APPENDIX I FORM-1 (I) Basic Information # Item Details “SIS-Queenstown” – A Residential

1. Name of the Project Development

2. S. No. in the schedule 8 (a) 3. Proposed capacity/area/length/tonnage to Total Plot Area: 22100 sq .m be handled/command area/lease Total Built Up Area: 48606.83 sq.m. area/number of wells to be drilled. 4. New/Expansion/Modernization New 5. Existing Capacity/Area etc. NA. Since it is a new project. 6. Category of Project i.e., ‘A’ or ‘B’ B 2 7. Does it attract general condition? If yes, No please specify. 8. Does it attract specific condition? If Yes, No please specify. 9. Location Plot/Survey/Khasra No. 354/9A, 355/8, 356/1,356/2, 356/3A, 357/1, 357/2, 357/3A1, 359/1A, 359/2A, 44/4, 44/5Cpt and 44/6 Village Kayarambedu Village Village Panchayat Guduvanchery Tehsil Taluk District State TamilRailway Nadu Station: 10. Nearest Railway Station/Airport along with Guduvanchery station- distance in kms. 4kmAirport : Airport - 20 K.m 11. Nearest Town, City, District Headquarters Chennai along with distance in kms. 12. Village Panchayats, Zilla Parishad, 5th, Gandhi street, Guduvanchery, Municipal Corporation, Local body Kanchipuram district – 603 202 Phone – (044 -27465211) (complete postal addresses with telephone # Item Details

nos. to be given) 13. Name of Applicant South Indian Shelters Pvt. Ltd., 14. Registered Address No.14. Gulmohar Avenue, Velachery Main Road, Guindy, Chennai- 600 032. 15. Address for correspondence: No.14. Gulmohar Avenue, Velachery Main Road, Guindy, Chennai- 600 032. Name Mr. Md. Ismail Designation (Owner/Partner/CEO) Authorised Signatory Address No. 14. Gulmohar Avenue, Velachery Main Road, Guindy. Pin Code Chennai- 600 032 E – mail [email protected], [email protected]

Telephone No. 9884074701 Fax. No. - 16. Details of Alternate Sites examined, if any. Not Applicable Location of these sites should be shown on a topo sheet 17. Interlinked Projects No 18. Whether separate application of interlinked No project has been submitted? 19. If yes, date of submission Not Applicable 20. If no, reason Not Applicable 21. Whether the proposal involves Not Applicable approval/clearance under: if yes, details of the 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? 22. Whether there is any Government No Order/Policy relevant/relating to the site? 23. Forest Land involved (hectares) None # Item Details

24. Whether there is any litigation pending No against the product and/or land in which the project is propose to set up? (a) Name of the Court (b) Case. No. (c) Orders/Directions of the court, if any and its relevance with the proposed project. (II) Activity 1. Construction, operation or decommissioning of the Project involving actions, which will cause physical changes in the locality (topography, land use, changes in water bodies, etc.) Sr. Information/Checklist Yes/ Details thereof (with approximate quantities/ No. Confirmation No rates, wherever possible) with source of information data

1.1 Permanent or temporary No As per the proceedings of the commissioner of change in land use, land Town and Country Planning vide ROC No. cover or topography 446/2014/Special Cell dated 14.08.2014, the land including increase in is declared for construction of Multi Storied Annexure-1 intensity of land use Building. The copy of Proceedings is enclosed in (with respect to local land use plan) 1.2 Clearance of existing Yes Some Shrubs has to be removed before land, vegetation and construction. building? 1.3 Creation of new land Yes The proposed site will be for multistoried Annexure-1 uses residential development as per DTCP proceedings. Annexure–2. The copy of Proceedings is enclosed in 1.4 Pre-construction Yes The soil testing report is enclosed as investigations e.g. bore houses, soil testing? 1.5 Construction works? Yes At present, there is no construction activity at the site. However, the proposed project is construction of Residential units of built up area 48606.83 sq. m 1.6 Demolition Works? No Not Required 1.7 Temporary sites used for No Laborers will be hired from the nearby areas. construction works or Hence there will not be any labor camp housing of construction Sr. Information/Checklist Yes/ Details thereof (with approximate quantities/ No. Confirmation No rates, wherever possible) with source of information data

