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 LG Polymers India Pvt. Ltd.
Brief summary of projectAnnexure-Brief summary of project
Proposal Number IA/AP/IND2/72021/2018
Project Cost 16800 lacs
2.
S. No. in the schedule5(e) Petrochemical based processing (processes other than cracking &
Project Sector Industrial Projects - 2
3. Proposed capacity/area/length/tonnage to be handled/command area/lease area/number or wells to be drilled 655 TPD after Expansion ha.
4.
New/Expansion/ModernizationExpansion
Proposal NumberIA/AP/IND2/72020/1900
MoEFCC file number(Previous EC)APPCB/VSP/VSP/14082/HO/CFO/ 2017
Uploaded EC letterAnnexure-Uploaded EC letter
5. Existing Capacity/Area etc. 415 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 projectSy. No.s 29 to 45, 83/1 and 83/3, RR Venkatapuram Village, Pendurti Mandal, Visakhapatnam District, Andhra Pradesh
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.Sy. No.s 29 to 45, 83/1 and 83/3
Town / VillageRR Venkatapuram Village
State of the projectAndhra Pradesh
Details of State of the project
S.no State Name District Name Tehsil Name
(1.)Andhra PradeshVisakhapatnamPendurthi
10.
Nearest railway station along with distance in kms Simhachalam, 0.35 km
Nearest airport along with distance in kms Visakhapatnam Airport, 2.3 km
11. Nearest Town/City/District Headquarters along with distance in kms Gopalapatnam , 0.2 km
12. Village Panchayats, Zila Parishad, Muncipal Corporation, Local body (Complete postal address with telephone nos. to be given) RR Venkatapuram –Village Panchayat
13. Name of the Applicant Poornachandramohanrao
14. Registered Address LG Polymers India Pvt Ltd RR Venkatapuram Visakhapatnam - 530029 PPCmohan@lgpi.co.in Phone:0891-2520934 Fax: 0891-2520538
15.
Address for correspondance:
Name of the Company LG POLYMERS INDIA PVT LTD
Name of the Applicant Poornachandramohanrao
Designation (Owner/ Partner/ CEO) DirectorOperations
Pin code 530029
E-mail ppcmohan@lgpi.co.in
Telephone No. 0891-2520934
Fax No. 0891-2520538
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) No There will not be any change in land use. The proposal is for expansion of existing unit.
1.2 Clearance of existing land, vegetation and buildings? No
1.3 Creation of new land uses? No
1.4 Pre-construction investigations e.g. bore houses, soil testing? Yes Soil test done
1.5 Construction works? Yes Construction activity involves creation of Production Blocks, Utilities and enhancement of effluent treatment system.
1.6 Demolition works? No
1.7 Temporary sites used for construction works or housing of construction workers? No Construction labor from local villages shall be employed.
1.8 Above ground buildings, structures or earthworks including linear structures, cut and fill or excavations and fill or excavations Yes Storage facilities shall be constructed. No major cut and fill or excavation is anticipated.
1.9 Underground works including mining or tunnelling? No No underground works like mining and tunneling.
1.10 Reclamation works? No
1.11 Dredging? No
1.12 Offshore structures? No
1.13 Production and manufacturing processes? Yes Enclosed in Annexure – I
1.14 Facilities for storage of goods or materials? No Raw materials shall be stored with in factory premises. Materials in bags and drums will be stored in flame proof ware houses.
1.15 Facilities for treatment or disposal of solid waste or liquid effluents? Yes Effluents from process and utilities are treated in effluent treatment system. Domestic effluent sent to STP. ETP sludge is sent to TSDF. Details of waste treatment facilities presented in Annexure II
1.16 Facilities for long term housing of operational workers? No Operational workers stay in surrounding villages.
1.17 New road, rail or sea traffic during construction or operation? Yes Construction materials shall be transported to the site. The traffic density of the existing connecting road is negligible.
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? No
1.22 Stream crossings? No All raw materials and waste streams are pumped through pipe lines above ground level.
1.23 Abstraction or transfers of water from ground or surface waters? Yes Total water required shall be met from Municipal (GVMC) supply. Total water required shall be 960 KLD.
1.24 Changes in water bodies or the land surface affecting drainage or run-off? No
1.25 Transport of personnel or materials for construction, operation or decommissioning? Yes The construction material shall be drawn from local sources within 10 km. There is no transport of personnel, as the construction workers shall be drawn from local villages.
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 The proposed expansion will increase the employment potential.
1.29 Introduction of alien species? No
1.30 Loss of native species or genetic diversity? No There are no major losses of tree/shrub species.
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 Land area: 213 acres Sy. No.s 29 to 45, 83/1 and 83/3, RR Venkatapuram Village, Pendurti Mandal, Visakhapatnam District, Andhra Pradesh.
2.2 Water (expected source & competing users) unit: KLD Yes Total water required shall be met from Municipal (GVMC) supply. Total water required shall be 960 KLD. (Water Balance Enclosed in Annexure III)
2.3 Minerals (MT) No
2.4 Construction material – stone, aggregates, sand / soil (expected source – MT) Yes Shall be sourced from the local villages.
2.5 Forests and timber (source – MT) No
2.6 Energy including electricity and fuels (source, competing users) Unit: fuel (MT),energy (MW) Yes The required energy shall be drawn from Transco. Standby DG sets of 1 X 1500 kVA and 1 x 1000 kVA are proposed in addition to existing 1 x 500 kVA and 4 x 1000 kVA. It is proposed to replace existing 1 x 1000 kVA out of 4 x 1000 kVA with 1 x 1500 kVA capacity after expansion. It is proposed to establish Furnace Oil fired boiler of capacity 1 x 5 TPH in addition to existing 1 x 5 TPH and 1 x 8TPH Furnace Oil fired boilers. It is proposed to keep existing 1 x 8 TPH Oil fired boiler as standby afte
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 Yes Hazardous chemicals shall be used for manufacturing of Polystyrene and Expandable Polystyrene. MSIHC rules shall be followed during storage, transportation and handling of raw materials. Hazardous chemicals and solvent shall be stored and handled in closed systems.
