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 SYNTHETIC ORGANIC CHEMICALS(DYES INTERMEDIATES)
Brief summary of projectAnnexure-Brief summary of project
Proposal Number IA/RJ/IND2/98501/2019
Project Cost cr
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 600 TPA ha.
4.
New/Expansion/ModernizationNew
5. Existing Capacity/Area etc. 0.416977 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 projectS. No. 2662/61, Village Bhujela, Tehsil Pindwara, Dist Sirohi, Rajasthan
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.S. No. 2662/61, Village- Bhujela, Tehsil-Pindwara, Dist: Sirohi, Rajasthan- 307026.
Town / VillageBhujela, Pindwara, Rajasthan
State of the projectRajasthan
Details of State of the project
S.no State Name District Name Tehsil Name
(1.)RajasthanSirohiPindwara
10.
Nearest railway station along with distance in kms Kivarali, 4.5 km
Nearest airport along with distance in kms Jodhpur, 201.5 km
11. Nearest Town/City/District Headquarters along with distance in kms Swarupgung , 8 km
12. Village Panchayats, Zila Parishad, Muncipal Corporation, Local body (Complete postal address with telephone nos. to be given) Bharaja Tehsil:Pindwara District: Sirohi
13. Name of the Applicant Shailesh
14. Registered Address S. No. 2662/61, Bhujela, Pindwara, Rajasthan Sirohi, Rajasthan
15.
Address for correspondance:
Name of the Company R J INDUSRTIES
Name of the Applicant Shailesh
Designation (Owner/ Partner/ CEO) Partner
Pin code 382475
E-mail kabirimpex1976@gmail.com
Telephone No. 079-22147550
Fax No. 079-
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
1.2 Clearance of existing land, vegetation and buildings? Yes Non Agriculture Clearance has obtained.
1.3 Creation of new land uses? No Existing Food Processing Industries.
1.4 Pre-construction investigations e.g. bore houses, soil testing? No -
1.5 Construction works? Yes Existing Food Processing Facility available and constructed since before purchased. (Office, Go-down, Process Plant and Shed)
1.6 Demolition works? No -
1.7 Temporary sites used for construction works or housing of construction workers? No -
1.8 Above ground buildings, structures or earthworks including linear structures, cut and fill or excavations and fill or excavations Yes It will be as per the plant design.
1.9 Underground works including mining or tunnelling? No -
1.10 Reclamation works? No -
1.11 Dredging? No -
1.12 Offshore structures? No -
1.13 Production and manufacturing processes? Yes Enclosed as Annexure-III
1.14 Facilities for storage of goods or materials? Yes The industry will provide facilities for storage of goods/materials
1.15 Facilities for treatment or disposal of solid waste or liquid effluents? No -
1.16 Facilities for long term housing of operational workers? No -
1.17 New road, rail or sea traffic during construction or operation? No -
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 -
1.20 New or diverted transmission lines or pipelines? No -
1.21 Impoundment, damming, culverting, realignment or other changes to the hydrology of watercourses or aquifers? No -
1.22 Stream crossings? No -
1.23 Abstraction or transfers of water from ground or surface waters? No Water will be supplied by Tanker.Water will be supplied by Tanker.
1.24 Changes in water bodies or the land surface affecting drainage or run-off? No
1.25 Transport of personnel or materials for construction, operation or decommissioning? Yes Locally.
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? No
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) No Developed land. Existing Food Processing Unit
2.2 Water (expected source & competing users) unit: KLD Yes Source of Water :Tanker Required Quantity After Recycled: 28.0 KLD Water balance details enclosed as Annexure - IV
2.3 Minerals (MT) No -
2.4 Construction material – stone, aggregates, sand / soil (expected source – MT) Yes Stone:10 T Aggregates: 8 T Sand: 5 T
2.5 Forests and timber (source – MT) No -
2.6 Energy including electricity and fuels (source, competing users) Unit: fuel (MT),energy (MW) Yes Source of Electricity: Jodhpur VidyutVitran Nigam Ltd., Rajasthan Required Power: 175 KVA
2.7 Any other natural resources (use appropriate standard units) Yes Solar Energy will be utilized on roof top area.
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 Hazardous raw materials will be stored as per MSIHC rules, 1989 and amendment rules, 2000.MSDS will be followed to handle the Materials.
