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 Sita Rama Lift Irrigation Project, Phase-I
Brief summary of projectAnnexure-Brief summary of project
Proposal Number IA/TG/RIV/64870/2017
Project Cost 1193173 lacs
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 272921 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 No
8.
Does it attract the specific condition? If yes, please specify No
9.
Location of the projectTelangana
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.Khammam and Warangal Districts
Town / VillageKothagudem, Sathupally, Mahabubabad
State of the projectTelangana
Details of State of the project
S.no State Name District Name Tehsil Name
(1.)TelanganaWarangalMahabubabad
(2.)TelanganaKhammamDummugudem
10.
Nearest railway station along with distance in kms Aswapuram, 10 km
Nearest airport along with distance in kms Hyderabad, 350 km
11. Nearest Town/City/District Headquarters along with distance in kms Bhadrachalam , 20 km
12. Village Panchayats, Zila Parishad, Muncipal Corporation, Local body (Complete postal address with telephone nos. to be given) Khammam, Khammam, Telangana, 08742228803
13. Name of the Applicant Vemula
14. Registered Address Cheif Engineer Irrigation projects, Khammam,Khammam District, Telangana.
15.
Address for correspondance:
Name of the Company CHEIF ENGINEER I AND CAD KHAMMAM
Name of the Applicant Vemula
Designation (Owner/ Partner/ CEO) CE
Pin code 507002
E-mail eedivision3@gmail.com
Telephone No. 08742-228803
Fax No. 08742-
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
StatusApplication for Forest Clearance yet to be submitted
(ii) Whether the proposal involves approval/clearance under the wildlife (Protection) Act,1972?Yes
StatusApplication for Wildlife Clearance yet to be submitted
(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)1930 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 total land to be acquired for the project is 4835 ha. The details of land to be acquired is mentioned below: Private land 2905 ha Forest land 1930 ha Additional land (50 ha) is required as below: Colony 20 ha Project area 30 ha The total land required is 4885 ha.
1.2 Clearance of existing land, vegetation and buildings? No
1.3 Creation of new land uses? Yes The objective of the Project is toirrigate 6,74,387 lakh Acres (New Ayacut- 3,28,853 Acres. and Stabilization 3,44,534 Acres) of Bhadradri- Kothagudem, Khammam and Mahaboobabad District of Telangana, covering enroute tanks and villages as well as nearby command areas. In this context, some of the structural interventions in the form of storage structures, water conductor system, pump houses, Tunnels, CM and CD works etc. are proposed for this purpose.
1.4 Pre-construction investigations e.g. bore houses, soil testing? Yes Topographical surveys, detailed geological & geotechnical investigation involving sub surface investigations through exploratory drilling borrow area survey, construction material survey etc. are being carried out for firming up the feasibility of site and testing the suitability of foundation strata & construction materials like soil, sand, rock etc.
1.5 Construction works? Yes The Sita Rama Lift Irrigation Project, Phase-I envisages construction of the followings: (i) Construction of Head Regulator at Dummugudem Anicut (ii) Construction of Lined Canal (iii) Construction of Four Pump Houses (iv) Delivery Cisterns (v) Laying of Pumping Main (vi) Cross Drainage works across Main Canal. (vii) Road Bridges wherever required. (viii) Cross Regulators and Offtakes etc. (ix) Tunnels
1.6 Demolition works? No
1.7 Temporary sites used for construction works or housing of construction workers? Yes Nearby available sites shall be used.
1.8 Above ground buildings, structures or earthworks including linear structures, cut and fill or excavations and fill or excavations Yes The Sita Rama Lift Irrigation Project, Phase-I envisages construction of the followings: (i) Construction of Head Regulator at Dummugudem Anicut (ii) Construction of Lined Canal (iii) Construction of Four Pump Houses (iv) Delivery Cisterns (v) Laying of Pumping Main (vi) Cross Drainage works across Main Canal. (vii) Road Bridges wherever required. (viii) Cross Regulators and Off takes etc
1.9 Underground works including mining or tunnelling? Yes 5 km of tunnel with a diameter of 7.5 m to carry a discharge of about 122 cumecs is envisaged.
