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 Jetty Conveyor and Approach Road of Raigad Cement Blending Plant
Brief summary of projectAnnexure-Brief summary of project
Proposal Number IA/MH/MIS/74812/2018
Project Cost 13200 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 5 million mtpa transportation load 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 projectAmba River Village Shahbaj District Raigad 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.335 (A/B/K), 336, 342, 344, 346
Town / VillageShahbaj
State of the projectMaharashtra
Details of State of the project
S.no State Name District Name Tehsil Name
(1.)MaharashtraRaigadAlibag
10.
Nearest railway station along with distance in kms Penn, 8 km
Nearest airport along with distance in kms Mumbai, 80 km
11. Nearest Town/City/District Headquarters along with distance in kms Penn , 8 km
12. Village Panchayats, Zila Parishad, Muncipal Corporation, Local body (Complete postal address with telephone nos. to be given) Village: Shahbaj Tehsil: Alibaug District: Raigad State: Maharashtra
13. Name of the Applicant Sanjay
14. Registered Address Adani House, 56 Srimali Society, Navrangpura
15.
Address for correspondance:
Name of the Company ADANI CEMENTATION LIMITED
Name of the Applicant Sanjay
Designation (Owner/ Partner/ CEO) AGM
Pin code 382421
E-mail sanjay.prasad@adani.com
Telephone No. 79-25558623
Fax No. 79-07925557401
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 Yes
Uploaded detailsAnnexure-Uploaded details
17. Whether part of Interlinked projects? Yes
18. Whether separate application of Interlinked project has been submitted? Yes
19.
If Yes, MoEF file numberSEIAA-STATEMENT-0000000888
Date of submission24/01/2018
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) Yes About 2 hectare water front area will be used for Jetty and about 1.5 ha. river bank will be used for Conveyor Corridor and Approach Road
1.2 Clearance of existing land, vegetation and buildings? No No building present in the proposed project site.
1.3 Creation of new land uses? Yes The identified area will be used for construction of Jetty, Conveyor and approach road
1.4 Pre-construction investigations e.g. bore houses, soil testing? Yes It will be done prior to construction. Soil testing to be carried out to estimate load bearing capacity.
1.5 Construction works? Yes Construction work mainly involves the following activities: 1. Site clearance and excavation 2. Transportation, Storage & Handling of construction material 3. Mobilization & demobilization of men and machinery 4. Civil construction 5. Mechanical works 6. Laying of power and water supply lines
1.6 Demolition works? No No demolition work is proposed
1.7 Temporary sites used for construction works or housing of construction workers? Yes All the works will be executed through contractors. During construction, temporary labor camps will be established by the contractors away from river bank area with amenities like drinking water supply, health & sanitation and medical facilities. The contractors will be insisted to give preference to the local workers based on skill and qualification.
1.8 Above ground buildings, structures or earthworks including linear structures, cut and fill or excavations and fill or excavations Yes Approach road, culvert and conveyor system
1.9 Underground works including mining or tunnelling? No No underground work will be carried out
1.10 Reclamation works? No No reclamation work is anticipated
1.11 Dredging? Yes Minimal dredging will be required in front of proposed berthing area. The preliminary indicative level capital dredging estimates work out to 25,000 cum. The ex-act capital dredging quantities will be calculated on the basis of the bathymetry surveys and investigations which will be undertaken during the DPR stage.
1.12 Offshore structures? Yes Captive jetty near the proposed cement blending plant site at Amba river for input material i.e Cement, Fly ash and Slag
1.13 Production and manufacturing processes? No There is no production or manufacturing is proposed in the river or river bank area. Cement, Fly ash and Slag will be transported for bending plant to produce cement.
1.14 Facilities for storage of goods or materials? No No storage facility is envisaged on jetty
1.15 Facilities for treatment or disposal of solid waste or liquid effluents? No No solid or liquid waste will be generated from the proposed activity. Dust particles of Cement Blending Plant will be collected from various pollution control equipment & recycled back to the system. Meager quantity of domestic sewage will be used for green belt development after treatment
1.16 Facilities for long term housing of operational workers? No There is no provision of workers accommodation at the site during O&M stage. Penn is the nearest district head quarter at about 8km distance, equipped with all essential amenities and well developed facilities.
