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APPENDIX I (See Paragraph – 6) FORM 1

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APPENDIX I (See Paragraph – 6) FORM 1 APPENDIX I (See paragraph – 6) FORM 1 (I) Basic Information Sr. Item Details No. 1 Name of the Project “ GAJANANA ” 2 S. number in schedule 8 (a) 3 Proposed 2 Total Plot Area – 90,340.00 m capacity/area/length/tonnage to be 2 Net plot Area – 54,204.00 m handled/command area/lease 2 Built-up Area – 35,948.20 m area/number of well to be drilled 4 New/expansion/modernization New 5 Existing capacity/area etc. New Construction Area – 34,665.14 m2 (F.S.I) 6 Category of project i.e. “A” or “B” “B” 7 Does it attract the general No condition? If yes please specify 8 Does it attract the specific No condition? If yes please specify 9 Survey No.: 587/3/A, Ajwa-Nimeta Road, Moje: Kumetha, Location Dist: Vadodara. Survey No.: 587/3/A, Ajwa-Nimeta Road, Moje: Kumetha, Plot/Survey/Khasra No Dist: Vadodara. Village Kumetha Tehsil Vadodara District Vadodara State Gujarat 10 Nearest railway station/airport along Vadodara Railway Station is located 11.89 km in SW direction and with distance in Kms. Airport is located 7.45 km in SWW direction. 11 Nearest town, city, district Project falls in Vadodara Urban Development Authority(VUDA) headquarter along with distance in (Sayajipura) Kms. 12 Village Panchayat, Zila Parishad, Municipal Corporation, local body Project falls in Vadodara Urban Development Authority(VUDA) (Complete postal address with telephone nos. to be given) 13 Name of the applicant Rahul Mansukhbhai Raiyani (Authorized Person) 14 M/s. Mahalaxmi Associates Registered address “GAJANANA”, Near Nimeta Garden, Vadodara-Ajwa Road Vadodara-390 019. 15 Address for correspondence As below. Name Rahul Mansukhbhai Raiyani Designation Authorized Person S-8, Pruthvi Apartment, 46-Purshottam Nagar, Address Near Urmi Char Rasta, BPC Road, Akota, Vadodara. Pin code 390 019 E-mail [email protected], [email protected] Tele phone 9979526000 / 9825125122 Fax No 0261-2630782 1 16 Details of alternative sites examined, if any. Location of these Location of Site shown on Topo sheet is given in sites should be shown on a topo Annexure – 1 sheet 17 Interlinked Project No 18 Whether separate application for interlinked project has been No submitted? 19 If yes date of submission - 20 If no, reason Individual project 21 Whether the proposal involves approval/ clearance under: if yes, details of the same and their status to be given No The Forest (Conservation) Act, 1980 The Wildlife (Protection) Act, 1972 The CRZ Notification 1991 22 Whether there is any Government No order/policy relevant/ relating to site 23 Forest Land involved? No 24 Whether there is any litigation pending against the project and / or land in which the project is propose to be set up Name of court No litigation pending Case no Order/directions of the court, if any and its relevance with the proposed project. • Capacity corresponding to sectoral activity (such as production capacity for manufacturing, mining lease area and production capacity for mineral production, area for mineral exploration, length for linear transport infrastructure, generation capacity for power generation etc.,) (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 /rates, No. confirmation No wherever possible) with source of information data 1.1 Permanent or temporary change in No The project will not cause any permanent or land use, land cover or topography temporary change to land use, land cover or including increase in intensity of topography including increase in intensity of land use land use (with respect to local land (with respect to local land use plan). use plan) The project will be developed as “GAJANANA”, (199 Nos. of Residential Raw Houses) 1.2 Clearance of existing land, No Not applicable vegetation and buildings? 1.3 Creation of new land uses? Yes The project will be developed as a Residential Raw Houses named “GAJANANA”. The development will be in accordance with local development plan. 1.4 Pre-construction investigations e.g. Yes Soil sample was collected and analyzed from the site bore houses, soil testing? and result is attached vide Annexure – 7 2 Sr. Information/Checklist Yes/ Details thereof (with approximate quantities /rates, No. confirmation No wherever possible) with source of information data 1.5 Construction works? Yes There will be construction of “GAJANANA”, (199 Nos. of Residential Raw Houses) 1.6 Demolition works? No Not Applicable 1.7 Temporary sites used for Yes Workers numbering 70 will be working at the site. The construction works or housing of workers will be hired from local population. Hence construction workers? temporary housing is not required. 