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 Kalasa & Bhandura Nala Diversion Scheme for Drinking Water Supply
Brief summary of projectAnnexure-Brief summary of project
Proposal Number IA/KA/RIV/104210/2019
Project Cost 84052 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 NA 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
8.
Does it attract the specific condition? If yes, please specify No
9.
Location of the projectKanakumbi Chorla and Nerse villages of Khanapur Taluk Belgaum 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.Kanakumbi Chorla and Nerse Villages of Khanapur Taluk Belgaum District KA
Town / VillageKanakumbi Chorla and Nerse Villages of Khanapur Taluk Belgaum District KA
State of the projectKarnataka
Details of State of the project
S.no State Name District Name Tehsil Name
(1.)KarnatakaBelgaumKhanapur
10.
Nearest railway station along with distance in kms Khanapur, 10.74 km
Nearest airport along with distance in kms Belgaum, 35.79 km
11. Nearest Town/City/District Headquarters along with distance in kms Khanapur , 10.74 km
12. Village Panchayats, Zila Parishad, Muncipal Corporation, Local body (Complete postal address with telephone nos. to be given) Kanakumbi Gram Panchayath Kanakumbi Khanapur Karnataka 591345 9480854530
13. Name of the Applicant Chief
14. Registered Address The Chief Engineer, KNNL, Malparabha Project Zone,Dharwad - 580001
15.
Address for correspondance:
Name of the Company KARNATAKA NEERAVARI NIGAM LIMITED
Name of the Applicant Chief
Designation (Owner/ Partner/ CEO) CE
Pin code 580001
E-mail cekalasaknnl@gmail.com
Telephone No. 0836-2447793
Fax No. 0836-
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 Yes
Uploaded detailsAnnexure-Uploaded details
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
StatusApplication for Forest Clearance yet to be submitted
(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)499.13 ha.
24.
Whether there is any litigation pending against the project and/or land in which the project is proposed to be set up?Yes
(a) Name of the CourtSupreme Court of India
(b) Name of the Sub court
(c) Case No.SLP 33018-2018
(d) Orders/directions of the court, if any and relevance with the proposed projectThe streams proposed for diversion within Karnataka in Mahadayi basin shares interstates boundary with Goa and Maharashtra and hence the project was adjudicated at Hon’ble Mahadayi Water Dispute Tribunal (MWDT). Hon’ble Tribunal in its award dated 14.08.2018, directed the state of Karnataka to implement the project after obtaining mandatory clearances as required by the law. The Hon’ble Tribunal has awarded 3.90 TMC of Water (1.72TMC from Kalasa Nala Diversion + 2.18 TMC from Bhandura Nala Diver
(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 Construction of three diversion dams namely Haltara diversion dam, Kalasa diversion dam and Bhandura diversion dam involving diversion of 499.13 Ha of forest land which includes submergence of 406.6 Ha of forest land will be a permanent change in land use, land cover and topography.
1.2 Clearance of existing land, vegetation and buildings? Yes The proposed project requires a total land of 730.92 Ha of land: • Forest and Wildlife land: 499.13 Ha (includes submergence area), • Government land: 48.49 Ha and • Private land: 183.30 Ha.
1.3 Creation of new land uses? Yes The existing forest and riverine land use will be converted to submergence.
1.4 Pre-construction investigations e.g. bore houses, soil testing? Yes It involves geo-technical investigations and soil testing before constructing the project.
1.5 Construction works? Yes The construction activities includes 1. Construction of Diversion dam across Haltara nala. 2. Construction of Diversion dam across Kalasa nala. 3. Construction of Inter connecting gravity canal from FRL of Haltara diversion dam to FRL of Kalasa diversion dam. 4. Construction of interconnecting canal from Kalasa diversion dam to Malaprabha River. 5. Construction of Diversion dam across Bhandura nala. 6. Construction of Inter connecting gravity canal from Bhandura Diversion dam to a tributa
1.6 Demolition works? No NA
1.7 Temporary sites used for construction works or housing of construction workers? Yes Temporary sheds for labourers will be constructed during construction phase.
