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 No
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 Proposed Project for Kurha Vadhoda Islampur Lift Irrigation Scheme UPSA Sinchan Yojna with CCA 32372 Ha at Village Rigaon, Tehsil-Muktainagar District. Jalgaon, Maharashtra.
Brief summary of projectAnnexure-Brief summary of project
Proposal Number IA/MH/RIV/195147/2021
Project Cost 842.20 cr
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 572 ha 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 Yes
d) Inter-State boundaries and international boundaries
8.
Does it attract the specific condition? If yes, please specify No
9.
Location of the projectThe lifting point i.e. Jack well from Purna river falls in Village Rigaon, Tehsil Muktainagar, District Jalgaon and Dam site falls in Village Islampur, Tehsil Jalgaon & District Buldhana, Maharashtra.
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.Village Rigaon in Tehsil Muktainagar and Village Islampur in Tehsil Jalgaon
Town / VillageVillage Rigaon and Village Islampur
State of the projectMaharashtra
Details of State of the project
S.no State Name District Name Tehsil Name
(1.)MaharashtraJalgaonEdlabad (Muktainagar)
10.
Nearest railway station along with distance in kms Biswa Railway Station, 8.9 km
Nearest airport along with distance in kms Shioni Airport, 80.8 km
11. Nearest Town/City/District Headquarters along with distance in kms Jalgaon Jamod , 12.4 km
12. Village Panchayats, Zila Parishad, Muncipal Corporation, Local body (Complete postal address with telephone nos. to be given) Village Panchayat: Muktainagar Zila Parishad : Jalgaon Municipal Corporation: Jalgaon Postal Address: Taluka-Muktainagar, Dist.-Jalgaon, Maharashtra-425306
13. Name of the Applicant Uttam
14. Registered Address TAPI Irrigation Development Corporation, Sinchan Bhawan, AkashWani Chowk, Jalgaon
15.
Address for correspondance:
Name of the Company M/S TAPI IRRIGATION DEVELOPMENT CORPORATION, JALGAON
Name of the Applicant Uttam
Designation (Owner/ Partner/ CEO) Executive Engineer
Pin code 425001
E-mail kadlagym2020@gmail.com
Telephone No. 0-
Fax No. 0-
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?Yes
StatusFinal(Stage-II) Approval Obtained
MoEF file number6-MHB030/2012-BHO
Date of In-Principle31/12/1899
Date of final approval31/12/1899
Area diverted-1 ha.
Uploaded Clearance LetterAnnexure-Uploaded clearance letter
(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?Yes
Area of Forest land Involved (hectares)1.98 ha.
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 The proposed project will have some changes in land use pattern of the areas where project components are planned as it is un irrigated land. However these changes will not be very significant. Only land cover will be changed in the stretch where pump houses will be constructed and water storage will be done. The site where water will be stored will become vast water body in stretch of barren land.
1.2 Clearance of existing land, vegetation and buildings? No No clearance will be done in respect of existing land, vegetation or buildings.
1.3 Creation of new land uses? Yes Since ground water level varies from 5m to 15.3m BGL during pre-monsoon and 1.8 to 4.8 m during post monsoon BGL. It is expected that, after operation of the reservoir, water table of surrounding villages will increase due to seepage and infiltration. The command area water table will also increase because the ground water of the command area will be recharged through irrigation.
1.4 Pre-construction investigations e.g. bore houses, soil testing? Yes Geotechnical studies have been carried out.
1.5 Construction works? Yes Construction of Earthen Dam is 60% completed and 40% is yet to be constructed. Pump House No.1 & No.3 is already 95% & 85% completed respectively, 85% of Electric supply works is done and laying down of rising main pipelines is 10.784 % completed.
1.6 Demolition works? No No demolition work is required.
1.7 Temporary sites used for construction works or housing of construction workers? Yes Area is available near the dam site for temporary site office and labor camps.
1.8 Above ground buildings, structures or earthworks including linear structures, cut and fill or excavations and fill or excavations Yes The scheme envisages lifting of flood water in rainy season from Purna River by constructing intake channel, intake structure, jack well over head pump house near village Rigaon, Taluka- Muktainagar, Dist.-Jalgaon conveying water by rising main and store in Islampur dam.
