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) IT ITES offices Building
(b)Name of the Company / Organisation SAMRAGI INFOTECH PVT LTD
(c)Registered Address E-83 , paschimi marg vasant vihar , New Delhi,,South West,Delhi-110057
(d)Legal Status of the Company Private
2.
Address for the correspondence:
(a)Name of the Applicant Anooj Dharm Garg
(b)Designation (Owner/ Partner/ CEO) Director
(c)Address E-83 , paschimi marg vasant vihar , New Delhi,South West,Delhi-110057
(d)Pin code 110057
(e)E-mail md.dglit@gmail.com
(f)Telephone No. 114-6106888
(g)Fax No.
(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/Activity8(b) Townships and Area Development projects.
(b)Minor Project/Activity8(b) Townships and Area Development projects.
(c)Category B1
(d)Proposal Number SIA/UP/MIS/72292/2021
(e)Master Proposal Number(Single Window) SW/256684/2022
(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. IT ITES offices Building
(b)Pincode 201301
(c)Bounded Latitudes (North)
From
Degree 28
Minutes 27
Second 8.42
From
Degree 28
Minutes 26
Second 56.96
(d)Bounded Longitudes (East)
From
Degree 77
Minutes 35
Second 17.95
From
Degree 77
Minutes 35
Second 25.68
(e)Survey of India Topo Sheet No. 53H10
(f)Uploaded Topo Sheet File Copy of Topo Sheet File
(g)Maximum Elevation Above Means Sea Level(AMSL) 205
(h)Uploaded (kml) File Copy of Kml File     
(i)Distance of Nearest HFL from the project boundary within the study area 9.65
(j)Seismic Zone 4
5.
(a)Number of States in which Project will be Executed 1
(b)Main State of the project Uttar Pradesh
Details of State(s) of the project
S. No. State Name District Name Tehsil Name Village Name
(1.)Uttar PradeshGautam Buddha NagarGautam Buddha NagarGreator noida
6.
Details of Terms of Reference (ToR):
(a)Whether TOR is mandatory for submitting application Yes
(b)MoEF&CC / SEIAA File Number 6280
(c)Date of Apply of TOR 07 Apr 2021
(d)Date of Issue of TOR / Standard ToR 17 Jun 2021
(e)Previous TOR Letter Copy of Previous TOR letter
7.
Details of Public Consultation:
(a)Whether the Project Exempted from Public Hearing?Not Applicable
(b)Reason -1
(c)Supporting Document Copy of Supporting Document
8.
Details of Project Configuration/Product:
     8.1.       Project Configuration
S. No.Plant/Equipment/FacilityConfigurationRemarks
(1.)000
     8.2.       Product
S. No.Product/Activity (Capacity/Area)QuantityUnitOther UnitMode of Transport / Transmission of ProductOther Mode of Transport / Transmission of Product
(1.)00Tons per AnnumRoad
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) 264.210
(b) Funds Allocated for Environment Management (Capital) (in crores) 1.392
(c) Funds Allocated Towards ESC (Entrepreneur Social Responsibility) (in crores) 2.6421
(d) Funds Allocated for Environment Management Plan (EMP) (Recurring per Annum) (in crores) 0.4692
(e) Funds Allocated for Environment Management Capital(%) 0.53
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 0
(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.)-0Tons per Annum0Road0 LinkageCopy of Linkage
14.
Baseline Data :
(a)Period of Base Line Data Collection FROM 01 Jan 2020 To 31 Mar 2020
(b)Season Post-Monsoon
    14.1.     No. of ambient Air Quality (AAQ) Monitoring Locations : 5
S. No.Criteria Pollutants Other Criteria PollutantsUnitMaximum ValueMinimum Value98 Percentile ValuePrescribed Standard
(1.)PM10Micro Gram per Meter Cube95.162.693.198100
(2.)PM2.5Micro Gram per Meter Cube55.431.454.29260
(3.)NOxMicro Gram per Meter Cube26.18.125.57880
(4.)SO2Micro Gram per Meter Cube16.83.916.46480
    14.2.     No. of Ground Water Monitoring Locations : 5
S. No.Criteria Pollutants Other Criteria PollutantsHeavy MetalUnitOther UnitMaximum ValueMinimum ValueDesirable LimitMaximum Permissible Limit
(1.)TDSmg/l725585.21000500
(2.)Total Hardnessmg/l201174200200
(3.)TSSmg/l0000
(4.)Heavy MetalsIRONmg/l0.120.10.30.3
(5.)Fluoridemg/l0.580.30.71.5
(6.)Chloridesmg/l5838.5100250
(7.)pHNA7.87.459.08.5
    14.3.     No. of Surface Water Monitoring Locations : 1
S. No.Criteria Pollutants Other Criteria PollutantsUnitOther UnitMaximum ValueMinimum ValueClassification of inland water body
(1.)DOmg/l83.5A
(2.)pHmg/l8.57.5A
(3.)BODmg/l10048.0A
(4.)CODmg/l250218.0A
    14.4.     No. of Ambient Noise Monitoring Locations : 1
S. No.Parameter UnitMaximum ValueMinimum ValuePrescribed Standard
(1.)Leq(Day)A-weighted decibels(dB(A))856590
(2.)Leq(Night)A-weighted decibels(dB(A))955585
    14.5.     No. of Soil Sample Monitored Locations : 5
S. No.Parameter UnitOther UnitMaximum ValueMinimum Value
(1.)N(Nitrogen)Milligram per Kilogram4.163.46
(2.)K(Potassium)Milligram per Kilogram98.589.4
(3.)Electric Conductivity00
(4.)pH8.217.67
(5.)P(Phosphorus)Milligram per Kilogram110.668.0
14.6.
