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 Development of 8 lane (Greenfield Highway) from Firozpur Jhirka (Ch. 79.394 Km) to Etawa (Ch. 284.000 Km) Section of NH-148 N (Total length 204.606 Km), Under BHARATMALA PRIYOJANA Lot-4/Pkg-4 in the state of Rajasthan.
Brief summary of projectAnnexure-Brief summary of project
Proposal Number IA/RJ/MIS/75388/2018
Project Cost 790000 lacs
2.
S. No. in the schedule7(f) Highways
Project Sector INFRA-2
3. Proposed capacity/area/length/tonnage to be handled/command area/lease area/number or wells to be drilled Length 204.606 km 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 projectRajasthan
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.Khasra list shall be provided in EIA report.
Town / VillageName of the village/Town shall be provided in EIA report.
State of the projectRajasthan
Details of State of the project
S.no State Name District Name Tehsil Name
(1.)RajasthanAlwarRamgarh
(2.)RajasthanAlwarlakshmangarh
(3.)RajasthanBharatpurNagar
(4.)RajasthanSawai MadhopurBonli
(5.)RajasthanSawai MadhopurChauth Ka Barwara
(6.)RajasthanSawai MadhopurSawai Madhopur
(7.)RajasthanDausaBaswa
(8.)RajasthanDausaDausa
(9.)RajasthanDausaLalsot
10.
Nearest railway station along with distance in kms Bandikui Railway Station, 4.0 km
Nearest airport along with distance in kms Jaipur Airport, 52.0 km
11. Nearest Town/City/District Headquarters along with distance in kms Dausa , 6.0 km
12. Village Panchayats, Zila Parishad, Muncipal Corporation, Local body (Complete postal address with telephone nos. to be given) Zila Parishad Alwar Angal Vihar Colony, Alwar, Rajasthan 301001 Phone: 0144 234 2481 Zila Parishad Dausa Zila Parishad Bhawan, Collectorate Campus, Sawai Madhopur- 322001 Phone: 07462 - 220473
13. Name of the Applicant Dr Biswajit
14. Registered Address G-5 & 6, Sector-10, Dwarka, New DElhi-110075
15.
Address for correspondance:
Name of the Company DR.B.Mukhopadhyay
Name of the Applicant Dr Biswajit
Designation (Owner/ Partner/ CEO) General Manager
Pin code 110075
E-mail biswajit@nhai.org
Telephone No. 11-25074200
Fax No. 11-25093543
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? 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?Yes
Uploaded Order/PolicyAnnexure-Uploaded order/policy
23.
Whether any Forest Land Involved?Yes
Area of Forest land Involved (hectares)Approx 30.0 Ha 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 Proposed highway follows completely new alignment. The proposed project majorly comprises of agricultural, barren, forest and Settlements area. Thus, the land-use within the proposed RoW shall undergo a change due to proposed development.
1.2 Clearance of existing land, vegetation and buildings? Yes Trees and existing structures shall clear in order to construct the road.
1.3 Creation of new land uses? Yes The land-use within the proposed RoW shall undergo a change due to proposed development. Greenbelt development as a part of avenue and median plantation shall be done along both sides of the road and at the median of highway
1.4 Pre-construction investigations e.g. bore houses, soil testing? Yes Topographical survey, Geotechnical investigation, soil testing etc. shall be conducted as a part of pre-construction investigation
1.5 Construction works? Yes Project pertains to construction of highways
1.6 Demolition works? Yes Some structures falling in the proposed RoW shall be demolished.
1.7 Temporary sites used for construction works or housing of construction workers? Yes Labour camp shall be established after taking consent from State Pollution Control Board and district administration. Minimum 500m distance shall be maintained from water body, settlement and forest area, etc.
1.8 Above ground buildings, structures or earthworks including linear structures, cut and fill or excavations and fill or excavations Yes RoB and bridge shall be constructed. However, exact quantification of cut & fill material shall be assessed during EIA Stage
1.9 Underground works including mining or tunnelling? Yes Mining activities shall be limited for Borrow area and minor minerals. Separate environment clearance shall be applied based on merit of the project.