1.8 Above ground buildings, structures or earthworks including linear structures, cut and fill or excavations and fill or excavations Yes Haltara diversion dam, Kalasa diversion dam, Bhandura diversion dam are above ground structures are proposed.
1.9 Underground works including mining or tunnelling? No NA
1.10 Reclamation works? No NA
1.11 Dredging? No NA
1.12 Offshore structures? No NA
1.13 Production and manufacturing processes? No NA
1.14 Facilities for storage of goods or materials? Yes Temporary sheds will be constructed for storage of construction materials.
1.15 Facilities for treatment or disposal of solid waste or liquid effluents? Yes Sewage generated from the labour camps will be treated in mobile STP which will be installed at labor camps and domestic solid waste will be disposed to nearby municipal authorities.
1.16 Facilities for long term housing of operational workers? Yes The project involves construction of housing for operational workers.
1.17 New road, rail or sea traffic during construction or operation? No There is no new road, rail or sea traffic. The existing facilities will be utilized during construction and operation phase.
1.18 New road, rail, air water borne or other transport infrastructure including new or altered routes and stations, ports, airports etc? Yes There is no rail, air waterborne or other transport infrastructure. Accordingly roads falling within MWL and FRL of Kalasa Reservoir shall be relocated and up gradation of existing roads during the operation phase of the project. The existing facilities will be utilized during construction and operation phase.
1.19 Closure or diversion of existing transport routes or infrastructure leading to changes in traffic movements? Yes The roads falling within MWL and FRL of Kalasa Reservoir shall be relocated
1.20 New or diverted transmission lines or pipelines? Yes New substation and transmission lines will be installed which do not affect the existing.
1.21 Impoundment, damming, culverting, realignment or other changes to the hydrology of watercourses or aquifers? Yes The proposed project components are planned across the existing nalas. However, construction of Haltara diversion dam at FRL 739 m, Kalasa diversion dam at FRL 735 m and Bhandura diversion dam at FRL 655 m changes hydrology of Haltara Nala, Kalasa Nala and Bhandura Nalas.
1.22 Stream crossings? Yes Cross drainages will be envisaged across the nalas.
1.23 Abstraction or transfers of water from ground or surface waters? Yes The proposed project involves supply of 7.56 TMC of water during monsoon season through interconnecting canals for providing drinking water facilities to Hubli-Dharwad towns, Kundgol town and enroute villages. However, the Mahadayi Water Disputes Tribunal on 14.08.2018 has awarded a total of 3.90 TMC of water for diversion from Mahadayi Basin to Malaprabha river for drinking water purpose, comprising of 1.72 TMC from Kalasa Nala and 2.18 TMC from Bhandura Nala.
1.24 Changes in water bodies or the land surface affecting drainage or run-off? Yes the yield available in Goa after construction of reservoirs in Karnataka is 92. 61 % of average flow during monsoon (June-October) non-monsoon (November-May) and 94.59% during June-May. With only 2% of yield being utilized in the form of diversion and evaporation, the balance 98% will be put back in the river in a regulated manner during the operation of the project."
1.25 Transport of personnel or materials for construction, operation or decommissioning? Yes Construction materials will be transported during construction period.
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 of labourers will be only during construction phase, minimal manpower will be employed for operation and maintenance of the project.
1.29 Introduction of alien species? No NA
1.30 Loss of native species or genetic diversity? Yes The project involves construction of three diversion dams involving diversion of forest area (499.13 Ha) belonging to semi evergreen and evergreen dense forests (eco-class I) which leads to the loss of native species such as Mangifera indica, Terminalia tomentosa, Pandanus tectorius, Jasminum angustifolium, Aporosa lingliana, Scutia myrtina, Bridelia retusa, Olea dioica, Canthium dicoccum, Holigarna grahamii, Ficus tsjahela, Anacardium occidentalis, Ziziphus mauritiana, etc.
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 The proposed project requires a total land of 730.92 Ha of land: • Forest land: 499.13 Ha (includes submergence area), • Government land: 48.49 Ha and • Private land: 183.30 Ha. The private land will be acquired as per the Right to Fair Compensation and Transparency in Land Acquisition Act, 2013. Whereas, the forest land will be diverted as per the provisions of Forest (Conservation) Act, 1980.
