Form – 1 (EC Application)

Shyam Kutir Page 1

APPENDIX I

(See paragraph – 6)

FORM 1 (Application for Environment Clearance)

(I) Basic Information

Name of the Project: “Shyam Kutir”Shyam Associates

Location / site alternativesunder consideration:

RS. no. 13/A/P, Behind Sardar party plot, Opp. 108Emergency call centre, Naroda Kathwada Road,Hanspura Naroda

Size of the Project: Total land area : 11542.00 m2

Total Built up area : 43081.66 m2

Total FSI Area: 31072.58 m2

Expected cost of the project: Total Cost of project: Rs. 55 Crore approx.Contact Information: Mr. Ketan Shah

Mobile: 9825024730ketansshah71@yahoo.co.in

Screening Category: B, Sr. No. 8 (a)

8 (a) Building and construction Projects (> 20000 sq. meter and < 150000 sq. meter of built uparea)

(II) Basic Information

Sr.No. Item Details

1 Name of the project/s“Shyam Kutir”Shyam Associates

2 S. No. in the schedule 8(a) Building and Construction Project

3Proposed capacity/area/length/tonnage tobe handled/command area/leasearea/number of wells to be drilled

Total land area : 11542.00 m2

Total Built up area : 43081.66 m2

Total FSI Area: 31072.58 m2

4 New/Expansion/Modernization New

5 Existing Capacity/Area etc Not applicable. Currently it is open land

6 Category of Project i.e. A or B B

7Does it attract the General Condition? Ifyes, please specify

No

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Sr.No. Item Details

8Does it attract the Specific Condition? Ifyes, please specify

No

9

Location

Plot/Survey/Khasra No. RS. no. 13/A/P, Behind Sardar party plot,

Village Hanspura Naroda

Tehsil Ahmedabad

District Ahmedabad

State Gujarat

10Nearest railway station/airport along withdistance in kms

Ahmedabad Airport - 6 Km approx.Sardargram railway station - 4.31Km. approx.

11Nearest Town, City, District Headquartersalong with distance in kms

(District head quarter)- Naroda-1.37 Km approx.

12

Village Panchayats, ZillaParishad,Municipal corporation/Local body(complete postal addresses with telephonenumbers be given)

Hanspura Naroda

13 Name of applicant“Shyam Kutir”Shyam Associates

14 Registered AddressRS. no. 13/A/P, Behind Sardar party plot, Opp.108 Emergency call centre, Naroda KathwadaRoad, Hanspura Naroda

15

Address for correspondence:RS. no. 13/A/P, Behind Sardar party plot, Opp.108 Emergency call centre, Naroda KathwadaRoad, Hanspura Naroda

Name Ketan Shah

Designation (owner/partner/CEO) Partner

AddressRS. no. 13/A/P, Behind Sardar party plot, Opp.108 Emergency call centre, Naroda KathwadaRoad, Hanspura Naroda

Pin Code 382330

E-mail ketansshah71@yahoo.co.in

Telephone No. 9825024730

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Sr.No. Item Details

Fax No. --

16Details of alternate sites examined if any.Location of these sites should be shownon a Topo Sheet

None

17 Interlinked projects None

18Whether separate application forinterlinked projects have been submitted

Not Applicable

19 If yes, date of submission Not Applicable

20 If no, reason Not Applicable

21

Whether the proposal involvesapproval/clearance under: If yes, details ofthe same and their status to be given.

(a) The Forest (Conservation)Act,1980?

(b) The Wildlife (Protection)Act,1972?

(c) The C.R.Z. Notification, 1991?

None of these

22Whether there is any GovernmentOrder/Policy relevant/relating to the site?

Not known

23 Forest land involved (hectares) None

24

Whether there is any litigation pendingagainst the project and / or land in whichthe project is proposed to be set up?

(a) Name of the Court

(b) Case No.

(c) Orders/directions of the Court, ifany and its relevance with theproposed project

None

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(III)Activity

1. Construction, operation or decommissioning of the Project involving actions, whichwill cause physical changes in the locality (topography, land use, changes in waterbodies, etc.)

Sr.

No.Information/Checklist confirmation Yes/No

Details thereof (with approximate quantities/rates, wherever possible) with source of

information data

1.1

Permanent or temporary change in landuse, land cover or topography includingincrease in intensity of land use (withrespect to local land use plan)

Yes

It is planned to construct multi-use residentialcum commercial building in open land;resulting in permanent change in land use.There will be different activities carried outlike: Construction material handling & storage,construction waste disposal. Constructionwaste will be utilized for leveling in low lyingareas and excavated soil will be used for greenbelt area development.

