Form-2
APPLICATION FOR PRIOR ENVIRONMENTAL CLEARANCE
S. No.Item Details
1.
Whether it is a violation case and application is being submitted under Notification No. S.O.804(E) dated 14.03.2017 ? No
Details of Project:
(a)Name of the project(s) Common Biomedical Waste Treatment Facility
(b)Name of the Company / Organisation SHIRGUL ENVIROCARE SERVICES
(c)Registered Address
(d)Legal Status of the Company
2.
Address for the correspondence:
(a)Name of the Applicant Naresh Chand Chauhan
(b)Designation (Owner/ Partner/ CEO) Owner
(c)Address Vill-Salwala-Puruwala, Dakpather Road, Paonta Sahib,Sirmaur,Himachal Pradesh-173035
(d)Pin code 173035
(e)E-mail subh.28.ash@gmail.com
(f)Telephone No. 0-000
(g)Fax No. 000
(h)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
3.
Category of the Project/Activity as per Schedule of EIA Notification,2006:
(a)Major Project/Activity7(d) Common hazardous waste treatment, storage and disposal facilities (TSDFs)
(b)Minor Project/Activity7(d) Common hazardous waste treatment, storage and disposal facilities (TSDFs)
(c)Category B2
(d)Proposal Number SIA/HP/MIS/205372/2021
(e)Master Proposal Number(Single Window) SW/205356/2021
(f)EAC concerned (for category A Projects only) INFRA-2
(g)Project Type Fresh EC
4.
Location of the Project:
(a)Plot/Survey/Khasra No. 30/362
(b)Pincode 173025
(c)Bounded Latitudes (North)
From
Degree 30
Minutes 00
Second 00
From
Degree 31
Minutes 00
Second 00
(d)Bounded Longitudes (East)
From
Degree 77
Minutes 00
Second 00
From
Degree 77
Minutes 00
Second 00
(e)Survey of India Topo Sheet No. H43L10
(f)Uploaded Topo Sheet File Copy of Topo Sheet File
(g)Maximum Elevation Above Means Sea Level(AMSL) 453
(h)Uploaded (kml) File Copy of Kml File     
(i)Distance of Nearest HFL from the project boundary within the study area 6
(j)Seismic Zone 4
5.
(a)Number of States in which Project will be Executed 1
(b)Main State of the project Himachal Pradesh
Details of State of the project
S. No. State Name District Name Tehsil Name Village Name
NIL
6.
Details of Terms of Reference (ToR):
(a)Whether TOR is mandatory for submitting application No
7.
Details of Public Consultation:
(a)Whether the Project Exempted from Public Hearing?Yes
(b)Reason Already NOC obtained from Gram Sabha
(c)Supporting Document Copy of Supporting Document
8.
Details of Project Configuration/Product:
     8.1.       Project Configuration
S. No.Plant/Equipment/FacilityConfigurationRemarks
(1.)Common Biomedical waster Treatment facilityNANA
     8.2.       Product
S. No.Product/Activity (Capacity/Area)QuantityUnitOther UnitMode of Transport / Transmission of ProductOther Mode of Transport / Transmission of Product
(1.)Biomedical Waste-100 KG/HR100OthersKG/HRRoad
9.
In case of Expansion / Modernisation / One Time Capacity Expansion (only for Coal Mining) / Expansion under Clause 7(ii) / Modernisation under Clause 7(ii) / Change of Product Mix under Clause 7(ii):
Details Not Applicable
9.1.
Details of Consent to Operate
(i)Whether Consent to operate obtained ? NA
(ii)Copies of all Consent to operate obtained since inception NA
(iii)Date of Issue N/A
(iv)Valid Upto N/A
(v)File No. NA
(vi)Application No. NA
(vii)Copy of Consent to operate valid as on date NA
10.
Project Cost:
(a)Total Cost of the Project at current price level (in crores) 70
(b) Funds Allocated for Environment Management (Capital) (in crores) 0.16
(c) Funds Allocated Towards ESC (Entrepreneur Social Responsibility) (in crores) 0.02
(d) Funds Allocated for Environment Management Plan (EMP) (Recurring per Annum) (in crores) 0.02
(e) Funds Allocated for Environment Management Capital(%) 0.23
11.
Whether project attracts the General Condition specified in the Schedule of EIA Notification ? No
12.
Whether project attract the Specific Condition specified in the Schedule of EIA Notification ? No
13.
