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 new project of manufacturing of API & API intermediates under the activity of synthetic organic chemicals industry (5f) as per EIA notification of September 2006 at Survey No.165-A-1, Ambhora Village, Tal. - Ashti, Dist. Beed- 414202. (Maharashtra) by Canpex Lifescience LLP.
Brief summary of projectAnnexure-Brief summary of project
Proposal Number IA/MH/IND2/83281/2018
Project Cost 2426 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 Proposed Production- 2394 TPA & By- Product: Nil, Plot area at measuring 16388 Sq.m. 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 projectVillage: Ambhora; District: Beed; Maharashtra
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.Survey No.165/A/1
Town / VillageAmbhora
State of the projectMaharashtra
Details of State of the project
S.no State Name District Name Tehsil Name
(1.)MaharashtraBEEDAshti
10.
Nearest railway station along with distance in kms Ahmednagar (Maharashtra), 27 km
Nearest airport along with distance in kms Aurangabad (Maharashtra), 110 km
11. Nearest Town/City/District Headquarters along with distance in kms Ahmednagar (Maharashtra) , 27 km
12. Village Panchayats, Zila Parishad, Muncipal Corporation, Local body (Complete postal address with telephone nos. to be given) Ambhora Gram-Panchayat, Taluka Ashti, District Beed, Maharashtra 414202.
13. Name of the Applicant Jitendra
14. Registered Address Survey No.-165/A/1 , Ambhora Village, Tal.- Ashti, Dist-Beed,
15.
Address for correspondance:
Name of the Company CANPEX LIFESCIENCE LLP
Name of the Applicant Jitendra
Designation (Owner/ Partner/ CEO) Partner
Pin code 411002
E-mail admin@canpexlifescience.in
Telephone No. 020-26351200
Fax No. 020-26344472
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 project is proposed on the plot which is vacant and undeveloped and which will be converted for Industrial Purpose. Hence, no changes in land use are envisaged.
1.2 Clearance of existing land, vegetation and buildings? No Not Applicable
1.3 Creation of new land uses? No The project is proposed on the plot which is vacant and undeveloped and which will be converted for Industrial Purpose. Hence, no changes in land use are envisaged.
1.4 Pre-construction investigations e.g. bore houses, soil testing? No Pre-construction investigations will be carried out before starting the construction activities.
1.5 Construction works? Yes Construction work will involve manufacturing buildings, internal roads, Drains, other Buildings and Structures for utilities; Storage sheds , ETP etc.
1.6 Demolition works? No Not Applicable
1.7 Temporary sites used for construction works or housing of construction workers? No Local workers will be hired during construction phase. They will not reside at site.
1.8 Above ground buildings, structures or earthworks including linear structures, cut and fill or excavations and fill or excavations Yes Above ground buildings includes, structures for, Cooling towers, Plant areas, Storage sheds, product tank farm etc.
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? No Not Applicable
1.13 Production and manufacturing processes? Yes Total Production: 2394 TPA. It involves Acid-Base, Oxidation, hydrolysis, Sulphonation, Ammonalysis reactions. Details of manufacturing process have been provided in Pre-Feasibility Report, refer point 2.5
1.14 Facilities for storage of goods or materials? Yes Separate storage area of 1394 Sq.m. (ground coverage) will be provided for finished goods and raw materials.
1.15 Facilities for treatment or disposal of solid waste or liquid effluents? Yes During Construction: Temporary toilet facilities with septic tank treatment will be provided for the workers. During Operation: Liquid Effluents:- Trade effluent will be separated in two streams, High TDS & Low TDS stream. High TDS stream being treated in a MEE of capacity 150 CMD & low TDS & COD stream treated in Effluent treatment plant of capacity 350 CMD. Treated water is passed through RO of capacity 350 CMD, and permeate is used for cooling tower, boiler. RO reject will be treated
1.16 Facilities for long term housing of operational workers? No There will not be any housing facility within the premises. Workers will come from nearby areas.
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 Existing approach road is available, well connected to SH 142 connecting Ahmednagar to Jamkhed at a distance of 1 km. Nearest Railway Station is Ahmednagar at an aerial distance of 27 Km. Nearest Airport is Aurangabad at an aerial distance of 110 Km.
1.19 Closure or diversion of existing transport routes or infrastructure leading to changes in traffic movements? No There will not be any closure or diversion of transport routes or infrastructure leading to changes in traffic movements.
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 There will not be changes to the existing hydrology of watercourses or aquifers.
1.22 Stream crossings? No No crossing of streams will be done.
1.23 Abstraction or transfers of water from ground or surface waters? Yes Ground water will be abstract through bore-well from Athwad & Ambhora village with permission of CGWA.
1.24 Changes in water bodies or the land surface affecting drainage or run-off? No No changes in water bodies or the land surface affecting drainage or run-off.
1.25 Transport of personnel or materials for construction, operation or decommissioning? Yes Available transportation will be used.
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 No decommissioning activity is envisages.
1.28 Influx of people to an area in either temporarily or permanently? No For construction work there would be influx of people to the project site. However, it would be of a temporary nature. Moreover, staff members, 200 skilled & unskilled workers would be appointed from local area as well as from outside after commissioning of the project.
1.29 Introduction of alien species? No Not Applicable
1.30 Loss of native species or genetic diversity? No No Loss of native species or genetic diversity
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 The land is private; It is purchased by CANPEX LIFESCIENCE LLP. Land=16388 Sq.m.
2.2 Water (expected source & competing users) unit: KLD Yes Source of water supply will be from Ambhora & Athwad Ground Water Borewell. Total water requirement 363 CMD. Water will be required for first day and after recycling of treated waste water, fresh water requirement will be reduced to 148 CMD.
2.3 Minerals (MT) No Not Applicable
2.4 Construction material – stone, aggregates, sand / soil (expected source – MT) Yes Construction materials like stones, aggregates, sand, bricks, steel, cement, rubble, etc. will be procured from the local market of the region. Approximate quantities will be given in EIA report.
2.5 Forests and timber (source – MT) No No tree cutting. No use of timber.
2.6 Energy including electricity and fuels (source, competing users) Unit: fuel (MT),energy (MW) Yes Electricity Source : MSEDCL Power requirement for the proposed project Installed load: 2000 KVA Operating load : 1200 KVA Fuel used: Coal, LDO & HSD Total consumption Coal – 14.4 TPD LDO – 0.456 TPD HSD for DG Sets – 108 Lit./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 Refer chapter 2.6 in pre-feasibility report for list of hazardous chemicals used. Some of the Major chemicals are Methanol, Isopropyl Alcohol, acetone, Toluene etc. Hazardous Chemicals used will be properly stored & handled as per MSIHC rule.
3.2 Changes in occurrence of disease or affect disease vectors (e.g. insect or water borne diseases) No No changes are anticipated.
3.3 Affect the welfare of people e.g. by changing living conditions? Yes Welfare of people will improve.
3.4 Vulnerable groups of people who could be affected by the project e.g. hospital patients, children, the elderly etc. No Vulnerable groups such as hospital patients, Schools children, old age homes are at distance of 1.5 km from the project and will not be affected as all required control measures will be taken.
3.5 Any other causes No No
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 Municipal Waste Waste from administrative buildings, waste metals, kitchen waste etc. Disposal method Waste paper and metal will be given to recyclers, and kitchen waste will be converted into manure.
4.3 Hazardous wastes (as per Hazardous Waste Management Rules) Yes Disposal through CHWTSDF • Discarded drums and containers = 600 nos/month, • ETP Sludge: 795 TPA, • Spent Carbon generated from ETP: 150 TPA, • MEE Solids: 7046 TPA, • Spent Carbon from process = 20 TPA, • Residue from process = 1190 TPA, • Process Waste from process = 650 TPA.
4.4 Other industrial process wastes Yes Non-hazardous waste: • Coal Ash = 260 TPA, • Paper, Wood, Plastic and Metals = 6 TPA, • Garbage = 3.6 TPA, • E & Battery Waste= 2.8 TPA.
4.5 Surplus product No Nil
4.6 Sewage sludge or other sludge from effluent treatment Yes • Domestic waste water will be treated in combined ETP. • Sludge from ETP 795 TPA will be sent to CHWTSDF. • Spend carbon generated from ETP plant: 150 TPA will be sent to CHWTSDF. • Salts from evaporator: 7046 TPA will be sent to CHWTSDF.
4.7 Construction or demolition wastes Yes Minimum quantity of debris, scraps, excavated soil, used cement bags, iron / steel scrap and cardboards waste could be generated during construction.
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 emissions will be from combustion of coal used in boilers. Emission rate: 44.99 mg/Nm3 SO2 emissions will be from combustion of LDO used in Thermopac. Emission rate: 179 kg/Day
5.2 Emissions from production processes Yes Emissions from production process are controlled by scrubbers and condensers provided to Process vents.
5.3 Emissions from materials handling including storage or transport Yes Proper arrangement provided for handling material.
5.4 Emissions from construction activities including plant and equipment Yes Emission from diesel operated vehicles, concrete mixers and excavators are anticipated. However this equipment will be maintained properly to ensure minimum emissions and vehicles with PUC certificates will be used.
5.5 Dust or odours from handling of materials including construction materials, sewage and waste Yes Water sprinkling will be done regularly to avoid dust generated from construction activity and vehicular moment. Sewage will be treated in combined ETP.