There will be no change in land cover ortopography because of construction activities.

1.2Clearance of existing land, vegetationand buildings?

No It is an open land

1.3 Creation of new land uses? Yes Open land to be converted to constructed area.

1.4Pre-construction investigations e.g. borehouses, soil testing?

YesDetailed Soil investigation have been carriedout.

1.5 Construction works? YesThere will be construction activities done forResidential & Commercial apartments.

1.6 Demolition works? NoCurrently it is open land. So, there will not beany demolition works required.

1.7Temporary sites used for constructionworks or Housing of constructionworkers?

No Local labour to be employed

1.8Above ground buildings, structures orEarthworks including linear structures,cut and fill or excavations

YesThese are routine activities involved inconstruction projects.

1.9Underground works including mining ortunneling?

No Not Applicable

1.10 Reclamation works? No Not Applicable

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Sr.

No.Information/Checklist confirmation Yes/No

Details thereof (with approximate quantities/rates, wherever possible) with source of

information data

1.11 Dredging? No Not Applicable

1.12 Offshore structures? No Not Applicable

1.13Production and manufacturingprocesses?

No Not Applicable

1.14Facilities for storage of goods ormaterials?

YesRequired temporary storage for constructionmaterial like Cement, Steel, bricks, tiles,electrical goods etc.

1.15Facilities for treatment or disposal ofsolid waste or liquid effluents?

Yes

Approximately, 2.8 KL/Day (fromresidential and commercial) of domesticwastewater will be generated duringconstruction Phase and 233.28 KL/Day and7.44 KL/Day of domestic wastewater(Respectively from residential andcommercial) will be generated duringOperation Phase. It will be drained toCorporation drainage Line.

Approximately, 17.50 kg/Day solid wastewill be generated (from residential andcommercial) During Construction Phaseand 972 kg/Day and 83.70 kg/day solidwaste will be generated (Respectively fromresidential and commercial) DuringOperation Phase. It will be disposed tomunicipal solid waste disposal facility.

1.16Facilities for long term housing ofoperational workers?

No Local labour to be employed

1.17New road, rail or sea traffic duringconstruction or operation?

No

Construction material like, Bricks, Cement,Aggregate, Sand, and Reinforcement, Woodetc to be brought to site at appropriate point oftime from local suppliers.

1.18

New road, rail, air waterborne or othertransport infrastructure including new oraltered routes and stations, ports, airportsetc?

No Not Applicable

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Sr.

No.Information/Checklist confirmation Yes/No

Details thereof (with approximate quantities/rates, wherever possible) with source of

information data

1.19Closure or diversion of existing transportroutes or infrastructure leading tochanges in traffic movements?

No Not Applicable

1.20New or diverted transmission lines orpipelines?

No Not Applicable

1.21Impoundment, damming, culverting,realignment or other changes to thehydrology of watercourses or aquifers?

No Not Applicable

1.22 Stream crossings? No Not Applicable

1.23Abstraction or transfers of water formground or surface waters?

No

We will use water tanker during constructionphase; and during operation phase we willobtain water supply connection from Borewell.

1.24Changes in water bodies or the landsurface affecting drainage or run-off?

No

Due care has been taken while planning thegrading at site. For rainwater management,slope will be provided in such a way that waterpasses through trench and recharged topercolation wells.

1.25Transport of personnel or materials forconstruction, operation ordecommissioning?

Yes

Construction material like Bricks, Cement,Aggregate, Sand, and Reinforcement, Woodetc to be brought to site at appropriate point oftime.

1.26Long-term dismantling ordecommissioning or restoration works?

No Not Applicable

1.27Ongoing activity duringdecommissioning which could have animpact on the environment?

No No decommissioning activity

1.28Influx of people to an area in eithertemporarily or permanently?

Yes

460 Permanent housing Unit for approx 2160People.

62 Shops for approximately 186 People.

1.29 Introduction of alien species? No --

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Sr.

No.Information/Checklist confirmation Yes/No

Details thereof (with approximate quantities/rates, wherever possible) with source of

information data

1.30Loss of native species or geneticdiversity?

No --

1.31 Any other actions? No --

2. Use of Natural resources for construction or operation of the Project (such as land,water, materials or energy, especially any resources which are non-renewable or inshort supply):

Sr.No. Information/checklist confirmation Yes/NoDetails thereof (with approximate

quantities /rates, wherever possible)with source of information data

2.1 Land especially undeveloped oragricultural land (ha)

Yes Total 11542 sqmt. Open land to be used.

