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 STEAM OIL AND GENERAL INDUSTRIES
Brief summary of projectAnnexure-Brief summary of project
Proposal Number IA/UP/MIS/107525/2019
Project Cost 450.00 lacs
2.
S. No. in the schedule7(d) Common hazardous waste treatment, storage and disposal facilities (TSDFs)
Project Sector INFRA-2
3. Proposed capacity/area/length/tonnage to be handled/command area/lease area/number or wells to be drilled 0.4046 ha.
4.
New/Expansion/ModernizationNew
5. Existing Capacity/Area etc. 0.4046 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 project0.4046
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.PLOT NO C-187
Town / VillageUPSIDC INDUSTRIAL AREA, BULANDSHAHR ROAD
State of the projectUttar Pradesh
Details of State of the project
S.no State Name District Name Tehsil Name
(1.)Uttar PradeshGhaziabadGhaziabad
10.
Nearest railway station along with distance in kms GHAZIABAD JUNCTION, 1.5 km
Nearest airport along with distance in kms INDIRA GANDHI INTERNATIONAL AIRPORT, 33.00 km
11. Nearest Town/City/District Headquarters along with distance in kms GHAZIABAD , 00.00 km
12. Village Panchayats, Zila Parishad, Muncipal Corporation, Local body (Complete postal address with telephone nos. to be given) PLOT NO. C-187, UPSIDC, Industrial Area, Bulandshahr Road
13. Name of the Applicant VIJAY
14. Registered Address C-187, UPSIDC, INDUSTRIAL AREA, BULANDSHAHR ROAD, GHAZIABAD, UTTAR PRADESH
15.
Address for correspondance:
Name of the Company STEAM OIL AND GENERAL INDUSTRIES
Name of the Applicant VIJAY
Designation (Owner/ Partner/ CEO) PARTNER
Pin code 201001
E-mail steamoil84@gmail.com
Telephone No. 120-2222222
Fax No. 120-
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 The proposed project envisages the development of common Biomedical waste treatment Facility
1.2 Clearance of existing land, vegetation and buildings? No None
1.3 Creation of new land uses? No None
1.4 Pre-construction investigations e.g. bore houses, soil testing? No None
1.5 Construction works? Yes only sheds will be constructed
1.6 Demolition works? No not required
1.7 Temporary sites used for construction works or housing of construction workers? No construction workers will come from nearby areas so no housing will be required only temporary sanitation facilities will be made
1.8 Above ground buildings, structures or earthworks including linear structures, cut and fill or excavations and fill or excavations No The proposed project involves treatment, recycle, storage & disposal of used oil. No activity leads to physical changes in the locality.
1.9 Underground works including mining or tunnelling? No No underground works are required
1.10 Reclamation works? No No reclamation work required
1.11 Dredging? No no dredging required
1.12 Offshore structures? No no offshore structures required
1.13 Production and manufacturing processes? Yes Production/manufacturing process is attached as Annexure
1.14 Facilities for storage of goods or materials? Yes There are facilities for the storage of material which are as follows 1) Main waste storage shed which consists of temporary Incinerator waste storage area. 2) Treated waste storage shed.
1.15 Facilities for treatment or disposal of solid waste or liquid effluents? Yes Incinerator ash will be generated as waste after the treatment of used oil & will be disposed as per the rules. ETP will be used for the treatment of waste water. ETP sludge will be disposed off through authorized landfill site.
1.16 Facilities for long term housing of operational workers? No There will be no facilities for long term housing as mostly local workers will be employed which will be coming from nearby areas.
1.17 New road, rail or sea traffic during construction or operation? No None
1.18 New road, rail, air water borne or other transport infrastructure including new or altered routes and stations, ports, airports etc? No None
1.19 Closure or diversion of existing transport routes or infrastructure leading to changes in traffic movements? No NONE
1.20 New or diverted transmission lines or pipelines? No There will be no shifting of transmission lines.
1.21 Impoundment, damming, culverting, realignment or other changes to the hydrology of watercourses or aquifers? No None
1.22 Stream crossings? No not required
1.23 Abstraction or transfers of water from ground or surface waters? Yes Entire water demand i.e 8.0 KLD Which will be met from groundwater through bore well.
1.24 Changes in water bodies or the land surface affecting drainage or run-off? No No change in the water bodies or the land surface has taken place due to the project which could affect the drainage or run-off.
1.25 Transport of personnel or materials for construction, operation or decommissioning? Yes There is marginal contribution due to transportation of Construction Materials but precaution will be taken as per rules & regulations.
