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FORM – 1 & 1A

“Kavya Grandeur”

At Plot bearing Survey Nos. 35/1, 35/2, 36/3, 36/4 Village - Borivade, Behind Big India Mall, Kasarvadavali, (W) - 400601.

By

M/s. KAVYA BUILDCON PVT. LTD. 2nd Floor, Kavya Aura, Next to Rosewood Hotel, Tulsiwadi, , -400034 FORM – 1

“Kavya Grandeur”

At Plot bearing Survey Nos. 35/1, 35/2, 36/3, 36/4 Village - Borivade, Behind Big India Mall, Kasarvadavali, Thane (W) - 400601.

By

M/s. KAVYA BUILDCON PVT. LTD. 2nd Floor, Kavya Aura, Next to Rosewood Hotel, Tulsiwadi, Tardeo, Mumbai-400034 APPENDIX - I (See paragraph - 6) FORM 1

(I) Basic Information No. Item Details 1. Name of the project/s “Kavya Grandeur” at Thane, Mumbai 2. S. No. in the schedule 8 (B2) 3. Proposed capacity/area/length/tonnage to Total Plot Area: 13,320.00 Sq. mt. be handled/command area/lease Deductions: 2,268.72 Sq. mt. area/number of wells to be drilled Net Plot Area: 11,051.28 Sq. mt. Built-up Area as per FSI: 28,129.17 Sq. mt. Total Construction Built -up Area: 57,187.39 Sq. mt.

Project Proposal: 2 Buildings with 5 wings and Club House Building 1 Wing A: Ground (Pt) + Upper Flats: Ground (Pt) + 21 Floors each 538 Nos. Wing B: Ground (Pt) + Upper Shops: Ground (Pt) + 21 Floors each 12 Nos. Wing C: Ground (Pt) + Upper Offices Ground (Pt) + 21 Floors each Building 2 Wing A: Basement + Stilt + Upper Ground + 29 Floors Wing B: Basement + Stilt + Upper Ground + 28 Floors st

Club House Ground + 1 (pt) Floor -- 4. New/Expansion/Modernization New 5. Existing Capacity/ Area etc.  Received Commencement Certificate for the project from T.M.C. dt. 20.03.2015  Received Plinth certificate for Wing A and B dt. 24.09.2015 vide certificate no. TMC/TDD/112  Received Letter of Intent (LOI) dt. 28.09.2016  Total constructed work on site till date: 1423.99 Sq.mt. Copy of all approvals are attached as Enclosure-1. 6. Category of project i.e.’ A’ or ‘B’ 8(B2) 7. Does it attract the general condition? If Not Applicable yes, please specify. 8. Does it attract the specific condition? If Not Applicable yes, please specify. 9. Location Thane Plot/Survey/Khasra No. Survey Nos. 35/1, 35/2, 36/3, 36/4 Village Borivade Tehsil Thane District Thane State 10. Nearest railway station Thane Railway Station : Within 13.00 km (Road distance) Nearest airport Mumbai Chhatrapati Shivaji International Airport: Within 29.00 km (Road distance) 11. Nearest Town, city, District headquarters Thane along with distance in kms. 12. Village Panchayats, Zilla Parishad, Thane Municipal Corporation (T.M.C.) Municipal Corporation, Local body

1 Form 1- “Kavya Grandeur” Borivade, Thane No. Item Details (complete postal address with telephone nos. to be given) 13. Name of the applicant M/s. KAVYA BUILDCON PVT. LTD. 14. Registered Address 2nd Floor, Kavya Aura, Next to Rosewood Hotel, Tulsiwadi, Tardeo, Mumbai - 400034 15. Address for correspondence 2nd Floor, Kavya Aura, Next to Rosewood Hotel, Tulsiwadi, Tardeo, Mumbai - 400034 Name Mr. Nimish M. Vora Designation(Owner/Partner/ CEO) Managing Director /Owner Address 2nd Floor, Kavya Aura, Next to Rosewood Hotel, Tulsiwadi, Tardeo, Mumbai Pin Code 400034 E-mail [email protected] Telephone No. 022-40448282 Fax No. 022-40448283 16. Details of Alternative Sites examined, if Not applicable any. Location of these sites should be shown on a topo-sheet. 17. Interlinked Projects Not applicable 18. Whether separate application of Not applicable interlinked project has been submitted? 19. If yes, date of submission Not applicable 20. If no, reason Not applicable 21. Whether the proposal involves approval/clearance under: if yes, details of the same and their status to be given. a) The Forest (Conservation) Act, 1980? Not Applicable b) The Wildlife (Protection) Act, 1972? i. For SGNP: As per Notification reg. ESZ of SGNP published by MOEF & CC u/no. S.O. 3645 (E) dated 5/12/2016, our project site is not affected by the ESZ belt hence it is not applicable ii. For Tungareshwar Wildlife Sanctuary: Applicable c) The C.R.Z Notification, 1991? Not Applicable 22. Whether there is any Government Order/ Not Applicable Policy relevant/ relating to the site? 23. Forest land involved (hectares) Not Applicable 24. Whether there is any litigation pending Not Applicable 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) Order /directions of the Court, if any and its relevance with the proposed project.

