Annexure-IV

Form-I for seeking clearance for project attracting CRZ notification

Basic Information:

Name of the Project :- “AYURVEDIC RESORT PROJECT”

( M/s RAJAH ISLANDS )

Location or site alternative under consideration: - Re-Survey No. 47 / 3 / 49, 54 / 1, 47 / 3 / 15, 47 / 3

/ 25 & 48 / 11 of Punnayur Village, Chavakkad,
Thrissur District, Kerala.

Size of the project ( in terms of total area ):- 1,82,108.25 Sq. Mtr. ( 18.2186 Ha. ) ( Plot Area )
2,327.30 Sq. Mtr. ( Total Built-up Area )

CRZ classification of the area :- CRZ – III

Expected cost of the project: - Rs. 6.63 Crores

Contact Information:- Dr. Sreeraj ( C.E.O. )

Mobile No. : 09447499080

M/s RAJAH ISLANDS

Rajah Manzil, Post Box No. 2,
Chavakkad, Trichur District, Kerala – 680 506

E-mail: [email protected]
e-mail: [email protected]

Tel. No. : 0487-2547594 Fax : 487-556822

( 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, and the like )

S. Information / Checklist confirmation Yes / Details thereof (with approximate quantities

No. No / rates, wherever possible) with source of
information data
1.1 Permanent or temporary change in No The activity is Ayurvedic Resort at
land use, land cover or topography Chavakkad and the area of Chavakkad is
including increase in intensity of land earmarked as Tourism Destination as per
use ( with respect to local land use Kerala Scheme of Tourism Department,
plan ) Govt. of Kerala vide G. O. (Rt) No.
1030/09/TSM dated 09/02/2009. The copy of
the said order from Govt. of Kerala is
attached.
1.2 Details of CRZ classification as per Yes The CRZ Status report for the project
the approved Coastal Zone prepared by Centre for Earth Science
Management Plan? Studies (CESS), Thiruvananthapuram,
Kerala and as per the report, the site
buildings falls within CRZ–III. The summary
and recommendations is provided below:

Project area is part of the Chettuwa-
 Veliyangod coastal stretch.

Beach close to the project area shows
accretion.

Mudbanks occur in certain locations
along this coast.

Constructions for the Ayurvedic resort
has been initiated.

HTL, LTD and CRZ mapping was done on
map of scale 1:5000

The HTL was demarcated by taking into
consideration the position of monsoon
berm crest and line of permanent
vegetation.

The CRZ categories are identified based
on the CZMP of the State, landuse and
landform.

The seasonal beach being an area
between the HTL and LTL is CRZ I (ii), No
ecosystem eligible to be categorized as
CRZ I (i) is present in the vicinity of the
development site.

As per CZMP of the State the project site
except those belonging to CRZ I is in CRZ
III.

Resort development is permissible in the
CRZ ( except in CRZ I ) outside the No
Development Zone.

The copy of the CESS report is attached.

1.3 Whether located in CRZ-I area? No The project site falls partially in CRZ – I (No
building construction within CRZ-I area) and
remaining in CRZ-III area.
1.4 The distance from the CRZ-I area. Yes The project site partially falls under CRZ-III
area and partially in CRZ – I area ( between
HTL & 200 Mtr. Line ).
1.5 Whether located within the hazard No As per DDMP, Kerala the project site lies in
zone as mapped by Ministry of following hazard zones:
Environment and Forests / National Wind / Cyclone = Medium risk zone
Disaster Management Authority? Earthquake = Low risk zone
Flood = Low risk zone
The DDMP map showing the above aspects
is attached with this report.
1.6 Whether the area is prone to cyclone, No As per DDMP, Kerala the project site is in
tsunami, tidal surge, subduction, Medium risk zone and the DDMP map is
earthquake etc.? attached with this report.
1.7 Whether the area is prone for Yes The salinity in dry season is high
saltwater ingress?
1.8 Clearance of existing land, vegetation Yes The project site has few coconut trees and
and buildings? for site development some of them were
cleared.
1.9 Creation of new land uses? No The project site confirms to the land use.
1.10 Pre-construction investigations e.g. Yes Pre construction soil investigation was
bore hole, soil testing? carried out and the ground water table is
found at 0.3 mtr. below ground level.
1.11 Construction Works? Yes Construction of Ayurvedic Resort project
1.12 Demolition Works? No No demolition works.
1.13 Temporary sites used for construction No All the construction activities including
 works, or housing of construction stalking building materials were confined
workers? within the project site only.
1.14 Above ground buildings, structures or Yes Earthwork for the foundation of structures
earthworks including linear structures, were carried out.
cut and fill or excavations
1.15 Underground works including mining No No underground works including mining or
or tunneling? tunneling were required.