1.10 Reclamation works? Yes Borrow area management plan and mining plan including reclamation shall be prepared.
1.11 Dredging? No No dredging is required
1.12 Offshore structures? No No offshore structure is proposed for the project.
1.13 Production and manufacturing processes? No This is a highway project. No production or manufacturing processes are involved
1.14 Facilities for storage of goods or materials? Yes The construction materials shall be stored at designated places after taking consent from SPCB and district administration.
1.15 Facilities for treatment or disposal of solid waste or liquid effluents? Yes Municipal Solid waste shall be stored in colour bins for segregation at site itself and shall be disposed at government approved sites only. Septic tanks with soak pits or bio-toilets shall be installed at site / labour camps
1.16 Facilities for long term housing of operational workers? No Work force during operation shall be limited for very few nos. and thus any permanent housing is not required.
1.17 New road, rail or sea traffic during construction or operation? Yes The proposed project itself shall act as a mode of transportation and the existing road and rail routes are enough for transport of materials during construction. Approach road shall be constructed from camp to construction site.
1.18 New road, rail, air water borne or other transport infrastructure including new or altered routes and stations, ports, airports etc? No Not required
1.19 Closure or diversion of existing transport routes or infrastructure leading to changes in traffic movements? Yes The proposed project stretch passes through some settlements. Thus diversion of traffic shall be planned before commencement of construction in consultation with local traffic police and shall be duly implemented.
1.20 New or diverted transmission lines or pipelines? Yes Transmission line as being crossed by the proposed alignment, which shall be shifted with the consent of electricity dept.
1.21 Impoundment, damming, culverting, realignment or other changes to the hydrology of watercourses or aquifers? Yes The excavation required for construction of the highway shall be minimal and in no way shall intersect the groundwater table. Adequate cross drainage structures shall be provided based outcome of hydrology study. Hence, any significant negative effect is not envisaged on local hydrology system.
1.22 Stream crossings? Yes Project alignment is crossing the river at many places. Some of the major rivers being crossed by the alignment are Banganaga, Morel, Banas, Sanwan Nadi, Barah Nadi, etc. The details shall be provided in the EIA report.
1.23 Abstraction or transfers of water from ground or surface waters? No Water requirement for construction activities shall be sourced from surface water bodies through Tanker after necessary approval.
1.24 Changes in water bodies or the land surface affecting drainage or run-off? Yes Temporary change is expected during construction, however, adequate nos. of cross drainage structures shall be provided to maintain the natural water course of the area.
1.25 Transport of personnel or materials for construction, operation or decommissioning? Yes Covered trucks, trolleys and tractors shall be utilised for transportation of construction materials.
1.26 Long-term dismantling or decommissioning or restoration works? No Not Required
1.27 Ongoing activity during decommissioning which could have an impact on the environment? No Not Required
1.28 Influx of people to an area in either temporarily or permanently? Yes Temporary influx of people shall occur in form of workers, laborers and engineers during construction.
1.29 Introduction of alien species? Yes No alien species shall be introduced. The greenbelt shall be developed with the help of locals and forest dept.
1.30 Loss of native species or genetic diversity? Yes Trees coming within proposed ROW are need to be felled due to project purpose
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 The proposed alignment majorly comprises of agricultural land with patches of forest and settlement area.
2.2 Water (expected source & competing users) unit: KLD Yes ~12683000 KL total water shall be required during construction phase, which will be sourced through tankers from surface water bodies after necessary approvals.
2.3 Minerals (MT) Yes Aggregates- 1493019 Cum, Sand- 193278 Cum, Cement-182066 MT, Bitumen- 138550, Steel- 47073 MT, Earth Material- 42824609 Cum
2.4 Construction material – stone, aggregates, sand / soil (expected source – MT) Yes Aggregates- 1493019 Cum, Sand- 193278 Cum, Cement-182066 MT, Bitumen- 138550, Steel- 47073 MT, Earth Material- 42824609 Cum
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) Yes Energy requirement during Construction phase shall be taken from local electricity distribution company. DG set shall also be set-up for alternative power arrangements.
