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 Setting-up of Sira Industrial Area
Brief summary of projectAnnexure-Brief summary of project
Proposal Number IA/KA/NCP/64746/2017
Project Cost 28525 lacs
2.
S. No. in the schedule7(c) Industrial estates/ parks/ complexes/ areas, export processing Zones
Project Sector INFRA-1
3. Proposed capacity/area/length/tonnage to be handled/command area/lease area/number or wells to be drilled 329.9Ha ha.
4.
New/Expansion/ModernizationNew
5. Existing Capacity/Area etc. 329.9 ha.
6. Category of project i.e. 'A' or 'B' A
7.
Does it attract the general condition? If yes, please specify Yes
d) Inter-State boundaries and international boundaries
8.
Does it attract the specific condition? If yes, please specify No
9.
Location of the projectMudugere kawal, Sira Taluk, Tumkur District, 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.Enclosed as Annexure-I at the end of Form-1.
Town / VillageMudugere kawal
State of the projectKarnataka
Details of State of the project
S.no State Name District Name Tehsil Name
(1.)KarnatakaTumkurSira
10.
Nearest railway station along with distance in kms Sira Railway Station, 5 km
Nearest airport along with distance in kms Bangalore Air port, 120 km
11. Nearest Town/City/District Headquarters along with distance in kms Sira , 5 km
12. Village Panchayats, Zila Parishad, Muncipal Corporation, Local body (Complete postal address with telephone nos. to be given) Mudugere Kawal Village Panchayat Sira town taluk – 3 km Tumkur District – 50 km
13. Name of the Applicant Mr.T.R.Swamy
14. Registered Address 4th & 5th floors, Khanija Bhavan, East Wing, No.49, Race Course Road, Bangalore 560001
15.
Address for correspondance:
Name of the Company Mr.T.R.Swamy
Name of the Applicant Mr.T.R.Swamy
Designation (Owner/ Partner/ CEO) Chief Development Officer (CDO)
Pin code 560001
E-mail cdocekiadb@gmail.com
Telephone No. 080-22267891
Fax No. 080-22267901
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?Yes
Uploaded Order/PolicyAnnexure-Uploaded order/policy
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 cover / topography of the land will be altered after the establishment of the Proposed industries in the Sira Industrial Area.
1.2 Clearance of existing land, vegetation and buildings? No There are no buildings/ structures in the proposed site.
1.3 Creation of new land uses? Yes For Industrial Use.
1.4 Pre-construction investigations e.g. bore houses, soil testing? Yes Soil Testing would be made prior to start of the industrial area development activities.
1.5 Construction works? Yes Fencing Activities and Internal Roads, Drains and Street lights etc. to be made after the start of the Development.
1.6 Demolition works? No There are no demolition works involved
1.7 Temporary sites used for construction works or housing of construction workers? Yes Mostly local labor will be employed. However temporary labor sheds will be provided for the construction workers and they will be cleared after completion of the construction work. Concerned contractor is responsible for providing these facilities and removing them subsequently.
1.8 Above ground buildings, structures or earthworks including linear structures, cut and fill or excavations and fill or excavations Yes During site preparation, the excavated material will be used for laying of internal roads and filling-up of low lying areas within the project area.
1.9 Underground works including mining or tunnelling? No The project does not involve any mining or tunneling activities
1.10 Reclamation works? No Not applicable
1.11 Dredging? No Not applicable
1.12 Offshore structures? No Not applicable
1.13 Production and manufacturing processes? No The Proposed Project is an Industrial Area development Project. It is proposed to be established new industries of all category B projects. The details are presented in Pre Feasibility Report (enclosed).
1.14 Facilities for storage of goods or materials? Yes Temporary facilities will be developed during construction phase for storage of construction materials.
1.15 Facilities for treatment or disposal of solid waste or liquid effluents? Yes Solid Waste Construction Stage: The solid waste during the construction phase will comprise of excavated earth, building construction materials. The construction wastes will be reused mostly for leveling the site and the segregated recyclable wastes like metals, glass and plastic wastes will be sold to the authorized vendors. In addition to that there will be some municipal solid waste generation during the construction stage which will be collected and disposed off at the designated muni
1.16 Facilities for long term housing of operational workers? No No long term housing is proposed. Mostly local labor will be employed. However temporary labor sheds will be provided for the construction workers and they will be cleared after completion of the construction work. Concerned contractor is responsible for providing these facilities and removing them subsequently.
1.17 New road, rail or sea traffic during construction or operation? No During construction new roads will be constructed for man and material movement.