1.10 Reclamation works? Yes The construction sites shall be suitably landscaped on completion of construction activities, so that it integrates with the natural surroundings.
1.11 Dredging? No Not Applicable as it is irrigation project
1.12 Offshore structures? No Not Applicable as it is irrigation project
1.13 Production and manufacturing processes? Yes Project will increase the agricultural productivity. It will also provide an impetus to urbanization, industrialization and pisciculture in the area as well.
1.14 Facilities for storage of goods or materials? Yes Construction materials like steel, cement, electrical items etc. shall be stored in the temporary stores & stock yards that will be constructed in the vicinity of the Project area. These facilities will be developed at the time of pre-construction period of the project. Details will be given in DPR.
1.15 Facilities for treatment or disposal of solid waste or liquid effluents? Yes During construction phase, labour colonies are proposed to be located at various locations close to the construction site. About 2000 laborers and 500 technical staff are likely to congregate in the area during construction phase. Considering family size as 4, the increase in population is expected to be of the order of 10,000.
1.16 Facilities for long term housing of operational workers? Yes Permanent buildings are proposed to be developed for utilization during operation phase.
1.17 New road, rail or sea traffic during construction or operation? Yes Existing roads and railway lines are proposed to be utilized during construction as well as operation stage of the project. However, existing approach roads will be strengthened and new roads will be constructed to facilitate movement of heavy machinery at the time of execution of the project i.e., during pre-construction period of the project.
1.18 New road, rail, air water borne or other transport infrastructure including new or altered routes and stations, ports, airports etc? No
1.19 Closure or diversion of existing transport routes or infrastructure leading to changes in traffic movements? No
1.20 New or diverted transmission lines or pipelines? No
1.21 Impoundment, damming, culverting, realignment or other changes to the hydrology of watercourses or aquifers? Yes About 1930 ha of forest land is coming under submergence. The diversion of water from river Godavari could lead to adverse impacts on riverine fisheries. A detailed plan for amelioration of adverse impacts on riverine fish species, shall be suggested as a part of CEIA study.
1.22 Stream crossings? Yes Appropriate cross drainage arrangements shall be made
1.23 Abstraction or transfers of water from ground or surface waters? Yes Yes. From River Godavari to meet the Irrigation and Drinking Water demands of about 75 TMC.
1.24 Changes in water bodies or the land surface affecting drainage or run-off? Yes Appropriate cross drainage arrangements shall be made
1.25 Transport of personnel or materials for construction, operation or decommissioning? Yes The construction material like cement and steel proposed to be transported by rail/road. The nearest rail head is Aswapuram located about 10 km from the proposed project site.
1.26 Long-term dismantling or decommissioning or restoration works? No
1.27 Ongoing activity during decommissioning which could have an impact on the environment? No
1.28 Influx of people to an area in either temporarily or permanently? Yes About 2500 labour and technical staff will be employed during construction phase. Some of the labour will be employed from local population. These labour shall go back to their native places on completion of construction activities. The workers migrating in the area during construction phase, shall stay in labour camps and will return on completion of construction activities.
1.29 Introduction of alien species? No
1.30 Loss of native species or genetic diversity? No About 1930 ha of forest land is to be acquired for the project. In addition, forest area is observed within the Study Area. The flora and fauna within the project surroundings also may be affected. The nature, magnitude and extent of such impacts will be covered in detail as a part of CEIA study.
1.31 Any other actions? 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) Yes The total land to be acquired for the project is 4835 ha. The details of land to be acquired is mentioned below: Private land 2905 ha Forest land 1930 ha Additional land (50 ha) is required as below: Colony 20 ha Project area 30 ha The total land required is 4885 ha. The project would improve the irrigation intensity improve in the command area, which would also improve the productivity of the agriculture land in the command area.
