Annexure- Form

FORM – I (I) Basic information 1. Name of the Project Development of Commercial Building 2. Sl. No. in the schedule Serial No.8 (a) 3. Proposed capacity/area/length/tonnage Total Site Area – 8,427.68 Sqmt (2.08A) to be handles/command area /lease Proposed project is Commercial Development /area / number of wells to be drilled (Retail shops, Office Space, Restaurant and Club) in 4B+G+14UF with total BUA of 64,198.59 Sqmt. 4. New/Expansion/Modernization New 5. Existing capacity/area etc Nil 6. Category of project i.e., ’A’ or ‘B’ ‘B’ 7. Does it attract the general condition? No If yes, please specify 8. Does it attract the specific condition? No If yes, please specify 9. Location New Municipal No. 61, Property ID: 76-20-61 St. Marks Road, BBMP ward No. 76, Richmond Town, Bengaluru. a. Plot/Survey/Khata No. Municipal No. 61 b. Village -- c. Thesil -- d. District Bengaluru e. State Karnataka 10. Nearest Railway station / Airport Railway Station –Bengaluru city railway station, along with distance in KM. which is around 5 km from the project site. Airport – Kempegowda international airport, which is around 35 km from the project site. 11. Nearest Town , City, District, Head Bengaluru quarters along with distance in KM

12. Village Panchayath, Zilla Parishad, Municipal Corporation – Bruhath Bengaluru Municipal Corporation, Local body Mahanagara Palike (BBMP), (Complete local address with Additional Commissioner (West), Telephone Nos. to be given) Sampige Road, Malleshwaram BBMP Bengaluru-560003 Ph: 22975648 / 22975601 13. Name of the Applicant Mr. K. Ranga Swamy, Authorized Signatory, [Mr. V.P. Tiruvengada Swamy & Mr. V. P Mahendra] 14. Registered Address Mr. K. Ranga Swamy, Authorized Signatory, [Mr. V.P. Tiruvengada Swamy & Mr. V. P Mahendra] # 63, Sun Grace, 1st Main, 6th Cross, KPA Block, Chandra Layout, Vijayanagar, Bengaluru -560 040. 15. Address for Correspondence: Mr. K. Ranga Swamy, Authorized Signatory, [Mr. V.P. Tiruvengada Swamy & Mr. V. P Mahendra] # 63, Sun Grace, 1st Main, 6th Cross, KPA Block, Chandra Layout, Vijayanagar, Bengaluru -560 040 Name Mr.K. Ranga Swamy Designation (Owner/Partner / CEO) Authorized Signatory Address # 63, Sun Grace, 1st Main, 6th Cross, KPA Block, Chandra Layout, Vijayanagar, Bengaluru -560 040. Pin code 560 040. E-mail [email protected] Telephone No. +91-9036507116 Fax No. --

16. Details of alternative sites examined, No alternative sites were examined. if any. Location of these sites would be shown on a topo sheet 17. Interlined Projects No interlined projects 18. Whether separate application of No interlinked project has been submitted? 19. If Yes, date of submission -- 20. If No, reason Proposed project is a new individual project. 21. Whether the proposal involves This proposal does not require approval / approval / Clearance under : if yes, clearance under Forest Act, Wild life Act, & Details of the same and their status to C R Z Notification. be given The Forest (conservation) Act 1980? The wild life (protection) Act 1972? 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) No forest land involved 24. Whether there is any litigation pending No against the project and / or land in which the project is propose to be 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.)

Details there of (with approximate Sl. No. Information/checklist Yes quantities/rates, wherever possible)with confirmation /No sources of information data 1.1 Permanent or temporary change in No As per the Revised Master Plan of BDA- land use, land cover or topography 2015, the proposed project site is including increase in intensity of designated for commercial (Business) zone land use(with respect to local land CDP is enclosed in Annexure – 1(a) Page use plan) No.31. 1.2 Clearance of existing land, Yes The proposed project site consist of about vegetation and buildings? 30 nos. of different species of trees, removing of this vegetative cover is only in building foot print area, where construction takes place, other rest of the vegetation will be retained as it is and majorly used for landscaping. Existing building will be demolished and demolition waste will be 1092 cum and it will be carted out. 1.3 Creation of new land uses? No As per the Revised Master Plan of BDA- 2015, the proposed project site is designated for commercial (Business) zone. Since the Proposed project is also a Commercial Development, there will be no new land use. 1.4 Pre-construction investigations Yes A pre-construction investigation of soil has e.g. bore houses, soil testing? been carried out at the project site. Soil report is enclosed in Annexure – 1(c) Page No. 36. 1.5 Construction work? No - 1.6 Demolition work? Yes Existing building will be demolished and demolition waste will be carted out. 1.7 Temporary sites used for No Labor requirement for the proposed construction workers or housing of project is about 250 Nos/day. The construction workers? construction laborers will be sourced from nearby area; hence there is no provision of

