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) Construction of 4 lane Bundelkhand Expressway (expandable to 6 lane) (b)Name of the Company / Organisation UTTAR PRADESH EXPRESSWAYS INDUSTRIAL DEVELOPMENT AUTHORITY (UPEIDA) (c)Registered Address Second Floor, Paryatan Bhawan,C-13, Vipin Khand, Gomti Nagar,Lucknow,Chhattisgarh-226010 (d)Legal Status of the Company State PSU 2. Address for the correspondence: (a)Name of the Applicant Sanjay Chawla (b)Designation (Owner/ Partner/ CEO) SDM, UPEIDA (c)Address Second Floor, Paryatan Bhawan,C-13, Vipin Khand, Gomti Nagar,Lucknow,Lucknow,Uttar Pradesh-226010 (d)Pin code 226010 (e)E-mail paldebashis@rediffmail.com (f)Telephone No. 522-2307542 (g)Fax No. 05224013560 (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/Activity 7(f) Highways (b)Minor Project/Activity NIL (c)Category B1 (d)Proposal Number SIA/UP/NCP/45255/2019 (e)Master Proposal Number(Single Window) SW/122614/2019 (f)EAC concerned (for category A Projects only) INFRA-1 (g)Project Type Fresh EC 4. Location of the Project: (a)Plot/Survey/Khasra No. 182 villages (b)Pincode 210205 (c)Bounded Latitudes (North) From Degree 251258.59 Minutes Second From Degree 804518.50 Minutes Second (d)Bounded Longitudes (East) From Degree 265433.56 Minutes Second From Degree 791953.55 Minutes Second (e)Survey of India Topo Sheet No. G44O1, G44O11, G44O7, G44O6, G44O2, G44N14, G44N10 (f)Uploaded Topo Sheet File Copy of Topo Sheet File (g)Maximum Elevation Above Means Sea Level(AMSL) 164 (h)Uploaded (kml) File Copy of Kml File      (i)Distance of Nearest HFL from the project boundary within the study area 111.321 (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 Pradesh Chitrakoot Karwi Gonda 6. Details of Terms of Reference (ToR): (a)Whether TOR is mandatory for submitting application Yes (b)MoEF&CC / SEIAA File Number SIA/(UP)/MIS/30619/2019 (c)Date of Apply of TOR 09 Jan 2019 (d)Date of Issue of TOR / Standard ToR 10 May 2019 (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 Exempted from Public Hearing by commitee (c)Supporting Document Copy of Supporting Document 8. Details of Project Configuration/Product:      8.1.       Project Configuration S. No. Plant/Equipment/Facility Configuration Remarks (1.) Bundelkhand Expressway 296.070 Km      8.2.       Product S. No. Product/Activity (Capacity/Area) Quantity Unit Other Unit Mode of Transport / Transmission of Product Other Mode of Transport / Transmission of Product (1.) New Greenfield Expressway 296.070 Kilometers Road 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) 8869.52 (b) Funds Allocated for Environment Management (Capital) (in crores) 100 (c) Funds Allocated Towards ESC (Entrepreneur Social Responsibility) (in crores) 2 (d) Funds Allocated for Environment Management Plan (EMP) (Recurring per Annum) (in crores) 0.55 (e) Funds Allocated for Environment Management Capital(%) 1.13 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 80644570 (b)Existing quantity of raw material/fuel N/A (c)Total quantity of raw material/fuel 80644570     13.1.        Raw Material / Fuel Profile S. No. Raw Material / Fuel Quantity Unit Other Unit Source (incase of Import. please specify country and Name of the port from which Raw Material / Fuel is received ) Mode of Transport Other Mode of Transport Distance 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.) Water 13270 Others KLD Surface and ground water Road 50 Linkage Copy of Linkage (2.) Cement 23333 Tons per Annum Authorized Vendors Road,Rail 50 Open Market Copy of Linkage (3.) Soil 2333333 Others cum Nearby Borrow Area Road 2 Open Market Copy of Linkage (4.) Bitumen 43333 Tons per Annum Authorized Vendors Road 200 Open Market Copy of Linkage (5.) Plastic Waste 433 Tons per Annum Authorized Vendors Road 100 Open Market Copy of Linkage (6.) Aggregates 2600000 Others cum Approved Quarry sites Road 26 Open Market Copy of Linkage (7.) Fly Ash 333333 Tons per Annum Authorized Vendors Road,Rail 300 Open Market Copy of Linkage (8.) Sand 30000 Others cum Sand Quarries Road 2 Open Market Copy of Linkage 14. Baseline Data : (a)Period of Base Line Data Collection FROM 29 Oct 2018 To 20 Jan 2019 (b)Season Post-Monsoon     14.1.     