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 Construction of balance work of breakwater for LNG terminal at Dabhol District Ratnagiri, Maharashtra by M/s. Konkan LNG Private Limited (KLPL)
Brief summary of projectAnnexure-Brief summary of project
Proposal Number IA/MH/MIS/102437/2019
Project Cost 800 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 180.426 ha.
4.
New/Expansion/ModernizationExpansion
Proposal NumberIA/MH/MIS/102434/1994
MoEFCC file number(Previous EC)11-20/2010-IA.III
Uploaded EC letterAnnexure-Uploaded EC letter
5. Existing Capacity/Area etc. 180.426 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 projectGate No. 1036,1037,1039,1040, A/P: Anjanvel, Taluka: Guhagar, District: Ratnagiri
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.Gate No. 1036,1037,1039,1040,
Town / VillageAnjanvel
State of the projectMaharashtra
Details of State of the project
S.no State Name District Name Tehsil Name
(1.)MaharashtraRatnagiriGuhagar
10.
Nearest railway station along with distance in kms Anjani Railway station, 30.25 km
Nearest airport along with distance in kms Ratnagiri Airport, 66 km
11. Nearest Town/City/District Headquarters along with distance in kms Dapoli , 26 km
12. Village Panchayats, Zila Parishad, Muncipal Corporation, Local body (Complete postal address with telephone nos. to be given) M/s. Konkan LNG Private Limited, Gate No. 1036,1037,1039,1040, A/P: Anjanvel, Taluka: Guhagar, District: Ratnagiri
13. Name of the Applicant S
14. Registered Address 5th Floor, GAIL Jubilee Tower, B-35-36, Sector-1, Noida-201 301, Uttar Pradesh
15.
Address for correspondance:
Name of the Company KONKAN LNG PRIVATE LIMITED
Name of the Applicant S
Designation (Owner/ Partner/ CEO) PE
Pin code 201301
E-mail sanjoy.singh@gail.co.in
Telephone No. 120-4148917
Fax No. 120-
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 project involves construction of balance work of breakwater at the existing terminal, hence no land use change
1.2 Clearance of existing land, vegetation and buildings? No The project involves construction of balance work of breakwater at the existing terminal. Hence no vegetation clearance required
1.3 Creation of new land uses? No The project involves construction of balance work of breakwater at the existing terminal. Hence no creation of new landuse
1.4 Pre-construction investigations e.g. bore houses, soil testing? No The project involves construction of balance work of breakwater at the existing terminal
1.5 Construction works? Yes Construction of Breakwater will be carried out. 2300 m long offshore breakwater construction – Partially constructed. Core placed over 1900 m long breakwater – out of which the most northerly 500 m also includes underlayer and Accropode armour, the remaining 400 m vargin. Length: 2300 m Height: 21 m at the center, Width: 80 m at the bottom and with 8m width at the top surface
1.6 Demolition works? No No demolition works required as the project involves construction of balance work of breakwater at the existing terminal
1.7 Temporary sites used for construction works or housing of construction workers? No As the proposed project is construction of balance work of breakwater on existing LNG terminal, Housing accommodation already available on site.
1.8 Above ground buildings, structures or earthworks including linear structures, cut and fill or excavations and fill or excavations Yes Activities related to construction of balance work of Breakwater will be carried out.
1.9 Underground works including mining or tunnelling? No No underground work required as the project involves construction of balance work of breakwater at the existing terminal
1.10 Reclamation works? No No reclamation to be carried out as the project involves construction of balance work of breakwater at the existing terminal
1.11 Dredging? No Capital Dredging not required. Maintenance dredging will be required which is already covered under earlier EC granted by MoEF datedNo. J-16011/12/98-IA.III dated 18th January 1999 for Construction of Breakwater and related Foreshore activities for LNG Import Terminal at Dabhol
1.12 Offshore structures? Yes Construction of balance work of Breakwater – 2300 m long
1.13 Production and manufacturing processes? No The proposed project is related to construction of balance work of breakwater at the existing LNG terminal.
1.14 Facilities for storage of goods or materials? No The proposed project is related to construction of balance work of breakwater at the existing LNG terminal. Existing terminal already have facilities for storage of LNG
1.15 Facilities for treatment or disposal of solid waste or liquid effluents? No The project involves only construction of balance of breakwater at existing terminal, which already have Septic tanks along with soak pits. The overflow sewage is been treated in RGPPL residential colony’s STP.
1.16 Facilities for long term housing of operational workers? No As the proposed project is construction of balance work of breakwater on existing LNG terminal, Housing accommodation already available on site.
1.17 New road, rail or sea traffic during construction or operation? No No new road, rail or sea traffic during construction or operation phase
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 as the project involves construction of balance work of breakwater at the existing terminal
1.19 Closure or diversion of existing transport routes or infrastructure leading to changes in traffic movements? No No closure or diversion of existing 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 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 Construction material- Quarry material will be transported in vessels to project site which is in the scope of contractor. Manpower will be transferred to offshore for construction of breakwater.
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 impact as the project is of construction of breakwater on the existing terminal
1.28 Influx of people to an area in either temporarily or permanently? No No influx of people as the project involves construction of balance work of breakwater at the existing terminal
1.29 Introduction of alien species? No No such alien species
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 as as the project involves construction of balance work of breakwater at the existing terminal
2.2 Water (expected source & competing users) unit: KLD No As the terminal in already in operation, no additional water requirement.
