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) Plotting and Services Development of Vrindavan yojna-04
(b)Name of the Company / Organisation EXECUTIVEENGINEER
(c)Registered Address Construction Division-14, U.P. Avas Vikas Parishad Office Complex, IIIrd Floor, Sector 9A, Vrindavan Yojna, Lucknow,,Lucknow,Uttar Pradesh-226016
(d)Legal Status of the Company State Government
2.
Address for the correspondence:
(a)Name of the Applicant Executive Engineer
(b)Designation (Owner/ Partner/ CEO) ExecutiveEngineer
(c)Address Construction Division-14, U.P. Avas Vikas Parishad Office Complex, IIIrd Floor, Sector 9A, Vrindavan Yojna, Lucknow,Lucknow,Uttar Pradesh-226016
(d)Pin code 226016
(e)E-mail avadhawas@gmail.com
(f)Telephone No. 522-2341312
(g)Fax No.
Copy of documents in support of the competence/authority of the person making this application to make application on behalf of the User Agency . NIL
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/ActivityNIL
(c)Category B1
(d)Proposal Number SIA/UP/MIS/37174/2016
(e)Master Proposal Number(Single Window) SW/106981/2019
(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. Vrindavan Yojna 4
(b)Pincode 226002
(c)Bounded Latitudes (North)
From
Degree 26.44
Minutes
Second
From
Degree 26.44
Minutes
Second
(d)Bounded Longitudes (East)
From
Degree 80.56
Minutes
Second
From
Degree 80.56
Minutes
Second
(e)Survey of India Topo Sheet No. G44 J/2
(f)Uploaded Topo Sheet File Copy of Topo Sheet File
(g)Maximum Elevation Above Means Sea Level(AMSL) 107
(h)Uploaded (kml) File Copy of Kml File     
(i)Distance of Nearest HFL from the project boundary within the study area 9.87
(j)Seismic Zone 3
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 PradeshLucknowLucknowBaraulli khalilabad
6.
Details of Terms of Reference (ToR):
(a)Whether TOR is mandatory for submitting application Yes
(b)MoEF&CC / SEIAA File Number 3604AD(H)
(c)Date of Apply of TOR 02 Feb 2016
(d)Date of Issue of TOR / Standard ToR 03 Jun 2016
(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 Builtup Area less than 50000
(c)Supporting Document Copy of Supporting Document
8.
Details of Project Configuration/Product:
     8.1.       Project Configuration
S. No.Plant/Equipment/FacilityConfigurationRemarks
(1.)plotting and Service Development967.36acre
     8.2.       Product
S. No.Product/Activity (Capacity/Area)QuantityUnitOther UnitMode of Transport / Transmission of ProductOther Mode of Transport / Transmission of Product
(1.)houses18600OthersnumbersRoad
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) 483
(b) Funds Allocated for Environment Management (Capital) (in crores) 84.39
(c) Funds Allocated Towards ESC (Entrepreneur Social Responsibility) (in crores) 9.7
(d) Funds Allocated for Environment Management Plan (EMP) (Recurring per Annum) (in crores) 5
(e) Funds Allocated for Environment Management Capital(%) 17.39
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 22.44
(b)Existing quantity of raw material/fuel N/A
(c)Total quantity of raw material/fuel 22.44
    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.)Building & construction raw materials (sand, Cement & steel)22.44Cubic Meter per DayLucknowRoad20 CaptiveCopy of Linkage
14.
Baseline Data :
(a)Period of Base Line Data Collection FROM 05 Jul 2016 To 06 Sep 2016
(b)Season Post-Monsoon
    14.1.     No. of ambient Air Quality (AAQ) Monitoring Locations : 1
S. No.Criteria Pollutants Other Criteria PollutantsUnitMaximum ValueMinimum Value98 Percentile ValuePrescribed Standard
(1.)NOxMicro Gram per Meter Cube28.7725.0228.6980
(2.)SO2Micro Gram per Meter Cube8.425.238.3580
(3.)PM10Micro Gram per Meter Cube135.89102.89135.22100
(4.)PM2.5Micro Gram per Meter Cube72.2561.272.0260
    14.2.     No. of Ground Water Monitoring Locations : 1
S. No.Criteria Pollutants Other Criteria PollutantsHeavy MetalUnitOther UnitMaximum ValueMinimum ValueDesirable LimitMaximum Permissible Limit
(1.)TSSmg/l454300
(2.)Fluoridemg/l0.02011.5
(3.)Total Hardnessmg/l348244200600
(4.)Heavy Metalsironmg/l0.190.060.030.3
(5.)pHNA7.827.716.58.5
(6.)Chloridesmg/l13.9911.992901000
(7.)TDSmg/l3072425002000
    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/l88A
(2.)BODmg/l3232A
(3.)CODmg/l4545A
(4.)Othersoil and greasemg/l44A
(5.)pHNA7.671A
    14.4.     No. of Ambient Noise Monitoring Locations : 1
S. No.Parameter UnitMaximum ValueMinimum ValuePrescribed Standard
(1.)Leq(Day)A-weighted decibels(dB(A))50.844.945
(2.)Leq(Night)A-weighted decibels(dB(A))62.354.755
    14.5.     No. of Soil Sample Monitored Locations : 1
S. No.Parameter UnitOther UnitMaximum ValueMinimum Value
(1.)Electric Conductivity277.5277.5
(2.)pH8.548.54
(3.)N(Nitrogen)Percent4.764.76
(4.)K(Potassium)212212
(5.)P(Phosphorus)0.560.56
14.6.