2.2 Water (expected source & competing users) unit: KLD Yes Project will provide annual irrigation to 3,78,807 ha area utilizing 70.40 TMC of water in Bhadradri – Kothagudem, Khammam and Mahaboobabad districts of Telangana. Treated ground water/surface water will be utilized for meeting drinking purpose at site during construction. River water will be utilized for construction activities of the project
2.3 Minerals (MT) No
2.4 Construction material – stone, aggregates, sand / soil (expected source – MT) Yes Stones; Stone Quarry 36 km away shall be used Sand- sand quarry about 53 km away
2.5 Forests and timber (source – MT) No
2.6 Energy including electricity and fuels (source, competing users) Unit: fuel (MT),energy (MW) Yes Energy requirement during construction period are proposed to be met from TSGENCO. Provision for Power supply, general lighting during construction phase. For emergency situation, the power shall be supplied through standby DG sets. To avoid cutting of the forest by labourers for fuel during construction, alternative fuels like LPG & kerosene will be provided free of cost for the families of labourers by contractor. Also, provision for fuel to the departmental labour will be kept in the DPR.
2.7 Any other natural resources (use appropriate standard units) No
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 No During the process of construction, no hazardous wastes will be generated. Blasting material shall be used for foundation excavation of dam. The waste like used oils that will be generated from the DG sets, transformer etc., will be stored in designated leak proof drums and auctioned to the registered vendors of the Telangana Pollution Control Board (TPCB) or Central Pollution Control Board (CPCB) for recycling.
3.2 Changes in occurrence of disease or affect disease vectors (e.g. insect or water borne diseases) Yes Normally an irrigation project increases the incidence of water-borne diseases owing to increased water availability, as it leads to the formation of stagnant pools of water in command area, canals, etc. This could result in increased proliferation of mosquitoes, eventually leading to increased frequency and incidence of water-borne diseases, especially malaria. This aspect will be studied as a part of CEIA study and adequate measures to be implemented during project construction and operation.
3.3 Affect the welfare of people e.g. by changing living conditions? Yes The details of various welfare schemes for locals shall be outlined as a part of Area development activities and the details will be outlined in the CEIA report. A provision of 0.5% of the project cost will be earmarked is for Local Area Development
3.4 Vulnerable groups of people who could be affected by the project e.g. hospital patients, children, the elderly etc. Yes There will be hospital patients, children, elderly amongst the PAFs. The impacts on the same shall be covered as a part of the CEIA study. This aspect will be covered in detail as a part of the CEIA study.
3.5 Any other causes No
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 construction activities will lead to generation of construction waste. It is proposed to collect the construction waste from various construction sites, and disposed at sites identified in consultation with the district administration. Various construction sites would be properly leveled. The leveling or reclamation of various construction sites, shall be made mandatory for the contractor, involved in the construction work.
4.2 Municipal waste (domestic and or commercial wastes) Yes About 2000 labour and 500 technical staff is likely to congregate in the area during construction phase, increasing temporary population by 10,000. The average per capita solid waste generated is of the order of 210 gm/day/person. The solid waste likely to be generated from camps shall be of the order of 2.1 ton/day. Adequate facilities for collection, conveyance and disposal of solid waste will be developed.
4.3 Hazardous wastes (as per Hazardous Waste Management Rules) No No Hazardous waste will be generated.
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 No During construction phase, sludge generated from secondary settling tank will be dried in sludge drying beds. The dried sludge will be disposed at land filling sites or sold to the farmers, to be used as fertilizers.
4.7 Construction or demolition wastes No Not Applicable
4.8 Redundant machinery or equipment No Redundant machinery equipment will be taken out from the project sites, after completion of construction activities.
4.9 Contaminated soils or other materials No No contamination of soil is foreseen in the project.
4.10 Agricultural wastes Yes No contamination of soil is foreseen in the project.The proposed project envisages irrigation over an ICA of 3,78,807 ha in districts Bhadradri-Kothagudem, Khammam and Mahaboobabad of Telengana, which will increase agriculture-production, thereby increasing agricultural waste. A part of the agriculture residue shall be utilized as fodder for livestock. Appropriate measures for the reuse and recycling of agricultural waste will be suggested as a part of the CEIA study.
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, commonly diesel. The major pollutant, emitting from diesel-combustion is CO. The SPM emission is minimum due to low ash content in diesel. The short-term increase in CO 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.
5.2 Emissions from production processes No
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 and stored at various sites. Prevailing wind may carry these materials in the atmosphere, especially during dry environment. However, its impact is not expected to be significant as a part of the CEIA Study. The impacts on ambient air quality due to various sources of pollution will be covered in detail as a part of CEIA study.