1.8 Above ground buildings, structures Yes There will be construction of G+1 floor in all raw or earthworks including linear houses. structures, cut and fill or excavations 1.9 Underground works including Yes No Basement will be constructed. 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 manufacturing No Not applicable. processes? 1.14 Facilities for storage of goods or Yes Construction Phase: materials? Minimum bulk material for construction will be bought as and when required and will be temporarily stored at site with proper arrangement of storage and under proper cover. 1.15 Facilities for treatment or disposal Yes Solid Wastes: of solid waste or liquid effluents? Solid waste generated in Project area will be mainly of domestic nature. The solid wastes generated will 0.60 t/d and will be segregated into biodegradable and non-biodegradable wastes and collected in separate bins. The non-biodegradable wastes will be sold to recyclers and the biodegradable wastes will be collected and disposed into nearby municipal bin. Requested to Vadodara Urban Development Authority for disposal. An application is attached vide Annexure – 9(C). Liquid Effluent: On site sanitation facilities will be provided for proper disposal and treatment during the construction phase. It is estimated that about 112.00 m3/d of wastewater will be treated in Sewage Treatment Plant. We also requested to Vadodara Urban Development Authority for drainage permission. An application is attached vide Annexure – 9(B). 1.16 Facilities for long term housing of No Not applicable. operational workers? 1.17 New road, rail or sea traffic during No Not applicable. construction or operation? 1.18 New road, rail, air, waterborne or No Not applicable. other transport infrastructure including new or altered routes and stations, ports, airports etc? 3 Sr. Information/Checklist Yes/ Details thereof (with approximate quantities /rates, No. confirmation No wherever possible) with source of information data 1.19 Closure or diversion of existing No Not applicable. transport routes or infrastructure leading to changes in traffic movements? 1.20 New or diverted transmission lines No Not applicable. or pipelines? 1.21 Impoundment, damming, culverting, No Not applicable. realignment or other changes to the hydrology of watercourses or aquifers? 1.22 Stream crossings? No Not applicable. 1.23 Abstraction or transfers of water Yes • Construction Phase: from ground or surface waters? During construction phase water requirement 16.00 m3/d will be met by tanker within premises. • Operation Phase: During operational phase fresh water requirement of 92.00 m3/d will be met by Borewell. We also requested to Vadodara Urban Development Authority for getting fresh water permission. An application is attached vide Annexure – 9(A) 1.24 Changes in water bodies or the No Not applicable. land surface affecting drainage or run-off? 1.25 Transport of personnel or materials Yes Transport of personnel and materials will be required for construction, operation or for both construction and operation phases. decommissioning? 1.26 Long-term dismantling or No Not applicable. 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 area in either Yes During construction phase, 70 workers will be temporarily or permanently? employed temporarily and hired from local area. During the operational phase, there will be influx of more than 1195 (995 permanent residential and 200 visitors) people. 1.29 Introduction of alien species? No Not applicable. 1.30 Loss of native species or genetic No Not applicable. diversity? 1.31 Any other actions? No Not applicable. 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): Sr. Information/checklist Yes/ Details thereof (with approximate quantities /rates, No. confirmation No wherever possible) with source of information data 2.1 Land especially undeveloped or No Not applicable. agricultural land (ha) 4 Sr. Information/checklist Yes/ Details thereof (with approximate quantities /rates, No. confirmation No wherever possible) with source of information data 2.2 Water (expected source & Yes Water demand will be as follows: competing users) unit: kld Construction phase: Maximum Quantity: (16.00 m3/d) Source: Tanker Operation phase: Maximum Quantity: (92.00 m3/d) Source: Borewell & Requested to Vadodara Urban Development Authority 2.3 Minerals (MT) No Not applicable. 2.4 Construction material – stone, Yes Construction materials such as stone, cement, sand, aggregates, sand / soil (expected bricks, marble, paints, tiles, electric ware, sanitary ware, source – MT) glass will be used. All the above materials will be purchased from the local market and from nearest approved quarries, as and when required. It will be stored temporarily at the site. Approximate quantity are as follows: Sr. Material Quantity No. 1 Steel (t) 1766 2. Cement (bags) 11040 3. Stone Aggregate (m3) 10426 4.
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