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 M/s Andaman Lakshadweep Harbor works
Brief summary of projectAnnexure-Brief summary of project
Proposal Number IA/LD/MIS/75196/2018
Project Cost 950 lacs
2.
S. No. in the schedule7(e) Ports, Harbours
Project Sector INFRA-2
3. Proposed capacity/area/length/tonnage to be handled/command area/lease area/number or wells to be drilled Dredging at the entrance Channel of Kadmat Island of Lakshadweep 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 projectKadmat Island
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.Kadmat Island
Town / VillageKadmat Island
State of the projectLakshadweep
Details of State of the project
S.no State Name District Name Tehsil Name
(1.)LakshadweepLakshadweepAmini
10.
Nearest railway station along with distance in kms Kozhidode Railway Station (Main Land), 330 km
Nearest airport along with distance in kms Aggati Air Port, 80 km
11. Nearest Town/City/District Headquarters along with distance in kms Kavaratti , 75 km
12. Village Panchayats, Zila Parishad, Muncipal Corporation, Local body (Complete postal address with telephone nos. to be given) Kadmat Island
13. Name of the Applicant Mamta
14. Registered Address Chief Engineer & Administrator Office, Andaman Lakshadweep Harbour Works, Post Box #161, Mohunpura, Port Blair-744101, A & N Islands, India
15.
Address for correspondance:
Name of the Company ANDAMAN LAKSHADWEEP HARBOUR WORKS
Name of the Applicant Mamta
Designation (Owner/ Partner/ CEO) Executive Engineer
Pin code 744101
E-mail alhw.andaman@gmail.com
Telephone No. 03192-232864
Fax No. 03192-233245
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?Yes
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) No The proposed project is extension of exiting jetty and deepening of entrance channel and turning channel
1.2 Clearance of existing land, vegetation and buildings? No NA
1.3 Creation of new land uses? No NA
1.4 Pre-construction investigations e.g. bore houses, soil testing? Yes CSIR-CIMFR has carried out feasibility of underwater rock excavation of Navigation channel
1.5 Construction works? Yes ? Extension of existing Jetty ? Dredging of Existing approach channel & turning circle
1.6 Demolition works? No Not Applicable
1.7 Temporary sites used for construction works or housing of construction workers? No Not Applicable
1.8 Above ground buildings, structures or earthworks including linear structures, cut and fill or excavations and fill or excavations No Not Applicable
1.9 Underground works including mining or tunnelling? No Not Applicable
1.10 Reclamation works? No Not Applicable
1.11 Dredging? Yes Deepening of existing navigation channel and turning circle ie., For 87300cu.m (Soft rock& Sand) and 2120 Cu.m hard rock as dredged materials to be removed & dumped at the said area earmarked at the respective safe sites.
1.12 Offshore structures? Yes Extension of existing jetty and Dredging of Navigation Channel as per approved layout marked for this purposes.
1.13 Production and manufacturing processes? No Not applicable
1.14 Facilities for storage of goods or materials? Yes Construction material will be stored in temporary sheds.
1.15 Facilities for treatment or disposal of solid waste or liquid effluents? No Demolition/ Construction waste material will be used for site filling purpose.
1.16 Facilities for long term housing of operational workers? No Existing facilities will be utilized
1.17 New road, rail or sea traffic during construction or operation? No NA
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 No transmission & pipeline existing. Therefore not required to divert transmission lines / pipelines.
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? No Water tankers will be used to meet construction water requirement from the local water sources.
1.24 Changes in water bodies or the land surface affecting drainage or run-off? No There will no change in water bodies or the land surface effecting draining or runoff
1.25 Transport of personnel or materials for construction, operation or decommissioning? Yes Proposed site require transport of man and material from main land. During construction, private tippers will be used to carry the materials.
1.26 Long-term dismantling or decommissioning or restoration works? No There will be no long-term dismantling or decommissioning works.
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 There will be temporary influx of people during construction phase. Preference will be given to local people for employment.
1.29 Introduction of alien species? No No alien species will be introduced / encouraged.
1.30 Loss of native species or genetic diversity? Yes Precautions will be taken as suggested by CSIR-CIMFR during dredging
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) No Future project will on the sea and intertidal zone
2.2 Water (expected source & competing users) unit: KLD Yes During construction water will be arranged by contractor from the available sources
2.3 Minerals (MT) Yes Stone Chips – 600 Cu.m Sand 340 Cu.m Steel – 1617 MT
2.4 Construction material – stone, aggregates, sand / soil (expected source – MT) Yes Stone, sand, aggregate etc
2.5 Forests and timber (source – MT) No No timber will be used.
2.6 Energy including electricity and fuels (source, competing users) Unit: fuel (MT),energy (MW) Yes Fuel Electricity consumption
2.7 Any other natural resources (use appropriate standard units) Yes Fresh water: ? Domestic – 1.0 m3/day Wastewater: ? Domestic – 0.8 m3/day
3 Use, storage, transport, handling or production of substances or materials, which could be harmful to human health or the environment or raise concerns about actual or perceived risks to human health
S.No Information/Checklist confirmation Yes/No Details thereof (with approximate quantities/rates, wherever possible) with source of information data
3.1 Use of substances or materials, which are hazardous (as per MSIHC rules) to human health or the environment (flora, fauna, and water supplies No No hazardous chemicals will be used. Materials permissible under CRZ notification 2011 only will be handled.
