Beruflich Dokumente
Kultur Dokumente
Important Note before filling the form: 1. Fill the form in the same format (i.e. Font: Times New Roman and font size: 12) 2. Do not edit / delete the columns if its not applicable 3. Send soft copy to the mahaseac@gmail.com and seiaa.mah@gmail.com in the word format (doc file) Sr. Particulars No. 1 Name of the Project 2 Name, address, e-mail & contact number of Proponent Commitment On
Name: Address: Telephone number: Mobile number: Email ID: Name, address, e-mail & Name: contact number of Address: Consultant Telephone number: Mobile number: Email ID: Accreditation of QCI NABET List for the proposed category of the project consultant (NABET Accreditation) New Project / Expansion in existing project/ Modernization/ Diversification in exiting project If expansion/ Diversification, whether environmental clearance has been obtained for existing project (If yes, enclose a copy with compliance table)
Activity schedule in the EIA Notification Area Details Name of the Notified Industrial area / MIDC area TOR given by SEAC? (If yeas then specify the meeting) Estimated capital cost of the Project (including cost for land, building, plant and machinery separately) Location details of the project : Total plot area (sq. m.): Built up area (Sq. m.):
8 9
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Distance from Protected Areas / Critically Polluted areas / Eco-sensitive areas / inter-State boundaries Raw materials (including process chemicals, catalysts, & additives).
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Production details Name of Products, Existing By products and (T/Year) Intermediate Products Proposed activity (new/ modernization / expansion) Total (T/Year)
(T/Year) Main Products By-Products Intermediate Products 16 17 Process details manufacturing details Rain Water Harvesting (RWH) / Level of the Ground water table Size and no of RWH tank(s) and Quantity Location of the RWH tank(s) Size, nos of recharge pits and Quantity Budgetary allocation (Capital cost and O&M cost)
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Total water requirement: Fresh water (CMD): Recycled water (CMD): Use of the water: Process (CMD): Cooling water (CMD): DM Water (CMD): Dust Suppression (CMD): Drinking (CMD): Green belt (CMD): Fire service (CMD): Others (CMD):
&
Source
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Natural water drainage pattern quantity of storm water Size of SWD Amount of sewage generation (CMD) Proposed treatment for the sewage Capacity of the STP (CMD) (If applicable)
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Effluent characteristic Sr. No. Parameters (pH, BOD, COD, heavy metal, etc) Inlet effluent Characteristic Outlet effluent Characte ristic Effluent discharge standards (CPCB /
MPCB) 1 2
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ETP details
Amount of effluent generation (CMD) Capacity of the ETP (CMD) Amount of treated effluent recycled (CMD): Amount of water send to the CETP (CMD): Membership of the CETP (If require): If yes then attach the letter submit the letter
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Note on ETP technology to be used Disposal of the ETP sludge (If applicable) Solid waste Management
Sr. No 1
Source Raw water treatment plant ETP Process Spent Catalyst Oily Sludge Others like Battery waste, e waste etc (Pl. Specify)
Qty (TPM)
2 3 4
If waste(s) contain any hazardous/toxic substance/radioactive materials or heavy metals then provide quantity, disposal data and proposed precautionary measures. What are the possibilities of recovery and recycling of wastes?
Possible users of solid waste Method of disposal of solid waste 26 Atmospheric Emissions (Flue gas characteristics SPM, SO2, NOx, CO, etc.)
Sr. No . 1 2 3 4 5
Pollutant
Source of Emission
SPM SO2 NO x CO Others Stack No. Height from ground level (m) Internal Diameter (Top)(m) Emission Rate Temp. of Exhaust Gases
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Plant (All the stacks attached to Section & units process units, Boilers, captive power plant, D.G. Sets, Incinerator both for existing and proposed
1st & so on
which the stack is attached. e.g.: Process section, D.G. Set, Boiler, Power Plant, incinerator etc. Emission rate (kg/hr.) for each
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Emission Standard
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Pollutant
Permissible Standard
Remarks
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Details of Fuel to be used: Sr. No Fuel Daily Consumption (TPD/KLD) Existing 1 2 3 4 5 6 7 Gas Naphtha HSD Fuel Oil Coal Lignite Other (Pl. specify) Source of fuel: Mode of transportation of fuel to site: Proposed Calorific value (Kcals /kg) % Ash % Sulph ur
31 Energy
Power supply: Existing power requirement: Proposed power requirement: DG sets: Number and capacity DG sets to be used (existing and proposed) Details of the non-conventional renewable energy proposed to be used :
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Green belt area (Sq. m.): Number and species of trees to be planted Number, size, age and species of trees to be cut, trees to be transplanted
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Sr. No.
Proposed to be installed
1 2 3
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4 Solid Waste Capital cost (With break up): O&M cost (With break up): Recurring Cost Capital per annum Cost Air Pollution Control Water Pollution Control Noise Pollution Control Environment Monitoring and Management Reclamation borrow/mined applicable)
Sr. No. 1 2 3 4
area
(If
6 7 8 9
Occupational Health Green Belt Solid waste management Others ( Pl. Specify) Total Period of data collected Details of the primary data collection (i.e. location of the sample collection, number of visit, etc) Details of the secondary data collection (i.e. Source and year of data)
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Potential hazard and mitigation measures Conclusion of the EIA study Public hearing report (If Date of the public hearing public hearing conducted Name of the news paper in which the advertisement appeared then submit the salient (Please attach the copy) features) Location of the public hearing Number of people attended the hearing Objection(s) / Suggestion(s) if any Air pollution, water pollution issues in the project area, If any 38 . Storage of chemicals (inflammable/explosive/hazardous/toxic substances)
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Number Capacity Physical and Consumption Maximum Source Means of (TPD) Chemical (in TPD) Quantity of of Storages Composition of storage Supply transportation at any point of time
Declaration I hereby declare that no work has been initiated for the said project.
Date: Place: