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) Environment Clearance of “Common Bio Medical Waste Treatment Facility (CBWTF)” at Plot No. 84, P & H in Lahgadua Industrial Area, District Chhindwara of Madhya Pradesh State Total Plot Area: 4100.0 m2 (1.07 Acre), Case No. 8873/2021
(b)Name of the Company / Organisation M/S ECO MED SOLUTIONS
(c)Registered Address Shop No. 2, Kheri Road, Sector-98, Faridabad District,Faridabad, Haryana,Faridabad,Haryana-121002
(d)Legal Status of the Company Others
2.
Address for the correspondence:
(a)Name of the Applicant Sumit Babbar
(b)Designation (Owner/ Partner/ CEO) Partner
(c)Address Resident of 2125, Outram Lines, GTB Ngar, Delhi,Delhi-110009,Faridabad,Faridabad,Haryana-121002
(d)Pin code 121002
(e)E-mail ecomed.chhindwara@gmail.com
(f)Telephone No. 0-
(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/Activity7(d) Common hazardous waste treatment, storage and disposal facilities (TSDFs)
(b)Minor Project/Activity7(d) Common hazardous waste treatment, storage and disposal facilities (TSDFs)
(c)Category B1
(d)Proposal Number SIA/MP/MIS/69688/2021
(e)Master Proposal Number(Single Window) SW/265295/2022
(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. 84
(b)Pincode 480001
(c)Bounded Latitudes (North)
From
Degree 22
Minutes 6
Second 0
From
Degree 22
Minutes 6
Second 5.14
(d)Bounded Longitudes (East)
From
Degree 78
Minutes 57
Second 3.91
From
Degree 78
Minutes 57
Second 7.58
(e)Survey of India Topo Sheet No. F44G16
(f)Uploaded Topo Sheet File Copy of Topo Sheet File
(g)Maximum Elevation Above Means Sea Level(AMSL) 697
(h)Uploaded (kml) File Copy of Kml File     
(i)Distance of Nearest HFL from the project boundary within the study area 690
(j)Seismic Zone 3
5.
(a)Number of States in which Project will be Executed 1
(b)Main State of the project Madhya Pradesh
Details of State(s) of the project
S. No. State Name District Name Tehsil Name Village Name
(1.)Madhya PradeshChhindwaraChhindwaraLahgadua Industrial Area
6.
Details of Terms of Reference (ToR):
(a)Whether TOR is mandatory for submitting application Yes
(b)MoEF&CC / SEIAA File Number 8873/2021
(c)Date of Apply of TOR 14 Dec 2021
(d)Date of Issue of TOR / Standard ToR 23 Dec 2021
(e)Previous TOR Letter Copy of Previous TOR letter
7.
Details of Public Consultation:
(a)Whether the Project Exempted from Public Hearing?Yes
(b)Reason Project is falling within the notified industrial
(c)Supporting Document Copy of Supporting Document
8.
Details of Project Configuration/Product:
     8.1.       Project Configuration
S. No.Plant/Equipment/FacilityConfigurationRemarks
(1.)Autoclave250 kg/hr
(2.)Shredder100 kg/hr
(3.)ETP5.0 KLD
(4.)Incinerator (Dry)100 kg/hr
     8.2.       Product
S. No.Product/Activity (Capacity/Area)QuantityUnitOther UnitMode of Transport / Transmission of ProductOther Mode of Transport / Transmission of Product
(1.)Incinerator (Dry)100Otherskg/hrRoad
9.
In case of Expansion / Modernisation / One Time Capacity Expansion (only for Coal Mining) / Expansion under Clause 7(ii) / Modernisation under Clause 7(ii) / Change of Product Mix under Clause 7(ii):
Details Not Applicable
9.1.
Details of Consent to Operate
(i)Whether Consent to operate obtained ? NA
(ii)Copies of all Consent to operate obtained since inception NA
(iii)Date of Issue N/A
(iv)Valid Upto N/A
(v)File No. NA
(vi)Application No. NA
(vii)Copy of Consent to operate valid as on date NA
10.
Project Cost:
(a)Total Cost of the Project at current price level (in crores) 2.40
(b) Funds Allocated for Environment Management (Capital) (in crores) 0.42
(c) Funds Allocated Towards ESC (Entrepreneur Social Responsibility) (in crores) 0.10
(d) Funds Allocated for Environment Management Plan (EMP) (Recurring per Annum) (in crores) 0.108
(e) Funds Allocated for Environment Management Capital(%) 17.50
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.)00Tons per Annum0Road0 Fuel Supply AgreementCopy of Linkage
14.
Baseline Data :
(a)Period of Base Line Data Collection FROM 01 Dec 2021 To 28 Feb 2022
(b)Season Winter
    14.1.     No. of ambient Air Quality (AAQ) Monitoring Locations : 6
S. No.Criteria Pollutants Other Criteria PollutantsUnitMaximum ValueMinimum Value98 Percentile ValuePrescribed Standard
(1.)SO2Micro Gram per Meter Cube14.65.11480
(2.)PM10Micro Gram per Meter Cube813978100
(3.)PM2.5Micro Gram per Meter Cube33143360
(4.)NOxMicro Gram per Meter Cube18.110.11880
    14.2.     No. of Ground Water Monitoring Locations : 4
S. No.Criteria Pollutants Other Criteria PollutantsHeavy MetalUnitOther UnitMaximum ValueMinimum ValueDesirable LimitMaximum Permissible Limit
(1.)Fluoridemg/l0.670.5611.5
(2.)pHNA7.597.126.58.5
(3.)TSSmg/l63152200
(4.)Total Hardnessmg/l181.4160.9300600
(5.)TDSmg/l3833185002000
(6.)Chloridesmg/l67.245.82501000
    14.3.     No. of Surface Water Monitoring Locations : 5
S. No.Criteria Pollutants Other Criteria PollutantsUnitOther UnitMaximum ValueMinimum ValueClassification of inland water body
(1.)pHNA8.47.4A
(2.)DOmg/l6.75.2A
(3.)BODmg/l4.51.1A
(4.)CODmg/l3123A
    14.4.     No. of Ambient Noise Monitoring Locations : 6
S. No.Parameter UnitMaximum ValueMinimum ValuePrescribed Standard
(1.)Leq(Day)A-weighted decibels(dB(A))5250.655
(2.)Leq(Night)A-weighted decibels(dB(A))3834.445
    14.5.     No. of Soil Sample Monitored Locations : 5
S. No.Parameter UnitOther UnitMaximum ValueMinimum Value
(1.)pH7.776.94
(2.)K(Potassium)Kilogram per hectare215135
(3.)N(Nitrogen)Kilogram per hectare348202
(4.)P(Phosphorus)Kilogram per hectare19.815.4
(5.)Electric ConductivityMillisiemens per Centimetre421324
14.6.
Details of Ground Water Table:
(a)Range of Water Table Pre-Monsoon Season (Meters Below Ground Level (m bgl)) From 3.651 To 35
(b)Range of Water Table Post-Monsoon Season (Meters Below Ground Level (m bgl)) From 0.70 To 15
(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.)Surface54Copy of Permission LettermodeOthersTankerOthersTanker322226 Oct 20215
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.)Waste Water25ETPDischarge into Surface Water Body2
16.1.
(a)Total Waste Water Generation 2
(b)Total Discharged Water 2
(c)Total Reused Water 0
    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.)Solid WasteMunicipal Solid Waste2.43Tons0RoadTreatment, Storage and Disposal Facility(TSDF)
18.
    18.1.     Air Quality Impact Prediction
S. No.Criteria Pollutants Other Criteria PollutantsUnitBaseline ConcentrationDistance GLCIncremental ConcentrationTotal GLCPrescribed Standard
(1.)PM2.5Microgram per Meter Cube33003360
(2.)PM10Microgram per Meter Cube7800.20178.2100
(3.)SO2Microgram per Meter Cube1401.1815.280
(4.)NOxMicrogram per Meter Cube1802.992180
    18.2.     Stack Details
S. No.Source FuelStack Height(m)Stack Diameter(m)PollutantsOther PollutantsEmission (GLS)
(1.)DG Stack17 liter per hour300.19SO20.00013
19.
