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 Integrated Project consisting of PVC Plant, PMB Plant, Gas Storage Terminal, LPG Bottling Plant, Gas Based Captive Power Plant, Sea Water Desalination Plant (RO process) for captive consumption by Veritas Polychem Pvt Ltd
Brief summary of projectAnnexure-Brief summary of project
Proposal Number IA/MH/IND2/80916/2018
Project Cost 132707 lacs
2.
S. No. in the schedule5(e) Petrochemical based processing (processes other than cracking &
Project Sector Industrial Projects - 2
3. Proposed capacity/area/length/tonnage to be handled/command area/lease area/number or wells to be drilled PVC Plant: - 150,000 TPA, PMB Plant: - 360,000 TPA, Gas Storage: - 40,000 CBM, Power Plant: - 18 MW, SWRO: - 2000 KLD, LPG Bottling Plant: - approx. 2.0 Million composite Cylinders of various sizes per Month 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 projectDighi Port Area. Village Dighi, Taluka Shriwardhan , Dist. Raigad, Maharashtra, 402402
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.Dighi Port Area
Town / VillageDighi
State of the projectMaharashtra
Details of State of the project
S.no State Name District Name Tehsil Name
(1.)MaharashtraRaigadShrivardhan
10.
Nearest railway station along with distance in kms Roha railway Station, 40 km
Nearest airport along with distance in kms Chhatrapati Shivaji International Airport, 200 km
11. Nearest Town/City/District Headquarters along with distance in kms Shrivardhan , 30 km
12. Village Panchayats, Zila Parishad, Muncipal Corporation, Local body (Complete postal address with telephone nos. to be given) Shrivardhan Municipal Council Ravindra Narayan Raut Administrative building Shivaji Road Shriwardhan District :- Raigad State :- Maharashtra Pincode :- 402110 Tel :- 02147222378
13. Name of the Applicant praveen
14. Registered Address 701, Embassy Centre, Nariman Point, Mumbai
15.
Address for correspondance:
Name of the Company VERITAS POLYCHEM PVT LTD
Name of the Applicant praveen
Designation (Owner/ Partner/ CEO) headprojects
Pin code 400001
E-mail praveen.b@groupeveritas.com
Telephone No. 022-22824444
Fax No. 022-22824440
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 will be developed and commissioned within Dighi Port limits.
1.2 Clearance of existing land, vegetation and buildings? No The project will be developed on the vacant land within the Dighi Port limits.
1.3 Creation of new land uses? No Dighi Port land has approval of port related /Industrial use
1.4 Pre-construction investigations e.g. bore houses, soil testing? Yes The detailed Geotechnical Investigation is being carried out.
1.5 Construction works? No Construction for setting up of Plants and Infrastructure will be carried out after NOC / EC from MOEFCC is granted.
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 Yes Construction for setting up of Plants and Infrastructure will be carried out after NOC / EC from MOEFCC is granted.
1.9 Underground works including mining or tunnelling? No Not Applicable
1.10 Reclamation works? No Not Applicable
1.11 Dredging? No Not Applicable
1.12 Offshore structures? Yes There would be steel structures for Intake and Outfall of SWRO Desalination Plant will be constructed.
1.13 Production and manufacturing processes? Yes Attached as Annexure .
1.14 Facilities for storage of goods or materials? Yes During Construction Phase sand, cement, aggregates and steel will be stored at site. Operation Phase the proposal includes the storage of Liquefied gases, Bitumen and Chemicals at the site.