2 Form 1- “Kavya Grandeur” Borivade, Thane (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 thereof (with approximate quantities Yes No. Information/Checklist confirmation /rates, wherever possible) with source of / No information data 1.1 Permanent or temporary change in land Yes Previously it was open land. Now proposed use, land cover or topography including residential development with Shops and Offices. increase in intensity of land use (with respect to local land use plan) 1.2 Clearance of existing land, vegetation and No -- building? 1.3 Creation of new land uses? Yes Previously it was open land. Now proposed residential development with Shops and Offices. 1.4 Pre-construction investigation e.g. bore Yes Geotechnical Investigation has been carried out. houses, soil testing? Report is attached as Enclosure-2. 1.5 Construction works? Yes Residential Development with Shops and Offices 1.6 Demolition works? No --

1.7 Temporary sites used for construction Yes Temporary hutments with facilities like drinking works or housing of construction water, toilets etc. workers? 1.8 Above ground building, structures or Yes Excavation earth material partly shall be reused earthworks including linear structures, cut for backfilling and partly shall be disposed to and fill or excavations authorized landfilling with permission from TMC. Construction waste generated during construction activity partly reused and partly disposed to authorized landfill site with permission of Local Authority 1.9 Underground works including mining or No -- Tunneling? 1.10 Reclamation works? No -- 1.11 Dredging? No -- 1.12 Offshore structures? No -- 1.13 Production and manufacturing processes? No -- 1.14 Facilities for storage of goods or Yes Temporary storage facilities to store the materials? construction raw material. 1.15 Facilities for treatment or disposal of Yes • STP for treatment of sewage solid waste or liquid effluents? • Segregation of solid waste into non- biodegradable and biodegradable garbage • Treatment of biodegradable waste in Organic Waste Converter • Segregation of Non-biodegradable waste into recyclable & non-recyclable.  Recyclable waste: to recyclers  Non-Recyclable waste: to T.M.C. • Dried sludge from STP : As manure • E – waste: To authorized recyclers 1.16 Facilities for long term housing of No -- operational workers? 1.17 New road, rail, or sea traffic during No -- construction or operation?

3 Form 1- “Kavya Grandeur” Borivade, Thane Details thereof (with approximate quantities Yes No. Information/Checklist confirmation /rates, wherever possible) with source of / No information data 1.18 New road, rail, air waterborne or other No -- transport infrastructure including new or altered routes and stations, ports, airports etc? 1.19 Closure or diversion of existing transport No -- routes or infrastructure leading to changes in traffic Movements?

1.20 New or diverted transmission lines or No -- pipelines? 1.21 Impoundment, damming, culverting, No -- realignment or other change to the hydrology of watercourses or aquifers? 1.22 Stream crossings? No -- 1.23 Abstraction or transfers of water from No -- ground or surface waters? 1.24 Changes in water bodies or the land Yes By considering the runoff prior to development surface affecting drainage or run-off? and runoff after development there is some increment in runoff of storm water. Incremental Runoff = 0.13 m3/sec 1.25 Transport of personnel or materials for Yes Transport of construction materials. construction, operation or Precautions shall be taken to reduce the impact decommissioning? of the vehicular movement by trying to avoid the vehicular trips during peak 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 in either Yes There will be influx of ~2786 Persons (including temporarily or permanently? floating population) 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): No. Information/checklist Yes / Details thereof (with approximate quantities /rates, confirmation No wherever possible) with source of information data 2.1 Land especially undeveloped or No The land is in developed infrastructure area. agricultural land (ha) NA order is attached as Enclosure-3.

