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 gayatree Thermal Power Project
Brief summary of projectAnnexure-Brief summary of project
Proposal Number IA/UP/THE/30621/2015
Project Cost 750000 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 ha.
4.
New/Expansion/ModernizationNew
5. Existing Capacity/Area etc. a 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 projectEtah
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.478','530','761','812','822
Town / VillageAyar',' Babrauti Nasirpur',' Birshingpur',' Malawan',' Nigoha Hasanpursforlive
State of the projectUttar Pradesh
Details of State of the project
S.no State Name District Name Tehsil Name
(1.)Uttar PradeshEtahEtah
10.
Nearest railway station along with distance in kms Etah, 18 km
Nearest airport along with distance in kms Agra3, 90 km
11. Nearest Town/City/District Headquarters along with distance in kms Etah , 18 km
12. Village Panchayats, Zila Parishad, Muncipal Corporation, Local body (Complete postal address with telephone nos. to be given)
13. Name of the Applicant Mukesh
14. Registered Address 1/4361B, Ramnagar, Delhi
15.
Address for correspondance:
Name of the Company GAYATREE ASSOCIATES
Name of the Applicant Mukesh
Designation (Owner/ Partner/ CEO) Manager
Pin code 110032
E-mail sugamusp@gmail.com
Telephone No. 011-41891428
Fax No. 011-29219566
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?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?
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 About 697 acres of land will be utilized for main plant construction. The present landuse is single crop agricultural land with low intensity cropping and pastures. The site elevation generally varies between 160m to 163m above MSL.
1.2 Clearance of existing land, vegetation and buildings? No The site has a mix of agriculture land and barren land. No settlement exists on the proposed project site. No clearance of major vegetation and building is involved.
1.3 Creation of new land uses? Yes Power plant and its associated facilities will be constructed.
1.4 Pre-construction investigations e.g. bore houses, soil testing? Yes Geo technical Investigations will be carried out.
1.5 Construction works? Yes Power Plant and associated structures and buildings to be constructed.
1.6 Demolition works? No There is no demolition works
1.7 Temporary sites used for construction works or housing of construction workers? Yes Temporary accommodation with proper sanitation for construction workers would be provided.
1.8 Above ground buildings, structures or earthworks including linear structures, cut and fill or excavations and fill or excavations Yes Buildings, structures will be constructed. Actual cut and fill requirement will be decided after topographical survey.
1.9 Underground works including mining or tunnelling? Yes Underground work for pipe/cable trenches, culverts, etc.
1.10 Reclamation works? No Not Applicable
1.11 Dredging? No Not Applicable
1.12 Offshore structures? No Not Applicable
1.13 Production and manufacturing processes? Yes Coal based thermal power generation 1320 MW (2x660MW) based on Super Critical Technology.
1.14 Facilities for storage of goods or materials? Yes Coal, fuel oil and chemicals. Storage facilities for as per applicable practices / standards. Raw water reservoir for meeting the water requirement.
1.15 Facilities for treatment or disposal of solid waste or liquid effluents? Yes State-of-the-Art effluent and sewage treatment plant will be provided in compliance with the prescribed standards of State Pollution Control Board and Central Pollution Control Board.
1.16 Facilities for long term housing of operational workers? Yes Staff and Worker’s colony
1.17 New road, rail or sea traffic during construction or operation? Yes Rail link will be provided for coal transportation for a distance of about 18 km from the existing railway track.
1.18 New road, rail, air water borne or other transport infrastructure including new or altered routes and stations, ports, airports etc? Yes An approach road will be constructed to connect the plant site with NH-91
1.19 Closure or diversion of existing transport routes or infrastructure leading to changes in traffic movements? No Not Applicable
1.20 New or diverted transmission lines or pipelines? Yes The power will be evacuated at 765KV voltage level to UPSEB sub-station to be located within the available area. Water intake pipeline for about 22 km, will be provided.
1.21 Impoundment, damming, culverting, realignment or other changes to the hydrology of watercourses or aquifers? No Not Applicable
1.22 Stream crossings? Yes Ayar Minor Distributary
1.23 Abstraction or transfers of water from ground or surface waters? Yes About 53 cusecs water will be drawn from Lower Ganga Canal at about 22 km from the proposed site.
1.24 Changes in water bodies or the land surface affecting drainage or run-off? Yes Surface run off will increase
1.25 Transport of personnel or materials for construction, operation or decommissioning? Yes • Construction Material, Labour and Main Plant Equipment shall be transported during construction phase. Most of the transportation shall be through existing roads / rail route.
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 The project will generate employment and livelihood opportunity during construction and operation phases. However, no significant influx of people is envisaged.
1.29 Introduction of alien species? No Not Anicipated
1.30 Loss of native species or genetic diversity? No Not Anicipated
1.31 Any other actions? No Not Anicipated
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 About 350 ha of agricultural and barren land, both Govt. and Private is involved.
2.2 Water (expected source & competing users) unit: KLD Yes Lower Ganga Canal water allocated to the project.
2.3 Minerals (MT) No Not Appicable
2.4 Construction material – stone, aggregates, sand / soil (expected source – MT) Yes Construction materials will be sourced from existing quarries, borrow areas.
2.5 Forests and timber (source – MT) No Not Appicable
2.6 Energy including electricity and fuels (source, competing users) Unit: fuel (MT),energy (MW) Yes During construction power will be drawn from nearest 33 KV Malawan sub-station located at about 2.5 km. During operation phase, coal shall be used for power generation.
