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 Manufacturing plant of Laminated Sheet using Synthetic Organic Chemicals
Brief summary of projectAnnexure-Brief summary of project
Proposal Number IA/WB/IND2/99797/2019
Project Cost 1938.75 lacs
2.
S. No. in the schedule5(f) Synthetic organic chemicals industry (dyes & dye intermediates; bulk
Project Sector Industrial Projects - 2
3. Proposed capacity/area/length/tonnage to be handled/command area/lease area/number or wells to be drilled PF resin – 7800 TON/YEAR MF resin – 2496 TON/ YEAR ha.
4.
New/Expansion/ModernizationNew
5. Existing Capacity/Area etc. 0 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- Sukna, Tehsil-Mohammad Bazar, District Birbhum, West Bengal
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.At Plot No. 887, 888, 890, 891, 892, 893, 894, 905,906, 908, 909, 910, 911, 912, 913, 914, 915, 916, 917, 918, 919, 920, 922, 924, 925, 926. (26 nos. of plots)
Town / VillageSukna
State of the projectWest Bengal
Details of State of the project
S.no State Name District Name Tehsil Name
(1.)West BengalBirbhumMohammad Bazar
10.
Nearest railway station along with distance in kms Suri Rly. Stn, 10 km
Nearest airport along with distance in kms Kazi Nazrul Islam Airport, 65 km
11. Nearest Town/City/District Headquarters along with distance in kms Suri , 10 km
12. Village Panchayats, Zila Parishad, Muncipal Corporation, Local body (Complete postal address with telephone nos. to be given) Village -Sukna, Panchayat – Bhutura G.P., Zila Parishad – Suri, Birbhum. Local Body: Bhutura Gram Panchayat, Address: Village & P.O. – Seharakuri, District – Birbhum, W.B. PIN – 731127.
13. Name of the Applicant Birangshu
14. Registered Address South City Residents, Flat No.-24 J, Tower-2, 375, Prince Anwar Shah Road, Kolkata
15.
Address for correspondance:
Name of the Company BIRANGSHU ROY
Name of the Applicant Birangshu
Designation (Owner/ Partner/ CEO) Director
Pin code 731127
E-mail resinsunlam2019@gmail.com
Telephone No. 0120-4213298
Fax No. 0120-
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) Yes Construction activity will be carried out for the proposed project. Topography: The site is currently flat and will remain flat after proposed improvements
1.2 Clearance of existing land, vegetation and buildings? No Not Applicable
1.3 Creation of new land uses? No Not Applicable
1.4 Pre-construction investigations e.g. bore houses, soil testing? Yes Soil Investigation shall be done prior to construction for proposed unit
1.5 Construction works? Yes Construction of the main factory shed, office room & admin block, Machine room, generator room, electrical panel room etc.
1.6 Demolition works? No Not Applicable
1.7 Temporary sites used for construction works or housing of construction workers? No Local labors will be hired. No housing colony is envisaged
1.8 Above ground buildings, structures or earthworks including linear structures, cut and fill or excavations and fill or excavations Yes Construction of the main factory shed, office room & admin block, generator room, electrical panel room etc.
1.9 Underground works including mining or tunnelling? No Not Applicable
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 41, 40,400 SHEET PER ANNUM
1.14 Facilities for storage of goods or materials? Yes 1. Treated paper storage 2. 50 KL storage tank for PF Resin. 3. 50 KL storage tank for MF Resin.
1.15 Facilities for treatment or disposal of solid waste or liquid effluents? Yes The nonhazardous solid waste generated from the facility will be disposed of as per local Panchayat rules and requirements Hazardous Waste Disposal: Polybags sold to outside party or sludge kept in PVC/HDPE container for disposal to Common Hazardous Waste Treatment Storage and Disposal facility (CHWTSDF).
1.16 Facilities for long term housing of operational workers? No Not Applicable
1.17 New road, rail or sea traffic during construction or operation? No Not Applicable
1.18 New road, rail, air water borne or other transport infrastructure including new or altered routes and stations, ports, airports etc? No Not Applicable
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? No Not Applicable
1.21 Impoundment, damming, culverting, realignment or other changes to the hydrology of watercourses or aquifers? No Not Applicable
1.22 Stream crossings? No Not Applicable
1.23 Abstraction or transfers of water from ground or surface waters? Yes Ground water will be utilized for industrial and domestic purpose and bore well will be constructed.
1.24 Changes in water bodies or the land surface affecting drainage or run-off? No Not Applicable
1.25 Transport of personnel or materials for construction, operation or decommissioning? Yes During construction phase - material of construction will be transported to site. Local workers will be employed. During operation stage - there will be transportation of raw materials and production goods loading and unloading at the site. Also, there will be movement of vehicles of occupiers & visitors.
