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 Damanganga-Vaitarna-Godavari (Kadva/Dev) intrastate link project
Brief summary of projectAnnexure-Brief summary of project
Proposal Number IA/MH/RIV/83263/2018
Project Cost 270827 lacs
2.
S. No. in the schedule1(c) River Valley projects
Project Sector River Valley and Hydroelectric Projects
3. Proposed capacity/area/length/tonnage to be handled/command area/lease area/number or wells to be drilled 11480 ha ha.
4.
New/Expansion/ModernizationNew
5. Existing Capacity/Area etc. 8100 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 projectMokhada tehsil of Palghar district
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.111,114,116
Town / VillageChinchutara, Bhendipada, Vadachapada, Bedukpada, Udhale
State of the projectMaharashtra
Details of State of the project
S.no State Name District Name Tehsil Name
(1.)MaharashtraThaneMokhada
10.
Nearest railway station along with distance in kms Nashik Road, 60 km
Nearest airport along with distance in kms Ozar, Nashik, 75 km
11. Nearest Town/City/District Headquarters along with distance in kms Nashik , 60 km
12. Village Panchayats, Zila Parishad, Muncipal Corporation, Local body (Complete postal address with telephone nos. to be given) Nashik Municipal Corporation, Rajiv Gandhi Bhawan, Purandare colony, Sharanpur Road, Nashik - 422007; Phone : 02532578206
13. Name of the Applicant Sanjiv
14. Registered Address Sinchan Sewa Bhavan, Opposit to Ved Mandir, Mico Circle
15.
Address for correspondance:
Name of the Company EXECUTIVE ENGINEER, NANDUR MADHYAMESHWAR PROJECT DIVISION, NASHIK
Name of the Applicant Sanjiv
Designation (Owner/ Partner/ CEO) ee
Pin code 422002
E-mail nmpdnsk@gmail.com
Telephone No. 0253-2572504
Fax No. 0253-2579904
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?Yes
StatusApplication for Forest Clearance yet to be submitted
(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?Yes
Area of Forest land Involved (hectares)179 ha.
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 1230 ha of land would come under submergence, out of which 179 ha falls under forest. In addition, about 360 ha would be required for the link canal. Against this, 11480 ha of land will be brought under assured irrigation. In addition an area of 16840 ha would be provided with irrigation facilities from recycled water. In addition to this, temporary change in land use will be due to construction of different project components like colony, stores, transit camp and guest house, etc. How
1.2 Clearance of existing land, vegetation and buildings? Yes The acquisition of land for various project activities would require clearance of vegetation. No buildings are to be cleared.
1.3 Creation of new land uses? Yes The submergence of land and construction of project components will result in creation of new land use. About 11480ha of land will be brought under assured irrigation.In addition an area of 16840 ha would be provided with irrigation facilities from recycled water. The details will be worked out during the preparation of EIA/DPR.
1.4 Pre-construction investigations e.g. bore houses, soil testing? Yes Topographical surveys, detailed geological & geotechnical studies involving sub surface investigations viz., drilling,construction material survey,EIA and related studies will be carried out as a prelude to preparation of DPR.
1.5 Construction works? Yes The project involves construction of 5 dams, two tunnels, raising mains and water conductor system of about 30 km length including lifting arrangements.
1.6 Demolition works? No
1.7 Temporary sites used for construction works or housing of construction workers? Yes Temporary sites shall be developed for housing of construction workers. The details will be worked out during the preparation of DPR.
1.8 Above ground buildings, structures or earthworks including linear structures, cut and fill or excavations and fill or excavations Yes The project involves construction of 5 dams, raising mains and water conductor system of about 30 km length including lifting arrangements.
1.9 Underground works including mining or tunnelling? Yes The project involves construction of two tunnels to divert water from two proposed projects viz., Vagh and Val
1.10 Reclamation works? No
1.11 Dredging? No
1.12 Offshore structures? No
1.13 Production and manufacturing processes? No
1.14 Facilities for storage of goods or materials? Yes Construction materials like steel, cement, electrical items etc. shall be stored in the temporary stores that will be constructed for the purpose. The detailed stores requirement will be worked out during the preparation of EIA/DPR.