1.18 New road, rail, air water borne or other transport infrastructure including new or altered routes and stations, ports, airports etc? Yes There would be an Increase in traffic due to the Proposed industrial area. However, Internal Roads would be made for maintaining the free flow of traffic.
1.19 Closure or diversion of existing transport routes or infrastructure leading to changes in traffic movements? Yes Internal roads will be provided, to make free flow of traffic.
1.20 New or diverted transmission lines or pipelines? No Internal electrical lines and water/sewer pipelines will be laid to provide the infrastructural facilities for the proposed project. Diversion of transmission lines and pipelines is not involved in the proposed project.
1.21 Impoundment, damming, culverting, realignment or other changes to the hydrology of watercourses or aquifers? No No
1.22 Stream crossings? No No stream crossings.
1.23 Abstraction or transfers of water from ground or surface waters? No Construction Stage: Source: Hemavathi Canal water linked with Sira Tank and Ground water from borewell. Operation Stage: The Industries to be proposed are “B”Category industries that utilize minimum water. Individual industries have to take permission from the Authorities for water intake.
1.24 Changes in water bodies or the land surface affecting drainage or run-off? Yes The project will involve construction of hard paved areas and hence the quantity of run-off will increase due to reduced infiltration. The runoff will be managed through a well designed storm water network and will be used for artificial recharge of underground aquifers.
1.25 Transport of personnel or materials for construction, operation or decommissioning? Yes Construction materials and labour movement will be there at construction stage.
1.26 Long-term dismantling or decommissioning or restoration works? No No long term dismantling works involved.
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? Yes Temporary influx of labour force will be there only during construction phase. However, influx of skilled and professionals will be employed on long term basis at the time of operations of the proposed industries in the Industrial development area.
1.29 Introduction of alien species? No Not applicable
1.30 Loss of native species or genetic diversity? No Only local native species will be utilized for green belt development
1.31 Any other actions? No Only local native species will be utilized for green belt development
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 The entire land has been private and govt. land that has been acquired by KIADB
2.2 Water (expected source & competing users) unit: KLD Yes Source: Hemavathi Canal connected with Sira Tank & Bore well Water expected capacity – 0.81 MLD The water for drinking and domestic purposes is provided by KIADB through Water tank of 225 cusecs capacity.
2.3 Minerals (MT) No No Minerals involved
2.4 Construction material – stone, aggregates, sand / soil (expected source – MT) Yes 1225 MT/km (approximately) Source of the construction material is the local available market near by the project site.
2.5 Forests and timber (source – MT) No No forest cutting is involved in the project. However timber is purchased in local timber Depots.
2.6 Energy including electricity and fuels (source, competing users) Unit: fuel (MT),energy (MW) Yes Sub Station is proposed for the Industrial area. The location of the proposed sub-station is as shown in the enclosed location map.
2.7 Any other natural resources (use appropriate standard units) No No other natural resource except mentioned above will be used.
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 Sponge iron, iron re-rolling mills are the type of industries proposed. Each individual industry will have to take Hazardous waste authorization Consent from KSPCB for running their unit.
3.2 Changes in occurrence of disease or affect disease vectors (e.g. insect or water borne diseases) No No Disease or affect of Disease
3.3 Affect the welfare of people e.g. by changing living conditions? Yes Increase employment
3.4 Vulnerable groups of people who could be affected by the project e.g. hospital patients, children, the elderly etc. No Not Applicable
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 Yes Excavated earth to be re-used for site leveling.
4.2 Municipal waste (domestic and or commercial wastes) Yes Municipal Solid Waste Domestic Waste collection system will be collected and dumped at specified location within the site. Twin bins system will be adopted for segregation of wastes at source. Recyclable wastes will be sold off to authorized vendors. Bio-degradables will be treated on-site through Organic Waste Converter and the compost will be used as manure. Operation Stage: Waste generation from the individual industries, each industry has to obtain separate authorization, however there
4.3 Hazardous wastes (as per Hazardous Waste Management Rules) Yes Each industry has to obtain separate authorization,
4.4 Other industrial process wastes No Proposed is an industrial Area, no process wastes may be generated consisting of Engineering Works, foundry, etc.
4.5 Surplus product No Not applicable
4.6 Sewage sludge or other sludge from effluent treatment Yes The sludge generated from STP will be collected and disposed as directed by regulatory authorities
4.7 Construction or demolition wastes Yes Construction waste would be utilized internally to the maximum extent possible.
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 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 Particulate matter, SO2, NOx Emissions from mobile sources will be mainly from the movement of trucks and/ or tankers.