1.26 Long-term dismantling or decommissioning or restoration works? No Not applicable
1.27 Ongoing activity during decommissioning which could have an impact on the environment? No Not applicable
1.28 Influx of people to an area in either temporarily or permanently? Yes During the construction phase majority of labourers will be locally and temporarily hired hence there will be not be major influx of people anticipated during construction phase of project.
1.29 Introduction of alien species? No All plantations will be of indigenous species.
1.30 Loss of native species or genetic diversity? No No loss of native species or genetic diversity is envisaged as the site is situated in Industrial area.
1.31 Any other actions? No 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 Land is developed for Industrial Activity Only.
2.2 Water (expected source & competing users) unit: KLD Yes Total 8.0 KLD water will be required for the proposed project.
2.3 Minerals (MT) No Not required
2.4 Construction material – stone, aggregates, sand / soil (expected source – MT) Yes Stone aggregate sand and cement will be required for the construction and development works. These will be purchased from various local vendors.
2.5 Forests and timber (source – MT) No The use of wood in the project will be done to the minimum extent possible. Wood with recycled content such as MDF boards will be used to the extent possible
2.6 Energy including electricity and fuels (source, competing users) Unit: fuel (MT),energy (MW) Yes DG set of 62 KVA and 125KVA is installed for the project and lines will be taken from the authorized electricity board
2.7 Any other natural resources (use appropriate standard units) No not required
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 The project is for treatment, storage and disposal facility (TSDF) of used/waste oil treatment facility.
3.2 Changes in occurrence of disease or affect disease vectors (e.g. insect or water borne diseases) No Site is fairly plain and suitable drainage and waste management measures will be adopted in both construction and operational phase which will restrict stagnation of water or accumulation of waste. This will effectively restrict the reproduction and growth of disease vectors.
3.3 Affect the welfare of people e.g. by changing living conditions? No Proper treatment of solid as well as liquid waste will be done and the waste will not be dumped into nearby localities. The solid waste will be suitably treated while the liquid effluent will be treated in the effluent treatment plant. There by the project does not affect the living condition of the people living in the nearby areas.
3.4 Vulnerable groups of people who could be affected by the project e.g. hospital patients, children, the elderly etc. No No habitat around five hundred meters from the proposed site.
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 No Not applicable
4.2 Municipal waste (domestic and or commercial wastes) Yes The domestic waste of around 1.5 kg/day will be generated at the time of Construction whereas around 2.0kg/day will be at operational phase consisting mainly of domestic waste from staff and workers. The domestic waste will be disposed through municipal dustbins
4.3 Hazardous wastes (as per Hazardous Waste Management Rules) Yes Hazardous waste: ETP sludge Incineration Ash. ETP sludge and incineration Ash will be handed over to authorized treatment and disposal facilities and will be sold to vendors authorized by central pollution control board for the treatment of the same.
4.4 Other industrial process wastes No not applicable
4.5 Surplus product No not applicable
4.6 Sewage sludge or other sludge from effluent treatment Yes ETP sludge from the effluent treatment plant will be disposed through authorized landfill site. Sewage will be disposed through soak pit via septic tank.
4.7 Construction or demolition wastes No Not Applicable
4.8 Redundant machinery or equipment No There will be no generation of redundant for disposal
4.9 Contaminated soils or other materials No No contaminated soil or other materials is present
4.10 Agricultural wastes No not applicable
4.11 Other solid wastes No not applicable
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 During construction phase miner emission will be generated from vehicles, construction machineries and DG sets. During operational phase incinerator emission, DG sets emissions and vehicular emissions will be there.
5.2 Emissions from production processes Yes The incineration emission will be main production processes emission and there will be a venturi scrubber to control the Air pollution from the incinerator
5.3 Emissions from materials handling including storage or transport Yes Water sprinkling shall be carried out regularly at sites Vehicles delivering materials will always be covered to avoid spillage of materials.
5.4 Emissions from construction activities including plant and equipment No The emissions will be marginal short lived and reversible. All construction machinery will meet the prescribed emission standards.
5.5 Dust or odours from handling of materials including construction materials, sewage and waste Yes Dust will be generated during construction this will be water sprinkled and provided with tarpaulin cover over stored raw material to reduce dust emission Effective measures will be followed to control the same
5.6 Emissions from incineration of waste Yes Operational emission from incineration of waste will be kept below the prescribed limits Chimney will be provide from incineration process after APCS. (venture scrubber)
5.7 Emissions from burning of waste in open air (e.g. slash materials, construction debris) No There is No burning of waste in open air
5.8 Emissions from any other sources No There are no emissions from any other sources.
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 machinery which will be used for construction be of highest standard of reputed make and will adhere to international standard. Insignificant impacts due to construction machinery are envisaged. Besides the construction activities will be restricted to daytime only. source of noise in operational phase will be DG sets which will be in operation during power failure only
6.2 From industrial or similar processes No Not applicable
6.3 From construction or demolition Yes During construction work noise will be generated from construction machinery however adequate precautions shall be taken to reduce noise generation.