1.9 Underground works including mining or tunnelling? No No mining /tunnelling is involved
1.10 Reclamation works? No Not required
1.11 Dredging? No Not required
1.12 Offshore structures? No Not Applicable
1.13 Production and manufacturing processes? No Not Applicable
1.14 Facilities for storage of goods or materials? Yes Space will be provided near Dam Site for storage of construction materials
1.15 Facilities for treatment or disposal of solid waste or liquid effluents? Yes Any liquid waste generated from mobile toilets and wash rooms will be treated as per standard procedure.
1.16 Facilities for long term housing of operational workers? Yes Staff Quarters will be provided as per requirement. However, local workers will be employed from the nearby villages.
1.17 New road, rail or sea traffic during construction or operation? No Existing roads will be used for transporting the material. Maintenance should be done by contractor during construction period.
1.18 New road, rail, air water borne or other transport infrastructure including new or altered routes and stations, ports, airports etc? No Pre-existing roads will suffice.
1.19 Closure or diversion of existing transport routes or infrastructure leading to changes in traffic movements? No No traffic diversion will take place.
1.20 New or diverted transmission lines or pipelines? No No new Transmission Lines will be erected nor any diversion of the same will be required. Rising mains for all three stages consist of one 1800 mm dia M.S. Pipes in two rows. The each pipe will feed water by two pumps. The pipe lengths of stage-1,2&3 are having lengths of 2820m, 6180m & 4140 m respectively. Total Length of rising main is 13140 m.
1.21 Impoundment, damming, culverting, realignment or other changes to the hydrology of watercourses or aquifers? Yes By construction of dam, 536 Ha of land will be submerged.
1.22 Stream crossings? No Nil
1.23 Abstraction or transfers of water from ground or surface waters? Yes It is proposed to pump the flood water of Tapi and Purna rivers from the back water of Hatnur Dam with overflows from the spill way of the Dam during Monsoon and to provide irrigation to different crops.
1.24 Changes in water bodies or the land surface affecting drainage or run-off? Yes The dam constructed across Tapi and Purna Rivers will impound 77.69 M Cum of water mainly to irrigate Muktainagar Taluka of Dist.-Jalgaon, Jamodh and Sangrampur Talukas of Buldhana District.
1.25 Transport of personnel or materials for construction, operation or decommissioning? Yes Approximate 85-100 workers, construction material & machinery have to be transported to the dam site for construction activities.
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 There will be a temporary influx of about 85-100 labourers for carrying out construction activities of the project.
1.29 Introduction of alien species? No No such activity is involved.
1.30 Loss of native species or genetic diversity? No No significant endemic flora/fauna is found
1.31 Any other actions? No Nil
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 The total area required for the project is 572 h. out of which 562 ha is private land , 7.57 Ha is Government Land and remaining 1.98 Ha is Forest land for which Forest Clearance have been obtained on 23.11.2012 vide letter no. No. 6- MHB – 030/2012 – BHO/1853. Copy of the same is attached as Annexure-I. The private land is rainfed unirrigated single crop land.
2.2 Water (expected source & competing users) unit: KLD Yes The total water utilization under this scheme is 3.564 TCM.
2.3 Minerals (MT) No Nil
2.4 Construction material – stone, aggregates, sand / soil (expected source – MT) Yes 1.Soils for impervious, semi pervious and pervious zones of earth dam 2.Sand 3.Rock and aggregate 4.Cement 5.Steel 6.Other materials. All tests are being carried out required before design. Required tests as per norms are being taken during construction by Quality Control Sub Division & construction Sub Division and will be carried out up to the end of work
2.5 Forests and timber (source – MT) No Nil
2.6 Energy including electricity and fuels (source, competing users) Unit: fuel (MT),energy (MW) Yes Electricity supply to lift water will be taken from Malkapur Sub Station of Maharashtra State Electricity Distribution Co. Ltd. (MSEDCL). 132 KV transmission line is erected from Malkapur to Bhota sub station, installed at Bhota. From Bhota sub Station 33 KV transmission lines are erected for electric supply to each pump house.
2.7 Any other natural resources (use appropriate standard units) No NA
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 Construction equipment operation will generate some hazardous waste at construction sites in terms of waste oil tanks, used oil, etc. Such waste will be disposed off in compliance with Hazardous Waste (Management Handling and Trans-boundary Movement) Rules, 2016 and its subsequent amendments.
