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 Transfer of Rajasthan share of Yamuna Water at Tajewala Headworks to Churu and Jhunjhunu districts of Rajasthan by Underground Conveyance System.
Brief summary of projectAnnexure-Brief summary of project
Proposal Number IA/RJ/RIV/95014/2019
Project Cost 2396584 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 Total transfer of water : 671 MCM; Gross Command Area (GCA) : 121695 ha ; Culturable command area (CCA) : 105000 ha ha.
4.
New/Expansion/ModernizationNew
5. Existing Capacity/Area etc. 105000 ha.
6. Category of project i.e. 'A' or 'B' A
7.
Does it attract the general condition? If yes, please specify Yes
a) Protected areas notified under the wildlife (Protection) Act, 1972
c) Notified Eco-sensitive areas
d) Inter-State boundaries and international boundaries
8.
Does it attract the specific condition? If yes, please specify No
9.
Location of the projectRajasthan & Haryana
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.44 P/5 ; 44 P/6; 44 P/3; 44 P/4; 44 P/7;44 P/8;44 P/11; 44 P/12
Town / VillageDhanoti Badi; Dhanoti Badi; Tamba Kheri;Ramsara Teeba; Chubkiyagarh;Dhigarla;Nyagal Bari;Hansiyawas and more village of Haryana in proposed UCS
State of the projectRajasthan
Details of State of the project
S.no State Name District Name Tehsil Name
(1.)HaryanaYamunanagarJagadhri
(2.)HaryanaYamunanagarChhachhrauli
(3.)HaryanaKurukshetraThanesar
(4.)HaryanaKaithalKaithal
(5.)HaryanaKarnalNilokheri
(6.)HaryanaKarnalAssandh
(7.)HaryanaJindJind
(8.)HaryanaHisarHisar
(9.)HaryanaHisarNarnaund
(10.)HaryanaHisarHansi
(11.)HaryanaBhiwaniSiwani
(12.)RajasthanChuruRajgarh
(13.)RajasthanJhunjhunuJhunjhunu
(14.)RajasthanJhunjhunuChirawa
10.
Nearest railway station along with distance in kms Hansiawas RS, 7 km
Nearest airport along with distance in kms Jaipur Airport, 225 km
11. Nearest Town/City/District Headquarters along with distance in kms Churu , 70 km
12. Village Panchayats, Zila Parishad, Muncipal Corporation, Local body (Complete postal address with telephone nos. to be given) Commissioner, Nagar Parishad, Churu, Near LIC office, Front of Bhartiya Hospital, Churu Rajsthan-331001
13. Name of the Applicant NIWAS
14. Registered Address Office of Executive Engineer, Sikar, Water Resources Department, Dhamka Wali Johri Radhakrishnpura District-Sikar, Rajasthan
15.
Address for correspondance:
Name of the Company WATER RESOURCES DEPARTMENT GOVERNMENT OF RAJASTHAN
Name of the Applicant NIWAS
Designation (Owner/ Partner/ CEO) ExEn
Pin code 332001
E-mail eewrdsikar@gmail.com
Telephone No. 01572-248614
Fax No. 01572-
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?Yes
StatusApplication for Wildlife Clearance yet to be submitted
(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)19.06 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 Irrigation potential in 1050,000 Ha land will change status of land from un-irrigated to irrigated land
1.2 Clearance of existing land, vegetation and buildings? Yes Proposed alignment of pipeline is designed in such a way that minimum vegetation and habitat structure needs to be cleared except at some stretches. The land required for construction of main RWR mostly involves the govt. waste land. Other land will be acquired as per prevailing Land Acquisition Act.
1.3 Creation of new land uses? Yes Land use will change to un-irrigated land to irrigated land.
1.4 Pre-construction investigations e.g. bore houses, soil testing? Yes Pre construction investigations like survey of Potential area for irrigation has been done
1.5 Construction works? Yes Major construction work will involve the lay down the underground pipeline and construction of main RWR, Block RWR and diggies, Pump house and water distribution network pipeline for irrigation.
1.6 Demolition works? No None
1.7 Temporary sites used for construction works or housing of construction workers? Yes Temporary sites will be used for construction workers. The facility to construction workers will be provided as per NBC 2016. Temporary house will also be constructed for storage of construction material at site.
1.8 Above ground buildings, structures or earthworks including linear structures, cut and fill or excavations and fill or excavations Yes Project comprises mainly in terms of Earthwork for construction of main RWR, block RWR and Construction of underground pipeline network along with distribution network for irrigation.