6.4 From blasting or piling No No blasting or piling will be done
6.5 From construction or operational traffic Yes It shall be restricted within a limited area. Some amount of noise will be generated in the construction and operational phase however adequate precautions will be taken to reduce noise generation.
6.6 From lighting or cooling systems No No noise is generated from lighting or cooling systems
6.7 From any other sources No None
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 The project involves handling storage treatment and disposal of used/waste oil due acre will be taken to minimize risk of contamination from the project.
7.2 From discharge of sewage or other effluents to water or the land (expected mode and place of discharge) No Waste water will be treated through ETP will be installed at the site and will be used for the development of green belt.
7.3 By deposition of pollutants emitted to air into the land or into water No Air emissions will be produced in the treatment unit. Periodical monitoring will be done and results will be analyzed.
7.4 From any other sources No There is no other source which contaminates land & water resources.
7.5 Is there a risk of long term build up of pollutants in the environment from these sources? No There is no discharge of effluent outside the plant premises.
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 The project involves treatment, storage and disposal of used/waste oil. Proper fire fighting system will be installed in the facility.
8.2 From any other causes No There is only collection transportation treatment and disposal of waste by using standard techniques such as incineration autoclave etc.
8.3 Could the project be affected by natural disasters causing environmental damage (e.g. floods, earthquakes, landslides, cloudburst etc)? No Floor As per the secondary data available no such precedents have been reported. Earthquakes, the building design will be made with earthquake resistant design structure. Landslides not applicable cloudburst no such precedent has been reported.
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 It is a used/waste oil treatment plant which helps in the proper disposal of used/waste oil which results in the betterment of the surrounding areas and environment. There is no such infrastructure development leading to this treatment plant.
9.2 Lead to after-use of the site, which could have an impact on the environment No The plant will be dismantled and sold as scrap at the end of project life.
9.3 Set a precedent for later developments No No illegal activity is predicted and development of the project will be as per bye laws.
9.4 Have cumulative effects due to proximity to other existing or planned projects with similar effects No There are no other similar planned activities as of now.
(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 Nil
2 Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Yes Hindon River 2.64 Km West
3 Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration No Nil
4 Inland, coastal, marine or underground waters No Nil
5 State, National boundaries No Project fall in Uttar Pradesh
6 Routes or facilities used by the public for access to recreation or other tourist, pilgrim areas Yes Hapur Road 0.43 Km West
7 Defence installations Yes Hindon Air force Station 8.0 km North-West direction
8 Densely populated or built-up area No NA
9 Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship, community facilities) Yes There are several hospitals, schools, places of worship and community facilities within 15 Km radius of the project site.
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 Yes According to the Indian Standard Seismic Zoning map the area under study falls in Zone-III. Suitable seismic coefficients in horizontal and vertical directions will be adopted while designing the structures.
(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
MEMBERSHIP
            Essential Detail Sought:
Sno. EDS Letter Remarks Date of EDS
1. Eds Reply LetterThe correction have been made as per the instruction received 02 Jan 2021
2.NAApplication for ToR has been made three times for the same project with different proposal numbers i.e. IA/UP/MIS/107530/2019; IA/UP/MIS/107525/2019 and IA/UP/MIS/107444/2019. The name/title of the project has not been mentioned either in Form-I or PFR. Name of the project proponent has been mentioned in place of name/title of the project. Kindly correct the same and withdraw additional proposals from the portal. 25 Jun 2019
3.NAThe correction have been made as per the instruction received 24 Jun 2019
4.NAApplication for ToR has been made three times for the same project with different proposal numbers i.e. IA/UP/MIS/107530/2019; IA/UP/MIS/107525/2019 and IA/UP/MIS/107444/2019. The name/title of the project has not been mentioned either in Form-I or PFR. Name of the project proponent has been mentioned in place of name/title of the project. Kindly correct the same and withdraw additional proposals from the portal. 24 Jun 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 ApplicantVIJAY
DesignationPARTNER
Name of Company (Applicant Name should not be given here)STEAM OIL AND GENERAL INDUSTRIES
AddressC-187, UPSIDC, INDUSTRIAL AREA, BULANDSHAHR ROAD, GHAZIABAD, UTTAR PRADESH
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