temporary housing for construction workers. 1.8 Above ground buildings, Yes Proposed Commercial development structures or earthworks including comprises of 4B+GF+14UF and hence the linear structures, cut and fill or project involves excavation, cut and fill for excavations the construction of basements and above ground buildings and landscaping. Annexure 1(d) Pg.No.37. 1.9 Underground works including No -- mining or tunneling? 1.10 Reclamation works? No -- 1.11 Dredging? No -- 1.12 Offshore structures? No -- 1.13 Production and manufacturing No -- processes? 1.14 Facilities for storage of goods or Yes The materials required for the purpose of materials? construction during the construction phase are stored within the project site and the details of these materials are enclosed in Annexure – 2(b) Page No. 45. During operational phase. HSD for DG will be stored in leak proof underground tanks in a designated place within the site premises. Lube oil for DG engine will be stored in leak proof containers on impervious floors. 1.15 Facilities for treatment or disposal Yes During construction phase: of solid waste or liquid effluents? During construction phase, the domestic solid wastes will be minimal as there is no provision of labor colony; the generated domestic solid waste will be handed over to BBMP and the generated domestic sewage will be discharged to the existing BWSSB sewer line. During operation phase: During operation phase, the solid wastes will be collected; segregation of organic & recyclable wastes will be done. The segregated organic wastes will be processed in organic waste converter and

the recyclable wastes will be handed over to authorized waste recyclers; generated e- waste will be handed over to authorized e- waste recyclers. The domestic liquid effluents will be treated in a Sewage treatment plant. Details of treatment facilities are as in Annexure – 1(e) Page No. 38-40. 1.16 Facilities for long term housing of No As local people will be hired for the operational workers? routine maintenance, no permanent facilities are proposed. 1.17 New road, rail or sea traffic during No The existing road, rail facility will be made construction or operation? use of. 1.18 New road, rail, air waterborne or No -- other transport infrastructure including new or altered routes and stations, ports, airports etc? 1.19 Closure or diversion of existing Yes Traffic pattern in the approach roads i.e. transport routes or infrastructure St Mark’s road and State Bank of India leading to changes in traffic Road during construction and operation movements? phase would change. Existing and estimated additional traffic would be enumerated in Annexure – 1(f). Page No. 41. 1.20 New or diverted transmission lines No Electric power will be supplied by or pipelines? BESCOM from the existing transmission line. Water for operation phase shall be taken from BWSSB. Annexure 2(a) Page No.42- 44. 1.21 Impoundment, damming, culver No -- ting, realignment or other changes to the hydrology or watercourses or aquifers? 1.22 Stream crossings? No -- 1.23 Abstraction or transfers of water No There is no abstraction or transfers of from ground or surface waters? water from ground or surface waters. The construction water requirement will be sourced from BWSSB - tertiary treated STP water and water during operation phase

shall be sourced from BWSSB. 1.24 Changes in water bodies or the No Project site doesn’t receive / intercept land surface affecting drainage or storm water from the surroundings. run-off? Necessary provisions shall be made within the site to route the intercepted storm water into the external storm water drain. 1.25 Transport of personnel or Yes Raw materials for construction will be materials for construction, transported by trucks and the trips are operation or decommissioning? scheduled only during wee hours. 1.26 Long-term dismantling or No -- decommissioning or restoration works? 1.27 Ongoing activity during No -- decommissioning which could have an impact on the environment? 1.28 Influx of people to an area either Yes There will be a temporary influx of temporary or permanently? construction labourers, and this will be only for a short period until the completion of the construction work. As the proposed project is a development of Commercial Building, during operation phase, there will be a floating influx of about 6254 Nos. of visitors/guests and staffs. 1.29 Introduction of alien species? No -- 1.30 Loss of native species or genetic No -- diversity? 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 in short supply): Yes Details there of (with approximate Sl. No. Information/checklist /No quantities/rates, wherever possible)with confirmation sources of information data 2.1 Land especially underdeveloped or No As per the Revised Master Plan of BDA- agricultural land (ha) 2015, the proposed project site is designated for commercial (Business) zone CDP is enclosed in Annexure – 1(a) Page No.31.