2.2 Water (expected source & competingusers) unit: KLD

Yes During Construction Phase 13.50 KLDwater will be used and During OperationPhase 9.30 KLD and 291.6 KLD waterwill be used in commercial and residentialRespectively.

Domestic water will be obtained throughbore well.

2.3 Minerals (MT) No Not Applicable

2.4 Construction material – stone,aggregates, sand / soil (expected source– MT)

Yes Approx. quantity of construction material

Ready Mix Concrete- 4200 m3

Cement:220 m3

Sand: 2100 m3

Bricks 8 lacs

Renforcement 4300 MT

Glass – 1300 m2

Timber – 40 m3

Aluminium frame – 2 MT

These will be procured from varioussuppliers.

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Sr.No. Information/checklist confirmation Yes/NoDetails thereof (with approximate

quantities /rates, wherever possible)with source of information data

2.5 Forests and timber (source – MT) Yes Timber will be used for door frames.

2.6 Energy including electricity and fuels(source, competing users) Unit: fuel(MT), energy (MW)

Yes During Construction Phase 80 KW Powerand During Operation Phase 1150 KWpower will be require. Power connectionwill be taken from Gujarat Electricityboard.

2.7 Any other natural resources (useappropriate standard units)

No Not Applicable

3. Use, storage, transport, handling or production of substances or materials, whichcould be harmful to human health or the environment or raise concerns aboutactual or perceived risks to human health.

Sr.No. Information/Checklist confirmation Yes/No

Details thereof (with approximatequantities/rates, wherever possible)

with source of information data

3.1 Use of substances or materials, which arehazardous (as per MSIHC rules) to humanhealth or the environment (flora, fauna,and water supplies)

No Not Applicable

3.2 Changes in occurrence of disease or affectdisease vectors (e.g. insect or water bornediseases)

No Not Applicable

3.3 Affect the welfare of people e.g. bychanging living conditions?

No Not Applicable

3.4 Vulnerable groups of people who could beaffected by the project e.g. hospitalpatients, children, the elderly etc.

No Not Applicable

3.5 Any other causes No Not Applicable

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4. Production of solid wastes during construction or operation or decommissioning(MT/month)

Sr.

No.Information/Checklist confirmation Yes/No

Details thereof (with approximatequantities/rates, wherever possible)

with source of information data

4.1 Spoil, overburden or mine wastes No Not Applicable

4.2 Municipal waste (domestic and orcommercial wastes)

Yes Approx. 17.50 kg/day solid waste willbe generated during construction phase

Approx. 972 kg/day and 83.70 kg/dayof municipal solid waste will begenerated from Residential &Commercial apartments Respectively.

4.3 Hazardous wastes (as per HazardousWaste Management Rules)

NoNot Applicable

4.4 Other industrial process wastes No Not Applicable

4.5 Surplus product No Not Applicable

4.6 Sewage sludge or other sludge fromeffluent treatment

No Sewage will be discharged intoCorporation drainage line.

4.7 Construction or demolition wastes Yes Construction waste to be used forfilling inside the site only

4.8 Redundant machinery or equipment No Not Applicable

4.9 Contaminated soils or other materials No Not Applicable

4.10 Agricultural wastes No Not Applicable

4.11 Other solid wastes No Not Applicable

5. Release of pollutants or any hazardous, toxic or noxious substances to air (Kg/hr)

Sr.No. Information/Checklist confirmation Yes/No

Details thereof (with approximatequantities/rates, wherever possible)

with source of information data

5.1 Emissions from combustion of fossil fuelsfrom stationary or mobile sources

No Not Applicable

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Sr.No.

Information/Checklist confirmation Yes/NoDetails thereof (with approximate

quantities/rates, wherever possible)with source of information data

5.2 Emissions from production processes No Not Applicable

5.3 Emissions from materials handlingincluding storage or transport

Yes During Material handling, storage andtransportation activities, concentrationof dust will be increased however, itwill be controlled by water sprinklingand windshield barriers.

5.4 Emissions from construction activitiesincluding plant and equipment

Yes During construction activities,concentration of dust will be increasedhowever, it will be controlled by watersprinkling and windshield barriers.