1.16 Reclamation works? No No reclamation work was required.

1.17 Dredging / reclamation / land filling / No No dredging, reclamation, land filling
disposal of dredged material etc.? required.
1.18 Offshore structures? No No offshore structure required.
1.19 Production and manufacturing No No production / manufacturing process
processes? involved.
1.20 Facilities for storage of goods or Yes Separate raw material handling yard was
materials? made within the project premises.
1.21 Facilities for treatment or disposal of Yes Solid Waste:
solid waste or liquid effluents? The solid waste was generated (about 12 kg
/ day ) of domestic solid waste collected
through by providing adequate no. of
collection bins separately for Bio-
degradable and Non-biodegradable waste
within the premise. The Non-biodegradable
waste sold to the recyclers. The
biodegradable waste are sent for
composting.

Liquid Effluent:
The domestic sewage about 2 KL / Day
generated and treated through Sewage
Treatment Plant to be developed within the
project site.

1.22 Facilities for long term housing of No Operational Workers were hired locally.
operational workers?
1.23 New road, rail or sea traffic during No Not Applicable
construction or operation?
1.24 New road, rail, air waterborne or other No Not Applicable
transport infrastructure including new
or altered routes and stations, port
airport etc.?
1.25 Closure or diversion of existing No Not Applicable
transport routes or infrastructure
leading to changes in traffic
movements?
1.26 New or diverted transmission lines or No Not Applicable
pipelines?
1.27 Impoundment, damming, culverting, No No impoundment, damming, culverting,
realignment or other changes to the realignment or other changes to the
hydrology of watercourses or hydrology of water courses or aquifer.
aquifers?
1.28 Stream and river crossings? No Not Applicable
1.29 Abstraction or transfers of water from Yes Water from wells is used as standby source
ground or surface waters? of water.
1.30 Changes in water bodies or the land No Surface drainage not affected.
surface affecting drainage or run-off?
1.31 Transport of personnel or materials for Yes Transportation of personnel / material.
 construction, operation or
decommissioning?
1.32 Long-term dismantling or No Not Applicable
decommissioning or restoration works
?
1.33 Ongoing activity during No Not Applicable
decommissioning which could have an
impact on the environment?
1.34 Influx of people to an area in either No The project is an Ayurvedic Resort Project
temporarily or permanently? and the project provided some job facilities
in the operation phase and about 50 nos. of
local labourers (skilled / unskilled) were
engaged during construction phase.

1.35 Introduction of alien species? No Not Applicable

1.36 Loss of native species or genetic No Not Applicable

diversity?
1.37 Any other actions? None

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):

S. Information / checklist confirmation Yes / Details thereof ( with approximate

No. No quantities / rates, wherever possible ) with
source of information data

2.1 Land especially undeveloped or Yes Plot of 18.2186 Ha. for the Beach Resorts
agricultural land Project.
( ha )
2.2 Water (expected source & competing Yes The total water requirement is 2.26 KL / Day
users ) unit: KLD and sources of water for the project are: -
1. Roof Rain Water ( Rainy Days ).
2. Public Supply ( Non-rainy Days ).
3. Ground Water ( open well / bore well)
4. Treated Water from STP for flushing &
horticulture purposes.

2.3 Minerals ( MT ) No Not Applicable

2.4 Construction material – stone, Yes Steel : 50 MT
aggregates, sand / soil ( expected M-Sand: 1.000 Cu. Mtr.
source – MT ) Cement Blocks : 500 Cu. Mtr.
Cement : 600 Bags
It was procured from local market
2.5 Forests and timber ( source – MT ) Yes Wood used for frame of doors.
2.6 Energy including electricity and fuels Yes Power Req. = 100 kw
(source, competing users) Unit: fuel Power Source : State Electricity Board &
(MT), energy (MW) D.G. Sets 125 KVA X 2 Nos. ( Standby
arrangement )
Fuel – Low Sulphur HSD
2.7 Any other natural resources ( use No Not Applicable
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.

