time frame of 36 months including the preconstruction activities. Moreover, the project area is in remote location and due to openness of the area, the pollutant load is cleared on daily basis.
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 No NA
8.2 From any other causes No NA
8.3 Could the project be affected by natural disasters causing environmental damage (e.g. floods, earthquakes, landslides, cloudburst etc)? No However, during monsoon when the water in the reservoir is at FRL, any flash flood in the catchment due to incessant rains could cause disaster by failure of dam by piping or overtopping. The project area lies within Seismic Zone-IV as per seismic zoning map of India (IS: 1893:2002), therefore, high magnitude earthquakes are not expected.
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 development of supporting facilities, ancillary development and tourism will be stimulated by the project. These developments will have significant impact on the environment and adequate measures will be taken to safeguard environment as per the norms, regulations, rules and guidelines of central pollution control board and Haryana Pollution Control Board. These will be part of environment management plan.
9.2 Lead to after-use of the site, which could have an impact on the environment Yes The reservoir can be used for water sports and pisciculture.
9.3 Set a precedent for later developments Yes The project will enhance local development
9.4 Have cumulative effects due to proximity to other existing or planned projects with similar effects No -
(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 Kalesar WLS ,8.529 Km. from submergence periphery of the proposed project. Simbalbara WLS ,11.5 Km from dam site.
2 Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Yes 31.16 ha of Matar Reserve Forest Land will be submerged.
3 Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration No The land is not used by any important or sensitive species of flora or fauna for breeding, nesting, migration however, further study will be conducted during EIA report.
4 Inland, coastal, marine or underground waters No NA
5 State, National boundaries Yes Haryana- Himachal Pradesh state boundary Adjacent to the project.
6 Routes or facilities used by the public for access to recreation or other tourist, pilgrim areas Yes Adi-Badri archaeological Site & Religious tourist place approx. 500 m away from the dam site.
7 Defence installations No There are no defense installations in or around the project area.
8 Densely populated or built-up area No The project area is not densely populated or built-up area
9 Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship, community facilities) Yes Adi-Badri archaeological Site & Religious tourist place approx. 500m away from the dam site.
10 Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) No None
11 Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) No None
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 -
(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
Additional Attachments, if any
Attached File
ADS Letter
      Essential Detail Sought : NIL
            Additional Detail Sought:
Sno. ADS Letter Remarks Date of ADS
1. ADS Reply LetterThe ADS reply along with PFR has been attached for reconsideration. 26 Mar 2019
2.NAThe project cannot be accepted in the present form as it is not having any definite objectives. Hence, the project is deferred and shall be considered after submission of detailed information regarding quantum of culturable command area taken up for irrigation along with PFR. 07 Sep 2018
(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 ApplicantVikas
DesignationS.D.O
Name of Company (Applicant Name should not be given here)IRRIGATION AND WATER RESOURCES DEPARTMENT HARYANA
AddressSinchai Bhawan, Sec-5, Panchkula, Haryana
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