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 LAKHWAR MULTIPURPOSE PROJECT
Brief summary of projectAnnexure-Brief summary of project
Proposal Number IA/UK/RIV/107946/2019
Project Cost 574717 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 300MW ha.
4.
New/Expansion/ModernizationNew
5. Existing Capacity/Area etc. 300 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 projectVILLAGE-LOHARI, TEHSIL-KALSI, DISTRICT-DEHRADUN
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.SURVEY MAP
Town / VillageVILLAGE-LOHARI, TEHSIL-KALSI, DISTRICT-DEHRADUN
State of the projectUttarakhand
Details of State of the project
S.no State Name District Name Tehsil Name
(1.)UttarakhandDehradunKalsi
(2.)UttarakhandDehradunKalsi
(3.)UttarakhandTehri GarhwalNainbagh
10.
Nearest railway station along with distance in kms DEHRADUN, 72 km
Nearest airport along with distance in kms JOLLYGRANT, 92 km
11. Nearest Town/City/District Headquarters along with distance in kms DEHRADUN , 72 km
12. Village Panchayats, Zila Parishad, Muncipal Corporation, Local body (Complete postal address with telephone nos. to be given) VILLAGE-LOHARI, TEHSIL-KALSI, DISTRICT-DEHRADUN
13. Name of the Applicant Sujeet
14. Registered Address General Manager Civil
15.
Address for correspondance:
Name of the Company UJVN LTD
Name of the Applicant Sujeet
Designation (Owner/ Partner/ CEO) GM
Pin code 248125
E-mail gmlakhwarproject@gmail.com
Telephone No. 01360-222839
Fax No. 01360-222839
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?Yes
Uploaded Order/PolicyAnnexure-Uploaded order/policy
23.
Whether any Forest Land Involved?Yes
Area of Forest land Involved (hectares)768.1552 ha.
24.
Whether there is any litigation pending against the project and/or land in which the project is proposed to be set up?Yes
(a) Name of the CourtNGT
(b) Name of the Sub courtNGT Delhi
(c) Case No.431 OF 2015
(d) Orders/directions of the court, if any and relevance with the proposed projectConsequently Honourable NGT in its order dated 10/01/2019 of Para 9 commented as follows: “After considering the pleadings and material on record, we are of the considered opinion that clarification given by the project proponent, the report of the expert committee and finding of various studies need to be looked into and studied by the EAC and project need to be reappraised in the terms of EIA notification 2006.”
(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 105.422 Hectare of private land has been acquired with cost incurred Rs. 610.85 Lacs and 768.1552 Hectare of forest land has been transferred to UJVNL with cost incurred Rs. 15077.16 Lac. Approximate 53.505 Ha. private land to be acquired for project.
1.3 Creation of new land uses? No
1.4 Pre-construction investigations e.g. bore houses, soil testing? Yes 88 drill holes, 31 drifts measuring 3200 m, 1 shaft 65 m deep were done by Uttar Pradesh Irrigation Department. In situ rock mechanic tests were conducted by CSMRS, New Delhi and NIRM. Three drill holes of depth 46.55 m, 30 m and 60 m were completed by NHPC
1.5 Construction works? Yes Status of work completed: •Abutment stripping is partially completed on both banks, Diversion tunnel, Adit to Erection bay and adit to control room •Excavation of underground power house, Upper drainage gallery, collection chamber, additional collection chamber, tail race tunnel 96.00m is completed. Balance work to be constructed: Construction of concrete gravity dam 204 m high, Balance work of Underground power house, Collection chamber, Additional collection chamber, Pressure shaft and TRT
1.6 Demolition works? No
1.7 Temporary sites used for construction works or housing of construction workers? Yes Construction of site offices, labour camps and stores for cement and steel.
1.8 Above ground buildings, structures or earthworks including linear structures, cut and fill or excavations and fill or excavations Yes Construction of concrete gravity dam 204 m high, Intake structure, Stores, Labour camps, concrete batching plant, power house colony, etc.
1.9 Underground works including mining or tunnelling? Yes Construction of underground power house, Collection chamber, Additional collection chamber, Pressure shaft and TRT
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 Dakpathar is headquarter of Lakhwar project and steel store is already available, so storage of steel shall be used in the same. Store for cement is available near dam site and shall be used in the same.