1.15 Facilities for treatment or disposal of solid waste or liquid effluents? Yes Construction Phase: For disposing sewage to Septic Tank. Excavated material will be reused in backfilling. Other recyclable waste’s will be sold to recycler. Other inert wastes to local facility. Operation Phase: 250kgs per day of Municipal Solid waste to authorized 5 facility. Sewage (28 CMD) STP (30CMD), treated sewage to Gardening. Sludge as manure. Effluent (80 CMD) to ETP. Treated effluent to Gardening and Flushing
1.16 Facilities for long term housing of operational workers? No Not Applicable
1.17 New road, rail or sea traffic during construction or operation? No Not Applicable
1.18 New road, rail, air water borne or other transport infrastructure including new or altered routes and stations, ports, airports etc? No Not Applicable
1.19 Closure or diversion of existing transport routes or infrastructure leading to changes in traffic movements? No Not Applicable
1.20 New or diverted transmission lines or pipelines? No Not Applicable
1.21 Impoundment, damming, culverting, realignment or other changes to the hydrology of watercourses or aquifers? No Not Applicable
1.22 Stream crossings? No Not Applicable
1.23 Abstraction or transfers of water from ground or surface waters? No Not Applicable
1.24 Changes in water bodies or the land surface affecting drainage or run-off? No Not Applicable
1.25 Transport of personnel or materials for construction, operation or decommissioning? Yes There will be transportation of construction material and personnel in the project site during construction phase.
1.26 Long-term dismantling or decommissioning or restoration works? No Not Applicable
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 During construction phase contractor personnel will be deployed at site from nearby places. Influx of these people will be temporary in nature. Operation Phase:- The total employment of the whole 6 project will be approx. 267 out of which factory work force /labour will be 180 Nos and administration staff will be 87 Nos.
1.29 Introduction of alien species? No Not Applicable
1.30 Loss of native species or genetic diversity? No Not Applicable
1.31 Any other actions? No Not Applicable
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 Not Applicable
2.2 Water (expected source & competing users) unit: KLD Yes Construction Phase Total Water Requirement during construction phase will be 23 CMD. Domestic use of workers = 8 CMD. Construction Work = 15 CMD. Operation Phase Total Water requirement: 3274 CMD Source : SWRO
2.3 Minerals (MT) No Not Applicable
2.4 Construction material – stone, aggregates, sand / soil (expected source – MT) Yes M-Sand- 2,57,000 MT Aggregate: 32,000 MT River Sand: 17,000 MT Soil / Murum : 1,45,000 MT
2.5 Forests and timber (source – MT) No Not Applicable
2.6 Energy including electricity and fuels (source, competing users) Unit: fuel (MT),energy (MW) Yes Electricity: - 18 MW, (Produced from Captive Power Plant.) LNG (Fuel) for Captive Power Plant: 0.168MT/MWH LNG (Fuel) for Boiler: - 0.018 7 MT/Hr.
2.7 Any other natural resources (use appropriate standard units) No Not Applicable
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 Liquefied gases (Under Pressure) will be stored / Filled / Used for Process. However, the storage and handling of hazardous liquefied gases will be as per MSIHC Norms / Rules
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? No Not Applicable
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 No Not Applicable
4.2 Municipal waste (domestic and or commercial wastes) Yes Construction Period: Excavated Earth will be reused for backfilling. Operation Period: Solid waste / Bio waste shall be disposed off through authorized agencies.
4.3 Hazardous wastes (as per Hazardous Waste Management Rules) No Not Applicable
4.4 Other industrial process wastes No Not Applicable
4.5 Surplus product No Not Applicable
4.6 Sewage sludge or other sludge from effluent treatment Yes The sludge will be treated and will be used as organic manure for gardening and agriculture, etc.
4.7 Construction or demolition wastes Yes There shall be no demolition, however the waste generated during construction shall be used for back filling and the waste which cannot be used shall be disposed off through authorized agencies.
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 Yes Shall be disposed off through authorized agencies.
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 stack emissions from combustion of fuel oil in machineries such as Boiler, DG etc. The emission will be controlled by provision of Air Pollution Control Equipment’s such as Scrubber, Dust Collectors, Bag Filters etc.
5.2 Emissions from production processes Yes There will be emissions from production activity. The adequate stacks/ vents will be provided. The emission will be controlled by provision of Air Pollution Control Equipment’s such as Wet Scrubber, Dust Collectors, Bag Filters etc.
5.3 Emissions from materials handling including storage or transport Yes There will be generation of fugitive emission from storage and handling of materials.
5.4 Emissions from construction activities including plant and equipment Yes There will be emission of dust and other gaseous material during construction activities due to operation of construction material, construction vehicle, handling of materials.