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 Adequate safety measures will be taken during construction phase. Hazardous substance like bitumen and waste oil will be handled and stored at designated place as per MSIHC rules.
3.2 Changes in occurrence of disease or affect disease vectors (e.g. insect or water borne diseases) No Construction camp sites will be provided with septic tanks followed soak pit. At regular intervals disinfectants will be applied to restrict vector growth. Suitable drainage and waste management measures will be adopted, which will prevent stagnation of water or accumulation of waste.
3.3 Affect the welfare of people e.g. by changing living conditions? Yes The proposed project will result in appreciable welfare of the people with respect to health care, educational, employment and agriculture developments as a result of fast connectivity of these facilities. Over all there will be improvement in quality of life of people.
3.4 Vulnerable groups of people who could be affected by the project e.g. hospital patients, children, the elderly etc. Yes Some schools, hospitals and other sensitive receptors along the proposed alignment shall be affected due to proposed development. Measures will be adopted based on consultation with the affected population. The proposed project would help the patients to approach to the hospital with minimum time.
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 During construction materials extraction Spoil, overburden or mine waste is likely. All these materials will be consumed for rehabilitation of borrow and mining areas.
4.2 Municipal waste (domestic and or commercial wastes) Yes Municipal solid waste shall be generated from the labour camps. The solid waste will be collected & disposed suitably in compost pit and / or transported in covered trucks at approved municipal disposal sites through contractors.
4.3 Hazardous wastes (as per Hazardous Waste Management Rules) Yes Spent oil from construction equipment / vehicles and DG sets generated during construction phase will be appropriately stored, handled and properly disposed of through approved vendors.
4.4 Other industrial process wastes Yes Insignificant amount of processing waste may be generated from Hot mix / batch mix plant which will be collected and utilized towards strengthening internal road in the campsite or other haulage roads
4.5 Surplus product No Not applicable
4.6 Sewage sludge or other sludge from effluent treatment Yes Sanitary toilets shall be provided with septic tank followed by soak pits, bio toilets or Portable STP in the labour camps.
4.7 Construction or demolition wastes Yes Demolition wastes will be generated from abandoned structures in the project RoW. Construction wastes generated time to time during construction activity will be used for levelling of road alignment.
4.8 Redundant machinery or equipment Yes Some redundant machinery or equipment will be stored at construction camp in pre-designated space to avoid any contamination.
4.9 Contaminated soils or other materials No No contaminated soil or material is anticipated to be generated.
4.10 Agricultural wastes No No agricultural waste is anticipated at the project site.
4.11 Other solid wastes No No Such
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 Point source emissions are anticipated from the Mixing Plants, operation of DG sets, etc. Vehicles transporting construction materials, construction equipment and machinery will be another source of emissions. During Operational phase, the emissions will be from vehicles running on road.
5.2 Emissions from production processes No Project is highway development project and no production processes is involved.
5.3 Emissions from materials handling including storage or transport Yes Fugitive emission is envisaged during handling, transport and unloading of construction materials.
5.4 Emissions from construction activities including plant and equipment Yes During Construction phase, the emissions will be from HMP and Machinery, Movement of construction vehicles and other related activities.
5.5 Dust or odours from handling of materials including construction materials, sewage and waste Yes Dust emission is envisaged during handling, transport and unloading of construction materials.
5.6 Emissions from incineration of waste No No incineration of waste is proposed
5.7 Emissions from burning of waste in open air (e.g. slash materials, construction debris) No No burning of waste will be at the project road site.
5.8 Emissions from any other sources No Not Applicable
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 From construction equipment (like Excavator, Dumper, etc.) noise level in the tune of 85 to 110 dB(A) noise levels may be generated. However, adequate mitigation measures will be taken to control the noise levels and reduce the noise level till it reach to receptor.
6.2 From industrial or similar processes No Project is infrastructure development project. Hence, no industrial process is involved.