Power Requirement:
(a)Quantity (Kilo Volt Amps (kVA)) 63
(b)Source MPEB
(c)Uploaded Copy of Agreement Copy of Agreement
(d)Standby Arrangement (Details of DG Sets) 62.5 kVA
(e)Stack Height (in m) 30
20.
Land Ownership Pattern:
(a)Forest Land 0
(b)Private Land 0
(c)Government Land 0
(d)Revenue Land 0
(e)Other Land 0.41
    Total Land 0.41
21.
Present Land Use Breakup of the Study Area in Ha:
(a)Agriculture Area 0
(b)Waste/Barren Land 0
(c)Grazing/ Community Land 0
(d)Surface Water Bodies 0
(e)Settlements 0
(f)Industrial 0.41
(g)Forest 0
(h)Mangroves 0
(i)Marine Area 0
(j)Others : 0 0
    Total 0.41
    22.     Land Requirement for Various Activities
S. No.Description of Activity / Facility / Plant / Others OthersLand RequirementRemarks
(1.)Main Plant0.41
Total 0.41
23.
Ecological and Environmental Sensitivity (Within 10 Km):- WLS-Wild Life Species; NPA-Notified Protected Area; ESAs-Eco Sensitive Areas; ESZs-Eco Sensitive Zones :
    23.1.     Details of Ecological Sensitivity :
S. No.Details of Ecological Sensitivity NameDistance from the Project (Km)Remarks
(1.)Critically Polluted Area000
(2.)Corridors000
(3.)Wildlife Corridors000
(4.)WLS000
(5.)NPA000
(6.)ESAs000
(7.)ESZs000
    23.2.     Details of Environmental Sensitivity :
S. No.Details of Environmental Sensitivity Other Details of Environmental Sensitivity NameDistance from the Project (Km)Remarks
(1.)ForestDhabera RF2.65NW direction
(2.)Defence Installations000
(3.)Others0000
(4.)Archaeological Sites000
23.3.
(a)Whether Noc / Permission from the competent authority is required? No
(b)Whether NBWL recommendation is required? No
24.
Forest Land:
Whether any Forest Land involved? No
25.
Tree Cutting:
(a)No. of Trees Cut for the Project (if Forest Land not Involved) 0
(b)Details of Tree Cutting and Planting of Trees Copy of Details of Tree Cutting and Planting of Trees
26.
Land Acquisition Status:
(a)Acquired Land(Ha) 0
(b)Land yet to be acquired(Ha) 0
(c)Status of Land acquisition if not acquired Already under possession of proponent
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 ? No
31.
Manpower Requirement:
(a)Permanent Employment-During Construction 20
(b)Permanent Employment-During Operation 27
(c)Temporary Employment- During Construction 10
(d)Temporary Employment- During Operation 50
(e)No. of working days 250
(f)Total Manpower 107
32.
Green Belt in Ha:
(a)Total Area of Green Belt (in hectare) 0.2153
(b)Percentage of Total Project Area 52.51
(c)No. of Plants to be Planted 345
(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.)EnvironmentalPollution free environment
(2.)SocialEmployment generation to the nearby area
(3.)FinancialRevenue generation for district as well as state
   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) 0
(b)Total No. of Flats to be Build 0
(c)No. of Buildings 0
(d)Total plot area (sqm) 0
(e)Total built up area (sqm) 0
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 0
    Capacity 0
(b)No. of Recharge Pits 0
    Capacity 0
4.
Parking:
(a)Details of 4 Wheeler/ 2 Wheeler Parking 0
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 0
(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/19/1046
(ii)Name of the EIA Consultant Amaltas Enviro Industrial Consultants LLP
(iii)Address 2925, Basement, Sector-46, Gurugram, Haryana
(iv)Mobile No. 9926562300
(v)Landline No. 0755424813
(vi)Email Id info@healinternational.in
(vii)Category of Accreditation B
(viii)Sector of Accreditation INFRA-2
(ix)Validity of Accreditation 05 Apr 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.)01/04/2022kindly correct the category of the project in form -2
           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 ApplicantSumit Babbar
DesignationPartner
Name of Company (Applicant Name should not be given here)M/S ECO MED SOLUTIONS
AddressShop No. 2, Kheri Road, Sector-98, Faridabad District
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