workers? 1.8 Above ground buildings, Yes Approximately around 4670 cu.m of soil would be structures or excavated for foundations. The excavated earth will earthworks including be used for back filling, soft landscaping, road linear structures, cut and formation and top soil will be stacked separately fill or excavations and used for green belt development. 1.9 Underground works No Not Applicable. including mining or tunneling? 1.10 Reclamation works? No Not Applicable 1.11 Dredging? No Not Applicable 1.12 Offshore structures? No Not Applicable 1.13 Production and No Not Applicable manufacturing Process? 1.14 Facilities for storage of Yes Temporary storage will be done at the project site goods or materials? during the construction phase. Separate raw material handling yard will be made as per requirement. Cement will be separately stored under covered bags. Sand will be stacked neatly under tarpaulin cover. Bricks and steel will be laid in open. The raw material handling yard will be located Solid Waste within the project site and separated by enclosures. 1.15 Facilities for treatment Yes or disposal of solid About 1838 Kg / day of solid wastes are likely to be Waste Quantity Treatment method waste or liquid generated due to(kg/day) the proposed project. effluents?

Organic 813 Treated in Organic STP Sludge 30 Waste converter and used as manure Inorganic 995 Sold to authorised Liquid Effluent recyclers

Total Quantity of water required during operation phase is 319 KLD. Fresh water demand is 213 KLD. Popul Quant Sewage/ Treatm Phase ation ity of Effluent ent water generated method requir ed Sr. Information/Checklist Yes/ Details thereof (with approximate quantities/ No. Confirmation No rates, wherever possible) with source of information data

Constru 150 7 KLD 6 KLD Septic ction tanks with soak pits Opera 2357 319 287 KLD STP of tion KLD 300 Source: Panchayat Supply capacity

After treatment, total treated water quantity is 272 KLD. Treated water will be reused for Toilet Flushing (106 KLD), Gardening (24 KLD) & Excess Annexure 3 water disposal 143 KLD. Water Balance is enclosed in . Application for water supply and use for avenue plantation to panchayat is in process. 1.16 Facilities for long term No No long-term housing facilities proposed as most of housing of operational the skilled/unskilled manpower required for the workers? construction /operation activities will be hired from the surrounding villages. 1.17 New road, rail or sea No The existing 15 m wide Nellikuppam Road will be traffic during used as approach road for the proposed site. construction of operation? 1.18 New road, rail, air No The existing 15 m wide Nellikuppam Road will be waterborne or other used as approach road for the proposed site. transport infrastructure including new or altered routes and stations, ports, airports etc.? 1.19 Closure or diversion of No There will not be any closure or diversion of existing transport routes existing transportation routes or infrastructure leading to changes in traffic movements? 1.20 New or diverted No Not envisaged transmission lines or pipelines? 1.21 Impoundment, No N.A damming, culverting, realignment or other Sr. Information/Checklist Yes/ Details thereof (with approximate quantities/ No. Confirmation No rates, wherever possible) with source of information data

changes to the hydrology of watercourses or aquifers? 1.22 Stream crossings? Yes There was a Channel running near the site. This is not visible now. 1.23 Abstraction or transfers No Fresh water demand will be met from Panchayat. of water from ground or surface waters? 1.24 Changes in water bodies No There will not be any change in the drainage or the land surface pattern or nearby water bodies. affecting drainage or run-off 1.25 Transport of personnel Yes The existing 15 m wide Nellikuppam road will be or materials for utilized for the transportation of material and construction, operation personnel during construction and operation or decommissioning? phase. 1.26 Long-term dismantling No Not Applicable or decommissioning or restoration works? 1.27 Ongoing activity during No Not Applicable decommissioning which could have an impact on the environment? 1.28 Influx of people to an Yes Influx of the people in both phases will be Construction phase area in either temporarily. temporarily or permanently? Around 150 people will be engaged for the activity Operation phase temporarily.

Since the proposed project is a residential development there will be permanent influx of 2357 people. 1.29 Introduction of alien No Not envisaged species? 1.30 Loss of native species or No Not envisaged genetic diversity? 1.31 Any other actions? No - 2. Use of Natural resources for construction or operation of Project (such as land, water, materials or energy, especially any resources which are non-renewable or in short supply).