2.2 Water (expected source & competing users) unit: KLD Yes Water quantity: 22.5 KLD during construction phase (300 labourers) Source: River Mahadayi and River Malaprabha
2.3 Minerals (MT) No --
2.4 Construction material – stone, aggregates, sand / soil (expected source – MT) Yes Excavation: 40,86,105 Cum Murrum: 1,67,239 Cum Concrete: 2,31,650 Cum (FA=99609.50 cum, CA=176054.00cum) Steel : 13,314 Tonnes
2.5 Forests and timber (source – MT) No NA
2.6 Energy including electricity and fuels (source, competing users) Unit: fuel (MT),energy (MW) Yes Construction Phase - 1 MW Operation Phase - 1 MW
2.7 Any other natural resources (use appropriate standard units) Yes A total of 499.13 Ha of forest and wildlife area is required for the proposed project. During operation phase, the forest wealth of 406.6 Ha will be under submergence.
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 None
3.2 Changes in occurrence of disease or affect disease vectors (e.g. insect or water borne diseases) No None
3.3 Affect the welfare of people e.g. by changing living conditions? Yes The village Chorla is located at a distance of 0.48 Km from the proposed Haltara diversion dam. The construction activities will affect the people of Chorla village temporarily. The proposed project requires a total land of 730.92 Ha of land: • Forest land: 499.13 Ha (includes submergence area), • Government land: 48.49 Ha and • Private land: 183.30 Ha. The private land will be acquired as per the Right to Fair Compensation and Transparency in Land Acquisition Act, 2013.
3.4 Vulnerable groups of people who could be affected by the project e.g. hospital patients, children, the elderly etc. No --
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 Excavated soil earth will be reused for construction activities and cut cover canals.
4.2 Municipal waste (domestic and or commercial wastes) Yes Domestic solid wastes (135 Kgs/Day) will be generated from labour camps (300 labourers). The same will be segregated into organic and inorganic wastes and will be disposed to nearby Municipal authorities.
4.3 Hazardous wastes (as per Hazardous Waste Management Rules) Yes Used Oil from the use of temporary DG Sets during the construction stage. This will be stored in leak proof drums/barrels and will be disposed to KSPCB authorized re-processors/dealers.
4.4 Other industrial process wastes No NA
4.5 Surplus product No NA
4.6 Sewage sludge or other sludge from effluent treatment Yes Sludge from the proposed STP of capacity 22.5 KLD from the labour camps area.
4.7 Construction or demolition wastes Yes No demolition wastes involved. Construction wastes such as excavated earth, steel remains, rocks, gravel, concrete, etc will be generated.
4.8 Redundant machinery or equipment No None
4.9 Contaminated soils or other materials No None
4.10 Agricultural wastes No None
4.11 Other solid wastes No None
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 Air pollutants such as Particulate Matter, SO2 and NO2 will be emitted by the use of LSD fuel in D.G Sets during the Construction stage of the project and vehicular movements. Besides this, air pollutants like CO and CO2 are also expected by the vehicular movement.
5.2 Emissions from production processes No --
5.3 Emissions from materials handling including storage or transport Yes Transportation of construction materials will be done mainly through trucks and this vehicular movement results in emissions of particulate matter and fugitive emissions.
5.4 Emissions from construction activities including plant and equipment Yes Dust will be generated due to various construction activities.
5.5 Dust or odours from handling of materials including construction materials, sewage and waste Yes Dust is expected during unloading of construction materials, but there will be no odour. Sewage generated from the labour camps area will be treated in proposed 22.5 KLD STP and treated sewage (22 KLD) will be reused for dust suppression purpose. Domestic wastes will be collected in bins and disposed to nearby municipal authorities.
5.6 Emissions from incineration of waste No Nil
5.7 Emissions from burning of waste in open air (e.g. slash materials, construction debris) No Nil
5.8 Emissions from any other sources No Nil
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 There will be increase in noise level due to blasting and drilling operations during the construction phase of the project which is temporary in nature.
