Download Proforma for Industries Seeking Site Clearance From Environment Angle

PROFORMA FOR OBTAINING INFORMATION FROM INDUSTRIES SEEKING SITE CLEARANCE FROM ENVIRONMENTAL ANGEL 1. General Information 1.1 Name of Project with address and Telephone No. 1.2 Registered office with address and Telephone No. 1.3 Name and address of the consultant appointed, if any 1.4 Does the proposal relate to: a) New Project b) Expansion c) Renovation/Modernisation/ Rehabilitation d) Others (Specify) 1.5 Plant Capacity Name of Capacity (Tonnes/Year) Product____________________________________________________________________________ As per Installed New Expansion Renovation Letter of Plant /Total Modernisation/ Intent/ Licence Rehabilitation 2. Details of Site: 2.1 Geographical location with details on latitude and longitude terrain etc. a) Name of the village/revenue estate in which the industry is to be located with name of the District. b) Khasra No. over which the proposed unit is to be set-up. c) Aks-Sajra of the land. d) Name and width of approach road. 2.2 Topography of the area along with Index Map. 2.3 Is the Site located near the river bank and other water bodies. If yes; justification. 2.4 Distance from National Highway/State Highway. 2.4 Distance from rivers/canals. 2.5 Distance from ecologically or otherwise Sensitive areas. a) National park b) Tourist Complex c) Religious and Historic places d) Archeological Monuments e) Bio-sphere reserve f) Area of Scientific and Geological Interest g) Forest land h) Defence installation i) Airport 2.7 Distance from Railway line/Railway station 2.8 Distance from major settlement: a) Village abadi b) Town with population less than 3 lacs c) Town with population more than 3 lacs 2.9 Distance from large and medium industries, location map indicating position of proposed unit. 2.10 Is the site situated in forest area? If yes. j) Details about type of forest: (e.g. Sal, Pins, Coniferous, Encalyptus, mixed ) indicating total forest area to be acquired and its density) ii) Has the to use /acquire the non-Conservation Act,1969? 2.11 Does the site need cutting of trees? If yes: a) How many trees will be cut. b) Compensatory Afforestation Plan. 2.12 Does the proposed site fell under notified Industrial area? If yes, provide following details: a) Under what authority it has been Notified as industrial zone. b) How many units are already existing? 2.13 If the site is not in a notified industrial zone What is designated proposed land use. Justification For the same. 2.14 List and gist of all the alternative locations considered for the project & justification for the preferred site along with site survey report and clearance from Competent Authority, if required. 3. Process Details: 3.1 Raw material (including catalysts, additives and process chemicals) List of new Physical and Quantity (tones/ Source of Means materials to be chemical nature month)at full material of transportation used at all stages of raw material production capacity (Source of storage site) of manufacture with justification 3.2 Precautionary measures adopted in transportation and handling of any hazardous/toxic/inflammable/explosive materials. 3.3 Provide layout plan of the plant report Indicating areas where hazardous/toxic/ inflammable/explosive material(s) will be stored. 3.4 Storage facilities for hazardous/toxic/flammable/ Explosive material (s), if any. 3.5 Is any recycled salvaged material from Your industrial waste to be used in the process. If so, indicate the nature and quantities of such wastes. 3.6 Production (tones/year) Name Existing Proposed (new/modernization/renovation/ rehabilitation/others) Main Products By-products Intermediate product 3.7 How and where the products shall be stored. Precautionary measures adopted in case of hazardous/toxic/flammable/explosive products. 3.8 Means of transportation of final products with justification. 3.9 Manufacturing Process 3.9.1 Name and address of Process know how licencer 3.9.2 Alternative process technologies and their ranking With reference to pollution potential (low/zero pollution) 3.9.3 Details of process know how/technology transfer Being adopted 3.9.3.1. Plant and machinery 3.9.3.2. In-built anti-pollution equipment 3.9.4. A brief description of the processes also Attach process flow chart. 