3.2 Changes in occurrence of disease or affect disease vectors (e.g. insect or water borne diseases) No
3.3 Affect the welfare of people e.g. by changing living conditions? Yes Shall increase the employment potential for locals and affect the living conditions for betterment.
3.4 Vulnerable groups of people who could be affected by the project e.g. hospital patients, children, the elderly etc. No No sensitive receptors are present in the immediate vicinity of the site. The project shall not have any significant impact on vulnerable groups of people.
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 No
4.2 Municipal waste (domestic and or commercial wastes) Yes Wastes from canteen, other commercial wastes like paper, empty containers etc.
4.3 Hazardous wastes (as per Hazardous Waste Management Rules) Yes Hazardous waste generation during construction shall be limited to waste oils, batteries and containers of paints etc. The quantity of hazardous wastes generated during operation contain ETP sludge, process wastes etc.
4.4 Other industrial process wastes Yes Enclosed at Annexure IV
4.5 Surplus product No
4.6 Sewage sludge or other sludge from effluent treatment Yes Sludge from Effluent treatment plant shall be sent to TSDF.
4.7 Construction or demolition wastes No Construction activities involve creation of Production Blocks, Utilities and enhancement of effluent treatment system.
4.8 Redundant machinery or equipment No
4.9 Contaminated soils or other materials No All pipe lines including pipe lines of waste streams are above ground level to eliminate the possibility of any contamination due to seepage and for ease of maintenance.
4.10 Agricultural wastes No
4.11 Other solid wastes Yes Enclosed at Annexure IV
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 Furnace Oil will be used as fuel. Emissions details are enclosed in Annexure V
5.2 Emissions from production processes No
5.3 Emissions from materials handling including storage or transport No Material transfer takes place in closed pipeline system.
5.4 Emissions from construction activities including plant and equipment Yes Dust may rise during transport of material and construction activity. The dust emissions shall be mitigated by water spraying on the roads within the premises.
5.5 Dust or odours from handling of materials including construction materials, sewage and waste No Domestic wastewater sent to STP and treated wastewater reused for greenbelt development with plant premises.
5.6 Emissions from incineration of waste No
5.7 Emissions from burning of waste in open air (e.g. slash materials, construction debris) No
5.8 Emissions from any other sources No
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 Material transport and construction equipment shall be source of noise, while transfer pumps, DG sets are the sources of noise during operation.
6.2 From industrial or similar processes Yes Noise generated from DG sets shall be controlled by providing Acoustic Enclosures.
6.3 From construction or demolition Yes Noise during construction shall be due to construction equipment and emergency DG sets.
6.4 From blasting or piling No
6.5 From construction or operational traffic No The increased traffic shall not have any significant impact.
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 No All the hazardous materials will be stored in MS drums, in a covered shed and no contamination of soil is expected. Same philosophy will be followed for the after expansion
7.2 From discharge of sewage or other effluents to water or the land (expected mode and place of discharge) No All the waste from domestic operations sent to STP and treated wastewater reused for greenbelt development with plant premises.
7.3 By deposition of pollutants emitted to air into the land or into water No
7.4 From any other sources No
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 All Inbuilt Safety precautions will be adopted and there will not be any damage to environment or human health
8.2 From any other causes No
8.3 Could the project be affected by natural disasters causing environmental damage (e.g. floods, earthquakes, landslides, cloudburst etc)? No
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 expansion shall enhance the socio economic status of the area by increasing the demand for housing, improving the employment.
9.2 Lead to after-use of the site, which could have an impact on the environment No
9.3 Set a precedent for later developments No
9.4 Have cumulative effects due to proximity to other existing or planned projects with similar effects No The baseline environmental status of the surrounding areas is within the prescribed limits as observed from the Secondary data.
(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
2 Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Yes Kailasakonda Forest – 0.5 km –E Narava RF – 5.2 km – E Yerrakonda RF – 4.3 km – NE Kambalakonda RF – 5.4 km – NE Meghadri Gedda Reservior – 2 km – NW
3 Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration No
4 Inland, coastal, marine or underground waters No
5 State, National boundaries No
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 Yes Nearest habitation from the site is RR Venkatapuram village.
9 Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship, community facilities) No
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
Additional Attachments, if any
Attached File
File Withdraw Letter
            Essential Detail Sought:
Sno. EDS Letter Remarks Date of EDS
1.NAYour request for withdrawal is accepted 23 Apr 2018
2.NAThe correction have been made as per the instruction received 14 Apr 2018
3.NAPlease submit the earlier EC provided by the Ministry and confirm the categorization of the project vis-à-vis the EIA Notification, 2006 08 Feb 2018
4.NAThe correction have been made as per the instruction received 25 Jan 2018
5.NAThe needful is yet to be done 24 Jan 2018
6.NAThe correction have been made as per the instruction received 12 Jan 2018
7.NATwo applications for one project is being reflected in the portal. Please withdraw any one for further necessary action. 11 Jan 2018
      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 ApplicantPoornachandramohanrao
DesignationDirectorOperations
Name of Company (Applicant Name should not be given here)LG POLYMERS INDIA PVT LTD
AddressLG Polymers India Pvt Ltd RR Venkatapuram Visakhapatnam - 530029 PPCmohan@lgpi.co.in Phone:0891-2520934 Fax: 0891-2520538
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