No. of ambient Air Quality (AAQ) Monitoring Locations : 9 S. No. Criteria Pollutants Other Criteria Pollutants Unit Maximum Value Minimum Value 98 Percentile Value Prescribed Standard (1.) SO2 Micro Gram per Meter Cube 11.6 6.1 11.33 80 (2.) NOx Micro Gram per Meter Cube 32.0 15.5 30.98 80 (3.) Others CO Mili Gram per Meter Cube 0.96 0.15 0.84 2 (4.) PM2.5 Micro Gram per Meter Cube 88 40 85.3 60 (5.) PM10 Micro Gram per Meter Cube 166 75 163.3 100     14.2.     No. of Ground Water Monitoring Locations : 6 S. No. Criteria Pollutants Other Criteria Pollutants Heavy Metal Unit Other Unit Maximum Value Minimum Value Desirable Limit Maximum Permissible Limit (1.) TDS mg/l 1040 268 500 2000 (2.) Fluoride mg/l 1.8 0.32 1 1.5 (3.) Others Nitrate mg/l 18.4 0.5 45 45 (4.) Heavy Metals Dissolved Iron mg/l 0.29 0.2 0.3 0.3 (5.) Total Hardness mg/l 330 106 200 600 (6.) TSS mg/l 2.5 2.5 500 2000 (7.) Chlorides mg/l 141 5.6 250 1000 (8.) pH NA 8.3 7.5 8.5 8.5     14.3.     No. of Surface Water Monitoring Locations : 6 S. No. Criteria Pollutants Other Criteria Pollutants Unit Other Unit Maximum Value Minimum Value Classification of inland water body (1.) BOD mg/l 3.2 2 D (2.) Others Flouride mg/l 1 0.1 D (3.) pH NA 8.33 7.96 D (4.) DO mg/l 6.1 5.1 C (5.) COD mg/l 14 4 D     14.4.     No. of Ambient Noise Monitoring Locations : 10 S. No. Parameter Unit Maximum Value Minimum Value Prescribed Standard (1.) Leq(Day) A-weighted decibels(dB(A)) 65.14 43.4 65 (2.) Leq(Night) A-weighted decibels(dB(A)) 54.2 34.6 55     14.5.     No. of Soil Sample Monitored Locations : 6 S. No. Parameter Unit Other Unit Maximum Value Minimum Value (1.) Electric Conductivity Others us/cm 1018 171 (2.) K(Potassium) Milligram per Kilogram 695 101 (3.) pH 10.20 7.6 (4.) N(Nitrogen) Milligram per Kilogram 258 90 (5.) P(Phosphorus) Milligram per Kilogram 49 4.2 14.6. Details of Ground Water Table: (a)Range of Water Table Pre-Monsoon Season (Meters Below Ground Level (m bgl)) From 0.56 To 37.90 (b)Range of Water Table Post-Monsoon Season (Meters Below Ground Level (m bgl)) From 0.95 To 37.75 (c)Whether Ground Water Intersection will be there ? No      15.      Details of Water Requirement (During Operation) S. No. Source Source Other Required Quantity Distance from Source Copy of Permission from Competent Authority Mode of Transport Other Mode of Transport Method of Water Withdrawal Other Method of Water Withdrawal Letter No. Date of Issue Permitted Quantity (1.) Surface 7.35 1 Not Appliacble Pipeline Others River NA 23 Oct 2019 7.35 (2.) GroundWater 3.15 1 Not Appliacble Pipeline Others Bore well NA 23 Oct 2019 3.15 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 Method Mode of Disposal Other Mode of Disposal Quantity of Treated Water Used in Recycling/Reuse (Kilolitre per Day) Quantity of Discharged Water (Kilolitre per Day) (1.) Domestic 10.5 10.5 Septic Tanks with Soak pit Reuse within the Plant & Recycling,Green Belt Renewal Plant 10.5 16.1. (a)Total Waste Water Generation 10.5 (b)Total Discharged Water 0 (c)Total Reused Water 10.5     17.       Solid Waste Generation/Management S. No. Name of Waste Item Other Item Quantity per Annum Unit Distance from Site(KM) Mode of Transport Other Mode of Transport Mode of Disposal Other Mode of Disposal (1.) Surplus Earth Construction & Demolition Waste 2600000 Tons 26 Road Others For disposal at low lying areas 18.     18.1.     