1.15 Facilities for treatment or disposal of solid waste or liquid effluents? Yes Community latrines and septic tanks to be constructed.
1.16 Facilities for long term housing of operational workers? Yes Residences, Drinking water, etc.
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? Yes Reservoir length 23 Km and gross storage capacity is 587.84 M.m3
1.22 Stream crossings? No
1.23 Abstraction or transfers of water from ground or surface waters? No
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 Transport of immigrant labour personnel for construction activities (Appx. 700 numbers from outside) •Approximately, Cement 2,67,60389 bag, Fine aggregate 22,25,718 cum, coarse aggregate 38,50,394 cum and 24665 MT steel
1.26 Long-term dismantling or decommissioning or restoration works? Yes landscaping, beautification of various project sites with native plant species, green belt development around different components, etc.
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 Influx of approximately about 700 workers on temporary basis during the construction phase and 250 technical staff are likely to work during project construction phase which will enhance to around 1700 till completed 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 Total 105.422 hectare private land and 768.1552 hectare forest land shall be used for submergence and other structures of Lakhwar Project. Approximately 53.505 hectare land to be acquired and shall be used for project.
2.2 Water (expected source & competing users) unit: KLD Yes Power and Irrigation
2.3 Minerals (MT) No
2.4 Construction material – stone, aggregates, sand / soil (expected source – MT) Yes Approximately, Cement 2,67,60389 bag, Fine aggregate 22,25,718 cum, coarse aggregate 38,50,394 cum and 24665 MT steel shall be consumed for construction of Lakhwar Project. Cement and steel shall be supplied from manufacturer and aggregate shall be supplied from quarry (Lot 23/1 and 23/2) site at near Kalsi Bridge and Narokhala.
2.5 Forests and timber (source – MT) No
2.6 Energy including electricity and fuels (source, competing users) Unit: fuel (MT),energy (MW) Yes One fuel station is proposed at Dakpathar having storage arrangements for High speed Diesel 12000L capacity approx. Three number 33 kV single circuit transmission line from Dhakrani Power Station to Lakhwar site stands constructed and exists in the site. Consumption of energy is 16.7 mVA.
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 No
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 Increase in per capita income due to increase in employment opportunities and improvement in the economic activities in the project area.
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 generation is about 680 kg/day. Construction waste would consist of iron scrap, packing material and dust.
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 Yes Muck generated during excavation work shall be dumped as per muck disposal plan.
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 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 No
5.2 Emissions from production processes No
5.3 Emissions from materials handling including storage or transport No
5.4 Emissions from construction activities including plant and equipment Yes Emission from combustion of fuel in various equipments, vehicular movement and due to major construction activities, following pollutants assumed to be generated- suspended particulate (SPM), Respirable particulate matter (RPM), Sulphur oxides (SOX), Nitrogen oxides (NOX), Carbon mono oxide (CO).
5.5 Dust or odours from handling of materials including construction materials, sewage and waste No
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 Yes The decomposition of large forest area under submergence will generate methane
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 The noise levels of construction equipments range from 70-140 decibel.
6.2 From industrial or similar processes No
6.3 From construction or demolition Yes The noise level in construction activities range from 80-140 decibel.
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
7.2 From discharge of sewage or other effluents to water or the land (expected mode and place of discharge) No
7.3 By deposition of pollutants emitted to air into the land or into water Yes The major water pollutants which may cause pollution are suspended solids from construction activities, sewage from residential colonies, pathogens from sewage and nutrient rich water from residential colonies.
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 No
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 Controlled blasting in the underground excavation shall be cause of environmental damage.
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
(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 Binog WLS and Mussoorie Eco Senstive Zone are protected area and the aerial distance from Lakhwar project are 3.1 KM and 1.99 KM respectively.
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 Yes No boundaries lie on Lakhwar project
6 Routes or facilities used by the public for access to recreation or other tourist, pilgrim areas Yes Project area lies along the National Highway connecting to Yamunotri.
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 : NIL
      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 ApplicantSujeet
DesignationGM
Name of Company (Applicant Name should not be given here)UJVN LTD
AddressGeneral Manager Civil
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