Raw Material / Fuel Requirement:
(a)Proposed quantity of raw material/fuel 00
(b)Existing quantity of raw material/fuel N/A
(c)Total quantity of raw material/fuel 0
    13.1.        Raw Material / Fuel Profile
S. No.Raw Material / Fuel QuantityUnitOther UnitSource (incase of Import. please specify country and Name of the port from which Raw Material / Fuel is received )Mode of TransportOther Mode of TransportDistance of Source from Project Site (in Kilometres) (In case of import, distance from the port from which the raw material / fuel is received)Type of Linkage Other Type of Linkage Uploaded Copy of Linkage
(1.)00Tons per Annum0Road0 OthersNACopy of Linkage
14.
Baseline Data :
(a)Period of Base Line Data Collection FROM 04 Jan 2021 To 31 Mar 2021
(b)Season Pre-Monsoon
    14.1.     No. of ambient Air Quality (AAQ) Monitoring Locations : 1
S. No.Criteria Pollutants Other Criteria PollutantsUnitMaximum ValueMinimum Value98 Percentile ValuePrescribed Standard
(1.)SO2Micro Gram per Meter Cube151214.780
(2.)NOxMicro Gram per Meter Cube242023.5280
(3.)PM2.5Micro Gram per Meter Cube393638.2260
(4.)PM10Micro Gram per Meter Cube752573.5100
    14.2.     No. of Ground Water Monitoring Locations : 1
S. No.Criteria Pollutants Other Criteria PollutantsHeavy MetalUnitOther UnitMaximum ValueMinimum ValueDesirable LimitMaximum Permissible Limit
(1.)pHNA8.56.57.58.5
(2.)TSSmg/l0000
(3.)TDSmg/l3503155002000
(4.)Total Hardnessmg/l12080200600
(5.)Chloridesmg/l52282451000
(6.)Fluoridemg/l0.200.1011.5
(7.)Heavy Metalsleadmg/l0.0100.011
    14.3.     No. of Surface Water Monitoring Locations : 2
S. No.Criteria Pollutants Other Criteria PollutantsUnitOther UnitMaximum ValueMinimum ValueClassification of inland water body
(1.)BODmg/l1.81.6A
(2.)pHNA7.47.1A
(3.)CODmg/l1815A
(4.)DOmg/l8.17.5A
    14.4.     No. of Ambient Noise Monitoring Locations : 02
S. No.Parameter UnitMaximum ValueMinimum ValuePrescribed Standard
(1.)Leq(Day)A-weighted decibels(dB(A))555375
(2.)Leq(Night)A-weighted decibels(dB(A))444245
    14.5.     No. of Soil Sample Monitored Locations : 4
S. No.Parameter UnitOther UnitMaximum ValueMinimum Value
(1.)Electric ConductivityMilliequivalents per 100 Gram412260
(2.)K(Potassium)Milligram per Kilogram286200
(3.)pH7.67.2
(4.)P(Phosphorus)Milligram per Kilogram7241
(5.)N(Nitrogen)Percent0.0920.056
14.6.
Details of Ground Water Table:
(a)Range of Water Table Pre-Monsoon Season (Meters Below Ground Level (m bgl)) From 5 To 60
(b)Range of Water Table Post-Monsoon Season (Meters Below Ground Level (m bgl)) From 3 To 50
(c)Whether Ground Water Intersection will be there ? No
     15.      Details of Water Requirement (During Operation)
S. No.Source Source Other Required QuantityDistance from SourceCopy of Permission from Competent Authority Mode of TransportOther Mode of TransportMethod of Water WithdrawalOther Method of Water WithdrawalLetter No.Date of IssuePermitted Quantity
(1.)GroundWater50.5 Not Appliacble PipelineTube WellNA23 Apr 202110
15.1.
(a)Whether Desalination is proposed No
    16.       Waste Water Management(During Operation)
S. No.Type/Source Quantity of Waste Water Generated (Kilolitre per Day)Treatment Capacity (Kilolitre per Day) Treatment MethodMode of DisposalOther Mode of DisposalQuantity of Treated Water Used in Recycling/Reuse (Kilolitre per Day)Quantity of Discharged Water (Kilolitre per Day)
(1.)Bore well510ETPReuse within the Plant & Recycling5
16.1.
(a)Total Waste Water Generation 5
(b)Total Discharged Water 0
(c)Total Reused Water 5
    17.       Solid Waste Generation/Management
S. No.Name of Waste Item Other ItemQuantity per AnnumUnitDistance from Site(KM)Mode of TransportOther Mode of TransportMode of DisposalOther Mode of Disposal
(1.)ETP Sludge(HW)Hazardous Waste (as per Hazardous and Other Waste Management rules 2016)1Tons125RoadTreatment, Storage and Disposal Facility(TSDF)
18.