2.3 Minerals (MT) No No mineral requirements
2.4 Construction material – stone, aggregates, sand / soil (expected source – MT) Yes Quarry material/ stones for construction purpose which will be provided by the contractor
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) No As the terminal in already in operation, no additional power/electricity will be required.
2.7 Any other natural resources (use appropriate standard units) Yes quarry material
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 as The proposed project is related to construction of balance work of breakwater at the existing LNG terminal. Existing terminal already have facilities for storage of LNG.the project is
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 Yes The dredged soil material if any will be disposed of at designated area as per CWPRS report.
4.2 Municipal waste (domestic and or commercial wastes) No As the LNG terminal is already in operation, Municipal waste is been treated as per CPCB guidelines. further No additional municipal waste will be there as the project involves only breakwater construction
4.3 Hazardous wastes (as per Hazardous Waste Management Rules) No No hazardous waste generation
4.4 Other industrial process wastes No No Manufacturing process involved hence no industrial process waste to be generated
4.5 Surplus product No Not applicable
4.6 Sewage sludge or other sludge from effluent treatment No Not applicable
4.7 Construction or demolition wastes Yes Construction material waste if any will be disposed off as per MPCB guidelines
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 Minor emissions are expected from vessels during transportation of construction material – onshore to offshore via vessels. DG set emissions envisaged during construction period.
5.2 Emissions from production processes No The Proposed project is to provide breakwater at existing LNG terminal hence no manufacturing process involved in it
5.3 Emissions from materials handling including storage or transport Yes The Proposed project is for construction of balance work of breakwater at existing LNG terminal which already have storage and transport facility of LNG. The emission arising from transportation of materials – onshore to offshore via vessels is limited to construction period only.
5.4 Emissions from construction activities including plant and equipment Yes The Proposed project is for construction of balance work of breakwater at existing LNG terminal which already have storage and transport facility of LNG. The emission arising from transportation of materials – onshore to offshore via vessels is limited to construction period only.
5.5 Dust or odours from handling of materials including construction materials, sewage and waste Yes dust may be produced during transportation of Quarry material onshore to offshore
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 During construction phase, the emissions are expected from the vessel transportation and will be confined till construction period.
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 Generation of noise due to use of DG sets, Equipment,Vessels etc during transpiration of construction material and during construction phase only. Use of certified moving machineries including DG sets to ensure minimum noise generation/vibration.
6.2 From industrial or similar processes No No manufacturing process involved
6.3 From construction or demolition Yes Generation of noise due to use of DG sets, Equipment,Vessels etc during transpiration of construction material and during construction phase only. Use of certified moving machineries including DG sets to ensure minimum noise generation/vibration.
6.4 From blasting or piling No No blasting or piling involved
6.5 From construction or operational traffic Yes Generation of noise due to use of DG sets, Equipment,Vessels etc during transpiration of construction material and during construction phase only. Use of certified moving machineries including DG sets to ensure minimum noise generation/vibration.
6.6 From lighting or cooling systems No Not applicable
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 The Proposed project is for construction of balance work of breakwater at existing LNG terminal which already have storage and transport facility of LNG.
7.2 From discharge of sewage or other effluents to water or the land (expected mode and place of discharge) No Not applicable
7.3 By deposition of pollutants emitted to air into the land or into water No Not applicable
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 as the project is for the construction of balance work of breakwater at existing LNG terminal which already have storage and transport facility of LNG.
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 Not applicable
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 The proposed project is located in Seismic Zone IV as per IS: 1893
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 Not applicable
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 • Gopalgad Fort: 5 Km N • Shahi Mosque: 8 Km NE
2 Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests No No such areas nearby 10 km of the project site
3 Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration Yes • Mangrooves - Dabhol Creek: 7.5 Km N
4 Inland, coastal, marine or underground waters Yes • Arabian Sea. 0.0 km • Vashishti River – 8 Km NE • Dabhol Creek – 8 Km NE • Lake near Kondwadi 8.50 Km
5 State, National boundaries Yes Not any
6 Routes or facilities used by the public for access to recreation or other tourist, pilgrim areas Yes • Guhagar Beach: 7.30 km SE
7 Defence installations No Not any near 10 km area of project site
8 Densely populated or built-up area Yes • RGPPL Colony (RGPPL) Colony, Anjanwel: 4.30 km E
9 Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship, community facilities) Yes • Shahi Mosque: 8 km NE • Industrial Training Institute, Guhagar – 4.70 km E • KhareDhere College Guhagar: 7 km SE • G.B. TathaTatyasahebKhare Commerce, ParvatibaiGurupadDhereArt’s and Science College: 8 Km S • Niramaya Hospital (Old), RGPPL Colony,Anjanwel: 4.45 km E • Health Center Anjanwel : 3.90 km E • ShreyasNursing Home, Guhagar: 6.53 km SE • BalBharti Public School RGPPL Colony: 3.90 km E • Z.P Urdu School Anjanwel: 5.90 km N • Jawahar Navodaya Vidyalaya - Boarding school: 4.60 k
10 Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) No Not any near 10 km area of project site
11 Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) No Not any near 10 km area of 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 Not any near 10 km area of 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) 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 ApplicantS
DesignationPE
Name of Company (Applicant Name should not be given here)KONKAN LNG PRIVATE LIMITED
Address5th Floor, GAIL Jubilee Tower, B-35-36, Sector-1, Noida-201 301, Uttar Pradesh
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