3.2 Changes in occurrence of disease or affect disease vectors (e.g. insect or water borne diseases) No -
3.3 Affect the welfare of people e.g. by changing living conditions? Yes Improved as getting employment.
3.4 Vulnerable groups of people who could be affected by the project e.g. hospital patients, children, the elderly etc. No -
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 No -
4.2 Municipal waste (domestic and or commercial wastes) Yes Domestic Waste will be converted in to manure and sold to actual user
4.3 Hazardous wastes (as per Hazardous Waste Management Rules) Yes Please refer Annexure-VI.
4.4 Other industrial process wastes Yes Please refer annexure-VI.
4.5 Surplus product No -
4.6 Sewage sludge or other sludge from effluent treatment Yes Sewage sludge will be converted in to manure ETP sludge will be disposed to the TSDF site.
4.7 Construction or demolition wastes No NA
4.8 Redundant machinery or equipment No NA
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 Please refer Annexure – V
5.2 Emissions from production processes Yes Please refer Annexure – V
5.3 Emissions from materials handling including storage or transport Yes Emission will be minimized by good house keeping, proper traffic management and automatic transferring system
5.4 Emissions from construction activities including plant and equipment Yes Providing Barricade to control the emission during construction work and plant equipment.
5.5 Dust or odours from handling of materials including construction materials, sewage and waste No -
5.6 Emissions from incineration of waste No NA
5.7 Emissions from burning of waste in open air (e.g. slash materials, construction debris) No NA
5.8 Emissions from any other sources No NA
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 There will slightly increase in noise level during operation. Noise level will be maintained within permissible limit as per Noise Rule 2000 by provides appropriate enclosures where ever applicable.
6.2 From industrial or similar processes Yes There will be marginal noise level due to operation of reactor.
6.3 From construction or demolition Yes During installation of machinery or other construction activity there will be slightly increase in noise level. No demolition work is involved.
6.4 From blasting or piling No -
6.5 From construction or operational traffic No -
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 No risk of contamination of land and water from hazardous materials since proper measures will be taken. Collection, treatment and disposal of hazardous waste will be as per hazardous waste (Management & Handling) amendment rule 2008 and hence no adverse impact on land environment is envisaged.
7.2 From discharge of sewage or other effluents to water or the land (expected mode and place of discharge) Yes Domestic sewage shall discharge to soak pit.
7.3 By deposition of pollutants emitted to air into the land or into water No No major impact is anticipated by deposition of pollutants emitted to air into the land or into water due to all the necessary Air Pollution Control Measures is adopted for controlling the air pollution within the limits specified by State Pollution Control Board.
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 Safety measures will be followed.
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 -
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 Proposed project is situated in Industrial Estate, so there will be no impact on surrounding environment.
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 -
9.4 Have cumulative effects due to proximity to other existing or planned projects with similar effects No No cumulative effects are envisaged.
(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 -
2 Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests No -
3 Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration No -
4 Inland, coastal, marine or underground waters No -
5 State, National boundaries No -
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 -
9 Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship, community facilities) No -
10 Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) No -
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 Area is susceptible to earthquakes (falls under Seismic Zone-III). The structural design will be in accordance with Seismic Zone-III specification to avoid the disaster due to earthquake.
(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
BRIEF
GOOGLE IMAGE OF STUDY AREA
PLANT LAYOUT
            Essential Detail Sought:
Sno. EDS Letter Remarks Date of EDS
1.NAThe correction have been made as per the instruction received 14 Apr 2019
2.NAPlease see that the proposed unit may falls under the category of 'small units' as per the EIA Notification, 2006. Please submit the proposal accordingly. Please provide project name (not PPs or company name) in S.No. 1 of Form 1 25 Mar 2019
      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 ApplicantShailesh
DesignationPartner
Name of Company (Applicant Name should not be given here)R J INDUSRTIES
AddressS. No. 2662/61, Bhujela, Pindwara, Rajasthan Sirohi, Rajasthan
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