    18.1.     Air Quality Impact Prediction
S. No.Criteria Pollutants Other Criteria PollutantsUnitBaseline ConcentrationDistance GLCIncremental ConcentrationTotal GLCPrescribed Standard
(1.)PM2.5NA00000
(2.)NOxNA00000
(3.)PM10NA00000
(4.)SO2NA00000
    18.2.     Stack Details
S. No.Source FuelStack Height(m)Stack Diameter(m)PollutantsOther PollutantsEmission (GLS)
(1.)IncinatorHSD301.5PM100
19.
Power Requirement:
(a)Quantity (Kilo Volt Amps (kVA)) 40
(b)Source HPSEB
(c)Uploaded Copy of Agreement Not Applicable
(d)Standby Arrangement (Details of DG Sets) 01
(e)Stack Height (in m) 15
20.
Land Ownership Pattern:
(a)Forest Land 0
(b)Private Land 0.5
(c)Government Land 0
(d)Revenue Land 0
(e)Other Land 0
    Total Land 0.5
21.
Present Land Use Breakup of the Study Area in Ha:
(a)Agriculture Area 0
(b)Waste/Barren Land 0
(c)Grazing/ Community Land 0
(d)Surface Water Bodies 0
(e)Settlements 0
(f)Industrial 0
(g)Forest 0
(h)Mangroves 0
(i)Marine Area 0
(j)Others : 0 0
    Total 0
    22.     Land Requirement for Various Activities
S. No.Description of Activity / Facility / Plant / Others OthersLand RequirementRemarks
(1.)OthersArea for Biomedical waste managementt0.5Common Biomedical Waste Treatment Facility
Total 0.5
23.
Ecological and Environmental Sensitivity (Within 10 Km):- WLS-Wild Life Species; NPA-Notified Protected Area; ESAs-Eco Sensitive Areas; ESZs-Eco Sensitive Zones :
    23.1.     Details of Ecological Sensitivity :
S. No.Details of Ecological Sensitivity NameDistance from the Project (Km)Remarks
(1.)Critically Polluted AreaNA0NA
(2.)NPANA0NA
(3.)ESAsNA0NA
(4.)ESZsNA0NA
(5.)CorridorsNA0NA
(6.)Wildlife CorridorsNA0NA
(7.)WLSNA0NA
    23.2.     Details of Environmental Sensitivity :
S. No.Details of Environmental Sensitivity Other Details of Environmental Sensitivity NameDistance from the Project (Km)Remarks
(1.)Archaeological SitesNA0NA
(2.)ForestNA0NA
(3.)Defence InstallationsNA0NA
23.3.
(a)Whether Noc / Permission from the competent authority is required? No
(b)Whether NBWL recommendation is required? No
24.
Forest Land:
Whether any Forest Land involved? No
25.
Tree Cutting:
(a)No. of Trees Cut for the Project (if Forest Land not Involved) 0
(b)Details of Tree Cutting and Planting of Trees Copy of Details of Tree Cutting and Planting of Trees
26.
Land Acquisition Status:
(a)Acquired Land(Ha) 0.5
(b)Land yet to be acquired(Ha) 0
(c)Status of Land acquisition if not acquired Acquired
27.
Rehabilitation and Resettlement (R&R):
(a)No. of Villages 0
(b)No. of Households 0
(c)No. of PDFs (Project Displaced Families) 0
(d)No. of PAFs (Project Affected Families) 0
(e)Funds Allocated for R&R(in Rs) 0
(f)Status of R&R Completed
28.
Details of Presence of Schedule-I Species:
(a)Whether there is Presence of Schedule-I Species ? No
(b)Whether conservation plan for Schedule-I Species has been prepared ? No
(c)Whether conservation plan for Schedule-I Species has been approved by competent authority ? No
29.
Details of Presence of Water Bodies in Core Area:
(a)Whether there is Presence of Water Bodies in Core Area ? No
(b)Whether there is Diversion Required ? No
(c)Whether permission has been obtained from competent authority ? No
30.
Details of Presence of Water Bodies in Buffer Area:
(a)Whether there is Presence of Water Bodies in Buffer Area ? Yes
(i)Details of Water Bodies in Buffer Area River
(ii)Direction of Water Bodies in Buffer Area North
(iii)Distance of Water Bodies in Buffer Area 2.5
31.
Manpower Requirement:
(a)Permanent Employment-During Construction 0
(b)Permanent Employment-During Operation 5
(c)Temporary Employment- During Construction 8
(d)Temporary Employment- During Operation 10
(e)No. of working days 365
(f)Total Manpower 23
32.