Details of Ground Water Table:
(a)Range of Water Table Pre-Monsoon Season (Meters Below Ground Level (m bgl)) From 4 To 14.5
(b)Range of Water Table Post-Monsoon Season (Meters Below Ground Level (m bgl)) From 13.5 To 2
(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.)Othersmunicipal supply4435Copy of Permission LetterPipelineOtherspipeline002 Aug 2021450
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.)Municipal wastewater supply212260CSTPReuse within the Plant & Recycling212
16.1.
(a)Total Waste Water Generation 212
(b)Total Discharged Water 0
(c)Total Reused Water 212
    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.)MSWMunicipal Solid Waste567.9Tons3RoadTreatment, 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.)NOxMicrogram per Meter Cube26.112.92980
(2.)SO2Microgram per Meter Cube16.810.3417.1480
(3.)PM10Microgram per Meter Cube62.613.466100
(4.)PM2.5Microgram per Meter Cube55.413.458.8100
    18.2.     Stack Details
S. No.Source FuelStack Height(m)Stack Diameter(m)PollutantsOther PollutantsEmission (GLS)
(1.)DG setH.S.D60.490PM10,SO2,NOx ,PM2.5Emissions will be within the prescribed standards.
19.
Power Requirement:
(a)Quantity (Kilo Volt Amps (kVA)) 9239.55
(b)Source UPPCL
(c)Uploaded Copy of Agreement Copy of Agreement
(d)Standby Arrangement (Details of DG Sets) 10100
(e)Stack Height (in m) 6
20.
Land Ownership Pattern:
(a)Forest Land 0
(b)Private Land 10.085
(c)Government Land 0
(d)Revenue Land 0
(e)Other Land 0
    Total Land 10.085
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 10.085
(g)Forest 0
(h)Mangroves 0
(i)Marine Area 0
(j)Others : 0 0
    Total 10.085
    22.     Land Requirement for Various Activities
S. No.Description of Activity / Facility / Plant / Others OthersLand RequirementRemarks
(1.)Main Plant10.0850
Total 10.085
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.)WLSNA00
(2.)ESZsNA00
(3.)CorridorsNA00
(4.)Critically Polluted AreaNA00
(5.)NPANA00
(6.)ESAsNA00
(7.)Wildlife CorridorsNA00
    23.2.     Details of Environmental Sensitivity :
S. No.Details of Environmental Sensitivity Other Details of Environmental Sensitivity NameDistance from the Project (Km)Remarks
(1.)OthersNANA0NA
(2.)ForestNA00
(3.)Archaeological SitesNA00
(4.)Defence InstallationsNA00
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) 10.085
(b)Land yet to be acquired(Ha) 0
(c)Status of Land acquisition if not acquired 0
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 Yet To Start
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 HINDON RIVER
(ii)Direction of Water Bodies in Buffer Area West
(iii)Distance of Water Bodies in Buffer Area 9.5
31.
Manpower Requirement:
(a)Permanent Employment-During Construction 0
(b)Permanent Employment-During Operation 0
(c)Temporary Employment- During Construction 200
(d)Temporary Employment- During Operation 788
(e)No. of working days 300
(f)Total Manpower 988
32.
Green Belt in Ha:
(a)Total Area of Green Belt (in hectare) 3.54
(b)Percentage of Total Project Area 35.10
(c)No. of Plants to be Planted 400
(d)Funds Allocated for Plantation 200000
(e)Uploaded Green Belt plan Copy of Green Belt Plan
    33.         Project Benefits
S. No.Type of Project Benefits Details of Project Benefits
(1.)SocialIt will increase the employment
(2.)EnvironmentalIT will increase the green area
(3.)FinancialIt will increase the revenue
   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) 19.80
(b)Total No. of Flats to be Build 0
(c)No. of Buildings 1
(d)Total plot area (sqm) 100852.00
(e)Total built up area (sqm) 151285.05
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 18
    Capacity 318.439
(b)No. of Recharge Pits 18
    Capacity 318.439
4.
Parking:
(a)Details of 4 Wheeler/ 2 Wheeler Parking 3787
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? Yes
(i)Accreditation No. QCI/NABET/ENV/ACO/19/0991
(ii)Name of the EIA Consultant Ambiental Global Pvt. Ltd.
(iii)Address Plot no-16, 2nd floor sector-4, Vaishali, Ghaziabad
(iv)Mobile No. 9899964079
(v)Landline No. 0120451350
(vi)Email Id ambientalglobalprivatelimited@gmail.com
(vii)Category of Accreditation Select
(viii)Sector of Accreditation INFRA-2
(ix)Validity of Accreditation 17 Jun 2022
(x)Uploaded Certificate of Accreditation certified by QCI/NABET Copy of Certificate of Accreditation
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 meeting) Copy of Uploaded Proposal Presentation
(k)Uploaded Updated Form1 NA
           Essential Details Sought
S. No.EDS Sought DateEDS SoughtLetter
(1.)25/02/2022Please submit the TOR copy.
(2.)28/02/2022The correction have been made as per the instruction received
           Addtional Details Sought
S. No.ADS Sought DateADS SoughtLetter
NO Record
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 ApplicantAnooj Dharm Garg
DesignationDirector
Name of Company (Applicant Name should not be given here)SAMRAGI INFOTECH PVT LTD
AddressE-83 , paschimi marg vasant vihar , New Delhi
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