FORM 1

(I) Basic Information

Sr. No Item Details

1 Name of the Project Affordable Housing
2 S. number in schedule 8 (a)
Proposed capacity/ area/ length/
tonnage to be handled/command Total Plot Area – 5412.00 m2
3 2
area/lease area/number of well to Built-up Area – 28132.27 m
be drilled
4 New/expansion/modernization New
5 Existing capacity/area etc. --
6 Category of project i.e. “A” or “B” “B”
Does it attract the general
7 No
condition? If yes please specify
Does it attract the specific
8 No
condition? If yes please specify
Block No. – 14+79, F.P.No.-
Location 13+26(Draft),15+95(T.R.),Sub plot no.1, O.P.No.12+25,
T.P.S.No.-18(Mota-Varachha), Ta- Adajan, Dist - Surat.
Block No. – 14+79, F.P.No.-13+26(Draft),15+95(T.R.),
Plot/Survey/Khasra No Sub plot no.1, O.P.No.12+25,
9 T.P.S.No.-18(Mota-Varachha),
Village Surat
Tehsil Surat
District Surat
State Gujarat
Surat Railway Station is located 9.1 km
Nearest railway station/airport
10 and
along with distance in Kms.
Airport is located 18.9 km.
Nearest town, city, district
Project falls in Surat Municipal Corporation (SMC)
11 headquarter along with distance
in Kms.
Village Panchayat, Zila Parishad,
Municipal Corporation, local body
12 Project falls in Surat Municipal Corporation (SMC) Limit
(Complete postal address with
telephone nos. to be given)
13 Name of the applicant M/s. Nilkanth Enterprise

14 Registered address B-82, Saifee Society, L.H. Road, Surat-395006

15 Address for correspondence B-82, Saifee Society, L.H. Road, Surat-395006

Name Mr. Kamleshbhai Manbhai Kapuria
Designation Partner

Address B-82, Saifee Society, L.H. Road, Surat

Pin code 395006

E-mail [email protected]
Telephone 9824137785
Fax No -
Details of alternative sites
examined, if any. Location of Location of Site shown on Topo sheet is given in
16
these sites should be shown on a Annexure 1.
topo sheet
17 Interlinked Project No
 Whether separate application for
18 interlinked project has been No
submitted?
19 If yes date of submission -
20 If no, reason Individual project
Whether the proposal involves
approval/ clearance under: if yes,
details of the same and their
status to be given
21 No
The Forest (Conservation) Act,
1980
The Wildlife (Protection) Act, 1972
The CRZ Notification 1991
Whether there is any Government
22 order/policy relevant/ relating to No
site
23 Forest Land involved? No
Whether there is any litigation
pending against the project and /
or land in which the project is
propose to be set up
24 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 Yes Open land converted in permanent construction
land use, land cover or topography structure. (With respect to local land use plan).
including increase in intensity of
land use (with respect to local land The project will be developed as “M/s. Nilkanth
use plan) Enterprise” (Residential Flats - 224 Nos)
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 Flat
named “M/s. Nilkanth Enterprise” The development
will be in accordance with local development plan.
1.4 Pre-construction investigations e.g. Yes Soil Sample was collected from the site. Copy of the
bore houses, soil testing? same is enclose vide Annexure 2.
1.5 Construction works? Yes Total Built-up Area - 28132.27 m2

There will be construction of “M/s. Nilkanth

Enterprise” (Residential Flats - 224 Nos)
1.6 Demolition works? No Not Applicable
1.7 Temporary sites used for Yes About 30 construction workers & 10 Skilled workers
construction works or housing of including office staff will be working at the site.
construction workers?
The workers will be hired from local population. Hence
temporary housing is not required.
1.8 Above ground buildings, structures Yes There will be construction of
or earthworks including linear A to D Type Bldg. :- 2B + G.F + 14 Floor
structures, cut and fill or
excavations

1.9 Underground works including No Not Applicable

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  Operation Phase:
of solid waste or liquid effluents? Solid Wastes:
Solid waste generated in Project area will be mainly
of domestic nature. The solid waste generated will
be 0.60 MT/Day and it will be collected and disposed
into MSW Disposal Site develop by SMC.