5.5 Dust or odours from handling of materialsincluding construction materials, sewageand waste

No Not Applicable

5.6 Emissions from incineration of waste No Not Applicable

5.7 Emissions from burning of waste in open air(e.g. slash materials, construction debris)

No Not Applicable

5.8 Emissions from any other sources No Not Applicable

6. Generation of Noise and Vibration, and Emissions of Light and Heat:

Sr. No. Information/Checklist confirmation Yes/NoDetails thereof (with approximate

quantities/rates, wherever possible)with source of information data

6.1 From operation of equipment e.g. engines,ventilation plant, crushers

Yes Construction machinery will generatenoise and vibration. However, it willbe controlled by green beltdevelopment.

6.2 From industrial or similar processes No Not Applicable

6.3 From construction or demolition Yes Construction machinery will generatenoise and vibration. However, theeffect will be local and negligible.

6.4 From blasting or piling No No blasting is proposed

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6.5 From construction or operational traffic Yes Transportation of material forconstruction will generate some noiseand dust.

6.6 From lighting or cooling systems No Not Applicable

6.7 From any other sources No Not Applicable

7. Risks of contamination of land or water from releases of pollutants into the ground or intosewers, surface waters, groundwater, coastal waters or the sea:

Sr. No. Information/Checklist confirmation Yes/NoDetails thereof (with approximate

quantities/rates, wherever possible)with source of information data

7.1 From handling, storage, use or spillage ofhazardous materials

No Not Applicable

7.2 From discharge of sewage or othereffluents to water or the land (expectedmode and place of discharge)

No Sewage will be discharged intoCorporation drainage line.

7.3 By deposition of pollutants emitted to airinto the land or into water

NoNot Applicable

7.4 From any other sources No Not Applicable

7.5 Is there a risk of long term build up ofpollutants in the environment from thesesources?

NoNot Applicable

8. Risk of accidents during construction or operation of the Project, which could affecthuman health or the environment

Sr.

No.Information/Checklist confirmation Yes/No

Details thereof (with approximatequantities/rates, wherever possible)

with source of information data

8.1 From explosions, spillages, fires etc fromstorage, handling, use or production ofhazardous substances

No Not Applicable

8.2 From any other causes No Not Applicable

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8.3 Could the project be affected by naturaldisasters causing environmental damage(e.g.floods, earthquakes, landslides, cloudburstetc)?

Yes

Beyond human control.

However, guidelines of state/citydisaster control team would befollowed.

9. Factors which should be considered (such as consequential development) which could leadto environmental effects or the potential for cumulative impacts with other existing orplanned activities in the locality

Sr.No.

Information/Checklist confirmation Yes/NoDetails thereof (with approximate

quantities/rates, wherever possible)with source of information data

9.1 Lead to development of supporting facilities,ancillary development or development

stimulated by the project which could haveimpact on the environment e.g.:

• Supporting infrastructure (roads, powersupply, waste or waste water treatment, etc.)

• housing development

• extractive industries

• supply industries

• other

No Not Applicable

9.2 Lead to after-use of the site, which could havean impact on the environment

No Not Applicable

9.3 Set a precedent for later developments No Not Applicable

9.4 Have cumulative effects due to proximity toother existing or planned projects with similareffects

No Not Applicable

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(II) Environmental Sensitivity

Sr.No.

Areas

Name/

Identity

Aerial distance (within 15 km.)

Proposed project locationboundary

1 Areas protected under internationalconventions, national or local legislation fortheir ecological, landscape, cultural or otherrelated value

No Not Applicable

2 Areas which are important or sensitive forecological reasons - Wetlands, watercoursesor other water bodies, coastal zone,biospheres, mountains, forests

No Not Applicable

3 Areas used by protected, important orsensitive species of flora or fauna forbreeding, nesting, foraging, resting, overwintering, migration

No Not Applicable

4 Inland, coastal, marine or underground waters No Not Applicable

5 State, National boundaries No Not Applicable

6 Routes or facilities used by the public foraccess to recreation or other tourist, pilgrimareas

Yes

7 Defense installations No Not Applicable

8 Densely populated or built-up area Yes Total Built Up Area: 43081.66 m2

9Areas occupied by sensitive man-made landuses (hospitals, schools, places of worship,community facilities)

YesFew schools and worship/communityplaces

10 Areas containing important, high quality orscarce resources

(ground water resources, surface resources,forestry, agriculture, fisheries, tourism,minerals)

No Not Applicable

11 Areas already subjected to pollution orenvironmental damage. (those where existinglegal environmental standards are exceeded)

No Not Applicable

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