Sr. Information/Checklist Yes/ Details thereof (with approximate No. Confirmation No quantities/ rates, wherever possible) with source of information data

2.1 Land specially No Not applicable. Proposed project is located in undeveloped or non agricultural land. agricultural land (ha) 2.2 Water (expected source & Yes The total water requirement will be 319 KLD Source Qua Source Competin competing users) unit KLD ntity g Users

Fresh water 213 Panchayat Nil requirement KLD water Treated waste 272 Recycling Nil water for KLD of waste toilet flushing, water and gardening 2.3 Minerals (MT) No Not applicable S.NO Description Unit Quantity 2.4 Construction material – Yes stone, aggregates, and/soil (expected source-MT) 1 Cement Bags 192000 2 Steel Tonnes 1920 3 Bricks No.s 44,00,000 4 Tiles Sq.ft 4,50,000 2.5 Forests and timber No Doors used will be flush doors or panel (source-MT) doors/laminated timbers. UPVC windows will be used. Details Capacity Source 2.6 Energy including Yes Power requirement. electricity and fuels (source, competing users) Power 1500Kw TNEB Unit: fuel (MT), energy Requirement (MW) Power Back 2 x 250 kVA DG sets Up

2.7 Any other natural No NA resources (use appropriate standard units) 3. Use, storage, transport, handling or production of substances or materials, which could be harmful to human health or the environment or raise concerns about actual or perceived risks to human health

Sr. Information/Checklist Yes/ Details thereof (with approximate No. Confirmation No quantities/ rates, wherever possible) with source of information data

3.1 Use of substances or No This is a residential building and no storage of materials, which are hazardous chemicals (as per MSIHC rules), apart hazardous (as per MSIHC from spent oil. Suitable management practice rules) to human health or the will be adopted for the same. environment (flora, fauna, and water supplies) Approximately 0.3 KL/day of HSD (low sulphur variety) will be used per day and 2100 ltr (1 week storage capacity) will be stored in HDPE Drums for DG sets. However, the quantity stored will be below the threshold limit specified by the MSIHC rules. *DG operation- 4hrs/day 3.2 Changes in occurrence of No Suitable drainage and waste management disease or affect disease measures will be adopted in both construction vectors (e.g. insect or water and operational phase, which will restrict borne diseases) stagnation of water or accumulation of waste. This will effectively restrict the reproduction and growth of disease vectors. 3.3 Affect the welfare of people No Not envisaged e.g. by changing living conditions? 3.4 Vulnerable groups of people No Not envisaged who could be affected by the project e.g. hospital patients, children, the elderly etc., 3.5 Any other causes No - 4. Production of solid wastes during construction or operation or decommissioning (MT/month) Sr. Information/Checklist Yes/No Details thereof (with approximate No. Confirmation quantities/ rates, wherever possible) with source of information data

Solid Waste 4.1 Spoil, overburden or mine wastes No Not envisaged 4.2 Municipal waste (domestic and or Yes commercial wastes) About 1838 Kg / day of solid wastes are likely to be generated due to the proposed Waste Quantity Treatment project. (kg/day) method

Organic 813 Treated in STP 30 Organic Waste Sludge converter and used as manure Inorganic 995 Sold to authorised recyclers

4.3 Hazardous wastes (as per Yes Spent oil of from DG sets will be carefully hazardous waste management stored in HDPE drums in isolated covered rules) facility. This spent oil will be sold to vendors authorized by TNPCB/ MoEF for treatment of same. Suitable care will be taken so that spills / leaks of spent oil from storage could be avoided. * DG Operation: 4 Hrs/Day 4.4 Other industrial process wastes No Not Applicable. 4.5 Surplus product No Not Applicable 4.6 Sewage sludge or other sludge Yes Sewage sludge generated from STP from effluent treatment 30 Kg will be used as manure. 4.7 Construction or demolition wastes Yes Construction waste generated will be limited to the construction phase and project site. These will be reused for backfilling after manual segregation. Unusable and excess construction debris will be disposed at designated places in tune with the local norms. 4.8 Redundant machinery or No Not Applicable equipment 4.9 Contaminated soils or other No Not Applicable materials 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. Information/Checkl Yes/No Details thereof (with approximate quantities/ No. ist Confirmation rates, wherever possible) with source of information data

5.1 Emissions from Yes During operation phase, DG sets 2 x 250 kVA combustion of fossil capacity provided for power back up will generate X x fuels from stationary air pollutants like SO , NO . or mobile sources 2 Nos. Of DG stack with an adequate height shall be provided for safe emission of the flue  gases.  DG will be operated only during power failure While using DG unnecessary load will be eliminated to reduce the emission of pollutants S. DG Required Stack Ht Proposed No Capacity (m) Stack Ht (m) 1 2x250 23.9+(0.2*√250) 28 m (2 Nos) ConstructionkVA Equipment’s= 27.2 Construction Quantity Operating equipment hours/day

