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 Chengalpattu Taluk District Kanchipuram State TamilRailway Nadu Station: 10. Nearest Railway Station/Airport along with Guduvanchery station- distance in kms. 4kmAirport : Chennai 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.