1.17 New road, rail or sea traffic during construction or operation? Yes Marginal increase in Sea & Road traffic can be anticipated in the transportation of raw material and finished product
1.18 New road, rail, air water borne or other transport infrastructure including new or altered routes and stations, ports, airports etc? Yes Captive jetty is proposed for transportation of raw material like raw Cement, fly ash and slag in the existing water way. The existing transport infrastructure is adequate to cater the additional activities both during construction and operation phase.
1.19 Closure or diversion of existing transport routes or infrastructure leading to changes in traffic movements? No None
1.20 New or diverted transmission lines or pipelines? No None
1.21 Impoundment, damming, culverting, realignment or other changes to the hydrology of watercourses or aquifers? No None
1.22 Stream crossings? Yes A culvert is proposed for approach road over a small nala meeting to Amba River
1.23 Abstraction or transfers of water from ground or surface waters? No No ground water will be abstracted for construction or operation purposes. The water requirement 10 m3/day will be received through water tankers
1.24 Changes in water bodies or the land surface affecting drainage or run-off? No None
1.25 Transport of personnel or materials for construction, operation or decommissioning? Yes Personnel transportation will be by private or public transport. Construction Material will be transported during construction stage of the cement plant through access road.
1.26 Long-term dismantling or decommissioning or restoration works? No None
1.27 Ongoing activity during decommissioning which could have an impact on the environment? No None
1.28 Influx of people to an area in either temporarily or permanently? Yes During construction phase laborers will be employed by the contractors, temporarily. Preference will be given to the local villagers both during construction and operation.
1.29 Introduction of alien species? No None
1.30 Loss of native species or genetic diversity? No None
1.31 Any other actions? No None
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) Yes About 2 hectare water front area will be used for Jetty and about 1.5 ha. river bank will be used for Conveyor Corridor and Approach Road.
2.2 Water (expected source & competing users) unit: KLD Yes Quantity: 10KLD (Max.) Competing Users: Local Area Source: Local Suppliers through tankers
2.3 Minerals (MT) No None
2.4 Construction material – stone, aggregates, sand / soil (expected source – MT) Yes • Construction material such as sand, steel, aggregates, etc. will be used. • However exact quantification of the construction material will be carried out at detailed engineering stage. • The above construction material for Jetty, Conveyor & Approach Road will be mainly obtained from local market.
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 The estimated total power requirement for integrated project (Jetty, Conveyor & CBP) will be about 3 MW, sourced from nearest substation
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 No None
3.2 Changes in occurrence of disease or affect disease vectors (e.g. insect or water borne diseases) No None
3.3 Affect the welfare of people e.g. by changing living conditions? No None
3.4 Vulnerable groups of people who could be affected by the project e.g. hospital patients, children, the elderly etc. No None
3.5 Any other causes No None
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 The project site is almost flat and hence no major earthwork is involved. All the excavated earth will be used within the project site to the extent possible.
4.2 Municipal waste (domestic and or commercial wastes) Yes All measures towards health and sanitation of the construction laborers will be ensured. During the operation phase, some municipal waste will be generated from the facilities like administrative building, warehouse etc., which will be disposed off as per the guidelines given in Municipal Solid Waste (Management & Handling) Rules, 2000
4.3 Hazardous wastes (as per Hazardous Waste Management Rules) Yes From the proposed project hazardous waste will be generated in the form of waste oil, empty oil barrels, grease. Waste oil will be collected in dedicated drums and stored on impervious concrete floor. The same will be sold to the vendors authorized by MSPCB for recycling.
4.4 Other industrial process wastes No None
4.5 Surplus product No None
4.6 Sewage sludge or other sludge from effluent treatment No None
4.7 Construction or demolition wastes Yes Construction waste will be minimized as much as possible. Excavated earth will be utilized for embankment etc., within the project site to the extent possible.
