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 Chambal Infrastructure Ventures Limited
Brief summary of projectAnnexure-Brief summary of project
Proposal Number IA/THE/OR/23520/2014
Project Cost 755454 lacs
2.
S. No. in the schedule1(d) Thermal Power Plants
Project Sector Thermal Projects
3. Proposed capacity/area/length/tonnage to be handled/command area/lease area/number or wells to be drilled 2x660 MW Super Critical Thermal Power Plant ha.
4.
New/Expansion/ModernizationNew
5. Existing Capacity/Area etc. -1 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 projectJamuchakada, Odisha
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.As per annexed list
Town / VillageJamuchakada
State of the projectOrissa
Details of State of the project
S.no State Name District Name Tehsil Name
NIL
10.
Nearest railway station along with distance in kms Sadasivpur, 6 km
Nearest airport along with distance in kms Bhubaneshwar, 100 km
11. Nearest Town/City/District Headquarters along with distance in kms Dhenkanal , 20 km
12. Village Panchayats, Zila Parishad, Muncipal Corporation, Local body (Complete postal address with telephone nos. to be given)
13. Name of the Applicant Mr. Abhay Baijal
14. Registered Address Corporate One, First Floor 5 Commercial Centre, Jasola, New Delhi - 110 025
15.
Address for correspondance:
Name of the Company Abhay Baijal
Name of the Applicant Mr. Abhay Baijal
Designation (Owner/ Partner/ CEO) Cheif Financial Officer
Pin code 110025
E-mail abhay.baijal@chambal.in
Telephone No. 011-41697951
Fax No. 011-40638679
Copy of documents in support of the competence/authority of the person making this application to make application on behalf of the User Agency . NIL
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? 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?
Area of Forest land Involved (hectares)N/A
24.
Whether there is any litigation pending against the project and/or land in which the project is proposed to be set up?No
(a) Name of the CourtN/A
(b) Name of the Sub courtN/A
(c) Case No.N/A
(d) Orders/directions of the court, if any and relevance with the proposed projectN/A
(II) Activity
1 Construction, operation or decommissioning of the Project involving actions, which will cause physical changes in the locality (topography, land use, changes in water bodies, etc.)
S.No Information/Checklist confirmation Yes/No Details there of (with approximate quantities/rates, wherever possible) with source of information data
1.1 Permanent or temporary change in land use, land cover or topography including increase in intensity of land use (with respect to local land use plan) Yes Due to green-field project, permanent change in land use pattern is required. At present, site land is either waste land or bushy land. Land is generally barren and un-irrigated. Topography: Drainage – topography of the land is flat terrain. There will be no significant impact on drainage pattern. Vegetation – There is no significant vegetation in the area. Only a few weeds, grass and shrubs exist at site.
1.2 Clearance of existing land, vegetation and buildings? Yes The site is generally flat with grass / bushes cover and some shrubs etc. These shall be cleared before construction. There is no existing building at site.
1.3 Creation of new land uses? Yes Land use pattern shall change due to New Project
1.4 Pre-construction investigations e.g. bore houses, soil testing? Yes To be done during engineering stage.
1.5 Construction works? Yes New Project will not alter physical look of the locality.
1.6 Demolition works? No No demolition work is expected at proposed site.
1.7 Temporary sites used for construction works or housing of construction workers? No A distance corner of the plot shall be utilized for temporary facilities like housing etc.
1.8 Above ground buildings, structures or earthworks including linear structures, cut and fill or excavations and fill or excavations Yes Project shall involve construction of buildings, offices and plant. Earthwork generated during construction shall be utilized within site.
1.9 Underground works including mining or tunnelling? No
1.10 Reclamation works? No No reclamation work shall be involved.
1.11 Dredging? No No Dredging will be involved.
1.12 Offshore structures? No
1.13 Production and manufacturing processes? Yes Project shall generate power at the proposed site. Generated power shall be evacuated to grid through a 400kV link. Detailed process is included in the attached Detailed Project Report.
1.14 Facilities for storage of goods or materials? Yes Storage Facility for Raw Water/DM Water/Coal/Fuel Oil (HFO/LDO) shall be created within site.
1.15 Facilities for treatment or disposal of solid waste or liquid effluents? Yes Construction Phase Solid waste – Earthwork waste shall be utilized within site for land-fill etc. Liquid waste – No liquid effluent except rain water shall be generated. Operation Phase Solid waste – will be in form of Bottom ash (BA) and Fly ash (FA). BA and FA shall be stored at site for commercial usage. Liquid waste – shall be stored in guard ponds at site and utilized for gardening and lean slurry ash disposal.
1.16 Facilities for long term housing of operational workers? Yes A staff colony is proposed at site adjacent to the plant.
1.17 New road, rail or sea traffic during construction or operation? Yes New approach road between NH-42 and site (approx. length 6 kms) shall be constructed.
1.18 New road, rail, air water borne or other transport infrastructure including new or altered routes and stations, ports, airports etc? Yes New approach road between NH-42 and site (approx. length 6 kms) shall be constructed.
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? Yes Raw water source is Mahanadi river (30 Km away). Raw water from river shall be transferred to site.
1.24 Changes in water bodies or the land surface affecting drainage or run-off? No There shall not be any change in water bodies around site or land affecting drainage.
