APPENDIX I
(See Paragraph-6)
CRZ Report Form
Note : If space provided against any parameter is inadequate,Kindly upload supporting document under 'Additional Attachments if any'  at the last part of the CRZ Application form. Please note that all such Annexures must be part of single pdf document.
(I)Basic Informations
S.No.Item Details
1.Name of the Project DANDI LEISURE & ENTERTAINMENT WORLD
2.Project Sector Only CRZ
3.Location of the project Block No. 610, 612, 620, 630, 632, 634, 644, 649, 652, 655, 657 – A, 657 – B, 664 to 666, 668, 670, 672, 674 to 687, 690, 691, 692, 696, 697, Vill: Dandi, Tehsil: Jalalpore, Dist: Navsari, Gujarat
4.
Shape of the project landBlock (Polygon)
Uploaded GPS fileAnnexure-GPS file
Uploaded copy of survey of India ToposheetAnnexure-Survey of india toposheet
5.Brief summary of projectAnnexure-Brief summary of project
6.State of the projectGujarat
Details of State of the project
S.no State Name District Name Tehsil Name
(1.)GujaratNavsariJalalpore
7.Town / VillageDandi village
8.Plot/Survey/Khasra No.Block No. 610, 612, 620, 630, 632, 634, 644, 649, 652, 655, 657 – A, 657 – B, 664 to 666, 668, 670, 672, 674 to 687, 690, 691, 692, 696, 697,
9.Project/activity as per CRZ notification 2011.
10. Proposed capacity/area/length/tonnage to be handled/command area/lease area/number or wells to be drilled 27045.73 m2 ha.
11.Category of Project.Only CRZ
12.CRZ Classification of the area.CRZ-III
13.
New/Expansion/ModernizationNew
14.Building Structure Area.NIL
15.Is there any litigation pending against the project?No
16. Nearest railway station along with distance in kms. navsari, 14.10 km
17. Nearest airport along with distance in kms surat, 28.50 km
18. Nearest Town/City/District Headquarters along with distance in kms Navsari , 14.50 km
19.
Details of alternative sites examined shown on a toposheetYes
Uploaded detailsAnnexure-Uploaded details
20.
Whether part of interlinked projects?Yes
Whether separate application of interlinked project has been submitted?Yes
MoEF file numberSIA/GJ/138512/2015
Date of submission20/11/2015
21.
Whether the proposal involves approval/clearance under the Forest (Conservation)Act,1980?No
22.
Whether the proposal involves approval/clearance under the wildlife (Protection)Act,1972?No
23.Whether the proposal involves approval/clearance under the C.R.Z notification,2011?Yes
24.
Whether there is any Government Order/Policy relevent/relating to the site?Yes
Uploaded Order/PolicyAnnexure-Uploaded order/policy
25.
Whether there is any litigation pending against the project and/or land in which the project is proposed to be set up?No
26. Project Cost(in lacs) 48593
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.)
S.No Information/Checklist confirmation Yes/No Details there of (with approximate quantities/rates, wherever possible) with source of information data
1.1 Permanent or temporary change in land use, land cover or topography including increase in intensity of land use (with respect to local land use plan) No The proposed Dandi – The Leisure & Entertainment World shall be developed on open land. Contour map of the project site is attached as Figure no. 2.2.3 of EIA report. Project Location on Google map is attached as Figure no. 2.2.1 of EIA report
1.2 Clearance of existing land, vegetation and buildings? Yes Proposed project falls under CRZ – III area as per CRZ Notification, 2011.
1.3 Creation of new land uses? No No
1.4 Pre-construction investigations e.g. bore houses, soil testing? Yes Geo technical investigation has been carried out as a part of pre–construction civil activity.
1.5 Construction works? Yes Following are the construction works of the proposed project: 1. Entrance Gate & Ticket Counter 2. Mahatma Gandhiji Museum 3. Aquarium 4. Children day care centre 5. Swimming pool 6. Cafeteria 7. ADM building 8. Villas 9. Villa’s club house and swimming pool 10. Banquet Halls 11. Studio apartment 12. Parking 13. Service Staff 14. Canteen Layout Plan, Floor wise plan, Section and Elevation plan of proposed project are
1.6 Demolition works? No Not required
1.7 Temporary sites used for construction works or housing of construction workers? No No housing or hutment shall be provided as local people will be employed for construction work.
1.8 Above ground buildings, structures or earthworks including linear structures,cut and fill or excavations and fill or excavations Yes All the buildings are above ground level and their specific earthwork shall be required.