1.15 Facilities for treatment or disposal of solid waste or liquid effluents? Yes Suitable facilities for treatment /disposal of solid waste/liquid effluents will be provided.
1.16 Facilities for long term housing of operational workers? Yes Housing facilities for the staff for operation of the project are proposed to be constructed.
1.17 New road, rail or sea traffic during construction or operation? No The existing roads of different category in the vicinity of the project area would be strengthened as required.
1.18 New road, rail, air water borne or other transport infrastructure including new or altered routes and stations, ports, airports etc? No
1.19 Closure or diversion of existing transport routes or infrastructure leading to changes in traffic movements? No The existing Mokhada - Khodala state highway comes under submergence in few places for which diversion of traffic would be provided during construction stage.
1.20 New or diverted transmission lines or pipelines? No As per the pre-feasibility studies carried out by NWDA, no transmission lines or pipelines are likely to be affected.
1.21 Impoundment, damming, culverting, realignment or other changes to the hydrology of watercourses or aquifers? Yes There will be impoundment and damming of 5 proposed dams. This will have positive impact on the ground water scenario of the area.However, the exact effect on change in groundwater level and river regime will be studied during preparation of EIA / DPR study.
1.22 Stream crossings? Yes The link canal crosses no. of streams. Suitable cross drainage structure will be provided at each crossing.
1.23 Abstraction or transfers of water from ground or surface waters? Yes 202 Mcum of surface water is proposed to be diverted from Damangaga and Vaitarna basins to Upper Godavari region of Godavari basin as per pre-feasibility study. The exact quantum of diversion will be firmed up based on detailed Hydrological studies that would be undertaken as part of DPR.
1.24 Changes in water bodies or the land surface affecting drainage or run-off? Yes Creation of five reservoirs at dam sites shall result in additional water bodies.About 1230 ha of land would come under submergence. In addition about 360 ha would be required for the link canal. Further, there will be changes in land surface of command area as well. Appropriate structures will be constructed where the canal crosses natural streams so that the surface drainage is not affected.
1.25 Transport of personnel or materials for construction, operation or decommissioning? Yes The manpower, material, machinery and equipment for construction isrequired to be transported.
1.26 Long-term dismantling or decommissioning or restoration works? No
1.27 Ongoing activity during decommissioning which could have an impact on the environment? No
1.28 Influx of people to an area in either temporarily or permanently? Yes The project construction would entail influx of both labourers and technical staff of the implementing agency as well as of contractors. Most of the labourers will be deployed temporarily& locally during construction stage. The number would be limited during O&M stage of the project.
1.29 Introduction of alien species? No
1.30 Loss of native species or genetic diversity? No
1.31 Any other actions? No
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 A total of 1590 ha of land acquisition is required for construction of five dams and 30 km long link canal out of which about 179 ha would be under forest.
2.2 Water (expected source & competing users) unit: KLD Yes 202 MCM of water is proposed to be diverted from the five projects project during non-monsoon period (from monsoon storage). The respective river/stream waters will be utilized in the construction activities of enroute storages/tanks and the link canal in the region.
2.3 Minerals (MT) No
2.4 Construction material – stone, aggregates, sand / soil (expected source – MT) Yes Most of the construction material requirement will be met from rock quarries and terrace deposits. Steel and cement will be procured from the nearby factories. The details of quantities will be worked out during the preparation of EIA/DPR.
2.5 Forests and timber (source – MT) No About179 ha of forest land is required to be acquired for dams. However, no timber is expected to be utilized during construction/operation of the project.
2.6 Energy including electricity and fuels (source, competing users) Unit: fuel (MT),energy (MW) Yes Energy requirement during the construction phase shall be met through DG sets. The details will be worked out during the preparation of EIA/DPR. The required energy of about 300MUfor the link project operation (pumping of water)will be tapped from the Grid.