2.2 Water (expected source & Yes During Construction Phase – competing users) unit : KLD For Workers : From T.M.C.: 12 KLD For Construction: From Water tankers: 10 - 20 KLD (Depending upon the activity)

During Operational Phase – Fresh water from T.M.C.: 244 KLD (Domestic)

4 Form 1- “Kavya Grandeur” Borivade, Thane No. Information/checklist Yes / Details thereof (with approximate quantities /rates, confirmation No wherever possible) with source of information data 2.3 Minerals (MT) No -- 2.4 Construction material – stone, Yes Quantity : As per requirement aggregates, and / soil (expected Stone aggregates demand will be met from the clay/soil source – MT) generated after excavation and from open market Sources: The material required for construction activities shall be procured from company’s authorized / approved vendors only. The vendor’s performance will be monitored periodically. In case of urgency or non- availability of materials from authorized/approved vendors, it will be procured from the open market. 2.5 Forests and timber (source – Yes Timber required for doors sourced from local suppliers. MT) 2.6 Energy including electricity and Yes During Construction Phase - fuels (source, competing users) Maharashtra State Electricity Distribution Co. Ltd. Unit: fuel (MT), energy (MW) (MSEDCL) : 100 KW D.G. Sets: As per requirement During Operational Phase – Source: MSEDCL Connected load 8126 KW Maximum demand 1626 KW 1 DG set of capacity 400 D.G sets (For emergency • kVA backup during power failure) • 1 DG set of capacity 500

kVA 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. No. Information/Checklist confirmation Yes / Details thereof (with approximate No quantities/rates, wherever possible) with source of information data 3.1 Use of substances or materials, which No -- are hazardous (as per MSIHC rules) to human health or the environment (flora, fauna, and water supplies) 3.2 Changes in occurrence of disease or No -- affect disease vectors (e.g. insect or water borne diseases) 3.3 Affect the welfare of people e.g. by No -- changing living conditions? 3.4 Vulnerable groups of people who could No -- be affected by the project e.g. hospital patients, children, the elderly etc., 3.5 Any other causes No --

5 Form 1- “Kavya Grandeur” Borivade, Thane 4. Production of solid wastes during construction or operation or decommissioning (MT/month): Details thereof (with approximate quantities / Yes / No. Information/Checklist confirmation rates, wherever possible) with source of No information data 4.1 Spoil, overburden or mine wastes No -- 4.2 Municipal waste (domestic and or Yes The total quantity of solid waste: 1229 Kg /day. commercial wastes) (Biodegradable and Non biodegradable) 4.3 Hazardous wastes (as per Hazardous Yes Waste oil generated from D.G. shall be stored at waste Management Rules) separate location duly marked and will be sold to the authorized recyclers. 4.4 Other industrial process wastes No -- 4.5 Surplus product No -- 4.6 Sewage sludge or other sludge from Yes Dried sludge from STP will be used as manure. effluent treatment. 4.7 Construction or demolition wastes. Yes Construction waste partly shall be reused and partly shall be disposed to authorized landfill site. 4.8 Redundant machinery or equipment. No -- 4.9 Contaminated soils or other materials. No -- 4.10 Agriculture wastes. No -- 4.11 Other solid wastes. Yes E – Waste - App. Quantity for the commercial area (59 kg/ annum): To authorized recyclers.

5. Release of pollutants or any hazardous, toxic or noxious substances to air (Kg/hr) : No. Information/Checklist confirmation Yes / Details thereof (with approximate No quantities/rates, wherever possible) with source of information data 5.1 Emissions from combustion of fossil Yes CPCB approved D.G. Sets will be used during fuels from stationary or mobile sources power failure. 5.2 Emissions from production processes No -- 5.3 Emissions from materials handling Yes Fugitive dust emission due to handling and including storage or transport loading-unloading activities is envisaged during construction. Frequent water sprinkling will be done to minimise the fugitive emissions. 5.4 Emissions from construction activities Yes / The project may cause rise in dust levels during including plant and equipment Marginal construction phase. Precautions would be taken to reduce dust generation: • Water sprinkling at regular intervals to reduce control of dust generation 5.5 Dust or odours from handling of Yes Dust generation controlled as described above. materials including construction For odour control: Proper ventilation shall be materials, sewage and waste provided around STP and Solid Waste Management facilities 5.6 Emissions from incineration of waste No -- 5.7 Emissions from burning of waste in No -- open air (e.g. slash materials, construction debris) 5.8 Emissions from any other sources No --