4. Energy requirements : 4.1 Total power requirement (HW) for: a) Existing facilities b) Proposed facilities 4.2 Source of power (HW) Public Cupply Agreement with electricity supplier present consumption Additional requirement D.G. Sets/Gas Turbine (capacity) Installed Proposed Captive Power Existing Plant (Capacity) Proposed 4.3 D.G. Sets/Captive Power Plant/Boilers/Furnaces/incinerators fuel requirement Sr.No. Purpose Capacity Type of Consumptions Tonnes/Year fuel Present Proposed D.G. Sets CPP Boilers a) Power b) Process Furnaces Incinerator Other (specify) 4.3 Details of types of fule used Unit of Fuel Consumption Col. Value Ash Sulpher Source of Mode of transportation (tones/day) K.Cal./Kg. supply to the Plant site with or Joules/Kg. justification & linkage Coal Natural gas LSHS HSG Naptha Furnace oil Other (specify) 4.4 Use of alternate renewal sources of energy 5. Details of construction phase 5.1 Duration 5.2 Number of persons to be employed for Construction 5.3 Is township to be built. If yes, it's Aerial distance and direction from The plant and number of families To be accommodated 5.4 What provision has been made for the Township sewage treatment? Furnish Details? 6.. Metreologicalogical data pertaining to proposed site. 6.1 Wind rose pattern 6.2 Temperature: Monthly average parameters January-December Mean rainfall Maximum Temperature Maximum wind Speed Minimum wind Speed 7. Water: 7.1 Water requirements (m3/day) Purpose Average Peak demand source Type treated/ Remarks demand at full production untreated Construction : Plant Operation : Processing : Cooling : Green belt development Township Domestic Green belt development (Plant) Fire Services : Other (specify) * (Ground Water/Canal/River/Public Supply System/recycled water etc. name, canal or river etc. as applicable) 7.2 If existing water supply is to be Augmented from other source (s) For meeting both present and future Requirements provided details. 7.3 What treatment is given to water Before its use? If any, provide details. 7.4 Physico chemical analysis report on: i) Raw water ii) Treated water 8. Waste water details: 8.1 Composition/characteristics 8.2 Total daily discharge (m3/day) 9.1 Recovery/recycling possibilities 9.2 Possible user(s) of the solid waste 9.3 In case of landfill : i) Is solid suitable for landfill ii) Dimensions and life of pit iii) Lay out Plan indicating the Dumping site iv) Proposed mitigation method. 9.4 In case of incineration i) Provide details (capacity, design, Fuel etc.) of incinerator design. ii) Likely consumption of fuel and Quantum of emissions iii) Specify frequency of incineration. 9.5 If the solid waste is removed from premises by private Haulage contact of: i) Frequency of removal ii) Mode of transport iii) Location and address of disposal site. 9.6 In case the waste is to be dumped on the ground/ Low laying areas/river/other bodies: i) Anticipated environmental problems ii) Proposed mitigation measures 9.7 Does the waste contain any toxic/hazardous substance/ Radioactive trace elements? If so, provide toxicity data: 10. Hazardous waste Management: For existing units: 10.1 Hazardous Waste Management Hazardous Waste Management & handling , if yes: a) b) Quantity of hazardous waste generated/year c) On-site storage facility d) Details of the atuhorisation from PCB For handling management of hazardous Waste. e) Is there off site hazardous waste disposal site Available? (Name & place of hazardous waste disposal site) 10.2 For new units: a) Whether hazardous waste management and handling rule applicable. b) Details of the actions to be taken by the unit for collection, reception, treatment, transport, storage and disposal of hazardous waste. 11. Sewage and Domestic waste: i) Method of treatment along with flow chart ii) Recycling possibilities iii) Method of disposal a) Final point of discharge (Land, Nallah/Lake/Stream/swer/River) Specify name, route and distance From the plant. b) Details of the water body where final effluent is/will be discharged : i) Average flow rate ii) Lean season flow rate iii) Down stream users (human, animal, Irrigation, industry etc.) iv) Is the water used for domestic supply. 12. Atmospheric Emissions 12.1 Total number of stacks. 