5.4 Emissions from construction activities including plant and equipment Yes The operation of various construction equipment requires combustion of fuels, commonly diesel. The major pollutant, emitting from diesel-combustion is CO. The SPM emission is minimum due to low ash content in diesel. The short-term increase in CO 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.
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 No incinerators are planned to be installed in the project.
5.7 Emissions from burning of waste in open air (e.g. slash materials, construction debris) No No burning of any construction – waste is required.
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 be generated during construction phase as a result of operation of construction equipment. The noise likely to be generated due to operation of various construction equipment is given as below: Equipment Sound level (dB(A)) Mixer machine and crane 70 Winch machine 80 Transit mixer 75 Dumpers 75 Generators 85 Batching plant 90 Air compressors 90 Pile drivers 115 A detailed noise modelling studies will be conducted as a part of the EIA study.
6.2 From industrial or similar processes No
6.3 From construction or demolition Yes Operation of construction equipment during construction phase
6.4 From blasting or piling No
6.5 From construction or operational traffic Yes During construction phase, there will be increase in vehicular movement for transportation of construction material. During construction phase, increase in vehicular movement is expected to increase up to a maximum of 100 trucks/hour. During project operation phase, too, noise will be mainly generated due to increased vehicular movement.
6.6 From lighting or cooling systems No
6.7 From any other sources No
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 of CPCB/TPCB.
7.2 From discharge of sewage or other effluents to water or the land (expected mode and place of discharge) Yes Sewage generated from labour camp will be treated through aerated lagoon, secondary setting tank, and disposed on land or water (post treatment) at sites identified in consultation with the respective district administration.
7.3 By deposition of pollutants emitted to air into the land or into water Yes The solid waste generated from the camps shall be suitably collected, disposed by land filling as mentioned earlier. The details of the solid waste disposal facilities will be covered as a part of CEIA study.
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
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 Explosives will be used carefully by the experienced licensed persons. Blasting will be done in accordance with the existing provisions of law, applicable to such work confirming all codes in respect of safety of human beings and other objects.
8.2 From any other causes No All mandatory safety provision for labour work-force, technical staff and villagers inhibiting nearby areas 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 proposed project is located in the area categorized as ZONE II as per Seismic Zoning Map of India (IS 1893:2002) and thereby falls in least risk zone.
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 development of supporting facilities, ancillary development or development stimulated by the project having impacts on the environment, will be a part of Environment Management Plan.
9.2 Lead to after-use of the site, which could have an impact on the environment No Mostly make-shift arrangements will be made at the site during the construction phase which will be dismantled after completion of the project as per the prevailing norms and guidelines. Very little permanent creation will be done and that will be utilized for post – construction operation and management.
9.3 Set a precedent for later developments Yes Increase in agriculture production. Improvement in livestock. Employment generation. Urbanization. Industrialization.
9.4 Have cumulative effects due to proximity to other existing or planned projects with similar effects Yes The development of supporting facilities, ancillary development or development stimulated by the project having impacts on the environment, will be a part of Environment Management Plan.
(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 About 1930 ha of forest area is coming under submergence. No ecologically sensitive area is coming in the area to be acquired for the project.
2 Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Yes Kinnerasani Wildlife Sanctuary is located about 20 km from existing Dummugudem structure.
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
5 State, National boundaries No Chhattisgarh state boundary is the nearest inter-state boundary i.e. about 15 km from Dummugudem barrage
6 Routes or facilities used by the public for access to recreation or other tourist, pilgrim areas No
7 Defence installations No
8 Densely populated or built-up area No Proposed site is 4 km away from Dummugudem Village.
9 Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship, community facilities) No Nearest School – 2 km Nearest Hospital - 12km Nearest place of worship - 3 km
10 Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) No
11 Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) No
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
(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) NIL
      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 ApplicantVemula
DesignationCE
Name of Company (Applicant Name should not be given here)CHEIF ENGINEER I AND CAD KHAMMAM
AddressCheif Engineer Irrigation projects, Khammam,Khammam District, Telangana.
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