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 Total manpower after the establishment of this project-150 Workers
1.29 Introduction of alien species? No Not Applicable
1.30 Loss of native species or genetic diversity? No Not Applicable
1.31 Any other actions? No Not Applicable
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 Not Applicable
2.2 Water (expected source & competing users) unit: KLD Yes Ground Water will be used. 1. Domestic Use-7 KLD 2. Construction-8 KLD 3. Boiler -30 KLD Total Water 45 KLD
2.3 Minerals (MT) No Not Applicable
2.4 Construction material – stone, aggregates, sand / soil (expected source – MT) Yes Locally available Construction material like Cement, Sand, Grit, Bricks, Steel, etc. shall be purchased from the local vendors
2.5 Forests and timber (source – MT) No Not Applicable
2.6 Energy including electricity and fuels (source, competing users) Unit: fuel (MT),energy (MW) Yes The Company will obtain Power connection from WBSEDCL and 500 KVA Transformer will be installed
2.7 Any other natural resources (use appropriate standard units) No Not Applicable
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 Hazardous chemicals like Formaldehyde, acids etc. shall be located/ stored outside the production block in the specified Hazardous chemical storage tanks.
3.2 Changes in occurrence of disease or affect disease vectors (e.g. insect or water borne diseases) No Not Applicable
3.3 Affect the welfare of people e.g. by changing living conditions? No Not Applicable
3.4 Vulnerable groups of people who could be affected by the project e.g. hospital patients, children, the elderly etc. No Not Applicable
3.5 Any other causes No Not Applicable
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 Office sweepings, packing waste, Garden trash to be disposed of as per Panchayat rules
4.3 Hazardous wastes (as per Hazardous Waste Management Rules) Yes Hazardous waste will be sent to Authorized Dealer.
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 Domestic Sewage generated at the plant is treated in septic tank and disposed via soak pit. ETP sludge will be sent CPCB/SBPC authorized vendor.
4.7 Construction or demolition wastes No Not Applicable
4.8 Redundant machinery or equipment No Not Applicable
4.9 Contaminated soils or other materials No Not Applicable
4.10 Agricultural wastes No Not Applicable
4.11 Other solid wastes Yes During operation: Office and packing waste.
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 DG Set Stack Height will 4.47 m above the building height Boiler- Stack Height will 33 m
5.2 Emissions from production processes Yes less Pollutants will be released from the Process
5.3 Emissions from materials handling including storage or transport Yes Dust may arise during transportation of materials. The dust emissions shall be mitigated by water spraying on the roads within the premises.
5.4 Emissions from construction activities including plant and equipment Yes The main and visible pollution during construction phase is fugitive dust generated during excavation and other earthmoving activities and during concreting work. Due to use of construction machinery mainly some NOx and little amount of SO2 emission will be there. This is temporary and will be taken care of by good maintenance of the construction machinery. Water sprinkling will be done at regular intervals to reduce control of dust generation.
5.5 Dust or odours from handling of materials including construction materials, sewage and waste No Not Applicable
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 Yes Noise will generate from Machines, DG sets and Boiler Pumps.
6.2 From industrial or similar processes Yes From Industrial
6.3 From construction or demolition Yes Noise will generate from construction equipments during the construction phase.
6.4 From blasting or piling No Not Applicable
6.5 From construction or operational traffic Yes Noise will generate from construction equipments during the construction phase.
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 Waste will be minor during operation it will be evaporate.
7.3 By deposition of pollutants emitted to air into the land or into water Yes Due to Boiler and DG set some deposition of pollutants emitted to Air.
7.4 From any other sources No Not Applicable
7.5 Is there a risk of long term build up of pollutants in the environment from these sources? No Not Applicable
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 use of explosives permitted. Fire fighting precautions and Insurance co. safety Measures shall be taken for Hazardous chemicals handling as per regulatory requirements.
8.2 From any other causes No Not Applicable
8.3 Could the project be affected by natural disasters causing environmental damage (e.g. floods, earthquakes, landslides, cloudburst etc)? Yes The proposed project is in Seismic Zone IV and all designs will be as per IS Codes.
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 It is most likely that implementation of this project will help to improve the social infrastructure of the surrounding area. There will be some positive socioeconomic impact on the local people. The proposed project has the potential of direct and indirect employment generation. All these will also help to uplift the employment status of the locality
9.2 Lead to after-use of the site, which could have an impact on the environment No Not Applicable
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 No Not Applicable
(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 Charicha Forest-Approx 0.5 km in west direction
2 Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Yes Brahmani Nadi-Approx.-6.5 km in North Kalia Nadi-Approx.-6.0 km in NW Mayurakashi River-Approx.-6.5 km in WSW Kushkaranika Nadi-Approx.-8.0 km in WSW Chandrabhaga Nadi-Approx.-14.8 km in SSW
3 Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration No Not Applicable
4 Inland, coastal, marine or underground waters No Not Applicable
5 State, National boundaries Yes State-Jharkhand-Approx-6.5 Km in North West Direction
6 Routes or facilities used by the public for access to recreation or other tourist, pilgrim areas No Not Applicable
7 Defence installations No Not Applicable
8 Densely populated or built-up area Yes Sunka-Near By project
9 Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship, community facilities) Yes Given in Topo Sheet
10 Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) No Not Applicable
11 Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) No Not Applicable
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 project is located in Seismic Zone IV and all designs will be as per IS Codes.
(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.NAThe correction have been made as per the instruction received 16 Apr 2019
2.NAPlease check whether the proposed project falls under Small units, considering the water consumption, fuel consumption etc. and submit the proposal accordingly 20 Mar 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 ApplicantBirangshu
DesignationDirector
Name of Company (Applicant Name should not be given here)BIRANGSHU ROY
AddressSouth City Residents, Flat No.-24 J, Tower-2, 375, Prince Anwar Shah Road, Kolkata
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