Liquid Effluent: (Waste Water)

The Waste Water (Domestic) generated from the
Residential will be 114 KLD and 53 KLD treated will
be reused for toilet flushing and gardening.
Remaining 61 KLD will be disposed into
underground drained of SMC.
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?
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 KLD
will be met through the SMC.

 Operation Phase:
During operational phase fresh water requirement of
80 KLD will be met by SMC.
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 40 workers will be
temporarily or permanently? employed temporarily.

During the operational phase, there will be influx of

more than 1000 Nos. 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)
2.2 Water (expected source & Yes Water demand will be as follows:
competing users) unit: kld Construction phase
Maximum Quantity: (16 KLD)
Source: SMC

Operation phase
Maximum Quantity: (80 KLD)
Source: SMC
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:
S. Material Quantity
No.
1. Steel (MT) 1279.36
2. Cement (bags) 8017.14
3. Stone Aggregate (m3) 8424.49
4. Sand (MT) 1025.90
5. Bricks (m3) 509.93
6. Glass (m2) 2275.09
7. Fly Ash Based Products (m 3) 1484.54
8. A.C.C Block (m3) 1573.51
 Sr. Information/checklist Yes/ Details thereof (with approximate quantities /rates,
No. confirmation No wherever possible) with source of information data
2.5 Forests and timber (source – MT) No Not Applicable
2.6 Energy including electricity and Source: Dakshin Gujarat Vij Company Ltd. (DGVCL)
fuels (source, competing users) Yes Expected Demand : 1000 KW
Unit: fuel (MT), energy (MW)
Back-up Power:
D.G. Set: Total - 1 Nos. (125 KVA )
(D.G. set will be used In case of power failure or
emergency)
Fuel Used : Diesel
Fuel requirement: Total 12 Liter/Hr.

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.

Sr. Information/Checklist Yes/ Details thereof (with approximate quantities/rates,

No. confirmation No wherever possible) with source of information data
3.1 Use of substances or materials, No Not Applicable
which are hazardous (as per
MSIHC rules) to human health or
the environment (flora, fauna, and
water supplies)
3.2 Changes in occurrence of disease No Suitable drainage and waste management measures will
or affect disease vectors (e.g. be adopted in both construction and operational phase,
insect or water borne diseases) which will restrict stagnation of water or accumulation of
waste. This will effectively restrict the reproduction and
growth of disease vectors.
3.3 Affect the welfare of people e.g. by Yes During construction phase 40 workers will be
changing living conditions? employed temporarily.

During the operational phase, there will be influx of

more than 1000 Nos. people.
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 No Not Applicable
4. Production of solid wastes during construction or operation or decommissioning (MT/Month)

SR. Information/Checklist Yes/ Details thereof (with approximate quantities/ rates,

No. confirmation No wherever possible) with source of information data
4.1 Soil, overburden or mine wastes Yes Excavated surplus earth will be refilled at low lying
areas in the project premises and development of
greenbelt and remaining soil will be transport at our
own farm for the filling of lowest area.
4.2 Municipal waste (domestic and or Yes The municipal solid wastes generated during
commercial wastes) operation phase will consist of:
Organic waste Waste vegetables and foods

Inorganic waste Papers, cartons, Thermocol,

plastics, polythene bags,
Glass, etc.
Solid waste storage location will be incorporated in
the design itself.

Adequate number of collection bins, separately for

biodegradable and non-biodegradable waste will be
provided as per Municipal Solid Waste (Management
and Handling) Rule, 2000. Waste from such bins will
be collected separately on daily basis.

The Waste generated will be 0.60 MT/Day and it will

be collected and disposed into MSW Disposal Site
develop by SMC.
4.3 Hazardous wastes (as per Yes Hazardous waste i.e. used oil generated from D.G.
Hazardous Waste Management Sets only.
Rules)
The used oil will be carefully stored in HDPE drums
under isolated storage and periodically sold to
authorized recyclers. However, max-qty. will be
reused as lubricant in lift
4.4 Other industrial process wastes No Not Applicable
4.5 Surplus product No Not Applicable
4.6 Sewage sludge or other sludge No Not Applicable
from effluent treatment
4.7 Construction or demolition wastes Yes The construction waste will consist of construction
debris along with cement bags, Unusable steel scrap
(small cut-pieces of steel), insulating and packaging
materials etc.