S. Information / Checklist confirmation Yes / Details thereof ( with approximate

No. No quantities / rates, wherever possible ) with
source of information data
3.1 Use of substances or materials, which Yes This is an Ayurvedic Resort Project and no
are hazardous (as per MSIHC rules) storage of hazardous chemicals. ( as per
to human health or the environment MSIHC Rules ) has done, apart from used
(flora, fauna, and water supplies) oil from D.G. Sets and suitable
arrangement are adopted for the same. It is
stored in HDPE drums and kept in covered
rooms under lock and key and sold to
CPCB approved vendors only.
3.2 Changes in occurrence of disease or No Suitable drainage and waste management
affect disease vectors ( e.g. insect or measures are adopted to restrict
water borne diseases ) stagnation of water or accumulation of
water. This is effectively restrict the
reproduction and growth of disease
vectors.
3.3 Affect the welfare of people e.g. by No No use, storage, treatment, handling or
changing living conditions? production is envisaged from the project.
3.4 Vulnerable groups of people who No Not Applicable
could be affected by the project e.g.
hospital patients, children, the elderly
etc.,
3.5 Any other causes, that would affect None
local communities, fisherfolk, their
livelihood, dwelling units of traditional
local communities etc

4. Production of solid wastes during construction or operation or decommissioning ( MT / Months )

S. Information / Checklist confirmation Yes / Details thereof ( with approximate

No. No quantities / rates, wherever possible ) with
source of information data
4.1 Spoil, overburden or mine wastes No No such spoil over burden or mine waste
generated.
4.2 Municipal waste ( domestic and or Yes Solid waste is generated and adequate
commercial wastes ) number of collection bins separately for
Bio-degradable and Non-biodegradable
waste provided as per the MSW Rules,
2000. The non-biodegradable and
recyclable waste sold to the recyclers. The
biodegradable waste sent to composting.
4.3 Hazardous wastes (as per Hazardous Yes Used Oil from the D.G. Sets sold to the
Waste Management Rules ) CPCB approved recyclers. Used oil stored
in HDPE drums in isolated covered facility.
4.4 Other industrial process wastes No Not Applicable
4.5 Surplus product No Not Applicable
4.6 Sewage sludge or other sludge from Yes Sludge from S.T.P. is generated and the
effluent treatment dried sludge is used as manure.
4.7 Construction or demolition wastes Yes Construction waste only.
4.8 Redundant machinery or equipment No Not Applicable
4.9 Contaminated soils or other materials No Not Applicable
4.10 Agricultural wastes Yes Some horticulture waste is generated.
4.11 Other solid wastes Yes Some horticulture waste is generated and it
is stored along with bio-degradable waste
and disposed in the bio-gas plant.

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

S. Information / Checklist confirmation Yes / Details thereof ( with approximate

No. No quantities / rates, wherever possible ) with
source of information data
5.1 Emissions from combustion of fossil Yes The operation of project does not envisage
fuels from stationary or mobile any major air pollutant generating sources
sources except D.G. Sets and vehicular movement.
5.2 Emissions from production processes No Not Applicable
5.3 Emissions from materials handling Yes This is restricted to the construction phase
including storage or transport and within the project site only.
5.4 Emissions from construction activities Yes This is restricted to the construction phase
including plant and equipment and within the project site only.

5.5 Dust or odours from handling of Yes The project is an Ayurvedic Resort Project
materials including construction and during construction phase dust was
materials, sewage and waste generated from the construction material.
Sprinklers were installed during
construction phase to minimize the dust
generation.

5.6 Emissions from incineration of waste No Not Applicable

5.7 Emissions from burning of waste in No Not Applicable
open air ( e.g. slash materials,
construction debris )
5.8 Emissions from any other sources No Not Applicable

6. Generation of Noise and Vibration, and Emissions of Light and Heat:

S. Information / Checklist confirmation Yes / Details thereof ( with approximate

No. No quantities / rates, wherever possible ) with
source of information data

6.1 From operation of equipment e.g. Yes During construction, the machinery used is
engines, ventilation plant, crushers of highest standard of reputed make
adhere to international standards. These
standards itself take care of noise pollution
control. Hence insignificant impacts due to
construction machinery are envisaged.
Apart from this, the construction activity
were restricted to day time only.
Noise created from operation of D.G. Sets
but all the D.G. Sets are acoustically
treated to restrict the noise within the
permissible limit.

6.2 From industrial or similar processes No Not Applicable

6.3 From Construction or demolition Yes Due to the various construction activities
there were short term noise impacts in the
immediate vicinity of the project site. The
construction activity were include the
following noise generation activities:
 Operation of D.G. Sets, concreting and
mixing. Excavation, jack hammer, etc.

6.4 From blasting or piling No No blasting or mechanized piling used in

the construction phase.