1.9 Underground works including mining or tunnelling? Yes Underground pipeline will laid for the length of 263 km of stretch form Haryana Tazewla Headworks to Churu Rajgarh Rajasthan.
1.10 Reclamation works? No Not required
1.11 Dredging? No Not required
1.12 Offshore structures? No Not required
1.13 Production and manufacturing processes? No Not required
1.14 Facilities for storage of goods or materials? Yes TeTemporary sheds will be constructed for storage of construction material.
1.15 Facilities for treatment or disposal of solid waste or liquid effluents? Yes Septic tank followed by soak pit will be provided for treatment and disposal of waste water generated from the labourers camps.
1.16 Facilities for long term housing of operational workers? Yes Housing units will be constructed at the pump houses.
1.17 New road, rail or sea traffic during construction or operation? Yes Approx. 7.5 m. wide road will construct along the length of pipeline for its operation and maintenance.
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? No Not required
1.20 New or diverted transmission lines or pipelines? Yes Underground pipeline of stretch length of 263 km will laid down for conveyance of water from the Yamuna Tazewala Head to Rajgarh Churu Rajasthan
1.21 Impoundment, damming, culverting, realignment or other changes to the hydrology of watercourses or aquifers? No Not required
1.22 Stream crossings? Yes Details of streams, rivers and Nalah crossing the proposed alignment of underground pipeline area given in PFR
1.23 Abstraction or transfers of water from ground or surface waters? Yes Surface water form Yamuna will transfer through underground pipeline network to Rajasthan for irrigation and drinking purpose.
1.24 Changes in water bodies or the land surface affecting drainage or run-off? Yes Only approved & Potential Water yield will used. There will be change in run off at the main RWR.
1.25 Transport of personnel or materials for construction, operation or decommissioning? Yes Transport of material will be done during the laying of underground pipeline and construction of main (Raw water reservoir) RWR.
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 There will be temporary influx of construction labourers/workers during the construction phase of the project.
1.29 Introduction of alien species? No None
1.30 Loss of native species or genetic diversity? Yes There will be no loss of any native species or genetic diversity due to the proposed project, However some perennial shrubs & herbs will be get cleared during the laying of underground pipeline and construction of main RWR
1.31 Any other actions? Yes The project will bring water to the water deficit areas & will result in increase in agricultural product yield, vegetation cover, environment and socio-economic conditions of the project area.
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 Project does not involves any physical changes in the locality in terms of topography, land use etc. Rather project will improve existing land use by introduction of irrigation in the command area.
2.2 Water (expected source & competing users) unit: KLD Yes Water is required only for construction purposes (laying of underground pipeline and main RWR) which will be met through nearby available source / tanker supply. The project will enable water availability for irrigation, drinking & other intended usages.
2.3 Minerals (MT) Yes DI pipes & minerals like stone, aggregates, sand, cement and steel will be used for construction purposes.
2.4 Construction material – stone, aggregates, sand / soil (expected source – MT) Yes Stone, aggregates & sand will be required & these materials will be made available from local market.
2.5 Forests and timber (source – MT) No There is no requirement of forest & timber.
2.6 Energy including electricity and fuels (source, competing users) Unit: fuel (MT),energy (MW) Yes Energy will be required for construction purposes only in the form of fuel i.e. Diesel which is readily available in open market.
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 Project does not include use of any hazardous Material.
3.2 Changes in occurrence of disease or affect disease vectors (e.g. insect or water borne diseases) No Not envisaged.
3.3 Affect the welfare of people e.g. by changing living conditions? Yes By introducing irrigation is the area, living conditions of the people will improve.
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 Yes During underground pipeline laying, mostly excavated earth will be used and surplus excavated soil will be used to fill low laying area near pipeline alignment if any. However, earth work from the construction of main RWR will be used in embankment of main RWR itself.
4.2 Municipal waste (domestic and or commercial wastes) Yes From the labour camps, municipal waste will be generated during the construction phase. MSW will be collected and disposed as Solid Waste Management Rule, 2016.
4.3 Hazardous wastes (as per Hazardous Waste Management Rules) No No hazardous waste will be generated from the propose project.
4.4 Other industrial process wastes No None
4.5 Surplus product No None
4.6 Sewage sludge or other sludge from effluent treatment Yes Waste water will be generated from the labour camps during the construction phase of the project. Waste water will be treated and disposed off through the septic tank followed by soak pit
4.7 Construction or demolition wastes No No, C & D waste will be generated as it is not a building & construction project.
