APPENDIX I (See Paragraph­6) FORM 1 Note : If space provided against any parameter is inadequate,Kindly upload supporting document under 'Additional Attachments if any' at the last part of the Form1. Please note that all such Annexures must be part of single pdf document. (I) Basic Information S.No. Item Details Whether it is a violation case and application is being submitted under Notification No. No S.O.804(E) dated 14.03.2017 ? Name of the Project/s Starlight Energy Pvt. Ltd. Brief summary of project Annexure­Brief summary of project 1. Proposal Number IA/OR/IND/24323/2014 Project Cost (in lacs) 11250 2. S. No. in the schedule 5(g) Distilleries Project Sector Industrial Projects ­ 1 Proposed capacity/area/length/tonnage to 2 x 45 KLPD capacity grain based distillery unit having 2 x 3. be handled/command area/lease 3.0 MW cogeneration power plant alongwith around 2 x 8000 area/number or wells to be drilled cases/day of IMFL/IMIL bottling unit ha. 4. New/Expansion/Modernization New 5. Existing Capacity/Area etc. a ha. 6. Category of project i.e. 'A' or 'B' A Does it attract the general condition? If yes, 7. No please specify 8. Does it attract the specific condition? If yes, No please specify 9. Village Goud Sargiguda, Taluka Junagarh, Dist Kalahandi, Location of the project Odisha Shape of the project land Block (Polygon) Uploaded GPS file Annexure­GPS file Uploaded copy of survey of India Toposheet Annexure­Survey of india toposheet 244, 249 to 251, 253 to 262, 295 to 298, 300 to 3024, Plot/Survey/Khasra No. 314, 317, 319, 322, 327,331, 334, 337, 339, 340 Town / Village Village Goud Sargiguda State of the project Orissa Details of State of the project S.no State Name District Name Tehsil Name NIL Nearest railway station along with distance Junagarh, 9 km 10. in kms Nearest airport along with distance in kms Raipur, 280 km 11. Nearest Town/City/District Headquarters Junagarh , 7 km along with distance in kms Village Panchayats, Zila Parishad, Muncipal 12. Corporation, Local body (Complete postal address with telephone nos. to be given) 13. Name of the Applicant Sunil Choudhary Village Goud Sargiguda, Taluka Junagarh, Dist Kalahandi, 14. Registered Address Odisha Address for correspondance: Name of the Company Starlight Energy Pvt. Ltd. Name of the Applicant Sunil Choudhary Designation (Owner/ Partner/ CEO) Director Pin code 769001 15. E­mail [email protected] Telephone No. 0661­2600525 Fax No. 0661­2600528 Copy of documents in support of the competence/authority of the person making NIL this application to make application on behalf of the User Agency . 16. Details of Alternative Sites examined, if any. Location of these sites should be shown on No a toposheet 17. Whether part of Interlinked projects? No Whether separate application of Interlinked 18. N/A project has been submitted? 19. If Yes, MoEF file number N/A Date of submission N/A 20. If No, Reason N/A 21. Whether the proposal involves Approval/ Clearance under: if yes, details of the same and their status to be given (i) Whether the proposal involves approval/clearance under the Forest No (Conservation) Act,1980? (ii) Whether the proposal involves approval/clearance under the wildlife No (Protection) Act,1972? (iii) Whether the proposal involves approval/clearance under the C.R.Z No notification, 2011? 22. Whether there is any Government No Order/Policy relevent/relating to the site? 23. Whether any Forest Land Involved? Area of Forest land Involved (hectares) N/A 24. Whether there is any litigation pending against the project and/or land in which the No project is proposed to be set up? (a) Name of the Court N/A (b) Name of the Sub court N/A (c) Case No. N/A (d) Orders/directions of the court, if any and N/A relevance with the proposed project (II) Activity Construction, operation or decommissioning of the Project involving actions, which will cause 1 physical changes in the locality (topography, land use, changes in water bodies, etc.) S.No Details there of (with approximate Information/Checklist confirmation Yes/No quantities/rates, wherever possible) with source of information data Permanent or temporary change in land The company has purchased around 90 acres of land use, land cover or topography including 1.1 No from Govt. The land was earlier used for industrial increase in intensity of land use (with purposes. respect to local land use plan) Clearance of existing land, vegetation and 1.2 No No clearance of existing land, vegetation and buildings. buildings? 1.3 Creation of new land uses? No The land was earlier used for industrial purposes only. Pre­construction investigations e.g. bore No heavy construction activities needed, therefore bore 1.4 No houses, soil testing? houses or soil testing is not required. Construction of foundations (of shed and machinery), 1.5 Construction works? Yes sheds/buildings to house the plant and machinery. 