5.6 Emissions from incineration of waste No Waste will not be incinerated in the premises. It will be sent to CHWTSDF.
5.7 Emissions from burning of waste in open air (e.g. slash materials, construction debris) No Waste will not be burned in open air. It will be sent to CHWTSDF.
5.8 Emissions from any other sources No No other sources of emission are anticipated.
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 The probable sources of noise shall be Boiler, centrifuge, cooling tower, etc. Proper acoustic treatments would be provided to keep the ambient noise levels below the permissible limits as per CPCB standards. Expected noise levels in the section will be about 72 dB (A). All preventive measures such as regular O& M of pumps, motors, and compressors will be carried out and enclosures will be provided to control noise levels at source. The workers would be provided with PPE.
6.2 From industrial or similar processes Yes Not significant
6.3 From construction or demolition Yes Construction Noise from construction machineries such as cranes, hydra, excavator machine, etc. during construction activity only. This will be within acceptable norms There will not be any emission of light & heat due to proposed project
6.4 From blasting or piling No Blasting or piling is not expected If required permissions will be taken.
6.5 From construction or operational traffic Yes Limited day time transport.
6.6 From lighting or cooling systems Yes dB (A) will be below standards.
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 No There is no risk of contamination of land or water as handling will be on impervious surfaces. Spillages will be leading to ETP. Precaution will be taken while loading, unloading. MSDS will be followed. Workers are trained in handling hazardous material. PPE will be used.
7.2 From discharge of sewage or other effluents to water or the land (expected mode and place of discharge) No There will not be any direct discharge of effluent on land or in water bodies. Sewage will be treated in combined ETP. High COD & TDS stream 50 CMD from process & reject from RO 72 CMD will be treated in Multi Effect Evaporator (MEE). Condensate from MEE will be mixed with utility blow down, waste water from washing activity & domestic effluent Total effluent 287 CMD will be treated by full-fledged effluent treatment plant consisting of primary, secondary and tertiary treatment. Treated effluen
7.3 By deposition of pollutants emitted to air into the land or into water No Proper mitigation measures will be taken during construction and operation phase, so there will not be any deposition of pollutants into air, land or into water.
7.4 From any other sources No No other sources of emission are anticipated.
7.5 Is there a risk of long term build up of pollutants in the environment from these sources? No Environmental Management Plan will be Strictly followed. Hence, long term buildup of pollutants is not envisaged.
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 During construction: No explosions, spillages, fires etc. is expected During Operation: The associated hazards from the plant are toxic release and fire. These hazards can take place due to process upsets, leakages, equipment and hardware failures, loss of containment, human failures etc. For operation proper safety precautions will be implemented. A fire hydrant system will be provided. Adequate fire- fighting arrangement will be provided as per Factory Act. Safety wears and fir
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 Natural disasters are not expected, as It is not a flood, earthquake or landslide prone area.
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 • Yes, Positive impact • No • No • No • No
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 There are no such areas protected under international conventions, national or local legislation for their ecological, landscape, cultural or other related value.
2 Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests No Wetlands None identified within 10 km area. Water Bodies Athwad lake – 1.2 km., Salevadgaon lake-2.28 km., Underkhel lake – 5.48 km. Coastal Zone Coastal area is not within the study area. Biosphere Reserve Biosphere Reserve is not present in the study area Mountains There are mountains within the study area
3 Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration No There are no such areas
4 Inland, coastal, marine or underground waters Yes Coastal or marine waters are not located within study area. Underground waters in the form of aquifer would be present at the site and the study area. Details will provide in EIA report.
5 State, National boundaries No Not Applicable
6 Routes or facilities used by the public for access to recreation or other tourist, pilgrim areas No Not Applicable
7 Defence installations No Not within 10 Km radius.
8 Densely populated or built-up area Yes Ambhora at aerial distance 2 Km.
9 Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship, community facilities) Yes Primary health centers, primary schools, hospitals, worship places etc. are located nearby.
10 Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) Yes Groundwater and surface water resources would be located within the study area of 10 Km Surface water: (aerial distance) Athwad lake – 1.2 km., Salevadgaon lake-2.28 km., Underkhel lake – 5.48 km. Ground Water: (aerial distance) Ambora Village 2.0 km E , Athvad Village 2.0 km SW
11 Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) No There are no such areas existing near the project 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 It is not a flood, earthquake or landslide prone area.
(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:
Sno. EDS Letter Remarks Date of EDS
1.NAThe correction have been made as per the instruction received 30 Oct 2018
2.NAAvailability of the proposed land with the project proponent and permission for industrial usage may be provided. 25 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 ApplicantJitendra
DesignationPartner
Name of Company (Applicant Name should not be given here)CANPEX LIFESCIENCE LLP
AddressSurvey No.-165/A/1 , Ambhora Village, Tal.- Ashti, Dist-Beed,
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