1.9 Underground works including mining or tunneling? No Not required
1.10 Reclamation works? No No reclamation work shall be carried out.
1.11 Dredging? No Not required
1.12 Offshore structures? No Not required
1.13 Production and manufacturing processes? No Not applicable as it is a construction project.
1.14 Facilities for storage of goods or materials? Yes Temporary storage of construction material like steel, cement, sand, stone aggregate bricks etc. at site during construction phase. During operation phase, store rooms shall be provided wherever required.
1.15 Facilities for treatment or disposal of solid waste or liquid effluents? Yes Construction phase: o Sewage will be treated in soak pit/septic system. o Excavated earth shall be used for back filling and greenbelt development. Construction debris shall be re-used for backfilling and internal road development. Municipal Solid Waste (MSW) shall be disposed off through Dandi Gram Panchayat municipal waste disposal system. Application for the collection of MSW is attached as Annexure – 9. Operation phase: o Sewage will be treated in Sewage Treatment Plant (STP).
1.16 Facilities for long term housing of operational workers? Yes Housing facility shall be arranged for the service staff workers outside CRZ area.
1.17 New road, rail or sea traffic during construction or operation? No The area is well developed with all infrastructure facilities like rail and road transport.
1.18 New road, rail, air water borne or other transport infrastructure including new or altered routes and stations, ports, airports etc? No The area is well developed with all infrastructure facilities like rail and road transport.
1.19 Closure or diversion of existing transport routes or infrastructure leading to changes in traffic movements? No Not required
1.20 New or diverted transmission lines or pipelines? No Not required
1.21 Impoundment, damming, culverting, realignment or other changes to the hydrology of watercourses or aquifers? No Not required
1.22 Stream crossings? No Not Applicable
1.23 Abstraction or transfers of water from ground or surface waters? Yes During construction and operation phase, surface water i.e. Sweet water lake located adjacent to the proposed project site shall be used for the proposed project. The Permission from Gram Panchayat for the use of lake water is attached as Annexure – 7 of EIA report.
1.24 Changes in water bodies or the land surface affecting drainage or run-off? No Not Applicable
1.25 Transport of personnel or materials for construction, operation or decommissioning? Yes During construction and operation phase transport of construction materials shall be done by means of road network.
1.26 Long-term dismantling or decommissioning or restoration works? No Not required
1.27 Ongoing activity during decommissioning which could have an impact on the environment? No Not required
1.28 Influx of people to an area in either temporarily or permanently? Yes During the construction phase, approx. 100 nos. of skilled and unskilled local construction workers shall be hired. During operation phase, approx. 450 nos. of local manpower shall be employed permanently. In addition to this, indirect employment will be generated through contracts and ancillary business.
1.29 Introduction of alien species? No Not applicable
1.30 Loss of native species or genetic diversity? No There will be no loss of native species.
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):
S.No Information/Checklist confirmation Yes/No Details thereof (with approximate quantities/rates, wherever possible) with source of information data
2.1 Land especially undeveloped or agricultural land (ha) No It is plain open land. Land document is attached as Annexure – 3 of the EIA report.
2.2 Water (expected source & competing users) unit: KLD Yes Construction Phase : o Source: Sweet Water Lake o Quantity: 10.00 KLD Operation Phase : o Source: Sweet Water Lake o Quantity: 1,240.00 KLD Details of Water Consumption and Wastewater Generation during construction and operation phase are mentioned in EIA report.
2.3 Minerals (MT) No Not required
2.4 Construction material – stone, aggregates, sand / soil (expected source – MT) Yes All the following construction materials will be procured locally at present market rates and transported by road. 1 Steel 103240 kg 2 Cement 14693 bags 3 Aggregate 34524 cft 4 Sand 80364 cft 5 Brick 490613 nos.
2.5 Forests and timber (source – MT) No Not required
2.6 Energy including electricity and fuels (source, competing users) Unit: fuel (MT),energy (MW) Yes During Construction phase: o Source: Dakshin Gujarat Vij Company Limited (DGVCL) o Capacity: 200 KVA o Back up: 1 no. of D. G. Set having 200 KVA capacity o Diesel for D. G. Set: 40 LPH During Operation Phase: o Source: DGVCL o Capacity: 4000 KVA o Back up: 1 no. of D. G. Set having 1500 KVA capacity and 1 no. of D. G. Set having 2500 KVA capacity. o Diesel for D. G. Set: 300 LPH for each D. G. Set will be used in case of power failure only.
2.7 Any other natural resources (use appropriate standard units) No Not required
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.No Information/Checklist confirmation Yes/No Details thereof (with approximate quantities/rates, wherever possible) with source of information data
3.1 Use of substances or materials, which are hazardous (as per MSIHC rules) to human health or the environment (flora, fauna, and water supplies No The proposed project is construction of Dandi – The Leisure & Entertainment World and does not use any materials which are hazardous (as per MSIHC rules) to human health or the environment.