2.7 Any other natural resources (use appropriate standard units) No
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 Safety measures shall be adopted as per standard conditions stipulated at the time of accord of license issued by the explosive department, while using the blasting material during the construction of the project.
3.2 Changes in occurrence of disease or affect disease vectors (e.g. insect or water borne diseases) No Detailed study will be done during the preparation of DPR and EIA study of the project and remedial measures as may be proposed in EMP shall be implemented.
3.3 Affect the welfare of people e.g. by changing living conditions? Yes Due to construction of project, the quality of life in the region will get improved in terms of per capita income, literacy, employment etc.,with the availability of assured irrigation and domestic water supply and consequent developmental activities.
3.4 Vulnerable groups of people who could be affected by the project e.g. hospital patients, children, the elderly etc. Yes A few villages are coming under submergence of the five proposed projects. The exact number and composition of project affected population would be assessed during the preparation of EIA/DPR. Adequate R & R packages would be worked out as part of EMP.
3.5 Any other causes 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 Yes There will be underground excavation in the tunnel portion. The excavated material is proposed to be utilized for dam construction. The remaining quantity of muck (unused) that may be generated shall be worked out during the preparation of DPR. Appropriate muck disposal and management plan shall be prepared as part of EMP.
4.2 Municipal waste (domestic and or commercial wastes) Yes Municipal waste will be generated at the project site due to the presence of manpower. Appropriate measures will be suggested in the EMP of the project. For disposal of sewage, septic tanks & soak pits will be constructed. Appropriate measures for solid waste management, including domestic sewage treatment shall be proposed in the Solid Waste Management Plan that will be prepared as part of EIA & EMP studies
4.3 Hazardous wastes (as per Hazardous Waste Management Rules) No
4.4 Other industrial process wastes No
4.5 Surplus product No
4.6 Sewage sludge or other sludge from effluent treatment No
4.7 Construction or demolition wastes No The details will be worked out during the preparation of EIA/DPR.
4.8 Redundant machinery or equipment No The construction equipment & machinery will be removed from the project site by the project authorities after the project is completed or if the machinery/equipment become redundant.
4.9 Contaminated soils or other materials No
4.10 Agricultural wastes No
4.11 Other solid wastes No
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 Fossil fuels will be used for operation of construction equipment and also for transportation of construction material. The details will be worked out during the preparation of EIA/DPR. However, no fossil fuel will be required at the operational stage of the project.
5.2 Emissions from production processes No
5.3 Emissions from materials handling including storage or transport Yes Fossil fuels will be used for operation of construction equipment and also for transportation of construction material.
5.4 Emissions from construction activities including plant and equipment Yes Some emissions will occur from the crushing plants and operation of DG sets. These emissions will be temporary in nature and will occur only during construction stage of the project. However, proper air pollution control measures shall be proposed in the EMP of the project.
5.5 Dust or odours from handling of materials including construction materials, sewage and waste Yes Material handling and transport of construction material from the quarry sites to the construction site will generate dust. Such an emission will be temporary in nature and will occur only during construction stage of the project. However, proper air pollution control measures shall be proposed in the EMP of the project.
5.6 Emissions from incineration of waste No
5.7 Emissions from burning of waste in open air (e.g. slash materials, construction debris) No
5.8 Emissions from any other sources No
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 Low Noise and some vibration due to operation of equipment such as ventilation plant, DG sets, crushing equipment etc. will be generated. Most of these emissions will be temporary in nature and will occur only during construction stage of the project. However, proper noise control measures shall be proposed in the EMP of the project.
6.2 From industrial or similar processes No
6.3 From construction or demolition Yes The details will be worked out during the preparation of EIA/DPR.
6.4 From blasting or piling Yes Noise and fumes will be generated during blasting operations. Proper mitigation measures will be proposed in the EMP of the project.
6.5 From construction or operational traffic Yes Noise will be generated due to movement of vehicles in the project area
6.6 From lighting or cooling systems No
6.7 From any other sources 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 The material like used/ waste oils that will be generated from the DG sets, transformer etc. will be stored in designated leak proof drums and auctioned to the registered vendors of the respective State Pollution Control Board or Central Pollution Control Board for recycling.