6 Form 1- “Kavya Grandeur” Borivade, Thane 6. Generation of Noise and Vibration, and Emissions of Light and Heat: No. Information/Checklist confirmation Yes / No Details thereof (with approximate quantities/rates, wherever possible) with source of information data 6.1 From operation of equipment e.g. Yes but For control of noise following measures shall be engines, ventilation plant, crushers. negligible adopted: • Properly maintained equipment with mufflers will be used. • High noise generating construction activities would be carried out only during day time. • Workers working near high noise construction machinery would be supplied with ear muffs/ear plugs. 6.2 From industrial or similar processes. No -- 6.3 From construction or demolition. Yes Noise levels may increase due to operation of machinery as well as transportation vehicles. This may cause nuisance to the nearby area. Following precautions shall be taken to control noise pollution: • High noise generating construction activities would be carried out only during day time • Installation, use and maintenance of mufflers on equipment • Workers working near high noise construction machinery would be supplied with ear muffs/ear plugs. • Provision of barricades along the periphery of the site • Plantation of trees • Acoustic enclosure for DG sets 6.4 From blasting or piling. No -- 6.5 From construction or operational Yes During Construction phase: traffic. Transport of materials for construction work. Precautions will be taken to reduce the impact of the vehicular movement such as vehicular trips will not be at peak traffic hours.

Operation Phase : The vehicular parking will be restricted only in the adequate parking area provided, which would help in reducing noise pollution due to traffic congestion Tree plantation will also help to reduce the noise level and also will enhance air quality. 6.6 From lighting or cooling systems. No -- 6.7 From any other sources. No --

7 Form 1- “Kavya Grandeur” Borivade, Thane 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 : No. Information/Checklist confirmation Yes / Details thereof (with approximate No quantities/rates, wherever possible) with source of information data 7.1 From handling, storage, use or spillage No -- of hazardous materials. 7.2 From discharge of sewage or other No The treated sewage will be reused for flushing and effluents to water or the land (expected gardening within the premises. Excess treated mode and place of discharge). sewage will be disposed to proposed sewer line 7.3 By deposition of pollutants emitted to No Dust will be generated during construction phase air into the land or into water. from earthworks and movement of vehicles. Appropriate fugitive dust control measures, including watering, water sprinkling of exposed areas and dust covers for trucks, will be provided to minimize any impacts. DG exhaust will be discharged at stipulated height by providing adequate stack height to the DG sets. 7.4 From any other sources. No -- 7.5 Is there a risk of long term build up of No -- 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 : No. Information/Checklist confirmation Yes / Details thereof (with approximate quantities/rates, No wherever possible) with source of information data 8.1 From explosions, spillages, fires etc No -- from storage, handling, use or production of hazardous substances 8.2 From any other causes. No -- 8.3 Could the project be affected by -- Landslides are not expected in the area. natural disasters causing Management plan for flood and earthquake is as environmental damage (e.g. floods, follows : earthquakes, landslides, and Flood : cloudburst)? • Minimizing the incremental runoff from the site with the help of rain water harvesting tank (total capacity 135 KL) • Proper management of channelization of storm water from site by using proper internal SWD system and discharge points of adequate capacity • Use of screens and silt traps to SWD • Proper maintenance of storm water drainage to avoid choking of drains and flooding on site • Ensure discharge of storm water from the site is clear of sediment and pollution Earthquake : The structure of the building is designed as per IS codes for zone III. Disaster Management Plan is attached as Enclosure- 4

8 Form 1- “Kavya Grandeur” Borivade, Thane 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: No. Information/Checklist confirmation Yes / Details thereof (with approximate No 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 have impact on the environment e.g.: •Supporting infrastructure (roads, power No Supporting infrastructure is already in existence. supply, waste or waste water treatment, etc.) • housing development Yes Residential Development with Shops and • extractive industries Offices • supply industries • other

9.2 Lead to after-use of the site, which could No -- have an impact on the environment 9.3 Set a precedent for later developments Yes Will create job opportunity in construction and operation phase with support staff like security, maintenance, household workers, shop keepers etc. 9.4 Have cumulative effects due to proximity Yes Impacts on water availability, storm water to other existing or planned projects with drainage, availability of electricity, traffic similar effects congestion etc.