Concrete mix plant 2 10 Crane mobile* 1 5 Dozer* 1 5 Truck 2 5 Compactors* 1 3 Pavers* 1 5 *Intermittent use The increase in vehicular density during construction is not expected to be significant. Thus, no major impacts are anticipated on this account. 5.2 Emission from No There is no production as the proposed project is production processes residential. Sr. Information/Checkl Yes/No Details thereof (with approximate quantities/ No. ist Confirmation rates, wherever possible) with source of information data

5.3 Emissions from Yes This will be restricted to the construction phase and materials handling construction site only. However, the generation of including storage or such emission will be very minimum. transport 5.4 Emissions from Yes The fugitive emission will be restricted during the construction mixing of aggregates. This will be restricted to the activities including construction phase and to the construction site only. plant and equipment It will be minimized by sprinkling water. 5.5 Dust or odours from Yes Dust is likely to be generated during construction, handling of materials this will be minimized by water sprinkling and including tarpaulin cover will be provided over stored raw construction material to reduce dust emission. materials, sewage On site sanitation facilities will be provided for and waste construction workers during construction. 5.6 Emissions from No No incineration of waste. incineration of waste 5.7 Emissions from No Open burning of biomass / other material will be burning of waste in prohibited. open air (e.g. slash materials, construction debris) 5.8 Emissions from any No Not Applicable other sources 6. Generation of Noise and vibration, and emissions of Light and heat

Sr. Information/Checklist Yes/ Details thereof (with approximate quantities/ No Confirmation No rates, wherever possible) with source of information data

6.1 From operation of Yes The machinery which will be used for construction equipment e.g. engines, will be of highest standard of reputed make and will ventilation plant, adhere to international standard. Hence crushers insignificant impacts due to construction machinery are envisaged. Source of noise in the operational phase will be DG sets and vehicular sources only. The DG sets will be in operation during power failure only. Moreover, the DG room shall be acoustically enclosed. 6.2 From industrial or No Not Applicable similar processes 6.3 From construction or Yes It has been estimated that during this period the demolition average noise level resulting from construction activities and traffic movement in the adjacent road will be around 80-85 dB (A) during peak hours. During the process workers shall be provided with protective gears. 6.4 From blasting or piling No No blasting or mechanized piling will be done in construction phase.

6.5 From construction or Yes Negligible noise will be generated from vehicular operational traffic movement in the construction and operational phase. 6.6 From lighting or cooling No Not Applicable systems 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 into sewers, surface waters, groundwater, coastal wasters or the sea Sr. Information/Checklist Yes/No Details thereof (with approximate No. Confirmation quantities/ rates, wherever possible) with source of information data

7.1 From handling, storage, use or No Spent oil will be handled with utmost spillage of hazardous materials care, spent oil will be stored in HDPE drums stationed over concrete platforms and will be directly transferred to vendors Sr. Information/Checklist Yes/No Details thereof (with approximate No. Confirmation quantities/ rates, wherever possible) with source of information data

authorized to handle such hazardous material. 7.2 From discharge of sewage or No The wastewater generated from the other effluents to water or the houses will be treated in STP and the land (expected mode and place of treated water will be utilized for discharge) landscaping and flushing purpose. 7.3 By deposition of pollutants No Proper air pollution control measures will emitted to air into the land or be taken care by providing adequate stack into water height and parking facility to avoid deposition of pollutant into nearby land and water. 7.4 From any other sources No Not envisaged. 7.5 Is there a risk of long term build No Not envisaged. up of pollutants in the environment from these sources? 8. Risk of accidents during construction or operation of the project, which could affect human health or the environment Sr. Information/Checklist Yes/No Details thereof (with approximate No. Confirmation quantities/ rates, wherever possible) with source of information data

8.1 From explosions, spillages, fires etc No Not envisaged. 3000 Liter of HSD from storage, handling, use or (low sulphur variety) will be stored production of hazardous substances in HDPE Drums for DG sets (1 week storage capacity) 8.2 From any other causes No - 8.3 Could the project be affected by No The project falls under seismic zone- natural disasters causing III according to the Indian Standard environmental damage (e.g. floods, Seismic Zoning Map. However earthquakes, landslides, could burst suitable seismic coefficients in etc)? horizontal and vertical directions will be adopted while designing the structures. 9. Factors which should be considered (such as consequential development) which could lead to environmental effects or the potential for cumulative impacts with other existing or planned activities in the locality.