Air Quality Impact Prediction S. No. Criteria Pollutants Other Criteria Pollutants Unit Baseline Concentration Distance GLC Incremental Concentration Total GLC Prescribed Standard (1.) PM10 Microgram per Meter Cube 166 1 2.4 168.4 100 (2.) PM2.5 Microgram per Meter Cube 88 1 1.4 89.4 60 (3.) SO2 Microgram per Meter Cube 11.6 1 0.4 12 80 (4.) Others(Specify) CO Microgram per Meter Cube 870 1 800 1670 4000 (5.) NOx Microgram per Meter Cube 40.8 1 0.01 40.81 80     18.2.     Stack Details S. No. Source Fuel Stack Height(m) Stack Diameter(m) Pollutants Other Pollutants Emission (GLS) (1.) DG set Diesal 15 0.25 PM10 30 19. Power Requirement: (a)Quantity (Kilo Volt Amps (kVA)) 2000 (b)Source State Power Distribution Company (c)Uploaded Copy of Agreement Not Applicable (d)Standby Arrangement (Details of DG Sets) (1)250KV -2 nos (2)125KVA-2nos (3)415V-12nos (e)Stack Height (in m) 4 20. Land Ownership Pattern: (a)Forest Land 74.9070 (b)Private Land 3149.6601 (c)Government Land 21.1124 (d)Revenue Land 373.0915 (e)Other Land 0     Total Land 3618.771 21. Present Land Use Breakup of the Study Area in Ha: (a)Agriculture Area 3145.3805 (b)Waste/Barren Land 388.474 (c)Grazing/ Community Land 2.2047 (d)Surface Water Bodies 7.8048 (e)Settlements 0 (f)Industrial 0 (g)Forest 74.9070 (h)Mangroves 0 (i)Marine Area 0 (j)Others : NA 0     Total 3618.771     22.     Land Requirement for Various Activities S. No. Description of Activity / Facility / Plant / Others Others Land Requirement Remarks (1.) Others Road construction along within ROW 2961.971 (2.) Green belt 656.80 Total 3618.771 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 Name Distance from the Project (Km) Remarks (1.) WLS None 0 None (2.) ESZs None 0 None (3.) Wildlife Corridors None 0 None (4.) Corridors None 0 None (5.) Critically Polluted Area None 0 None (6.) ESAs None 0 None (7.) NPA None 0 None     23.2.     Details of Environmental Sensitivity : S. No. Details of Environmental Sensitivity Other Details of Environmental Sensitivity Name Distance from the Project (Km) Remarks (1.) Forest RF and PF 0 None (2.) Archaeological Sites None 0 None (3.) Defence Installations None 0 None 23.3. (a)Whether Noc / Permission from the competent authority is required? Yes (i)Uploaded Noc / Permission from the competent authority Copy of Noc / Permission from the competent authority (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) 28393 (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) 3321.0206 (b)Land yet to be acquired(Ha) 297.7504 (c)Status of Land acquisition if not acquired Under Process 27. Rehabilitation and Resettlement (R&R): (a)No. of Villages 182 (b)No. of Households 82 (c)No. of PDFs (Project Displaced Families) 82 (d)No. of PAFs (Project Affected Families) 76 (e)Funds Allocated for R&R(in Rs) 251258 (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 ? Yes (i)Details of Water Bodies in Core Area Barwa Nalla, Baghain River, Badra Nalla, Sahewa Nalla, Ursa Nalla, Ken River, Shyama River, Chandrawal River, Birma River, Betwa River, Yamuna River, Sengar River (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 8 rivers, 15 ponds (ii)Direction of Water Bodies in Buffer Area North East (iii)Distance of Water Bodies in Buffer Area 1 31. Manpower Requirement: (a)Permanent Employment-During Construction 1500 (b)Permanent Employment-During Operation 300 (c)Temporary Employment- During Construction 500 (d)Temporary Employment- During Operation 0 (e)No. of working days 1095 (f)Total Manpower 2300 32. Green Belt in Ha: (a)Total Area of Green Belt (in hectare) 656.87 (b)Percentage of Total Project Area 18.15 (c)No. of Plants to be Planted 270000 (d)Funds Allocated for Plantation 409600000 (e)Uploaded Green Belt plan Copy of Green Belt Plan     33.         