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 Proposed 535 MT/M of API & Its Intermediate's at Plot No. A-86, Paithan MIDC, Tal. Paithan, Dist. Aurangabad by M/s AD Pharmachem Pvt. Ltd.
Brief summary of projectAnnexure-Brief summary of project
Proposal Number IA/MH/IND2/81668/2018
Project Cost 700 lacs
2.
S. No. in the schedule5(f) Synthetic organic chemicals industry (dyes & dye intermediates; bulk
Project Sector Industrial Projects - 2
3. Proposed capacity/area/length/tonnage to be handled/command area/lease area/number or wells to be drilled 535 MT/M ha.
4.
New/Expansion/ModernizationNew
5. Existing Capacity/Area etc. 0.544685 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 projectPaithan MIDC
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.A-86
Town / VillageMIDC Paithan
State of the projectMaharashtra
Details of State of the project
S.no State Name District Name Tehsil Name
(1.)MaharashtraAurangabadPaithan
(2.)MaharashtraKolhapurKagal
10.
Nearest railway station along with distance in kms Aurangabad Railway Station, 36 km
Nearest airport along with distance in kms Aurangabad Airport, 36 km
11. Nearest Town/City/District Headquarters along with distance in kms AURANGABAD , 7 km
12. Village Panchayats, Zila Parishad, Muncipal Corporation, Local body (Complete postal address with telephone nos. to be given) Zillla Parishad Auranagabad Amba Apsara Rd, Near Devgiri Bank, Nageshwarwadi, Aurangabad, Maharashtra Aurangabad (MS)
13. Name of the Applicant Dinkar
14. Registered Address Plot No. A-86, Paithan MIDC, Paithan
15.
Address for correspondance:
Name of the Company AD PHARMACHEM PVT LTD
Name of the Applicant Dinkar
Designation (Owner/ Partner/ CEO) MD
Pin code 431148
E-mail dinkar.arbale@gmail.com
Telephone No. 0240-2333622
Fax No. 0240-
Copy of documents in support of the competence/authority of the person making this application to make application on behalf of the User Agency . Annexure-Uploaded Copy of documents in support of the competence/authority
16.
Details of Alternative Sites examined, if any. Location of these sites should be shown on a toposheet No
17. Whether part of Interlinked projects? No
18. Whether separate application of Interlinked project has been submitted? N/A
19.
If Yes, MoEF file numberN/A
Date of submissionN/A
20. If No, Reason N/A
21.
Whether the proposal involves Approval/ Clearance under: if yes, details of the same and their status to be given
(i) Whether the proposal involves approval/clearance under the Forest (Conservation) Act,1980?No
(ii) Whether the proposal involves approval/clearance under the wildlife (Protection) Act,1972?No
(iii) Whether the proposal involves approval/clearance under the C.R.Z notification, 2011?No
22.
Whether there is any Government Order/Policy relevant/relating to the site?No
23.
Whether any Forest Land Involved?No
Area of Forest land Involved (hectares)N/A
24.
Whether there is any litigation pending against the project and/or land in which the project is proposed to be set up?No
(a) Name of the CourtN/A
(b) Name of the Sub courtN/A
(c) Case No.N/A
(d) Orders/directions of the court, if any and relevance with the proposed projectN/A
(II) Activity
1 Construction, operation or decommissioning of the Project involving actions, which will cause physical changes in the locality (topography, land use, changes in water bodies, etc.)
S.No Information/Checklist confirmation Yes/No Details there of (with approximate quantities/rates, wherever possible) with source of information data
1.1 Permanent or temporary change in land use, land cover or topography including increase in intensity of land use (with respect to local land use plan) No The site is already in an existing Notified Industrial Area of Maharashtra Industrial Development Corporation [MIDC]. Hence there will be no change in land use.
1.2 Clearance of existing land, vegetation and buildings? No There is no need of clearance of existing land.
1.3 Creation of new land uses? No The said land is reserved for industrial projects by Govt. of Maharashtra.
1.4 Pre-construction investigations e.g. bore houses, soil testing? Yes Done Soil-Strong with load bearing capacity
1.5 Construction works? Yes Construction works will be done systematically, with economy of materials and with environmental care.
1.6 Demolition works? No There will be no demolition work.
1.7 Temporary sites used for construction works or housing of construction workers? No No housing for workers proposed, workers will come from nearby area.
1.8 Above ground buildings, structures or earthworks including linear structures, cut and fill or excavations and fill or excavations Yes The construction will be done above ground structures. The excavated material shall be used for filling.