Sr. Information/Checklist Yes/ Details thereof (with approximate No. Confirmation No quantities/ rates, wherever possible) with source of information data

9.1 Lead to development of supporting, Yes Supporting and ancillary development utilities, ancillary development or will not cause any consequences. development stimulated by the project which could have impact on the environment e.g.: Supporting infrastructure (roads, Yes Internal Roads, Rainwater Harvesting, power supply, waste or waste water STP etc will be provided. treatment, etc) Housing development Yes Extractive industries No Supply industries No Other 9.2 Lead to after use of the site, which No Not applicable could have an impact on the environment 9.3 Set a precedent for later Yes This may allow commercial & developments residential developments near the area. 9.4 Have cumulative effects due to No No effect on any planned project in proximity to other existing or planned the locality. projects with similar effects (III) Environmental Sensitivity Sr. Areas Name / Identity Aerial distance (with 10-km) Proposed No. project location boundary

1 Areas protected No No under international conventions, national or local legislation for their ecological, landscape, cultural or other related value 2 Areas which are lake 8.94 3.93 important or Ponniamman lake sensitive of Mannivakkam lake 6.95 ecological reasons Nandeeswarar – wetlands, water temple lake 3.75 courses or other Otteri lake 7.89 water bodies, Erikarai lake 5.62 1.81 coastal zone, Nandivaram lake biospheres, Urapakkam lake 6.65 mountains, forests Oonamanchery lake 5.24 Potheri lake 3.22 Kumizhi lake 4.23 Gudalur lake 4.90 6.84 Gokulapuram lake Peramanur lake 7.12 Kattankolatur R.F. 8.38 Vandalur R.F. 4.15 5.61 Gudalore R.F. Mambakkam R.F. 7.31 Kayar R.F. 8.41 Othivakkam R.F. 6.71 Sr. Areas Name / Identity Aerial distance (with 10-km) Proposed No. project location boundary

3 Areas used by Arignar Anna 7.28Km protected, Zoological park important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration 4 Inland, coastal, No No marine or underground waters 5 State, national No No boundaries 6 Routes or facilities NH 45 3.89Km used by the public Arignar Anna for access to Zoological park 7.28Km recreation or other tourist, pilgrim areas 7 Defense Air force 10 Km Station installations

8 Densely populated Urapakkam 5.49Km or built-up area Guduvanchery 3.97Km 6.19Km Sr. Areas Name / Identity Aerial distance (with 10-km) Proposed No. project location boundary

S. Places Dist. from 9 Areas occupied by Yes No. Project Site Km sensitive man Schools & Colleges made(hospitals, land schools, uses places of worship, 1 SRM University 2.87Km community 2 B. S. Abdur Rahman 7.07Km facilities) UniversityReligious Places 3 VIT Chennai Campus 8.85Km

1 Immanuel Apostolic 2.38Km Assembly Church 2 Lakshmi NarashimaHospitals Temple 7.38Km 3 Jannatul Firdos Masjid 5.2Km

1 Sumana Goodwill Home 2.7Km Hospital 2 Chritudas Hospital 3.77Km

10 Areas containing Vandalur lake 8.94 important, high Ponniamman lake 3.93 quality or (ground scarce Mannivakkam lake 6.95 resourceswater resource, Nandeeswarar surface resources, temple lake 3.75 forestry, Otteri lake 7.89 agriculture, Erikarai lake 5.62 fisheries, tourism, Nandivaram lake 1.81 minerals) Urapakkam lake 6.65 Oonamanchery lake 5.24 Potheri lake 3.22 Kumizhi lake 4.23 Gudalur lake 4.90 Gokulapuram lake 6.84 Peramanur lake 7.12

11 Areas already No No subjected to pollution or Sr. Areas Name / Identity Aerial distance (with 10-km) Proposed No. project location boundary

environmental(those damage.where existing legal environmental standards are exceeded)

12 Areas susceptible No This area is generally plain not prone to to natural hazard any natural disasters. The area under study which could cause falls in Zone-III, according to the Indian the project to Standard Seismic Zoning Map. Suitable present seismic coefficients in horizontal and environmental vertical directions respectively, have to be problems(earthquakes, adopted while designing the structures. subsidence, landslides, erosion, flooding or extreme or adverse climatic conditions)

(IV) Proposed Terms of Reference

Not Applicable