Project Benefits S. No. Type of Project Benefits Details of Project Benefits (1.) Environmental The proposed Bundelkhand project will ensure the smooth flow of traffic, which reduces the emissions and noise level. Apart from these, plantation will be carried out throughout the project road, whic (2.) Environmental The proposed Bundelkhand project will ensure the smooth flow of traffic, which reduces the emissions and noise level. Apart from these, plantation will be carried out throughout the project road, whic (3.) Environmental The proposed Bundelkhand project will ensure the smooth flow of traffic, which reduces the emissions and noise level. Apart from these, plantation will be carried out throughout the project road, whic (4.) Environmental The proposed Bundelkhand project will ensure the smooth flow of traffic, which reduces the emissions and noise level. Apart from these, plantation will be carried out throughout the project road, whic (5.) Environmental The proposed Bundelkhand project will ensure the smooth flow of traffic, which reduces the emissions and noise level. Apart from these, plantation will be carried out throughout the project road, whic (6.) Environmental The proposed Bundelkhand project will ensure the smooth flow of traffic, which reduces the emissions and noise level. Apart from these, plantation will be carried out throughout the project road, whic (7.) Environmental The proposed Bundelkhand project will ensure the smooth flow of traffic, which reduces the emissions and noise level. Apart from these, plantation will be carried out throughout the project road, whic (8.) Environmental The proposed Bundelkhand project will ensure the smooth flow of traffic, which reduces the emissions and noise level. Apart from these, plantation will be carried out throughout the project road, whic    34.   CRZ Specific Details : Not Applicable    35.   Sector Specific Details For INFRA-1 S. No. Item Details 1. Details of Building Construction: (a)Maximum Height of the Building (Meters) 4 (b)Total No. of Flats to be Build 1 (c)No. of Buildings 6 (d)Total plot area (sqm) 1920 (e)Total built up area (sqm) 1920 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 592     Capacity 93.24 (b)No. of Recharge Pits 592     Capacity 93.24 4. Parking: (a)Details of 4 Wheeler/ 2 Wheeler Parking 4 wayside amenities with parking of 50 each 5. Energy Saving Measures: (a)Source/Mode Solar (b)Percentage 30 (c)Quantity 1000 6. Other details: (a)Details of impact on Water Bodies and Drainage patters of catchment area Minor local impact, adequate CD st. be provided (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 Industry No. of Units Category A/B NIL 8. Length of the alignment 296.070 9. Details Bridges/ROB/Interchanges,Flyovers,Vehicle Underpass and Pedestrian Underpass (a)Total No. of Bridges 167 (b)Total No. of ROB 4 (c)Total No. of Interchanges 13 (d)Total No. of Flyovers 18 (e)Total No. of Vehicle Underpass 115 (f)Total No. of Pedestrian Underpass 98 (g)Details of other utilities rail and road corridors DVVNL 33 KV Line: 20 11 KV Line: 236 LT Line; 7 T/ 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. NABET/EIA/1619/SA077 (ii)Name of the EIA Consultant M/s Vardan Environet (iii)Address D-142, Sushant Lok III, Golf Course Extension Road , Sector 57, Gurgaon, Haryana (iv)Mobile No. 9953147226 (v)Landline No. 0124434375 (vi)Email Id info@vardanenvironet.com (vii)Category of Accreditation A (viii)Sector of Accreditation INFRA-1 (ix)Validity of Accreditation 09 Nov 2019 (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 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 Date EDS Sought Letter (1.) 25/10/2019 Please submit the final EIA Report and cover letter. (2.) 25/10/2019 The correction have been made as per the instruction received            Addtional Details Sought S. No. ADS Sought Date ADS Sought Letter 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 Applicant Sanjay Chawla Designation SDM, UPEIDA Name of Company (Applicant Name should not be given here) UTTAR PRADESH EXPRESSWAYS INDUSTRIAL DEVELOPMENT AUTHORITY (UPEIDA) Address Second Floor, Paryatan Bhawan

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