3.2 Changes in occurrence of disease or affect disease vectors (e.g. insect or water borne diseases) No There shall be no chance of occurrence of diseases as the domestic waste generated shall be managed as per Municipal Solid Waste (Management and Handling) Rules, 2000.
3.3 Affect the welfare of people e.g. by changing living conditions? Yes Temporary employment opportunity will be generated. Community shall get well developed living atmosphere with recreational facility, which will enhance the socio-economic upliftment of the area. There will be general upliftment of the social structure of the surrounding area because of the development activities in various sectors related to the proposed project. PP will conduct various social upliftment programs as a part of CSR activities creating a positive effect on the local peop
3.4 Vulnerable groups of people who could be affected by the project e.g. hospital patients, children, the elderly etc. No Not Applicable
3.5 Any other causes No Not Applicable
4 Production of solid wastes during construction or operation or decommissioning (MT/month)
S.No Information/Checklist confirmation Yes/No Details thereof (with approximate quantities/rates, wherever possible) with source of information data
4.1 Spoil, overburden or mine wastes No Not Applicable
4.2 Municipal waste (domestic and or commercial wastes) Yes Details of municipal solid wastes to be generated, type & its disposal method during construction and operation phase of proposed project are mentioned in Conceptual Plan.
4.3 Hazardous wastes (as per Hazardous Waste Management Rules) No Not Applicable
4.4 Other industrial process wastes No Not Applicable
4.5 Surplus product No Not Applicable
4.6 Sewage sludge or other sludge from effluent treatment Yes Sludge from STP being organic in nature shall be used as manure within project site for greenbelt development.
4.7 Construction or demolition wastes Yes The construction waste shall consist of construction debris along with cement bags, steel scraps, packaging materials etc. Construction wastes and its utilization are mentioned in Conceptual Plan.
4.8 Redundant machinery or equipment No Not Applicable
4.9 Contaminated soils or other materials No Not Applicable
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)
S.No Information/Checklist confirmation Yes/No Details thereof (with approximate quantities/rates, wherever possible) with source of information data
5.1 Emissions from combustion of fossil fuels from stationary or mobile sources No Not Applicable
5.2 Emissions from production processes No Not Applicable
5.3 Emissions from materials handling including storage or transport Yes There shall be chances of dust generation during loading and unloading of construction material during construction phase. However, adequate control measures like water sprinkling, covered storage etc. shall be adopted to reduce the chances of dust emission.
5.4 Emissions from construction activities including plant and equipment Yes Fugitive emission shall be generated due to construction activities and vehicular emission which shall be mitigated by implementing adequate control measures like water sprinkling, covered storage area etc.
5.5 Dust or odours from handling of materials including construction materials, sewage and waste Yes Dust shall be generated due to unloading of construction material, which shall be controlled by sprinkling water in surrounding area.
5.6 Emissions from incineration of waste No Not applicable
5.7 Emissions from burning of waste in open air (e.g. slash materials, construction debris) No Burning of waste in open air shall not be allowed within premises.
5.8 Emissions from any other sources No No other emission sources
6 Generation of Noise and Vibration, and Emissions of Light and Heat:
S.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. engines, ventilation plant, crushers Yes Noise shall be generated from operation of construction machineries/equipment. It shall be restricted to the plant area only and shall comply with GPCB/CPCB norms.
6.2 From industrial or similar processes No Not Applicable
6.3 From construction or demolition Yes Noise shall be generated during construction and transportation activities but it shall be for short term & limited up to construction phase only. No demolition work is required and hence no noise shall be generated due to demolition.
6.4 From blasting or piling No Not Applicable
6.5 From construction or operational traffic Yes During construction phase, noise shall be generated due to vehicular movement which shall be within the prescribed norms. Noise barrier and dense greenbelt area shall be provided to mitigate noise generated due to operational traffic.
6.6 From lighting or cooling systems No Not envisaged
6.7 From any other sources No Not envisaged
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:
S.No Information/Checklist confirmation Yes/No Details thereof (with approximate quantities/rates, wherever possible) with source of information data
7.1 From handling, storage, use or spillage of hazardous materials No No hazardous materials and/or chemicals shall be used.
7.2 From discharge of sewage or other effluents to water or the land (expected mode and place of discharge) No During Construction phase, sewage shall be disposed off through soak pit/septic system. During Operational phase, treated sewage from STP shall be re-used for flushing and gardening purpose.