7.2 From discharge of sewage or other effluents to water or the land (expected mode and place of discharge) Yes Discharge of sewage will be mainly due to presence of the construction manpower at the site. For disposal of sewage, septic tanks and soak pits will be constructed. Appropriate measures for domestic sewage treatment shall be proposed in the Solid Waste Management Plan that will be prepared as part of EIA & EMP studies.
7.3 By deposition of pollutants emitted to air into the land or into water No
7.4 From any other sources No
7.5 Is there a risk of long term build up of pollutants in the environment from these sources? No
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 Adequate safety measures against fire and explosives etc. shall be ensured during the construction of the project.
8.2 From any other causes No
8.3 Could the project be affected by natural disasters causing environmental damage (e.g. floods, earthquakes, landslides, cloudburst etc)? No These aspects will, however be studied in detail while preparing the EIA/DPR and appropriate remedial measures and safeguards against natural hazards like floods, earthquakes, landslides etc. will be proposed, as required in the design of the project.
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 effects of the development stimulated by the project having impact on environment will be studied in the EIA of the project and appropriate measures will be suggested in the EMP.
9.2 Lead to after-use of the site, which could have an impact on the environment Yes Due to creation of storage reservoirs, the water will be available round the year and therefore, the environmental condition in the vicinity of the project area will improve.
9.3 Set a precedent for later developments Yes The project will set a precedent for later development. The construction of the project will accelerate economic development in the area and enhance the infrastructure facilities in the area.
9.4 Have cumulative effects due to proximity to other existing or planned projects with similar effects No
(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 The project area under two of the proposed projects as part of DVG link scheme falls within Western Ghats Ecologically Sensitive Area
2 Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Yes The area under two of the five projects proposed as part of DVG link scheme, viz., Nilmati and Udhale dam projects falls within the ESA of Western Ghats.
3 Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration No However, the detailed flora and fauna studies shall be under-taken during EIA & EMP studies to identify the flora and fauna species, their conservation status, aquatic biodiversity including fish species etc.
4 Inland, coastal, marine or underground waters No
5 State, National boundaries Yes This is an intra-state link project and falls entirely within Maharashtra.
6 Routes or facilities used by the public for access to recreation or other tourist, pilgrim areas No
7 Defence installations No
8 Densely populated or built-up area No The villages, if any, which may be expectedto be affected under the enroute storages are being identified.
9 Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship, community facilities) No Details are, however, to be worked out in EIA/DPR stage.
10 Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) Yes The details will be worked out during the preparation of EIA/DPR.
11 Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) No
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 These aspects will however, be studied in detail while preparing the EIA/DPR and appropriate remedial measures and safeguards against natural hazards like floods, earthquakes, landslides etc. will be proposed, as required in the design of the project.
(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
Additional Attachments, if any
Attached File
ADS Letter
            Essential Detail Sought:
Sno. EDS Letter Remarks Date of EDS
1.NAThe correction have been made as per the instruction received 28 Jun 2019
2.NAThe CCA of the project is less than 50,000 ha therefore, as per Minstry Notification dated 14.08.2018, project activity is category B. Reasons of applying the proposal at Central level (MoEF&CC) may be explained. 27 Jun 2019
3.NAThe correction have been made as per the instruction received 12 Jun 2019
4.NAThe CCA is less than 50,000 ha for the proposed project and as per notification dated 14.08.2018, it has to be appraised at State Level unless it fulfils General Conditions. Please clarify. 18 Mar 2019
            Additional Detail Sought:
Sno. ADS Letter Remarks Date of ADS
1. ADS Reply LetterReply to ADS is attached herewith. 14 Oct 2022
2.NA

Deferred

12 Sep 2019
(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 ApplicantSanjiv
Designationee
Name of Company (Applicant Name should not be given here)EXECUTIVE ENGINEER, NANDUR MADHYAMESHWAR PROJECT DIVISION, NASHIK
AddressSinchan Sewa Bhavan, Opposit to Ved Mandir, Mico Circle
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