2.7 Any other natural resources (use appropriate standard units) No Not Appicable
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 Fuel oil and Chlorine storage facilities will be created at power plant site.
3.2 Changes in occurrence of disease or affect disease vectors (e.g. insect or water borne diseases) No NA
3.3 Affect the welfare of people e.g. by changing living conditions? No The project will create employment/ livelihood opportunities and would help improve socio-economic conditions. Better infrastructural facilities will be created.
3.4 Vulnerable groups of people who could be affected by the project e.g. hospital patients, children, the elderly etc. No NA
3.5 Any other causes No NA
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 NA
4.2 Municipal waste (domestic and or commercial wastes) Yes Domestic solid waste will be disposed off as per MSW rules
4.3 Hazardous wastes (as per Hazardous Waste Management Rules) No NA
4.4 Other industrial process wastes Yes Fly ash and bottom ash will be re used in Cement industry, Brick Making, Road construction as per MOEFCC guidelines.
4.5 Surplus product No NA
4.6 Sewage sludge or other sludge from effluent treatment Yes Sludge will be disposed off, as per existing norms.
4.7 Construction or demolition wastes Yes Construction waste will be reutilized in land filling.
4.8 Redundant machinery or equipment No NA
4.9 Contaminated soils or other materials No NA
4.10 Agricultural wastes No NA
4.11 Other solid wastes No NA
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 Emission from stack due to combustion of coal shall comprise of suspended particulate matter (SPM), respirable particulate matter (RPM), SO2 and NOx. For effective dispersion of particulate matter and gaseous pollutant, a concrete stack with steel flues shall be provided in compliance with the norms of MoEF. During construction there will be emission from vehicular traffic and construction equipment.
5.2 Emissions from production processes Yes As per Above (5.1)
5.3 Emissions from materials handling including storage or transport Yes Dust extraction and suppression system will be provided to control the fugitive emission from coal handling area.
5.4 Emissions from construction activities including plant and equipment Yes Suspended particulates matters.
5.5 Dust or odours from handling of materials including construction materials, sewage and waste Yes Fugitive dusts would be generated during construction and material handling.
5.6 Emissions from incineration of waste No NA
5.7 Emissions from burning of waste in open air (e.g. slash materials, construction debris) No NA
5.8 Emissions from any other sources No NA
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 <90 dB (A)
6.2 From industrial or similar processes Yes <85dB (A)
6.3 From construction or demolition Yes <85dB (A)
6.4 From blasting or piling Yes <85dB (A)
6.5 From construction or operational traffic Yes <70 dB(A)
6.6 From lighting or cooling systems Yes <85dB (A)
6.7 From any other sources No NA
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 Accidental release of fuel oil or chemicals. Proper care will be taken to reduce the hazards.
7.2 From discharge of sewage or other effluents to water or the land (expected mode and place of discharge) Yes Sewage and plant effluent will be treated adequately to conform to the prescribed limits of Central Pollution Control Board (CPCB) and Uttar Pradesh Pollution Control Board (UPPCB). Treated effluents will be reused to the maximum extent and the balance water will be used for greenbelt development. Discharge, if any, shall meet the prescribed CPCB/UPPCB norms.
7.3 By deposition of pollutants emitted to air into the land or into water No High Efficiency, ESP, Low NOx burner will be provided
7.4 From any other sources No NA
7.5 Is there a risk of long term build up of pollutants in the environment from these sources? No NA
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 Safety measures as per Tariff Advisory Committee (TAC) requirement will be provided.
8.2 From any other causes No NA
8.3 Could the project be affected by natural disasters causing environmental damage (e.g. floods, earthquakes, landslides, cloudburst etc)? No NA
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 Induced development is anticipated but may not be to significant level. Infrastructure expected to improve. Necessary supporting infrastructure, housing etc. to cater to the requirements of the project would be developed as a part of the project.
9.2 Lead to after-use of the site, which could have an impact on the environment No NA
9.3 Set a precedent for later developments Yes During project operation phase, following impacts are envisaged. Potential for self-employment opportunities for the local people.
9.4 Have cumulative effects due to proximity to other existing or planned projects with similar effects No NA
(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 None
2 Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests No None of the area has been reported as sensitive
3 Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration No Not reported. If any, details will be provided.
4 Inland, coastal, marine or underground waters No NA
5 State, National boundaries No NA
6 Routes or facilities used by the public for access to recreation or other tourist, pilgrim areas No Not reported
7 Defence installations No NA
8 Densely populated or built-up area Yes Nearest populated village Malawan is located at about 1.5 Km from the project site.
9 Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship, community facilities) Yes Places of worship, hospital, school may exist. Details will be provided in EIA.
10 Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) Yes Kali River
11 Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) No NA
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 The proposed power project area is located in Seismic Zone III as per IS 1893 (Part-1) : 2002. Adequate consideration for the seismic parameters shall be taken in the structural design of various structures of the proposed power project. The project is not likely to be affected by natural disasters
(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.NAIt has been noted that none of the essential documents were attached by you in the online application submitted. Please upload all of them for further necessary action by this Ministry. 04 Sep 2015
      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 ApplicantMukesh
DesignationManager
Name of Company (Applicant Name should not be given here)GAYATREE ASSOCIATES
Address1/4361B, Ramnagar, Delhi
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