7.3 By deposition of pollutants emitted to air into the land or into water No Not Applicable
7.4 From any other sources No --
7.5 Is there a risk of long term build up of pollutants in the environment from these sources? No --
8 Risk of accidents during construction or operation of the Project, which could affect human health or the environment
S.No Information/Checklist confirmation Yes/No Details thereof (with approximate quantities/rates, wherever possible) with source of information data
8.1 From explosions, spillages, fires etc from storage, handling, use or production of hazardous substances No Hazardous substance shall not be used during construction phase as well as operation phase. The park will provide first aid box at site to take care of injuries.
8.2 From any other causes No --
8.3 Could the project be affected by natural disasters causing environmental damage (e.g. floods, earthquakes, landslides, cloudburst etc)? Yes Project area is categorized in the seismic zone – III, which is classified as having a moderate probability of earthquake shocks. The probability of flood is nil in the study region. The structure design shall be as per codes to negate the threat of flood, earthquake and other damages.
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.No Information/Checklist confirmation Yes/No Details thereof (with approximate quantities/rates, wherever possible) with source of information data
9.1 Lead to development of supporting.lities, ancillary development or 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
  • extractive industries
  • supply industries
  • Other
No This is a building construction project for the residential purpose. There is no cumulative impact on environment. Local people shall be employed which will have a positive impact towards social upliftment of the surrounding areas.
9.2 Lead to after-use of the site, which could have an impact on the environment No Not Applicable
9.3 Set a precedent for later developments No Not Applicable
9.4 Have cumulative effects due to proximity to other existing or planned projects with similar effects Yes There may be cumulative effects as there are chances of such other residential projects to be planned around the project area.
(III) Environmental Sensitivity
S.No Areas Name/Identity Aerial distance (within 15km.) Proposed project location boundary
1 Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
No --
2 Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Yes Arabian Sea - Within CRZ III area. Sweet Water Lake - Adjacent to the proposed project site. Dandi Lake @ 1.83 km in NNW direction. Purna River @ 6.80 km in NNW direction.
3 Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration No --
4 Inland, coastal, marine or underground waters No --
5 State, National boundaries No --
6 Routes or facilities used by the public for access to recreation or other tourist, pilgrim areas No --
7 Defence installations No --
8 Densely populated or built-up area Yes Dandi Village @ 1.90 km in N direction
9 Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship, community facilities) Yes Samarpan Ashram @ 1.25 km in SSE direction Mahatma Gandhi Institute Of Technical Education And Research Center @ 10.55 km in NE direction Navsari Agricultural University @ 12.50 km in NE direction
10 Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) No --
11 Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) No --
12 Areas susceptible to natural hazard which could cause the project to present environmental problems (earthquakes, subsidence, landslides, erosion, flooding or extreme or adverse climatic conditions) similar effects No All possible measures & precautions are considered and shall be implemented to overcome the issues of hazards due to any Natural Calamity.
Project Details in CRZ Area
1 Details of CRZ area
S.No Information/Checklist confirmation Yes/No Details thereof (with approximate quantities/rates, wherever possible) with source of information data
1.1 Project details in CRZ area in CRZ-I(A) No Not Applicable
1.2 Project details in CRZ area in CRZ-I(B) No Not Applicable
1.3 Project details in CRZ area in CRZ-II No Not Applicable
1.4 Project details in CRZ area in CRZ-III Yes Not Applicable
1.5 Project details in CRZ area in CRZ-IV No Not Applicable
1.6 Project details in CRZ area in CRZ-V No Not Applicable
1.7 Details of Shoreline Change Low Low erosion area
1.8 Whether the area is prone to cyclone, tsunami, tidal surge, subduction, earthquake etc.? No --
1.9 Whether the area is prone for saltwater ingress? No --
1 i.Uploaded CRZ Map: CRZ Map
2 ii.Uploaded Project Layout Map: Project Layout Map
(IV) PROPOSED TERMS OF REFERENCE FOR EIA STUDIES
1 Uploaded Terms of Reference(TOR) File Annexure-TOR file
2 Uploaded scanned copy of covering letter Annexure-scanned copy of covering letter
3 Uploaded Pre-Feasibility report(PFR) Annexure-PFR
4 Uploaded additional attachments(only single pdf file) Annexure-Additional attachments
(VI) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge
V.(i)
NameAshok
DesignationCEO
Company Hitarth Developers LLP.
AddressBlock No: 610, 612, 620, 630, 632, 634, 644, 649, 652, 655, 657-A, 657-B, 664 to 666, 668, 670, 672, 674 to 687, 691, 692, 696, 697, Vill: Dandi, Tal: Jalalpore, Dist: Navsari
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