5.2 Emissions from production processes Yes • Suspended particulate matter, SO2, NOX
5.3 Emissions from materials handling including storage or transport Yes Dust emissions due to solid material handling
5.4 Emissions from construction activities including plant and equipment Yes Fugitive emissions
5.5 Dust or odours from handling of materials including construction materials, sewage and waste Yes Fugitive emissions No odour problem is expected from proposed project.
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 Not applicable
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 No Not applicable
6.2 From industrial or similar processes No Not applicable
6.3 From construction or demolition Yes The expected noise levels (dB) generated from construction equipment at a distance of 50 ft. from the source are given below: Concrete Mixer Truck - 85 dB Hammering - 86 dB Loader - 81 dB
6.4 From blasting or piling No Not applicable
6.5 From construction or operational traffic Yes Traffic related noise will be generated during construction and operational phase which will not have any significant impact and is localized.
6.6 From lighting or cooling systems No Not applicable
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 Operation under closed circuit system.
7.2 From discharge of sewage or other effluents to water or the land (expected mode and place of discharge) Yes Sewage and all effluents will be treated and meeting the norms specified by CPCB/SPCB
7.3 By deposition of pollutants emitted to air into the land or into water No None
7.4 From any other sources No None
7.5 Is there a risk of long term build up of pollutants in the environment from these sources? No None
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 Leakages and accidental release. All preventive as well as incidental measures will be followed. All provisions of boiler & factory rules, personnel & Safety rules. Fire safety rules will be strictly observed from the inception of the project.
8.2 From any other causes No None
8.3 Could the project be affected by natural disasters causing environmental damage (e.g. floods, earthquakes, landslides, cloudburst etc)? Yes The project site falls under seismic zone – II.
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 No Not applicable
9.4 Have cumulative effects due to proximity to other existing or planned projects with similar effects No Not applicable
(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 None within 10 km radius of the proposed plant site
2 Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests No None within 10 km radius of the proposed plant site
3 Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration No None within 10 km radius of the proposed plant site
4 Inland, coastal, marine or underground waters Yes Sira lake – 2.5 km
5 State, National boundaries No None within 10 km radius of the proposed plant site
6 Routes or facilities used by the public for access to recreation or other tourist, pilgrim areas No None within 10 km radius of the proposed plant site
7 Defence installations No None within 10 km radius of the proposed plant site
8 Densely populated or built-up area No
9 Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship, community facilities) Yes Tumkur town – 50 km Sira Taluk- 3.0 km
10 Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) No None within 10 Tumkur town – 50 km Sira Taluk- 3.0 km km radius of the proposed plant site
11 Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) No None within 10 km radius of the proposed plant site
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 None within 10 km radius of the proposed plant site
(IV) Proposed Terms of Reference for EIA studies
1 Uploaded Proposed TOR File Annexure-TOR file
2 Uploaded scanned copy of covering letter Annexure-scanned copy of covering letter
3 Uploaded Pre-Feasibility report(PFR) Annexure-PFR
4 Uploaded additional attachments(only single pdf file) Annexure-Additional attachments
Additional Attachments, if any
Attached File
            Essential Detail Sought:
Sno. EDS Letter Remarks Date of EDS
1.NAThe correction have been made as per the instruction received 13 Nov 2017
2.NA1. Whether it is a 'A'/'B category project not clear? 2. Whether wildlife sanctuary project falling within 10 km radius of the project or not? 3. If it is a B category project and wildlife sanctuary not falling within 10 km radius of the project. Please withdraw the application and apply to SEIAA, Karnataka. 13 Nov 2017
3.NAThe correction have been made as per the instruction received 10 Nov 2017
4.NA1.In basic information of Form-I 21(2) it was mentioned No that the proposal involves approval/clearance under the wildlife (Protection) Act,1972.But in brief summary of project kagaladu bird sanctuary is 9.8 km please clarriffy in this regard 2 .Please submit a plan showing with distance between proposed Industrial area and Kagaladu wild life santuary 18 Jul 2017
            Additional Detail Sought:
Sno. ADS Letter Remarks Date of ADS
1.NAThe proposal was not considered by the EAC due to lack of clarity on scoping of the proposal. 06 Dec 2017
(V) Undertaking
I hereby give undertaking that the data and information given in the application and enclosures are true to be best of my knowledge and belief and I am aware that if any part of the data and information found to be false or misleading at any stage, the project will be rejected and clearance given, if any to the project will be revoked at our risk and cost.
V.(i)
Name of ApplicantMr.T.R.Swamy
DesignationChief Development Officer (CDO)
Name of Company (Applicant Name should not be given here)Mr.T.R.Swamy
Address4th & 5th floors, Khanija Bhavan, East Wing, No.49, Race Course Road, Bangalore 560001
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