1.25 Transport of personnel or materials for construction, operation or decommissioning? Yes Construction period – Impact due to transportation of personnel will be negligible. Commissioning and operational phases – There shall be transportation of raw material (like coal) and personnel on regular basis during commissioning and operational phases of the project.
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 During construction phase, there shall be inward and outward movement of local workers. This will be a temporary activity.
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 Land selected for the project is barren and un-irrigated covered with grass, bushes and shrubs etc.
2.2 Water (expected source & competing users) unit: KLD Yes Source : Mahanadi river (30Km from project site) Project Proponent self build Infrastructure for water demand after Government approval. No other competing user is there. Estimated raw water requirement – 80500 KLD
2.3 Minerals (MT) Yes Annual coal requirement 5.92 Million Tones.
2.4 Construction material – stone, aggregates, sand / soil (expected source – MT) Yes Stones, aggregate & sand shall be required; details shall be available during detailed engineering. These shall be sourced from authorized and approved agencies from near by area.
2.5 Forests and timber (source – MT) No No timber use is envisaged in Project.
2.6 Energy including electricity and fuels (source, competing users) Unit: fuel (MT),energy (MW) Yes Expected Coal demand (on yearly basis) is 5.92 Million Tones. This shall be sourced from coal mines as per allotment to the project.
2.7 Any other natural resources (use appropriate standard units) Yes HSD, LDO – minor quantities only for initial start-ups.
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 Sulphuric acid, Chlorine, Hydrochloric acid, Sodium Hydroxide and water treatment chemicals. Exact quantities shall be frozen during engineering phase.
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? No No harmful impact on living conditions as all required pollution control measures shall be taken. Due to enhanced work opportunities, economic condition of people shall improve. Accordingly, project shall have positive impact on people and their living conditions.
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 Municipal Waste: Temporary increase during construction period due to Floating population of contract labours & shall be handled in the facilities at site.
4.3 Hazardous wastes (as per Hazardous Waste Management Rules) Yes Used oil, discarded chemical containers
4.4 Other industrial process wastes Yes Bottom ash (BA) and Fly ash (FA)
4.5 Surplus product No
4.6 Sewage sludge or other sludge from effluent treatment Yes Domestic waste sludge shall be used as manure in green belt / gardening. Ash shall be utilized for commercial purposes in making roads, cement and others.
4.7 Construction or demolition wastes Yes Earth work waste generated during construction phase shall be utilized within the complex.
4.8 Redundant machinery or equipment No
4.9 Contaminated soils or other materials No
4.10 Agricultural wastes No
4.11 Other solid wastes Yes Expected other solid waste shall be collected and utilized/recycled/disposed off in complaince to applicable guidelines.
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 Flue gases shall be generated from coal combustion. Flue gases shall be vented through 275 meter high stack. Composition and rate are specified in annexed Detailed Project Report (Page-181).
5.2 Emissions from production processes Yes NOx,SO2,PM
5.3 Emissions from materials handling including storage or transport Yes Dust and SPM may generate due to coal transportation, handling and usage.
5.4 Emissions from construction activities including plant and equipment Yes Minor dust emissions shall be generated due to vehicle movement, construction equipment movement and construction activities.
5.5 Dust or odours from handling of materials including construction materials, sewage and waste No
5.6 Emissions from incineration of waste No No incineration is proposed.
5.7 Emissions from burning of waste in open air (e.g. slash materials, construction debris) No No burning of waste material is envisaged.
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 Minor noise envisaged only during construction phase due to use of construction equipment. Noise generation during operational phase shall be restricted within permissible limits.
6.2 From industrial or similar processes Yes Noise generation during operational phase shall be restricted within permissible limits.
6.3 From construction or demolition Yes Minor noise envisaged only during construction phase due to use of construction equipment. Heavy noise activities shall be avoided during night time.
6.4 From blasting or piling No
6.5 From construction or operational traffic Yes Noise generation shall be restricted within permissible limits.
6.6 From lighting or cooling systems No 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
7.2 From discharge of sewage or other effluents to water or the land (expected mode and place of discharge) No No liquid effluent shall be discharged outside the project site.
7.3 By deposition of pollutants emitted to air into the land or into water No Pollution control equipment shall be installed to achieve statutory levels of PM, NOx and Sox from the project. Hence, there shall be no adverse impact due to these emissions levels.
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 No explosive material shall be stored except minor quantities of HDS and Fuel Oil to meet startup activities. Proper risk analysis and mitigation plan shall be put in place.
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)? Yes Flooding potential of site is moderate. Site falls under seismic Zone-III and hence moderate risk of earth quick(s). Applicable seismic zone shall be considered in design itself in compliance to the applicable code.
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
9.2 Lead to after-use of the site, which could have an impact on the environment No
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 As per available information till now, no new projects is planned in proximity of this project.
(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
(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.NADetails of alternate sites 09 Jul 2014
2.NAApplication has been examined. it has been noticed that you have not provided 3 alternative sites for your plant as mandated under EIA notification, 2006. At this stage your application cannot be accepted. 07 Jul 2014
      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 ApplicantMr. Abhay Baijal
DesignationCheif Financial Officer
Name of Company (Applicant Name should not be given here)Abhay Baijal
AddressCorporate One, First Floor 5 Commercial Centre, Jasola, New Delhi - 110 025
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