2.2 Water (expected source & Yes Construction Phase: competing users) unit: KLD Construction water requirement of 22KLD tertiary treated water will be sourced from BWSSB and Domestic water amounting to 7.5 KLD will be met by external supplier. Operational Phase: During Operation phase, net fresh water demand of 220 KLD will be met by BWSSB. Annexure – 2(a), Page No.42-44. 2.3 Minerals(MT) No -- 2.4 Construction materials - stone, Yes Constructional materials and its quantity aggregates and soil (expected are enumerated in Annexure – 2(b) Page source-MT) No.45. 2.5 Forests and timber (source-MT) No -- 2.6 Energy including electricity and Yes Construction Phase: fuels (source, competing users) DG – 50 kVA unit: fuel(MT),energy(MW) Fuel for DG- 10.476 l/running hr of DG Operational Phase: Electricity – 2,893kW Transformers- 2000 kVA 2 Nos. DG sets –1010kVA 4Nos & 500kVA 1No- and 500kVA 1 No as standby. Fuel required for DG sets – 951.22 l/ running hr of DG. 2.7 Any other natural resources (use No -- 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. Details there of (with approximate Sl. No. Information/checklist Yes/ quantities/rates, wherever possible) confirmation No with sources of information data 3.1 Use of substances or materials Yes Diesel & lube oil to be used for DG sets which are hazardous (as per during power failure will be stored within MSIHC rules) to human health or the site. environment (flora, fauna, and water supplies) 3.2 Changes in occurrence of disease No --

or affected disease vector (e.g. insect or water borne diseases) 3.3 Affect the welfare of people e.g. No -- by changing living conditions? 3.4 Vulnerable groups of people who No -- could be affected by the project e.g. hospital patients, children, the elderly etc. 3.5 Any other causes No --

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

Details there of (with approximate Information/checklist Yes Sl. No. quantities/rates, wherever possible) confirmation / No with sources of information data 4.1 Spoil, overburden or mine wastes No -- 4.2 Municipal waste (domestic and or Yes Construction Phase: commercial wastes) Project proponents are not providing any labour colony, so there would be less domestic solid waste generation during construction phase, which will be handed over to BBMP. Operation Phase: Total Solid waste generation during operation phase will be 1,047 kg/day where 628 kg/day (60%) is the biodegradable waste and 419 kg/day (40%) is the non biodegradable waste. 4.3 Hazardous wastes (as per No -- hazardous waste management rules) 4.4 Other industrial process wastes No -- 4.5 Surplus product No -- 4.6 Sewage sludge or other sludge Yes Sludge from STP amounts to 15 kg/day from effluent treatment will be used as manure for the landscape. 4.7 Construction or demolition wastes Yes Construction debris amounting to 64 m3 and same will be used for internal roads and pavement formation. 4.8 Redundant machinery or No --

equipment 4.9 Contaminated soil or other No -- materials 4.10 Agricultural wastes No -- 4.11 Other solid wastes No --

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

Details there of (with approximate Sl. No. Information/checklist Yes/ quantities/rates, wherever confirmation No possible)with sources of information data 5.1 Emissions from combustion of Yes There will be emissions from the fossil fuels from stationary or combustion of HSD by the DG sets mobile sources. during power failure. The estimated emissions from DG sets are in Annexure – 5(a) Page No.45. 5.2 Emissions from production No -- processes 5.3 Emissions from material handling Yes Dust emissions during handling and including storage or transport. transportation of construction materials such as sand, cement aggregates etc., is expected during the project execution. Suitable handling measures will be taken in order to avoid the emissions. 5.4 Emissions from construction Yes There will be fugitive dust emissions from activities including plant and transportation of raw materials during equipment. the construction process. Construction process may also comprise emissions from concrete mixers, dozers, diesel pumps etc during construction. These equipments will be maintained properly to have minimum impact. Quantities of emissions are enumerated Annexure – 5(b) Page No.45. 5.5 Dust or odours from handling of Yes There will be dust emission during materials including construction construction operation which is materials, sewage and waste controlled by water sprinkling and by erecting barricades around the site.

Sewage treatment plant will be well maintained to ensure aerobic conditions. Solid wastes are handled using closed containers to avoid odour nuisance. 5.6 Emissions from incineration of No -- waste 5.7 Emissions from burning of waste No -- in open air (e.g. slash materials, construction debris) 5.8 Emissions from any other sources No --

6. Generation of noise and vibration and emissions of light and heat:

Details there of (with approximate Sl. No. Information/checklist Yes/ quantities/rates, wherever confirmation No possible)with sources of information data 6.1 From operation of equipment e.g. Yes DG sets are the only noisy machinery engines, ventilation plant, crushers employed in the project, which will be housed inside the acoustic enclosures. 6.2 From industrial or similar No -- processes 6.3 From construction or demolition Yes Construction works will be taken up only during day time to avoid the noise during night. Barricades and compound wall will be provided around the site to partially curtail the noise. 6.4 From blasting or piling No --