Details of Ground Water Table:
(a)Range of Water Table Pre-Monsoon Season (Meters Below Ground Level (m bgl)) From 6 To 6
(b)Range of Water Table Post-Monsoon Season (Meters Below Ground Level (m bgl)) From 4 To 4
(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.)Surface91500 Not Appliacble PipelineOthersMUNICIPAL SUPPLYnot applied28 May 20199150
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.)DW598598ETPGreen Belt Renewal Plant598
16.1.
(a)Total Waste Water Generation 598
(b)Total Discharged Water 0
(c)Total Reused Water 598
    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 Waste62463.33Tons20RoadAuthorized Recyclers
18.
    18.1.     Air Quality Impact Prediction
S. No.Criteria Pollutants Other Criteria PollutantsUnitBaseline ConcentrationDistance GLCIncremental ConcentrationTotal GLCPrescribed Standard
(1.)PM10Microgram per Meter Cube135.891000.35.5141.39
(2.)SO2Microgram per Meter Cube5.23800.30.545.77
(3.)NOxMicrogram per Meter Cube28.77800.34.0332.8
(4.)PM2.5Microgram per Meter Cube72.25600.30.3572.6
    18.2.     Stack Details
S. No.Source FuelStack Height(m)Stack Diameter(m)PollutantsOther PollutantsEmission (GLS)
(1.)dg SEThsd4.470.1PM2.528.86
19.
Power Requirement:
(a)Quantity (Kilo Volt Amps (kVA)) 300
(b)Source UPPCL
(c)Uploaded Copy of Agreement Not Applicable
(d)Standby Arrangement (Details of DG Sets) 0
(e)Stack Height (in m) 0
20.
Land Ownership Pattern:
(a)Forest Land 0
(b)Private Land 0
(c)Government Land 391.40
(d)Revenue Land 0
(e)Other Land 0
    Total Land 391.40
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 391.40
(f)Industrial 0
(g)Forest 0
(h)Mangroves 0
(i)Marine Area 0
(j)Others : 0 0
    Total 391.4
    22.     Land Requirement for Various Activities
S. No.Description of Activity / Facility / Plant / Others OthersLand RequirementRemarks
(1.)Township391.40
Total 391.4
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 Area00does not exist
(2.)Wildlife Corridors00does not exist
(3.)ESZs00does not exist
(4.)Corridors00does not exist
(5.)NPA00does not exist
(6.)WLS00does not exist
(7.)ESAs00does not exist
    23.2.     Details of Environmental Sensitivity :
S. No.Details of Environmental Sensitivity Other Details of Environmental Sensitivity NameDistance from the Project (Km)Remarks
(1.)Forest00none
(2.)Defence Installations00does not exist
(3.)OthersriverGomti River10.72NE
(4.)Archaeological Sites00does not exist
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) 391.40
(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 Completed
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 400
(b)Permanent Employment-During Operation 400
(c)Temporary Employment- During Construction 210
(d)Temporary Employment- During Operation 1000
(e)No. of working days 365
(f)Total Manpower 2010
32.
Green Belt in Ha:
(a)Total Area of Green Belt (in hectare) 430542.10
(b)Percentage of Total Project Area 110000.54
(c)No. of Plants to be Planted 50000
(d)Funds Allocated for Plantation 10.64
(e)Uploaded Green Belt plan Copy of Green Belt Plan
    33.         Project Benefits
S. No.Type of Project Benefits Details of Project Benefits
(1.)Environmentalresidential facility
   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) 9.5
(b)Total No. of Flats to be Build 18600
(c)No. of Buildings 0
(d)Total plot area (sqm) 3914019
(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 250
    Capacity 21077
(b)No. of Recharge Pits 250
    Capacity 21077
4.
Parking:
(a)Details of 4 Wheeler/ 2 Wheeler Parking 21220
5.
Energy Saving Measures:
(a)Source/Mode Lucknow
(b)Percentage 50
(c)Quantity 50
6.
Other details:
(a)Details of impact on Water Bodies and Drainage patters of catchment area not conducted
(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. 132
(ii)Name of the EIA Consultant SAWEN Consultancy Services Pvt. ltd
(iii)Address 417 A & B Sahara Shopping Centre Faizabad Road lucknow
(iv)Mobile No. 7379444478
(v)Landline No. 0522234131
(vi)Email Id splpl.lko@gmail.com
(vii)Category of Accreditation B
(viii)Sector of Accreditation INFRA-2
(ix)Validity of Accreditation 15 Nov 2020
(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 NA
(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 NA
(j)Uploaded Proposal Presentation (To be given in EAC/SEIAA/SEAC meeting) NA
(k)Uploaded Updated Form1 NA
           Essential Details Sought
S. No.EDS Sought DateEDS SoughtLetter
(1.)08/06/2019Please submit the complete information and not open an annexure.
           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 ApplicantExecutive Engineer
DesignationExecutiveEngineer
Name of Company (Applicant Name should not be given here)EXECUTIVEENGINEER
AddressConstruction Division-14, U.P. Avas Vikas Parishad Office Complex, IIIrd Floor, Sector 9A, Vrindavan Yojna, Lucknow
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