6.3 From construction or demolition Yes Temporary noise pollution in the tune of approx. 85 to 110 dB(A) is expected due to construction activities. Demolition of structures falling within ROW will also generate certain noise.
6.4 From blasting or piling No No blasting is proposed at the moment
6.5 From construction or operational traffic Yes Approximately 65 to 75 dB (A) noise may be generated from the vehicles approaching the site.
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 Yes Hazardous materials like bitumen and waste oil shall be stored and handled, thus some risk may involved. However adequate construction safety measures will be taken during the construction and operation phase
7.2 From discharge of sewage or other effluents to water or the land (expected mode and place of discharge) No Labour camps shall be provided with sanitary toilets with soak pits or portable STP or bio-toilets
7.3 By deposition of pollutants emitted to air into the land or into water Yes Surface run-off from construction area shall be protected by providing silt fencing along the nearby water body.
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
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 Flammable and hazardous substance like bitumen and diesel will be handled, stored at designated place. Adequate construction safety measures will be taken during the construction and maintenance phase.
8.2 From any other causes No No such impact is anticipated
8.3 Could the project be affected by natural disasters causing environmental damage (e.g. floods, earthquakes, landslides, cloudburst etc)? Yes Proposed alignment falls under Seismic Zone II and III. Initial 160 km part i.e. Chainage 79.394 Km to 239.00 Km falls in Zone – II, while Chainage 240.000 Km to 284.00 Km lies in Zone III. Zone II is most stable and Zone - V is considered to be least stable. Proposed alignment is located in High Damage Risk Zone (Vb = 47 m/s) as per Wind and Cyclone Hazard Classification of India.
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 in itself is an infrastructure development project and doesn’t require any ancillary support. Ribbon development as likely with highway development may have certain impact on Social setup of the area.
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 Yes Better connectivity will further improve the growth of the region. Project shall make way for many other developmental projects in the vicinity of the project.
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 Ranthambore Tiger Reserve - 11.5 km, Ranthambore National Park -15.3 Km, Sawai Madhopur Wildlife Sanctuary- 12.4 Km
2 Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Yes Ranthambore Tiger Reserve - 11.5 km Ranthambore National Park -15.3 Km Sawai Madhopur Wildlife Sanctuary- 12.4 Km
3 Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration Yes Ranthambore Tiger Reserve - 11.5 km Ranthambore National Park -15.3 Km Sawai Madhopur Wildlife Sanctuary- 12.4 Km
4 Inland, coastal, marine or underground waters Yes The proposed alignment is crossing the Ruparel, Palasan, Banganga, Banas Rivers and Sanwan Nadi.
5 State, National boundaries Yes Proposed project alignment itself started from Haryana- Rajasthan Boarder
6 Routes or facilities used by the public for access to recreation or other tourist, pilgrim areas Yes Proposed alignment is crossing SH-45, SH-14, SH-44, SH-25A, SH-25, SH-24, NH-11 and NH-11A
7 Defence installations No Not Applicable
8 Densely populated or built-up area Yes Alwar-13.5 Km, Dausa- 6.0 Km, Sawai Madhopur-9.0 Km
9 Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship, community facilities) Yes Detail list of sensitive man-made land uses shall be provided in the EIA report.
10 Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) No Not Applicable
11 Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) No Not Applicable
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 Applicable
(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
            Essential Detail Sought:
Sno. EDS Letter Remarks Date of EDS
1.NAThe correction have been made as per the instruction received 24 Aug 2018
2.NAPlease provide information/clarification on following: i. The covering letter and document in support of competence/authority are same. Please explain how a covering letter would serve as document of competence/authority. Or provide the adequate document of competence/authority. 11 Aug 2018
3.NAThe correction have been made as per the instruction received 03 Aug 2018
4.NAPlease give project title i.e name project eaxctlly 30 Jul 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 ApplicantDr Biswajit
DesignationGeneral Manager
Name of Company (Applicant Name should not be given here)DR.B.Mukhopadhyay
AddressG-5 & 6, Sector-10, Dwarka, New DElhi-110075
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