Cement bags, waste paper and cardboard packing

material will be sold off to recyclers.

Unusable steel scrap (small cut-pieces of steel) will

also be collected at site and sold to recyclers.
4.8 Redundant machinery or No Not Applicable
equipment
4.9 Contaminated soils or other No Not Applicable
materials
4.10 Agricultural wastes No Not Applicable
4.11 Other solid wastes No Not Applicable
5. Release of pollutants or any hazardous, toxic or noxious substances to air (kg/hr)

Sr. Information/Checklist Yes/ Details thereof (with approximate quantities/rates,

No. confirmation No wherever possible) with source of information data
5.1 Emissions from combustion of Yes D.G. Set: Total - 1 Nos. (125 KVA)
fossil fuels from stationary or mobile
sources Diesel will be used in to D. G. Set.

(D.G. set will be used In case of power failure or

emergency )
5.2 Emissions from production No Not Applicable
processes
5.3 Emissions from materials handling Yes At the time of transportation, dust will be generated.
including storage or transport This will be restricted to the construction phase and to
the construction site only.
5.4 Emissions from construction Yes At the time of transportation & construction, dust will
activities including plant and be generated.
equipment
Manually Water sprinkling will be carried out to
minimize dust suppression.
5.5 Dust or odours from handling of Yes Construction Phase:
materials including construction Dust will be generated during construction activity.
materials, sewage and waste Hence Vertical Curtails & Water sprinkling will be
carried out to minimize dust suppression.
On site sanitation facilities (Septic Tank/Soak Pit) will
be provided during the construction phase.

The construction waste will consist Cement bags,

waste paper, cardboard packing material and
Unusable steel scrap (small cut-pieces of steel) will be
sold off to recyclers.

Temporary Solid waste storage will be provided at site

and recycle material will be sold to recyclers.

Operation Phase:
During the operational phase, sewage will be
disposed into underground drained of SMC.

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:

Sr. Information/Checklist Yes/ Details thereof (with approximate quantities/rates,

No. confirmation No wherever possible) with source of information data
6.1 From operation of equipment e.g. Yes During construction, the machinery used for
engines, ventilation plant, crushers construction will be of high standard of reputed make
and will adhere to International standards. These
standards itself take care of noise pollution control/
vibration control and air emission control. Hence,
insignificant impacts due to construction machinery
are envisaged.

Source of noise in the operational phase will be D.G.

Sets only. The D.G. Sets will be used in case of power
failure or in emergency. Hence, D. G. Set will be
provided with acoustic enclosures to maintain the
noise levels within limits.
6.2 From industrial or similar processes No Not Applicable
6.3 From construction or demolition Yes Due to various construction activities, there will be
short term noise impacts in the immediate vicinity of
the project site.
6.4 From blasting or piling No Not Applicable
6.5 From construction or operational Yes During construction noise will be generated due to
traffic construction activity but it will be for short term only.

During operation phase noise will be generated due to

traffic.

Moreover noise will be generated due to operation of

D.G. Set. incase of power failure or in emergency.
Hence, D.G. Set will be provided with acoustic
enclosures to maintain the noise levels within limits.
6.6 From lighting or cooling systems Yes LED Lighting shall be provided on internal roads,
Fences/Boundaries of the building
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, groundwater, coastal waters or the sea:

Sr. Information/Checklist Yes/ Details thereof (with approximate quantities/ rates,

No. confirmation No wherever possible) with source of information data
7.1 From handling, storage, use or Yes Hazardous waste i.e. used oil generated from Stand
spillage of hazardous materials By D.G. Sets only.

