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 New 65 KLPD molasses based distillery/ ethanol plant
Brief summary of projectAnnexure-Brief summary of project
Proposal Number IA/KA/IND2/84774/2018
Project Cost 10475 lacs
2.
S. No. in the schedule5(g) Distilleries
Project Sector Industrial Projects - 2
3. Proposed capacity/area/length/tonnage to be handled/command area/lease area/number or wells to be drilled 65 KLPD 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 No
8.
Does it attract the specific condition? If yes, please specify No
9.
Location of the projectvillage Kukkuwada, Tal. & Dist. Davangere, Karnataka.
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.40/5, 40/6, 52/1, 52/2, 71
Town / VillageKukkuwada
State of the projectKarnataka
Details of State of the project
S.no State Name District Name Tehsil Name
(1.)KarnatakaDavanagereDavanagere
10.
Nearest railway station along with distance in kms Tholahhunase, 12 km
Nearest airport along with distance in kms Hubballi Airport, 139 km
11. Nearest Town/City/District Headquarters along with distance in kms Davangere , 15 km
12. Village Panchayats, Zila Parishad, Muncipal Corporation, Local body (Complete postal address with telephone nos. to be given) Kukkuvada
13. Name of the Applicant Ganesh
14. Registered Address No. 73/1, P.B. No. 312, Shamanur Road, Davangere
15.
Address for correspondance:
Name of the Company DAVANGERE SUGAR COMPANY LTD
Name of the Applicant Ganesh
Designation (Owner/ Partner/ CEO) MD
Pin code 577004
E-mail davangeresugars@gmail.com
Telephone No. 08192-201789
Fax No. 08192-201627
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 Present Land use will change to Industrial use
1.2 Clearance of existing land, vegetation and buildings? Yes Minor clearance of site will be take place for erection of project. There will be provision for Green Belt development in & around the project site.
1.3 Creation of new land uses? Yes Land will be converted into additional distillery unit
1.4 Pre-construction investigations e.g. bore houses, soil testing? Yes Geo technical investigation will be carried out for ascertaining the safe bearing capacity for design of foundation.
1.5 Construction works? Yes Geo technical investigation will be carried out for ascertaining the safe bearing capacity for design of foundation.
1.6 Demolition works? No N.A.
1.7 Temporary sites used for construction works or housing of construction workers? Yes About 50 workers at the peak time will work and reside in temporary colony outside the project site.
1.8 Above ground buildings, structures or earthworks including linear structures, cut and fill or excavations and fill or excavations Yes Most of the structures will be above ground
1.9 Underground works including mining or tunnelling? No N.A.
1.10 Reclamation works? No N.A.
1.11 Dredging? No N.A.
1.12 Offshore structures? No N.A.
1.13 Production and manufacturing processes? Yes Continuous fermentation/Fed batch method to ferment molasses into alcohol, which is distilled in a multistage distillation/pressure vacuum column, system.
1.14 Facilities for storage of goods or materials? Yes Provisional arrangement will be made at site for storage of construction materials, ethanol will stored in ethanol tank.
1.15 Facilities for treatment or disposal of solid waste or liquid effluents? Yes Spent wash concentration in evaporator and burn in spent wash fired boiler.
1.16 Facilities for long term housing of operational workers? Yes Existing residential colony for factory employees.
1.17 New road, rail or sea traffic during construction or operation? Yes Existing road network shall be utilized.
1.18 New road, rail, air water borne or other transport infrastructure including new or altered routes and stations, ports, airports etc? No NA
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? Yes Surface water. Permission for the same is available.
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 The constructed material will be transported by existing road network
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 Influx During Construction: 50-70 Influx During Operation: 85
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) Yes Undeveloped and within existing premises
2.2 Water (expected source & competing users) unit: KLD Yes Average water requirement for proposed distillery will be 650 CMD
2.3 Minerals (MT) No NA
2.4 Construction material – stone, aggregates, sand / soil (expected source – MT) Yes Cement, Metal and Sand will be used during construction and Operation as per requirement from local markets.
2.5 Forests and timber (source – MT) No N.A.
2.6 Energy including electricity and fuels (source, competing users) Unit: fuel (MT),energy (MW) Yes Electricity will be provided from existing co-generation unit and steam will be from proposed incineration boiler.
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 No N.A.
3.2 Changes in occurrence of disease or affect disease vectors (e.g. insect or water borne diseases) No N.A.
3.3 Affect the welfare of people e.g. by changing living conditions? No As the proposed project will create more employment opportunities in the area and there by a substantial improvement in the socio-economic status of the people in the area will take place.
3.4 Vulnerable groups of people who could be affected by the project e.g. hospital patients, children, the elderly etc. No N.A.
3.5 Any other causes No N.A.
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 N.A.