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 No No long term impact is envisaged. Short term increase of NOx & SO2 is expected during construction phase.
5.2 Emissions from production processes No Any kind of production is not involved.
5.3 Emissions from materials handling including storage or transport Yes During construction phase due to vehicle movement, dust particle will be increase near the work area of project which is temporary in nature.
5.4 Emissions from construction activities including plant and equipment Yes The operation of various construction equipment require combustion of fuel mainly diesel.
5.5 Dust or odours from handling of materials including construction materials, sewage and waste Yes Regular water sprinkling will be done during construction phase to minimize the dust particle emission.
5.6 Emissions from incineration of waste No Not applicable
5.7 Emissions from burning of waste in open air (e.g. slash materials, construction debris) No Not applicable
5.8 Emissions from any other sources No 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 No It is not long term impacted project. The operation of various construction machineries will generate noise but noise level will be nominal.
6.2 From industrial or similar processes No Not applicable
6.3 From construction or demolition Yes Noise due to various construction activities is expected but noise level will be nominal.
6.4 From blasting or piling No Not applicable
6.5 From construction or operational traffic Yes Minor generation of noise, vibrations etc may be possible due to operation of construction machinery.
6.6 From lighting or cooling systems No Not applicable
6.7 From any other sources No Not applicable
7 Risks of contamination of land or water from releases of pollutants into the ground or into sewers, surface waters, groundwater, coastal waters or the sea:
S.No Information/Checklist confirmation Yes/No Details thereof (with approximate quantities/rates, wherever possible) with source of information data
7.1 From handling, storage, use or spillage of hazardous materials No Not applicable
7.2 From discharge of sewage or other effluents to water or the land (expected mode and place of discharge) No Not applicable
7.3 By deposition of pollutants emitted to air into the land or into water No In construction phase pollutant generates but it will be temporary.
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 No All the necessary safety measures will be adopted to minimize the risk of accidents.
8.2 From any other causes No All safety measures will be in place prior to commencement of operations so as to avoid any risk to human life and as per the prevailing local by laws.
8.3 Could the project be affected by natural disasters causing environmental damage (e.g. floods, earthquakes, landslides, cloudburst etc)? No The project is situated in earthquake Zone II. Project area is generally free from floods, earthquakes, landslides, cloudburst etc
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 not have any impact on additional development. Rather project will improve irrigation facility subsequently agricultural production in the project area. This will also contribute in raising the socio-economic status and standard of living of the project area.
9.2 Lead to after-use of the site, which could have an impact on the environment Yes The project is envisaged to increase the water availability for irrigation and domestic purpose of the project area.
9.3 Set a precedent for later developments No Not applicable.
9.4 Have cumulative effects due to proximity to other existing or planned projects with similar effects Yes No cumulative effect is expected. Presently there is no other similar type of project is under operation or being planned.
(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 Kalesar National Park & Kalesar Wildlife Sanctuary-At headwork near Tajewala within the Eco Sensitive Zone (ESZ) of Kalesar Wildlife Sanctuary
2 Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Yes • Reserved Forest, near Tajewala • Urjani Protected Forest • Balachaur Protected Forest • Bir Seonti Reserved Forest These are the crossings of Forest Areas by Conveyance Mains (MS Pipelines), from Tajewala to Churu Rajasthan
3 Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration Yes Kalesar National Park & Wildlife Sanctuary-Head works at Tazewala is within the eco-sensitive zone of Kalesar Wildlife Sanctuary.
4 Inland, coastal, marine or underground waters No None
5 State, National boundaries Yes Haryana-Rajasthan Interstate Boundary
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 Rajgarh -About 8.65 km towards SW form main RWR.
9 Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship, community facilities) Yes Hospitals, Schools and worship places -Located around 5-15 Km from proposed main RWR.
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 None
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 None
(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
Additional Attachments, if any
Attached File
      Essential Detail Sought : NIL
            Additional Detail Sought:
Sno. ADS Letter Remarks Date of ADS
1.NAok 12 Mar 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 ApplicantNIWAS
DesignationExEn
Name of Company (Applicant Name should not be given here)WATER RESOURCES DEPARTMENT GOVERNMENT OF RAJASTHAN
AddressOffice of Executive Engineer, Sikar, Water Resources Department, Dhamka Wali Johri Radhakrishnpura District-Sikar, Rajasthan
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