5.5 Dust or odours from handling of materials including construction materials, sewage and waste Yes There will be emission of dust and other gaseous material during construction activities due to operation of construction material, construction vehicle, handling of materials.
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 Yes DG / Gas Generator sets shall have acoustic enclosures in order to keep the noise within limits. There will not be any vibrations on these engines.
6.2 From industrial or similar processes Yes There will be noise generation due to operation of plant machinery, handling of materials, vehicle movement etc. during operation phase which will be addressed by: 1. Providing noise barriers in the form of Green Belt around the premises. 2. Proper maintenance of plant and machineries. 3. Proper equipment’s for loading and unloading of transport vehicles.
6.3 From construction or demolition No There will be no demolition during the entire project, however during construction noise will be generated due to various equipment’s running at site.
6.4 From blasting or piling Yes There will be no blasting, however noise and generation of vibration will be through Piling only during construction stage.
6.5 From construction or operational traffic Yes Construction Phase: Cranes, Dumpers, Excavators, Dozers, Trucks and Trailers shall be used. Operation Phase: - Trucks, Tankers and trailers.
6.6 From lighting or cooling systems No There will not be any noise generation for lighting, however noise occurring due to cooling systems shall be kept to minimum levels by having proper enclosures.
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 Precautions will be taken during transportation, loading/unloading etc. MSDS will be followed.
7.2 From discharge of sewage or other effluents to water or the land (expected mode and place of discharge) No Wastewater generated during operation phase will be treated in ETP and the treated water will be reused for Gardening, Flushing etc. Under no circumstances treated or untreated liquid waste will be poured with marine water.
7.3 By deposition of pollutants emitted to air into the land or into water No Air Pollution Control equipment will be provided at source to prevent emissions in air.
7.4 From any other sources No Not Applicable
7.5 Is there a risk of long term build up of pollutants in the environment from these sources? No Not Applicable
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 Disaster and risk management plan will be prepared and implemented.
8.2 From any other causes No Not applicable
8.3 Could the project be affected by natural disasters causing environmental damage (e.g. floods, earthquakes, landslides, cloudburst etc)? Yes The project will be designed by taking into consideration these factors as per relevant codes and standards. The proposed project site has not reported any kind of natural disasters like earthquake, floods, Tsunami etc. However, a proper DMP will be prepared and executed in case of any such eventualities.
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 project will have positive impact of supply industries, due to procurement of raw materials etc. required for production.
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
 Yes Phansad wildlife sanctuary located at a distance of 11 km towards the North East.
2 Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Yes Proposed project is located within Dighi Port situated near Rajapuri Creek.
3 Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration No Not Applicable
4 Inland, coastal, marine or underground waters No Not Applicable
5 State, National boundaries Yes Not Applicable
6 Routes or facilities used by the public for access to recreation or other tourist, pilgrim areas Yes Murud Jangira Fort: 4 km East across the creek
7 Defence installations No Not Applicable
8 Densely populated or built-up area Yes Roha: 40 km
9 Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship, community facilities) Yes Dr. A.R. Undre English High School & Junior College, Diveagar: 13 km South. • Sir S. A. High School, Murud: 4.60 North East
10 Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) No Not Applicable
11 Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) No Not Applicable
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 project will be designed by taking into consideration these factors as per relevant codes and standards. The proposed project site has not reported any kind of natural disasters like earthquake, floods, Tsunami etc. However, a proper DMP will be prepared and executed in case of any such eventualities.
(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:
Sno. EDS Letter Remarks Date of EDS
1.NAThe correction have been made as per the instruction received 26 Oct 2018
2.NAAs per the information available, the proposed activities are permissible in the CRZ area, if required, you may come for a discussion in the Ministry, with documents. 17 Oct 2018
3.NAThe correction have been made as per the instruction received 04 Oct 2018
4.NAPlease inform the following: (1) Whether Ministry/EAC has already taken a decision on a same project in the same location. (2) Whether the proposed activities are permissible in the CRZ area 04 Oct 2018
      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 Applicantpraveen
Designationheadprojects
Name of Company (Applicant Name should not be given here)VERITAS POLYCHEM PVT LTD
Address701, Embassy Centre, Nariman Point, Mumbai
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