(III) Environmental Sensitivity No. Areas Name/ Aerial distance (within 15 Identity km.) from Proposed project location boundary 1 Areas protected under Sanjay Gandhi National Park Approx. 1.00 km international conventions, Tungareshwar Wildlife Approx. 6.00 km national or local legislation for Sanctuary their ecological, landscape, cultural or other related value 2 Areas which are important or Creek Approx. 4.00 km sensitive for ecological reasons - Thane Creek Approx. 7.00 km Wetlands, watercourses or other Ulhas River Approx. 3.00 km water bodies, coastal zone, Tulsi Lake Approx. 9.00 km biospheres, mountains, forests Vihar Lake Approx. 12.00 km Yeoor Lake Approx. 5.00 km Upvan Lake Approx. 5.00 km Rewale Lake Approx. 6.00 km Ambe Ghosale Lake Approx. 7.00 km Bramhala Lake Approx. 7.00 km Siddheshwar Lake Approx. 7.00 km Makhamali Lake Approx.7.00 km Jail Lake Approx. 7.00km Kachrali Lake Approx. 8.00 km Masunda Lake Approx. 8.00 km

9 Form 1- “Kavya Grandeur” Borivade, Thane No. Areas Name/ Aerial distance (within 15 Identity km.) from Proposed project location boundary Raila Devi Lake Approx. 8.00 km Hariyali Lake Approx. 9.00 km Varaladevi Lake Approx. 10.00 km Digha Lake Approx. 10.00 km Mogliche Lake Approx. 11.00 km Kausa Lake Approx. 13.00 km Khardi gaon Lake Approx. 14.00 km 3 Areas used by protected, Sanjay Gandhi National Park Approx. 1.00 km important or sensitive species of Tungareshwar Wildlife Approx. 6.00 km flora or fauna for breeding, Sanctuary nesting, foraging, resting, over wintering, migration 4 Inland, coastal, marine or Vasai Creek Approx. 4.00 km underground waters Thane Creek Approx. 7.00 km Ulhas River Approx. 3.00 km Tulsi Lake Approx. 9.00 km Vihar Lake Approx. 12.00 km Yeoor Lake Approx. 5.00 km Upvan Lake Approx. 5.00 km Rewale Lake Approx. 6.00 km Ambe Ghosale Lake Approx. 7.00 km Bramhala Lake Approx. 7.00 km Siddheshwar Lake Approx. 7.00 km Makhamali Lake Approx.7.00 km Jail Lake Approx. 7.00km Kachrali Lake Approx. 8.00 km Masunda Lake Approx. 8.00 km Raila Devi Lake Approx. 8.00 km Hariyali Lake Approx. 9.00 km Varaladevi Lake Approx. 10.00 km Digha Lake Approx. 10.00 km Mogliche Lake Approx. 11.00 km Kausa Lake Approx. 13.00 km Khardi gaon Lake Approx. 14.00 km 5 State, National boundaries None --- 6 Routes or facilities used by the Ghodbandar Road Within : 1.00 km public for access to recreation or other tourist, pilgrim areas 7 Defence installations No -- 8 Densely populated or built-up Thane district -- area 9 Areas occupied by sensitive man- Thane district -- made land uses (hospitals, schools, places of worship, community facilities) 10 Areas containing important, high No -- quality or scarce resources (Ground water resources, surface resources, forestry, agriculture, fisheries, tourism, minerals)

10 Form 1- “Kavya Grandeur” Borivade, Thane No. Areas Name/ Aerial distance (within 15 Identity km.) from Proposed project location boundary 11 Areas already subjected to No -- pollution or environmental damage. (those where existing legal environmental standards are exceeded) 12 Areas susceptible to natural No -- hazard which could cause the project to present environmental problems (Earthquakes, subsidence, landslides, erosion, flooding or extreme or adverse climatic conditions)

(IV) Proposed Terms of Reference for EIA studies: Not applicable

11 Form 1- “Kavya Grandeur” Borivade, Thane “I hereby give undertaking that the data and information given in the application and enclosures are true to the best of my knowledge and belief and I am aware that if any part of the data and information submitted is found to be false or misleading at any stage, the project will be rejected and clearance given, if any to the project will be revoked at our risk and cost.”

Date: 20.04.2017

Place: Mumbai

Signature of the applicant

With Name and Full Address

(Project proponent/s Authorized Signatory)