The used oil will be carefully stored in HDPE drums

under isolated storage and periodically sold to
authorized recyclers. However, max-qty. will be
reused as lubricant in lift.
7.2 From discharge of sewage or other Yes Sewage will be collected in Septic Tank / Sock Pit and
effluents to water or the land disposed into underground drained of SMC with prior
(expected mode and place of permission
discharge)
7.3 By deposition of pollutants emitted No Not Applicable
to 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 No Not Applicable
of 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

Sr. Information/Checklist Yes/ Details thereof (with approximate quantities/ rates,

No. confirmation No wherever possible) with source of information data
8.1 From explosions, spillages, fires etc Yes Portable Fire Extinguishers shall be provided at site
from storage, handling, use or during construction.
production of hazardous
substances Fire Extinguishers i.e. (D.C.P.), Hose Real, Wet Riser,
Yard Hydrant, Manually Operated Electric Fire Alarm
System will be install for the operational phase.
8.2 From any other causes Yes During the Construction phase possibility of accidents
may be fall from height, scaffolds, temporary stairs,
cutting and welding, electrical fitting etc

During the Operation phase possibility of accidents

may be electrical fire
8.3 Could the project be affected by No The Buildings Design for as per earthquake zone III.
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

Sr. Information/Checklist Yes/ Details thereof (with approximate quantities/ rates,

No. confirmation No wherever possible) with source of information data
9.1 Lead to development of supporting. Yes Supporting infrastructure will be developed like road, water
facilities, ancillary development or supply network, power etc.
development stimulated by the
project which could have impact on
the environment e.g.:
• Supporting infrastructure (roads,
power supply, waste or waste
water treatment, etc.)
• Housing development Yes Increase in demand for housing
• Extractive industries Yes Increase in demand in industrial facilities
• Supply industries Yes Increase in demand in supply industries
• Others Yes Increase in demand for commercial and recreational
facilities
9.2 Lead to after-use of the site, which Yes Negligible increase in traffic and there will be positive
could have an impact on the impact on socio- economic environment.
environment
9.3 Set a precedent for later Yes The project will lead to development of a residential
developments flats,
9.4 Have cumulative effects due to No Not Applicable
proximity to other existing or
planned projects with similar effects
 (III) Environmental Sensitivity

Sr. Name/ Aerial distance (within 15 km.) from Proposed

Areas
No. Identity project 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 Yes Tapi River is 308 m.
sensitive for ecological reasons -
Wetlands, watercourses or other
water bodies, coastal zone,
biospheres, mountains, forests
3 Areas used by protected, important No Not Applicable
or sensitive species of flora or
fauna for breeding, nesting,
foraging, resting, over wintering,
migration
4 Inland, coastal, marine or No Not Applicable
underground waters
5 State, National boundaries No Not Applicable
6 Routes or facilities used by the Yes Surat Railway Station is located 9.0 km
public for access to recreation or
other tourist, pilgrim areas Airport is located 18.9 km.
National Highway No. 8 is 12.3 km.

7 Defense installations No Not Applicable

8 Densely populated or built-up area No --
9 Areas occupied by sensitive man- Yes Hospital is located 1.0 km.
made land uses (hospitals,
schools, places of worship, School is located 1.2 km.
community facilities)

10 Areas containing important, high No Not Applicable

quality or scarce resources (ground
water resources, surface resources,
forestry, agriculture, fisheries,
tourism, minerals)
11 Areas already subjected to pollution No Not Applicable
or environmental damage. (those
where existing legal environmental
standards are exceeded)
12 Areas susceptible to natural hazard Yes The Buildings Design for as per earthquake zone III.
which could cause the project to
present environmental problems
(earthquakes, subsidence,
landslides, erosion, flooding or
extreme or adverse climatic
conditions)
“I hereby given undertake 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 project will be revoked at our risk and cost.”

Date: 08/10/2018

Place: Surat
Signature of the applicant
With name and full address

M/s. Nilkanth Enterprise

Block No. – 14+79,

F.P.No.-
13+26(Draft),15+95(T.R.),Sub
plot no.1, O.P.No.12+25,
T.P.S.No.-18(Mota-Varachha),
Ta- Adajan, Dist - Surat.
(IV). Proposed Terms of Reference for EIA studies

Not Applicable.