Green Belt in Ha:
(a)Total Area of Green Belt (in hectare) 0.165
(b)Percentage of Total Project Area 33.00
(c)No. of Plants to be Planted 200
(d)Funds Allocated for Plantation 100000
(e)Uploaded Green Belt plan Copy of Green Belt Plan
    33.         Project Benefits
S. No.Type of Project Benefits Details of Project Benefits
(1.)EnvironmentalScientific Disposal of Biomedical waste
   34.   CRZ Specific Details : Not Applicable
   35.   Sector Specific Details For INFRA-2
S. No.Item Details
1.
Details of Building Construction:
(a)Maximum Height of the Building (Meters) 10
(b)Total No. of Flats to be Build 0
(c)No. of Buildings 1
(d)Total plot area (sqm) 2000
(e)Total built up area (sqm) 1200
2.
Foreshore Facilities and/or Marine Disposal:
(a)Whether Project Involves Foreshore Activities and/or marine Disposal? No
3.
Rain Water Harvesting:
(a)No. of Storage 1
    Capacity 20
(b)No. of Recharge Pits 2
    Capacity 20
4.
Parking:
(a)Details of 4 Wheeler/ 2 Wheeler Parking Available
5.
Energy Saving Measures:
(a)Source/Mode 0
(b)Percentage 0
(c)Quantity 0
6.
Other details:
(a)Details of impact on Water Bodies and Drainage patters of catchment area NA
(b)Details of Traffic Density Impact Assessment and Modelling Study Copy of Details of Traffic Density Impact Assessment and Modelling Study
(c)In case Underground Tunnel Project below the Forest Land - Subsidence Impact Study report Copy of Underground Tunnel Project below the Forest Land - Subsidence Impact Study report
     7.       Type of Industries to be established with Industrial Estate as per their category A/B
S. No.Type of IndustryNo. of UnitsCategory A/B
NIL
8.
Length of the alignment N/A
9.
Details Bridges/ROB/Interchanges,Flyovers,Vehicle Underpass and Pedestrian Underpass
Details Not Applicable
S. No.Item Details
36.
Details of Court Cases:
(a)Whether there is any Court Cases pending against the project and/or land in which the project is proposed to be set up ? No
37.
Details of Direction Issued under Environment (Protection) Act / Air (Prevention & Control of Pollution)) Act / Water (Prevention & Control of Pollution) Act:
(a)Whether any Direction issued under EPA Act/Air Act/Water Act ? No
38.
Details of EIA Consultant:
(a)Have you hired Consultant for preparing document? No
(i)Reason for not Hiring the Consultant Not required, as i am a Environment & Safety professional.
39.
Documents to be Attached:
(a.I)Upload Copy of EIA/EMP(Text) Copy of EIA/EMP(Text)
(a.II)Upload Copy of EIA/EMP(Annexures) Report Copy of EIA/EMP(Annexures)
(a.III)Upload Copy of EIA/EMP(Maps/Plans/Figures only) Copy of EIA/EMP(Maps/Plans/Figures only)
(b)Uploaded Copy of Risk Assessment Report Copy of Risk Assessment
(c)Uploaded Copy of Feasibility Report/ Detailed Project Report(DPR) /Detailed Engineering Report /Detailed Conceptual Plan /Approved Mining Plan Copy of Feasibility Report/ Detailed Project Report(DPR) /Detailed Engineering Report /Detailed Conceptual Plan /Approved Mining Plan
(d)Uploaded Copy of Final Layout Plan Copy of Final Layout Plan
(e)Uploaded Cover Letter Copy of Cover Letter
(f)Uploaded Copy of documents in support of the competence/authority of the person making this application to make application on behalf of the User Agency Copy of documents in support of the competence/authority of the person making this application to make application on behalf of the User Agency
(i)Uploaded Additional File Copy of Additional File
(j)Uploaded Proposal Presentation (To be given in EAC/SEIAA/SEAC meeting) NA
(k)Uploaded Updated Form1 NA
           Essential Details Sought
S. No.EDS Sought DateEDS SoughtLetter
(1.)20/09/2021Kindly submit the hard copy and softcopy of proposal number SIA/HP/MIS/205372/2021 size less than 50mb.
(2.)05/10/2021The correction have been made as per the instruction received
(3.)06/10/2021Kindly submit the hard copy of proposal and soft copy size less than 50mb.
(4.)18/10/2021The correction have been made as per the instruction received
           Additional Details Sought
S. No.ADS Sought DateADS SoughtLetter
(1.)08/12/2021Kindly resubmit with observations as per 83rd meeting of SEAC.ADS Letter
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. In addition to above, I hereby give undertaking that no activity/ construction/ expansion has since been taken up.
Name of ApplicantNaresh Chand Chauhan
DesignationOwner
Name of Company (Applicant Name should not be given here)SHIRGUL ENVIROCARE SERVICES
AddressVill-Salwala-Puruwala, Dakpather Road, Paonta Sahib
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