1.6 Demolition works? No No demolition is needed. Temporary sites used for construction works Temporary sites for storage of construction material and 1.7 Yes or housing of construction workers? housing of workers would be constructed at site. Above ground buildings, structures or Construction of silos for the storage of grains, MS tanks 1.8 earthworks including linear structures,cut Yes for the storage of potable alcohol, foundations for boiler and fill or excavations and fill or excavations etc. Buildings for the bottling plant and office etc. Underground works including mining or 1.9 No No underground works would be there. tunneling? 1.10 Reclamation works? No No reclamation is involved. 1.11 Dredging? No No dredging is involved. 1.12 Offshore structures? No No offshore structures are needed. 1.13 Production and manufacturing processes? Yes Refer pre­feasibility project report attached. The industry would develop environmentally sound 1.14 Facilities for storage of goods or materials? Yes storage space for raw materials as wells as finished goods. The solid wastes generated in the form of wet cake Facilities for treatment or disposal of solid during grain based operation would be sold for cattle 1.15 Yes waste or liquid effluents? feed manufacturing. The ash generated @ 30 MT/day would be used for making of flyash bricks. Facilities for long term housing of There would not be any long term housing of 1.16 No operational workers? operational workers. New road, rail or sea traffic during No new road, rail or sea traffic required during 1.17 No construction or operation? construction or operation. New road, rail, air water borne or other No new road, rail, air waterborne or other transport transport infrastructure including new or 1.18 No infrastructure including new or altered routes and altered routes and stations, ports, airports stations, ports, airports, etc., required etc? Closure or diversion of existing transport No need for closure or diversion of existing transport 1.19 routes or infrastructure leading to changes No routes or infrastructure leading to changes in traffic in traffic movements? movements. 1.20 New or diverted transmission lines or No No new transmission line required. pipelines? Impoundment, damming, culverting, No need of any impoundment, damming, culverting, 1.21 realignment or other changes to the No realignment or other changes to the hydrology of hydrology of watercourses or aquifers? watercourses or aquifers 1.22 Stream crossings? No No stream crossing at/near the site. Abstraction or transfers of water from River water and ground water would be used @ around 1.23 Yes ground or surface waters? 1500 KL/day for industrial use. Changes in water bodies or the land surface No changes in water bodies or the land surface 1.24 No affecting drainage or run­off? affecting drainage or run­off. Limited manpower (max. 100 persons) would be Transport of personnel or materials for required from local level for the construction work. 1.25 construction, operation or Yes During operation of the industry local labour (maximum decommissioning? 200 persons) would be employed No decommissioning required. Long­term dismantling or decommissioning There is no long­term dismantling or decommissioning 1.26 No or restoration works? or restoration works Ongoing activity during decommissioning There is no ongoing activity during decommissioning 1.27 which could have an impact on the No which could have an impact on the environment environment? Influx of people to an area in either No influx of people to an area in either temporarily or 1.28 No temporarily or permanently? permanently There are no alien species in and around the industrial 1.29 Introduction of alien species? No unit There would not be any loss of native species or genetic 1.30 Loss of native species or genetic diversity? No diversity 1.31 Any other actions? No Use of Natural resources for construction or operation of the Project (such as land, water, 2 materials or energy, especially any resources which are non­renewable or in short supply): S.No Details thereof (with approximate Information/Checklist confirmation Yes/No quantities/rates, wherever possible) with source of information data Land especially undeveloped or agricultural 2.1 No The land was earlier used for industrial purposes. land (ha) The total quantity of water consumption for industrial Water (expected source & competing users) 2.2 Yes use will be about 1500 KL per day. River water and unit: KLD ground water would be used for the purpose. 2.3 Minerals (MT) No No natural minerals required/to be used. Construction material in the form of brick, aggregates, Construction material – stone, aggregates, 2.4 Yes sand/soil is only required for the construction of the sand / soil (expected source – MT) industrial unit.