Equipment / Facility Configuration Configuration after expansion any

c. Details of earlier Prior Environmental Clearance: Date of issue of Prior Environmental Clearance; Ministry/
SEIAA/DEIAA File Number; Copy of earlier Prior EC(s), amendments, if any; etc. [Details of all the prior-ECs
in case of multiple prior EC have obtained; details of amendments in prior EC, if any]
10 Raw Material / Fuel Requirement:
Raw Material / Quantity Unit Source (incase Mode of Distance of Source Type of Linkage
Fuel per Annum of Import, Transport from Project Site (in (Linkage / Fuel
please specify Kilo meters) Supply
country and (In case of import, Agreement / e-
Name of the distance from the auction / MoU /
port from port from which the LOA / Captive /
which Raw raw material / fuel Open market /
Material / Fuel is received Others)
is received)

In case of expansion proposals, total requirement of raw material / fuel shall be given
- Unit:- (Tons per Annum(TPA), Mega Watt(MW), Hectares(ha), Kilo Liters per Day(KLD), Tons Crushed per
Day(TCD), Cubic Meter per Day, Kilometers(Km), Million Liters per Day(MLD), Others)
- Mode of Transport/Transmission of Product (Road, Rail, Conveyor Belt, Pipe Conveyor, Arial Ropeway,
combination of two or three modes, Others)
11 Power Requirement: Quantity (Kilo Volt Amps (KVA)); Source; Standby Arrangement (Details of DG Sets); Stack
Height (in m); ETC.
12 Land requirement for the project
a. Land Ownership Pattern (Prior to the project proposal) in Ha[Forest land; Private land; Government Land;
Revenue land; Other Land; Total Land]
b Present Land Use breakup in Ha[Agriculture Area; Waste/Barren Area; Grazing/ Community Area; Surface
Water bodies; Settlements; Industrial; Forest; Mangroves; Marine area; Others (Specify); and Total]
13 Total cost of the project at current price level (in Lakhs)
14 Whether project attracts the General Condition specified in the Schedule of EIA Notification :
(Yes/No)? If yes, provide details (name and distance from the project)
a. Protected Area :
b. Critically Polluted Area :
c. Eco-Sensitive Area :
d. Inter-State/UT Boundaries and International Boundaries :
e. Severely Polluted Area :
f. Eco-sensitive Zone :
15 Whether the proposal involves approval/ clearance under any of the following:
If yes, provide the details and their status
a The Forest (Conservation) Act, 1980? (Yes/No)
b The Wildlife (Protection) Act, 1972? (Yes/No)
c The CRZ. Notification 2019? (Yes/No) If yes, along with CRZ Classification: (CRZ I (A),
CRZ I(B), CRZ II, CRZ III, CRZ IV (A), CRZ IV(B))
d The ICRZ. Notification 2019? (Yes/No) If yes, along with ICRZ Classification
16 Whether Rehabilitation and Resettlement (R&R) is involved (Yes/No)?
17 Ecological and Environmental Sensitivity (Within 10 Km):
a. Details of Ecological Sensitivity
Details of Ecological Name Distance from the Remarks
Sensitivity Project (Km)

- Details of Ecological Sensitivity: - (Critically Polluted Area, Severely Polluted Area, Protected
area, Eco Sensitive Zones, Wildlife corridors, etc.)
b. Whether National Board for Wildlife recommendation is required (Yes/No)?
c. Details of Environmental Sensitivity
i Details of Environmental Sensitivity Name / Aerial Remarks

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