3.2 Changes in occurrence of disease or affect disease vectors (e.g. insect or water borne diseases) No Not Applicable
3.3 Affect the welfare of people e.g. by changing living conditions? Yes The proposed project will generate direct employment locally through increase of tourism and will facilitate the berthing of cargo vessels carrying essential needs which are life line for the Island.
3.4 Vulnerable groups of people who could be affected by the project e.g. hospital patients, children, the elderly etc. No No people will be affected.
3.5 Any other causes No Not found and 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 No Not applicable
4.2 Municipal waste (domestic and or commercial wastes) Yes MSW will be generated during operation and will be handled as per MSW 2000 rules and will disposed through local ULB
4.3 Hazardous wastes (as per Hazardous Waste Management Rules) No Proposed project does not process any hazardous waste. Only waste will be used oil from vehicles and generator and will be disposed through authorized recyclers.
4.4 Other industrial process wastes No No industrial process waste will be generated.
4.5 Surplus product No No surplus product will be produced
4.6 Sewage sludge or other sludge from effluent treatment Yes Non residential housing area existing and hence the question of sewage will not arise.
4.7 Construction or demolition wastes Yes Construction wastes will be disposed in low lying areas.
4.8 Redundant machinery or equipment No Not applicable
4.9 Contaminated soils or other materials No No soil / material will be contaminated.
4.10 Agricultural wastes No No agricultural waste will be generated.
4.11 Other solid wastes No Nil
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 Emissions will be generated during construction & operation phases from vessels, tractors, trailers, cranes, piling rig etc. The emissions values will be restricted within the standard permissible limits.
5.2 Emissions from production processes No No production activity.
5.3 Emissions from materials handling including storage or transport No No emission from material handling is envisaged. Only fugitive dust will be generated during material handling and transport.
5.4 Emissions from construction activities including plant and equipment Yes During construction activities dust & some gaseous emissions are expected which will be controlled within norms.
5.5 Dust or odours from handling of materials including construction materials, sewage and waste Yes Dust from handling of construction materials will be minimal and are within norms.
5.6 Emissions from incineration of waste No NA
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 Due to operation of vibrators, engines and other construction equipment noise will be generated and is minimal.
6.2 From industrial or similar processes No No Industrial process
6.3 From construction or demolition Yes During loading and unloading of construction material, piling etc which will be minimal.
6.4 From blasting or piling Yes During Piling noise will be generated and is minimal.
6.5 From construction or operational traffic Yes During construction and operation phase due to movement of vehicles will generate noise and minor vibrations which will be minimal
6.6 From lighting or cooling systems No Local power supply
6.7 From any other sources No Local diesel generator
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 During handling proper care will be taken as per norms
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 contamination as existing facilities will be used for the discharge of sewage.
7.3 By deposition of pollutants emitted to air into the land or into water No Not found and not applicable
7.4 From any other sources No Not found and not applicable
7.5 Is there a risk of long term build up of pollutants in the environment from these sources? No Long term buildup of pollutants in environment is not anticipated from any sources.
8 Risk of accidents during construction or operation of the Project, which could affect human health or the environment
S.No Information/Checklist confirmation Yes/No Details thereof (with approximate quantities/rates, wherever possible) with source of information data
8.1 From explosions, spillages, fires etc from storage, handling, use or production of hazardous substances Yes During handling of petrochemicals or other chemicals proper care is taken. Oil blooms and firefighting equipment etc will be available as per norms.
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)? Yes Lakshwadeep comes under Zone III i.e., Moderate.
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 is development of infrastructure to support imports daily needs of the islanders. There will be positive impact on tourism growth in the region.
9.2 Lead to after-use of the site, which could have an impact on the environment No No impact will occur.
9.3 Set a precedent for later developments No The project will accelerate further development of landing facilities.
9.4 Have cumulative effects due to proximity to other existing or planned projects with similar effects No No cumulative effects will occur.
(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 Aerial distance from proposed site.
2 Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests No The project is extension of jetty and dredging in approach channel and turning circle which comes under CRZ area.
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 Aerial distance from proposed site. Project comes under CRZ area including intertidal zone.
4 Inland, coastal, marine or underground waters No Project is to be carried out in offshore
5 State, National boundaries No Not applicable
6 Routes or facilities used by the public for access to recreation or other tourist, pilgrim areas Yes Lakshadweep tourism Resorts – 5 Km
7 Defence installations Yes Coast Guard Station at Minicoy and Karavatti
8 Densely populated or built-up area Yes Kadmat
9 Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship, community facilities) Yes Calicut Unviersity Centre – 3.5 Km Govt. Hospital – 0.08 Km
10 Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) No The island is surrounded by lagoon of dead coral bed
11 Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) No None within 10 km aerial distance from proposed mine 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 The area is prone to cyclone, Tsunami and falls under seismic zone - III
(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
      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 ApplicantMamta
DesignationExecutive Engineer
Name of Company (Applicant Name should not be given here)ANDAMAN LAKSHADWEEP HARBOUR WORKS
AddressChief Engineer & Administrator Office, Andaman Lakshadweep Harbour Works, Post Box #161, Mohunpura, Port Blair-744101, A & N Islands, India
Print