3.2 Changes in occurrence of disease or affect disease vectors (e.g. insect or water borne diseases) No Sewage and domestic wastewater generated from mobile toilets and wash rooms will be treated in septic tanks and disposed in soak pits. The mitigation measures as part of Environment Management Plan will be suggested to prevent the increased incidence of Vector borne diseases.
3.3 Affect the welfare of people e.g. by changing living conditions? Yes The proposed project will generate employment opportunities and various developmental activities in the project area. Proposed project will improve the socio-economic conditions & living conditions of people in the project area. During construction period, the employment potential generated at the rate of Rs.500/- per day will be 83.84 Lakhs Mandays per year. During operation phase, the employment potential generated for 25898 Ha irrigable area will be 1320798 mandays per year.
3.4 Vulnerable groups of people who could be affected by the project e.g. hospital patients, children, the elderly etc. No Not Envisaged
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 Yes The balance construction of Project components will generate soil and rock spoils. The road alignment has been fixed to optimize the use of excavated muck in filling of roads, road spoiling and building retaining walls etc. Part of muck will be disposed off in identified muck disposal areas. The details of the same shall be covered as a part of EMP and will be presented as a part of the EIA report.
4.2 Municipal waste (domestic and or commercial wastes) Yes The domestic waste will be generated from the use of mobile toilets by the local workers.
4.3 Hazardous wastes (as per Hazardous Waste Management Rules) Yes Construction equipment operation will generate some hazardous waste at construction sites in terms of waste oil tanks, used oil, etc. Such waste will be disposed off in compliance with Hazardous Waste (Management Handling and Trans-boundary Movement) Rules, 2016 and its subsequent amendments.
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 Sewage and domestic wastewater generated from mobile toilets and wash rooms will be treated in septic tanks and disposed in soak pits.
4.7 Construction or demolition wastes Yes Construction debris from civil works will be used as fill material in built-up areas.
4.8 Redundant machinery or equipment Yes Redundant machinery and equipment will be taken out from the project sites, after completion of construction activities.
4.9 Contaminated soils or other materials No Not applicable
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 The operation of various construction equipments requires combustion of fuels i.e. diesel. The major pollutants emitting from diesel-combustion is SO2. The SPM emission is minimum due to low ash content in diesel. The short-term increase in SO2 is expected to be quite low, even assuming all the equipments are operating at a common point. Thus no adverse impacts on ambient air quality are anticipated. However, permissible limits as per Environmental protection Act, 1986 shall be adhered to.
5.2 Emissions from production processes No There is no production of any material, hence there will be no Emissions from production processes.
5.3 Emissions from materials handling including storage or transport Yes During construction phase, vehicular movement will increase, which will lead to marginal increase in air pollution. Construction materials will be brought in covered trucks and will be stored at various sites. Air pollution from operation of construction equipments will also be caused. A detailed plan for mitigation of minor adverse impacts shall be formulated as a part of Environment Management Plan.
5.4 Emissions from construction activities including plant and equipment Yes The sources of emissions during construction phase are: Particulate matter emissions during ground clearing. Fugitive emissions during civil works Fugitive emissions from vehicular traffic and construction equipment. Control of fugitive emissions will be done through water spray and through regular maintenance of construction equipment, haul roads and vehicles.
5.5 Dust or odours from handling of materials including construction materials, sewage and waste Yes The problem of odour is not envisaged. Proper management measures will be adopted for control of dust emissions from material handling operations: Water spraying on haul roads to prevent dust pollution from different sources during construction. All transportation vehicles will be suitably covered and overloading of the vehicles will be avoided.
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 Sources of noise during operation phase are mixing & grinding operations, D.G. sets, vehicular traffic etc. The following measures will be taken: Regular maintenance of vehicles will be ensured. Regular maintenance, oiling and greasing of material handling devices and rotating equipment will be carried out to prevent excessive noise generation. D.G. sets with inbuilt acoustic enclosure will be used. Proper foundation and balancing will be provided to rotating machines to minimize vibration.
6.2 From industrial or similar processes Yes The noise level produced through operating of the pumps will be slightly higher than the general noise level. However, state of art technologies used in the pumping system to keep the noise level at the bare minimum limit. Therefore, it will not have any significant adverse impact on the surrounding population.
6.3 From construction or demolition Yes During construction phase, sources of noise generation are vehicular movement and operation of construction equipment, material handling activities. Following measures are proposed for control of noise and vibration: High Noise Construction activities will be restricted to day time only. Regular maintenance, oiling and greasing of vehicles and construction equipment will be ensured.