1.9 Underground works including mining or tunnelling? No There will be no Underground works including mining or tunneling.
1.10 Reclamation works? No There will be no reclamation works.
1.11 Dredging? No There will be no dredging.
1.12 Offshore structures? No Not Applicable
1.13 Production and manufacturing processes? Yes Detailed manufacturing process is given in Prefeasibility report.
1.14 Facilities for storage of goods or materials? Yes Separate warehouse will be provided for the storage of raw materials and finished products.
1.15 Facilities for treatment or disposal of solid waste or liquid effluents? Yes Effluent: The effluent generation shall be 31.15 CMD and will be treated in own ETP to meet [MPCB] Maharashtra Pollution Control Board Norms. The treated effluent shall be used for green belt development. Non Hazardous Solid Waste: Total 618.24 Kg/Day non-hazardous waste will be sold to authorized vendors. Hazardous Waste: Total 4431.32 Kg/Day hazardous waste will be disposed off to CHWTSDF, Ranjangaon approved by MOEF&CC.
1.16 Facilities for long term housing of operational workers? No There will be no workers staying in the factory premises. No Housing in premises.
1.17 New road, rail or sea traffic during construction or operation? No Proposed project is located in Notified Industrial Area [MIDC] Maharashtra Industrial Development Corporation, infrastructure facility is already available.
1.18 New road, rail, air water borne or other transport infrastructure including new or altered routes and stations, ports, airports etc? No Proposed project is located in Notified Industrial Area [MIDC] Maharashtra Industrial Development Corporation infrastructure facility is already available.
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 None
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 There will not be any changes in water bodies or the land surface affecting drainage or run-off of the area.
1.25 Transport of personnel or materials for construction, operation or decommissioning? Yes 2 nos. of trucks will be used for transportation of construction materials and it will before limited period of time.
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 About 55 nos. of workers shall be recruited permanently. {15 –Skilled & 40-Unskilled}. It is expected 10 persons may visit daily
1.29 Introduction of alien species? No Not Applicable
1.30 Loss of native species or genetic diversity? Yes Not Applicable
1.31 Any other actions? No Not Envisaged
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 land is part of notified Industrial Estate of Govt. of Maharashtra.
2.2 Water (expected source & competing users) unit: KLD Yes Water Source- surface water supplied by MIDC Paithan. Water Required: 63 CMD. No competing user. No encroachment on other’s supply.
2.3 Minerals (MT) No Not Applicable.
2.4 Construction material – stone, aggregates, sand / soil (expected source – MT) Yes Construction in terms of 1580.35sqm Detailed of construction material required as Sand –75 brass Ash Cement Blocks – 20000 Nos. Cement – 1200 bags. Steel – 25.6 MT Coarse aggregates – 30 Brass Other metals (GI Sheets)–5.2 MT
2.5 Forests and timber (source – MT) No None.
2.6 Energy including electricity and fuels (source, competing users) Unit: fuel (MT),energy (MW) Yes Electricity available from State Electricity Board- Proposed Electricity required -200 KVA {Source- MSEDCL} Boiler Capacity- 2.0 Ton/Hr Fuel Used- Briquette :- 500 Kg/Hr Stack Height- 14 M DG SET- 250 KVA Fuel Required :Diesel {25 Lit/Hr}
2.7 Any other natural resources (use appropriate standard units) No None.
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 Ethyl Acetate, Sulphuric Acid, Hydrogen Peroxide, Isopropanol
3.2 Changes in occurrence of disease or affect disease vectors (e.g. insect or water borne diseases) No Not envisaged.
3.3 Affect the welfare of people e.g. by changing living conditions? Yes Will be favourable by way of employment & allied business.
3.4 Vulnerable groups of people who could be affected by the project e.g. hospital patients, children, the elderly etc. No Not envisaged.
3.5 Any other causes No Not envisaged.
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 None
4.2 Municipal waste (domestic and or commercial wastes) No None
4.3 Hazardous wastes (as per Hazardous Waste Management Rules) Yes The Hazardous waste will be disposed off to CHWTSDF.
4.4 Other industrial process wastes No None
4.5 Surplus product No None
4.6 Sewage sludge or other sludge from effluent treatment Yes ETP Sludge – 100 Kg/day
4.7 Construction or demolition wastes No Construction waste will be used for the levelling of land.
4.8 Redundant machinery or equipment No Not Applicable.
4.9 Contaminated soils or other materials No None.
4.10 Agricultural wastes No None,except garden waste
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 Boiler Details Boiler Capacity- 2.0 Ton/Hr Fuel Used- Briquette :- 500 Kg/Hr Stack Height- 14 meter DG-Set Details DG Set Capacity- 250 KVA Fuel Consumption- HSD 25 Lit/hr
5.2 Emissions from production processes Yes There will be emission of CO2, HBr during process.
5.3 Emissions from materials handling including storage or transport Yes Fugitive emissions from solvent storage & handling. Transportation of materials also.