6.2 From industrial or similar processes No None
6.3 From construction or demolition Yes Noise during construction phase will be generated during operation of construction machines/equipments and from vehicular movement carrying construction materials to the site. This will affect the movement of wild animals.
6.4 From blasting or piling Yes There will be increase in noise level due to blasting and drilling operations during the construction phase of the project which is temporary in nature.
6.5 From construction or operational traffic Yes Vehicles transporting construction materials will generate noise but this will be temporary.
6.6 From lighting or cooling systems No NA
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 Yes Hazardous waste like used oil will be generated from the use of LSD (Low Sulphur Diesel) in DG Sets during the construction stage of the project which will be stored in leak proof drums/barrels and the same will be disposed to KSPCB authorized reprocessors/dealers.
7.2 From discharge of sewage or other effluents to water or the land (expected mode and place of discharge) No Sewage generated from the labour camps area will be treated in proposed 22.5 KLD STP and treated sewage (22 KLD) will be reused for dust suppression purpose.
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 No --
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)? No The proposed project area is situated in Seismic Zone III and is considered as a moderate damage risk zone. Dam break event may occur for which Disaster Management Plan and Emergency Action Plan will be implemented.
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 proposed project will provide drinking water facilities to the twin cities of Hubli – Dharwad, Kundgol Town with en route villages. Construction of diversion dams will enhance tourism activities. The project also involves construction of housing for operational workers.
9.2 Lead to after-use of the site, which could have an impact on the environment No --
9.3 Set a precedent for later developments Yes The proposed project has been planned as a measure to provide drinking water facilities to to the twin cities of Hubli – Dharwad, Kundgol Town with en route villages. However, the Mahadayi Water Disputes Tribunal on 14.08.2018 has awarded a total of 3.90 TMC of water for diversion from Mahadayi Basin to Malaprabha river for drinking water purpose, comprising of 1.72 TMC from Kalasa Nala and 2.18 TMC from Bhandura Nala.
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 The project components fall within the eco-sensitive zone of Bhimgad Wildlife Sanctuary and is located close to Madei Wildlife Sanctuary notified under Wildlife (Protection) Act, 1972. Mavuli Temple and birth place of Malaprabha River near Kanakumbi Village at 4.27 Km from Kalasa Diversion dam location.
2 Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Yes River Mahadayi, River Malaprabha, Bhimgad Wildlife Sanctuary and Madei Wildlife Sanctuary are ecologically sensitive areas.
3 Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration Yes Bhimgad Wildlife Sanctuary is in the core zone of Western Ghats comprising of semi evergreen and evergreen dense forests with steep slopes.The area is also home to several endemic plant species such as Ancistrocladus heyneanus, Diospyros paniculata, Euonymus indicus, Myristica Arborea, etc., several among the recorded medicinal plants such as Aristolochia tagala, Diospyros montana, Emblica officinalis, Garcinia indica, Nothapodytes nimmoniana etc., are with high medicinal and economic value. • I
4 Inland, coastal, marine or underground waters No --
5 State, National boundaries Yes The interstate boundary of Goa and Maharashtra is located at a distance of 1.32 Km and 2.25 Km from the proposed Haltara diversion dam.
6 Routes or facilities used by the public for access to recreation or other tourist, pilgrim areas No None
7 Defence installations No None
8 Densely populated or built-up area Yes Chorla village : 0.48 Km (from Haltara diversion dam site) Kanakumbi Village: 3.96 Km (from Kalasa diversion dam site) and Nerse Village: 2.79 Km (from Bhandura diversion dam site).
9 Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship, community facilities) Yes Chorla village : 0.48 Km (from Haltara diversion dam site) Kanakumbi Village: 3.96 Km (from Kalasa diversion dam site) and Nerse Village: 2.79 Km (from Bhandura diversion dam site).
10 Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) Yes The project components fall within the eco-sensitive zone of Bhimgad Wildlife Sanctuary and are located close to Madei Wildlife Sanctuary.
11 Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) No --
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
      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 ApplicantChief
DesignationCE
Name of Company (Applicant Name should not be given here)KARNATAKA NEERAVARI NIGAM LIMITED
AddressThe Chief Engineer, KNNL, Malparabha Project Zone,Dharwad - 580001
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