6.4 From blasting or piling No Not Applicable
6.5 From construction or operational traffic Yes Vehicular traffic during construction phase will be due to trucks carrying construction material. Control of noise will be achieved through PUC certified & a) Ensuring that only properly maintained vehicles are used. b) Receipt and dispatch of trucks will be done during day time only.
6.6 From lighting or cooling systems Yes For lighting purpose at the project sites, small units of DG sets will be installed. The project does not envisage involvement of any cooling systems.
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 Yes Hazardous waste like used oil generated from the use of diesel in DG sets will be handled as per the norms and guidelines.
7.2 From discharge of sewage or other effluents to water or the land (expected mode and place of discharge) Yes Sewage and domestic wastewater generated from mobile toilets and wash rooms will be treated in septic tanks and disposed in soak pits.
7.3 By deposition of pollutants emitted to air into the land or into water Yes The solid waste generated from the temporary labour camps shall be suitably collected in bins, disposed by land filling.
7.4 From any other sources No No pollutants are expected from any other sources.
7.5 Is there a risk of long term build up of pollutants in the environment from these sources? No There is no potential risk of any long term build up of pollutants in the environment.
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 To minimize risk from spillages, fires, storage, handling etc. all safety precautions shall be taken in storage, handling and use of hazardous substances.
8.2 From any other causes Yes All mandatory safety measures for workforce, villagers and staff will be strictly enforced.
8.3 Could the project be affected by natural disasters causing environmental damage (e.g. floods, earthquakes, landslides, cloudburst etc)? Yes The project lies in moderate earthquake Hazard Zone III. The floods are very much predictable as there is long discharge series available at project site and the structures shall be designed to pass these floods. Natural disasters may affect the project.
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 The proposed lift irrigation project would increase agricultural output and income of the farmers. There would be increase in agro based industries in the area.
9.2 Lead to after-use of the site, which could have an impact on the environment No As no villages are displaced due to proposed project, no rehabilitation is required.
9.3 Set a precedent for later developments Yes The proposed lift irrigation project would increase agricultural output and income of the farmers. There would be increase in agro based industries in the area.
9.4 Have cumulative effects due to proximity to other existing or planned projects with similar effects No No project is located in vicinity of this project.
(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 Machhandar Nath Mandir RF~ 2.6 kms in West from Dam site. Raipur Reserved Forest~ 2.14kms in NW from dam site. RF ~ 3.25 kms in SE.
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 NA
5 State, National boundaries No State Boundary (Madhya Pradesh-Maharashtra Interstate Boundary) - 5.7 kms in NNW from Dam site.
6 Routes or facilities used by the public for access to recreation or other tourist, pilgrim areas Yes Highways- NH-6 is at a distance of 12.3 kms in SW, SH-194 is at 15kms in SSE & SH-196 is at 14kms in East respectively from lifting point in Rigaon Village. SH-196 is at a distance of 8.9kms in ESE from Dam site in Village Islampur.
7 Defence installations No Nil
8 Densely populated or built-up area Yes Village Rigaon is at about 0.7 kms in SSW & Tehsil Muktainagar is at about 30 Kms in WNW respectively from Lifting Point. District Jalgaon- Jamod is at about 12.4kms in ENE from Islampur Dam site.
9 Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship, community facilities) Yes School- Z.P Marathi Primary School Islampur- 1.4 km W from dam site Shri Shivaji High School- 6.5 km NE from Lifting pt. College- Bapumiya Sirajjodin Arts, Commerce and Science College- 6.1 km SSE from dam site and 9.8 km ENE from lifting pt. Temple- Hanuman Mandir- 1.4 km WSW from dam site Hospital- Rural Hospital, Jalgaon- Jamod and Dalal Hospital (12.3 km ENE from dam site) Post office- Khandvi Branch PO- 10.2 km SE from dam site Police Station- Jalgaon Jamod ( 12.4 km ENE from dam
10 Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) No NIL
11 Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) No NIL
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 NIL
(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
Detailed Project Report
      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 ApplicantUttam
DesignationExecutive Engineer
Name of Company (Applicant Name should not be given here)M/S TAPI IRRIGATION DEVELOPMENT CORPORATION, JALGAON
AddressTAPI Irrigation Development Corporation, Sinchan Bhawan, AkashWani Chowk, Jalgaon
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