5.4 Emissions from construction activities including plant and equipment Yes Dust emission during construction activity.
5.5 Dust or odours from handling of materials including construction materials, sewage and waste Yes All precautions to suppress dust such as water sprinkling. Odor from the handling of chemicals but it will be limited to the operational area.
5.6 Emissions from incineration of waste No There will be no waste incinerated on site.
5.7 Emissions from burning of waste in open air (e.g. slash materials, construction debris) No No open Burning of Waste
5.8 Emissions from any other sources No Not Envisage.
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 Yes Noise shall be generated from operation of Equipment like Boiler DG Set, air compressor etc. Acoustic enclosure shall be provided to DG set & Compressors. Boiler room shall be provided with Acoustic treatment. PPE’S will be mandatory in these work areas.
6.3 From construction or demolition Yes There will be Noise generated during construction activity. i.e. crane, crusher from vehicles used for loading and unloading of material, JCB Machines. However this will be temporary nature. Also there will be no work during night.
6.4 From blasting or piling No Not Applicable.
6.5 From construction or operational traffic Yes There will be Noise generated from vehicles for transportation of construction materials.
6.6 From lighting or cooling systems No Not Applicable.
6.7 From any other sources No No.
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 SOPs are prepared for chemical handling and transportation. Appropriate dyke wall will be provided for proposed storage tanks and closed feeding system is adopted for chemical reaction.
7.2 From discharge of sewage or other effluents to water or the land (expected mode and place of discharge) No The sewage and effluent will treated in the ETP.
7.3 By deposition of pollutants emitted to air into the land or into water No Adequate stack height shall be provided with APC.
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 Risk is involved due to fire. Proper fire fighting system will be provided in the plant. The Hazardous Waste generated during operation will be disposed off as Hazardous waste (Management Handling & Trans-boundary Movement) Rules 2008.
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)? No Proposed site falls under Seismic Zone II classified as i.e. area having low damage risk zone.
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 Infrastructure already available from MIDC. The demand for housing will go up due to recruitment of people.
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 The site is located in developed MIDC area.
9.4 Have cumulative effects due to proximity to other existing or planned projects with similar effects No Proposed industry is located MIDC area, MIDC has also other industries, it may cause cumulative effect.
(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 Not Present within 15 km Aerial distance from proposed project site.
2 Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Yes Water Bodies: Jaikwadi Dam is 1.13 Km towards South-West Direction
3 Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration Yes Jaikwadi Bird Sanctuary reserved for the migratory birds is 1.27 Km towards South-West Direction [ Notification S.O. 2202 (E) amended Dated 12th July 2017]
4 Inland, coastal, marine or underground waters Yes Inland water Bodies: Jaikwadi Dam 1.13 Km towards South-West Direction.
5 State, National boundaries Yes None
6 Routes or facilities used by the public for access to recreation or other tourist, pilgrim areas Yes Aurangabad Paithan Road
7 Defence installations No None
8 Densely populated or built-up area Yes Mudhalwadi-0.75 Km towards South East Direction Pimpalwadi- 1.23 Km towards South Direction
9 Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship, community facilities) Yes Paithan City – 7 Km (Nath Mandir) towards South Direction
10 Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) Yes Jaikwadi Dam located at Paithan which is 1.13 Km towards South-West Direction
11 Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) No None.
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 Not present within 15 Km Aerial distance from proposed project 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
            Essential Detail Sought:
Sno. EDS Letter Remarks Date of EDS
1.NAThe correction have been made as per the instruction received 25 Oct 2018
2.NAPlease provide the following information: (1) As such the project requires appraisal at State level by SEAC/SEIAA (2) Provide the exact distance of the project site from the National park/sanctuary. (3) please provide project name (not the proponent name) in S.No. 1 of Form 1 09 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 ApplicantDinkar
DesignationMD
Name of Company (Applicant Name should not be given here)AD PHARMACHEM PVT LTD
AddressPlot No. A-86, Paithan MIDC, Paithan
Print