6.5 From construction or operational traffic Yes Some amount of noise were generated
from vehicular movement.
6.6 From lighting or cooling systems No No centralized cooling system.
6.7 From any other sources No Not Applicable

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

S. Information / Checklist confirmation Yes / Details thereof ( with approximate

No. No quantities / rates, wherever possible ) with
source of information data

7.1 From handling, storage, use or No Used Oil from the D.G. Sets stored in a
spillage of hazardous materials separate place and sold to CPCB approved
recyclers.

7.2 From discharge of sewage or other No Sewage is disposed off through Sewage
effluents to water or the land Treatment Plant developed within the
(expected mode and place of premises.
discharge)
7.3 By deposition of pollutants emitted to No Not Applicable
air into the land or into water
7.4 From any other sources No Not Applicable

7.5 Is there a risk of long term build up of No Not Applicable

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

S. Information / Checklist confirmation Yes / Details thereof ( with approximate

No. No quantities / rates, wherever possible ) with
source of information data
8.1 From explosions, spillages, fires etc No This is basically an Ayurvedic Resort
from storage, Project and does not involve major
handling, use or production of hazardous construction activity. Hence
hazardous substances chances of explosions, spillages, fires are
minimal.
During Construction all the labours were
provided with suitable personal protective
equipment ( PPE ) as required under the
health & safety norms. Training and
awareness about the safety norms was
provided to all supervisors and labours
involved in construction activity.

8.2 From any other causes No Not Applicable

8.3 Could the project be affected by No Not affected
natural disasters causing
 environmental damage (e.g., floods,
earthquakes, landslides, cloudburst
etc)?

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

S. Information / Checklist confirmation Yes / Details thereof ( with approximate

No. No quantities / rates, wherever possible ) with
source of information data

9.1 Lead to development of supporting Appropriate infrastructure like roads,

facilities, ancillary development or power supply, waste management and
development stimulated by the project waste water treatment are developed within
which could have impact on the the site so that chances of occurrence of
environment e.g.: any adverse impacts are minimized.

During construction skilled, unskilled and

Yes professional work force including
Supporting infrastructure (roads, temporary and permanent employees are
power supply, waste or waste water hired locally in order to generate the
treatment, etc.) employment to the local people. While
during the project operation stage for the
purposed of day-to-day maintenance
workers are employed.

housing development No Ayurvedic Resort Project

extractive industries No Not Applicable

supply industries No Not Applicable

other No Not Applicable

9.2 Lead to after-use of the site, which No Not Applicable
could have an impact on the
environment
9.3 Set a precedent for later No Not Applicable
developments
9.4 Have cumulative effects due to No Not Applicable
proximity to other existing or planned
projects with similar effects

III Environmental Sensitivity

S. Area Name / Aerial distance ( within 15 km. ) project

No. Identity location boundary
1. Areas protected under international No Not Applicable
conventions, national or local
legislation for their ecological,
landscape, cultural or other related
value
2. Areas which are important or sensitive Yes The project site is beside Lakshadweep
for ecological reasons - Wetlands, Sea.
watercourses or other water bodies,
coastal zone, biospheres, mountains,
 forests
3. Areas used by protected, important or None Not Applicable
sensitive species of flora or fauna for
breeding, nesting, foraging, resting,
over wintering, migration
4. Inland, coastal, marine or Yes The project site is beside Lakshadweep
underground waters Sea.
5. State, National boundaries None Not Applicable

6. Routes or facilities used by the public No Not Applicable

for access to recreation or other
tourist, pilgrim areas
7. Defence installations No Not Applicable

8. Densely populated or built-up area Yes Thrissur town is densely populated.

9. Areas occupied by sensitive man- Yes Several Hospitals, Schools, Temples and
made land uses (hospitals, schools, community centres areas are located near
places of worship, community the project site within 15 KM radius.
facilities)
10. Areas containing important, high No
quality or scarce resources (ground
water resources, surface resources,
forestry, agriculture, fisheries, tourism,
minerals)
11. Areas already subjected to pollution or No No critically polluted area is located
environmental damage. (those where within 15 KM radius.
existing legal environmental standards
are exceeded)
12. Areas susceptible to natural hazard No The area under study falls in Zone – III,
which could cause the project to accordingly to the Indian Standards
present environmental problems Seismic Zoning Map. Suitable seismic
(earthquakes, subsidence, landslides, coefficients in horizontal and vertical
erosion, flooding or extreme or directions respectively have to be
adverse climatic adopted while designing the structures.
conditions)

“I hereby give undertaking that the data and information given above 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 reworked at our risk and cost.”

Dr. Sreeraj (C.E.O.)

For M/s Rajah Islands