12.2 Stack details Stack No. Stack (b) Height Internal diameter Inter stock (a) attached to (Metre) of Top(M) Base (M) Distance (m) -------------------- Ist IInd IIIrd IVth a) Provide layout map of the plant showing the position Of these stacks. b) D.G. Sets, Boilers, Furnace, Captive Power Plant, Incinerator etc. Stacks attached with each unit has to be Shown Separately. 12.3 Stack emissions from fuel burning Stack Stack Emission rate (Kg/hr) No. height SPM SO2 NOx CO HC any other ________________________________________________________________________________Ist 2nd 3rd 4th * Stack number order should be the same as indicated above. 13. Other Environmental consideration: 13.1 Noise (db) i) Source ii) Level within plant iii) Level at plant boundary iv) Method of abatement 13.2 Odour i) Source ii) Method of abatement 13.3 Radioactivity : i) Source ii) Method of abatement 13.4 Radioactivity : i) Source ii) Level of radiation iii) Method of mitigation 14. Pollution control 14.1 For existing industries : i) Details of pollution control measures Existing at the plant ii) Difficulties encountered in installation/ Implementing pollution control measures, If any. iii) Efficiency of each pollution control equipment In operation Name of Designed Present working efficiency ( ) the system efficiency( ) iv) Do you comply with norms prescribed by the State/Central Pollution Control Boards? If not, what steps are proposed to Meet them. v) Furnish a copy of latest report on the quality and characteristics of treated liquid effluent from plant vi) Has the State Pollution Control Board recommended installation of conditional pollution abatement facilities in the near past? If yes, what are those and what steps have been taken to implement them? vii) Warnings given by State Pollution Control Board, if any and action taken to comply with the requirement viii) Consent under Water Acts Air Water 14.2 For new unit: i) Details of pollution control equipment/ System proposed ii) What special procedures do you purpose to lay Down for pollution control during the period when Standards prescribed by the concerned authorities Are exceeding for any reason. 15. Work Environment, Hygiene and House keeping 15.1 What major occupational health/safety hazards are Anticipated in the working environment of your plant: 15.2 Describe the industrial hygiene measures to be adopted 15.3 What provision you have made to conform to health and Safety requirements as per Factories Act? 15.4 In case of existing plant, give brief report on the health Status of workers engaged in the processing or handling Toxic/hazardous substances. 16. Environmental Management 16.1 Details of Organizational set-up proposed for Environmental management 16.2 What is the level of expertise of person incharge Of pollution control and monitoring. 16.3 Details of operation and maintenance facilities Proposed for treatment plants, pollution monitoring And control equipment 17. Cost Estimates 17.1 Total Project cost. 17.2 Pollution abatement cost Amount earmarked per year Pollution control Pollution monitoring Green belt development 18. Copy of NOC from the concerned State Pollution Control Board, if any. 19. Green belt development Plan Status Green Belt Area (m) Plant species No. of trees Existing Proposed 20. Lay out Plan showing green belt 21. In case of captive plant, has the clearance been obtained from Ministry of Environment & Forest, Government of India or from State Environment Department. 22. Present physical status of the project. Signature Date: Name, Designation and Address Place: INSTRUCTIONS FOR PROPOSER The proposal should be submitted to the Environment Department consisting of the following: 1. Detailed project report 2. 20 copies of filled-in questionnaire 3. 20 copies of the detailed Environment Impact. Assessment Report/Rapid Environment Impact Assessment Report and Environment Management Plan 4. 20 Copies of the Disaster Management Plan 6. An undertaking from the applicant that the date and information given in the form are true to the best of his knowledge and belief. In case any part of data/information submitted is found to be false or mis-leading at any stage, the project be rejected and the clearance given, if any, to the project is likely to be revoked.