4.2 Municipal waste (domestic and or commercial wastes) Yes All the domestic waste will be disposed as per the norms. Scrap material like empty containers, bags, plastics etc. will be sent to authorized vendors for recycling / disposal
4.3 Hazardous wastes (as per Hazardous Waste Management Rules) Yes The only hazardous waste is spent oil. The spent oil is mixed with bagasse and burnt in boiler
4.4 Other industrial process wastes Yes Solid waste generated would be yeast sludge and ash from the boiler. Yeast will be mix with press mud and bagasse yard and sell to farmer as manure
4.5 Surplus product No N.A.
4.6 Sewage sludge or other sludge from effluent treatment Yes All the sludge will be used as manure in the green belt.
4.7 Construction or demolition wastes Yes Construction waste will be used to strengthen the foundation of plant in either case it will recycled through authorized vendor.
4.8 Redundant machinery or equipment No N.A.
4.9 Contaminated soils or other materials No N.A.
4.10 Agricultural wastes No N.A.
4.11 Other solid wastes No N.A.
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 ESP will be provided to check the pollution from stack
5.2 Emissions from production processes Yes PM, SO2, NOx, CO, CO2
5.3 Emissions from materials handling including storage or transport Yes Emissions from materials handling and Transportation are PM10, PM2.5, SOx, NOx Fugitive dust from ash handling system. Dust extraction and suppression system will be provided.
5.4 Emissions from construction activities including plant and equipment Yes PM10, PM2.5, SOx, NOx
5.5 Dust or odours from handling of materials including construction materials, sewage and waste Yes Fugitive dust from material handling system. Dust extraction and suppression system will be provided.
5.6 Emissions from incineration of waste Yes Particulate matter , SOx and Nox
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 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 Sources of noise are boiler, distillation assembly, D.G. Sets etc.
6.2 From industrial or similar processes Yes Sources of noise are boiler, distillation assembly, D.G. Sets
6.3 From construction or demolition Yes Sources of noise Pollution during construction phase are machinery like compressor, Compactors, Cranes and Transportation Materials. Etc.
6.4 From blasting or piling No NA
6.5 From construction or operational traffic Yes During construction and operation upkeep and maintenance of vehicles will be done to keep the noise level under permissible limit.
6.6 From lighting or cooling systems Yes Cooling Tower
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 No any hazardous substances required for process or likely to be generated through the process.
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 any effluent outside the plant boundary. Zero Liquid Discharge (ZLD) system shall be adopted.
7.3 By deposition of pollutants emitted to air into the land or into water Yes ESP will be installed to boiler. Unloading areas will be provided with water sprinklers to prevent the fugitive dust. All conveyors will be completely covered with GI sheets. Coal in coal yard and ash will be stored in silos under shed. Proper care will be taken to reduce dust emission, wherever possible.
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 During process of manufacturing, storage, handling or transportation, no emission will take place, as the manufacturing process is a closed process. Hence, there is no possibility of pollutants getting built-up. To avoid such risk, regular ambient as well as workplace monitoring will be performed periodically to assess the concentration of individual pollutants to initiate required control measures if any.
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 Risk is involved due to fire, spillages, and explosion. Proper firefighting will be designed. Codes and standards Of National Fire Protection Association (NFPA) will be followed as applicable. Moreover, risk analysis will be carried out and mitigation measure will be implemented.
8.2 From any other causes Yes There is a risk of accident during construction however proper safety measures will be taken.
8.3 Could the project be affected by natural disasters causing environmental damage (e.g. floods, earthquakes, landslides, cloudburst etc)? No To mitigate the effect of natural disaster like floods, earthquakes and cloudburst, appropriate disaster management plan will be developed and implemented to minimize the effects on environment and human health.
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 All activity of the proposed project will be mainly using raw material and infrastructure of existing sugar factory.
9.2 Lead to after-use of the site, which could have an impact on the environment No No any
9.3 Set a precedent for later developments Yes Area is relatively under developed. The project will play an important role in the overall development of the area. Possibility of developing supporting industrial activities in surrounding areas.
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 N.A
2 Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Yes Small water stream around 1.0 km Devarabelekere reservoir 7.23 km
3 Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration No N.A
4 Inland, coastal, marine or underground waters No N.A
5 State, National boundaries No N.A
6 Routes or facilities used by the public for access to recreation or other tourist, pilgrim areas No N.A
7 Defence installations No N.A
8 Densely populated or built-up area Yes Davangere 15.0 km
9 Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship, community facilities) No NA
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) 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 ApplicantGanesh
DesignationMD
Name of Company (Applicant Name should not be given here)DAVANGERE SUGAR COMPANY LTD
AddressNo. 73/1, P.B. No. 312, Shamanur Road, Davangere
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