6.5 From construction or operational Yes There will be noise generation due to traffic both construction and operational traffic. 6.6 From lighting or cooling systems Yes Cooling systems are proposed in the project. noise caused by the cooling system will be attenuated by acoustics &by adapting best management practices 6.7 From any other sources No --

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

Details there of (with approximate Sl. No. Information/checklist Yes/ quantities/rates, wherever possible) confirmation No with sources of information data 7.1 From handling, storage, use or Yes HSD is stored in leak proof underground spillage of hazardous materials. tanks and safe distance from building to avoid any potential hazard. The Lube oil will be stored in leak proof containers on impervious floor. Spilled oil if any, will be collected in leak proof containers and given to KSPCB, designated waste oil recyclers. 7.2 From discharge of sewage or other No Sewage generated will be treated up to effluents to water or the land applicable standards before using it for (expected mode and place of secondary purposes like flushing, for discharge) gardening & for HVAC. 7.3 By deposition pollutants emitted No -- to air into the land or into water 7.4 From any other sources No -- 7.5 Is there a risk of long term build No -- 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.

Details there of (with approximate Sl. No. Information/checklist Yes/ quantities/rates, wherever confirmation No possible)with sources of information data 8.1 From explosions, spillages, fires Yes HSD is stored in leak proof underground etc from storage, handling, use or tanks and safe distance from building and production of hazardous source of ignition to avoid any potential substances. hazard. The Lube oil will be stored in leak proof containers on impervious floor away from sources of ignition. Spilled oil if any, will be collected in leak proof containers and given to KSPCB, designated waste oil recyclers.

8.2 From any other causes No -- 8.3 Could the project be affected by No There had been no incident of flooding or natural disasters causing cloudbursts in the region. The region is environmental damage (e.g. situated in Seismic Zone-II and hence floods, earthquakes, landslides, there is a rare occurrence of cloudburst etc)? earthquakes.

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. Details there of (with approximate Information/checklist Yes/ Sl. No. quantities/rates, wherever possible) confirmation No with sources of information data. 9.1 Lead to development of No The project is proposed in a well supporting developed prime locality of Bengaluru facilities, ancillary development which already cover all the necessary or development stimulated by the supporting facilities. project which could have impact on the environment e.g.: -Supporting infrastructure (roads, power supply, waste or waste water treatment, etc.) -Housing development -Extractive industries -Supply industries & -other 9.2 Lead to after-use of the site, No -- which could have an impact on the environment. 9.3 Set a precedent for later No The surrounding area has already been developments. in demand as a prime commercial locality with many similar projects. 9.4 Have cumulative effects due to No -- proximity to other existing or planned projects with similar effects

(III) Environmental sensitivity Aerial distance (within 15 Sl. No. Areas Name/identity km) proposed project location boundary 1. Areas protected under No -- international conventions, national or local legislation for their ecological, landscape, cultural or other related value 2. Areas which are important or No -- sensitive for ecological reasons- wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests 3. Areas used by protected, No -- important or sensitive species of flora and fauna for breeding, nesting, foraging, resting, over wintering, migration 4. Inland, coastal, marine or No -- underground waters 5. State, national boundaries No -- 6. Routes or facilities used by the No -- public for access to recreation or other tourists, pilgrims areas 7. Defense installations No -- 8. Densely populated or built up Yes Richmond Town & Majestic area are densely populated areas 9. Areas occupied by sensitive St. Josephs PU College 0.4 km from project site man-made land uses & School (hospitals, schools, places of Sacred Heart Girls 0.39 km from project site worship, community facilities) High School Bowring Institute 0.23 km from the project site High Court of 1.08 km from the project site Karnataka Vidhana Soudha 1.3 km from the project site M. Chinnaswamy 0.6 km from the project site Stadium Manekshaw Parade 0.65 km from the project site Grounds Cubbon Park 0.5 km from the project site Medinova Hospital 0.8 km from the project site St. Patricks Church 0.6 km from the project site

10. Areas containing important, No -- high quality or scarce resources (ground water resources, surface resources, forestry, agriculture, fisheries, tourism, minerals) 11. Areas already subjected to No But, Bengaluru city has been pollution or environmental witnessing a drastic increase damage (those where existing in air pollutant and legal environmental standards groundwater contamination are exceeded ) levels. 12. Areas susceptible to natural No The project site comes under hazard which could cause the seismic zone-II, which is project to present classified as the low damage environmental problems risk zone. Hence project site is (earthquakes, subsidence, landslides, less susceptible to natural erosion, flooding or extreme or hazards. adverse climatic conditions )

(IV). Proposed terms of reference for EIA studies.