4.8 Redundant machinery or equipment No None
4.9 Contaminated soils or other materials No None
4.10 Agricultural wastes No None
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 Gaseous emission from diesel operating vehicle and equipment is envisaged. Emission details with control measures will be covered in EIA report
5.2 Emissions from production processes No No production. Only handling of cargo will be done.
5.3 Emissions from materials handling including storage or transport Yes Dust control equipment is proposed for efficient control of dust pollution to the environment during storage and handling of various cargo at the berth & stockyard All the process equipment and dust transfer points are envisaged with dust collection equipment which shall reduce the emissions to <30 mg/Nm³. Concrete roads will be cleaned by vacuum sweeping.
5.4 Emissions from construction activities including plant and equipment Yes Fugitive emissions during construction phase in the form of dust from the construction activities.
5.5 Dust or odours from handling of materials including construction materials, sewage and waste Yes Dust will be generated from handling of construction material during loading & unloading as well as due to civil work. The construction activities may cause increase in SPM levels locally. No odor generating substance will be handled in the premises.
5.6 Emissions from incineration of waste No None
5.7 Emissions from burning of waste in open air (e.g. slash materials, construction debris) No None
5.8 Emissions from any other sources No None
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 During construction, noise will be generated from various construction machineries such as Earth Movers and Material Handlers. During operation phase, noise will be generated from Fans, Motors, Blending unit, DG Set, Air Compressors, etc.
6.2 From industrial or similar processes Yes There will be noise generation due to machinery operations. Acoustic enclosure for plant machinery will be provided to maintain noise level below the permissible level. The workers will be provided with personal protective equipment.
6.3 From construction or demolition Yes Noise generation is expected from construction activities. However, necessary measures will be taken to minimize any disturbance caused during construction.
6.4 From blasting or piling Yes Instant marginal increase in noise level can be anticipated from Piling work during construction work.
6.5 From construction or operational traffic Yes During construction & operational phase, maintenance of vehicles will be ensured to minimize the emissions.
6.6 From lighting or cooling systems No None
6.7 From any other sources No None
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 Diesel handling is envisaged. Risk mitigation measures shall be provided. DMP/RA shall be prepared
7.2 From discharge of sewage or other effluents to water or the land (expected mode and place of discharge) No None
7.3 By deposition of pollutants emitted to air into the land or into water No The main pollutants from the proposed project will be particulate matter from handling of raw material. Necessary pollution control system will be installed.
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 All necessary precautionary measures will be taken to avoid any accidents.
8.2 From any other causes Yes Risk of accident is envisaged due to mishandling of machinery equipment and falling from heights, slips, deck, etc. during work. A disaster management plan will be implemented to avoid such accidents and training will be provided to the workers. No unauthorized persons will be allowed to enter the main plant area.
8.3 Could the project be affected by natural disasters causing environmental damage (e.g. floods, earthquakes, landslides, cloudburst etc)? Yes The proposed project site falls in Seismic Zone – III as per IS 1893 (Part-I): 2002. The plant facilities will be designed as per the BIS requirements for earthquake resistance.
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 will result in considerable growth in service sector, which will lead to supporting and ancillary development in the region.
9.2 Lead to after-use of the site, which could have an impact on the environment No None
9.3 Set a precedent for later developments No None
9.4 Have cumulative effects due to proximity to other existing or planned projects with similar effects No None
(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
2 Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Yes Amba River
3 Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration Yes Mangrove
4 Inland, coastal, marine or underground waters Yes Coastal Zone (Dharamtar Creek)
5 State, National boundaries No None
6 Routes or facilities used by the public for access to recreation or other tourist, pilgrim areas No None
7 Defence installations No None
8 Densely populated or built-up area Yes Penn Town: 8km
9 Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship, community facilities) Yes School, Hospitals, Places for worship and community facilities are present in almost every village within 15km radius
10 Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) No None
11 Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) No Not identified at this stage. Detailed study will be carried out during Impact Assessment work.
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 Yes The study area lies in 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) 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 ApplicantSanjay
DesignationAGM
Name of Company (Applicant Name should not be given here)ADANI CEMENTATION LIMITED
AddressAdani House, 56 Srimali Society, Navrangpura
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