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TAMIL NADU FIRE AND RESCUE SERVICES

APPENDIX III
FORM OF APPLICATION FOR APPLYING LICENCE
(See section 13)

Street: Batlagundu - Madurai Road, Mallanampatti

1. Premises Number and name of building ENERJAY GREEN PVT LTD – Solar Power
: Plant
S.F.NO: 8/4, 8/1, 17/6, 17/5, 17/7, 17/8, 18/2,
18/1, 19/5, 19/4, 23/3, 22/2, 22/3, 22/8, 23/4A,
23/4B, 23/4C, 23/4D, 23/4E, 22/7A, 22/7B,
22/7C, 22/7D, 22/7E, 18/4, 6/2B, 19/3, 18/3,
8/3,2/3, 2/1, 2/2 at Mallanampatti Village &
S.F.NO: 40/3, 40/2, 40/1, 41/8, 43/3, 42/5, 42/3,
39/10, 42/1B, 44/7 at Sevugampatti Village
2. Occupants –
(a) Name of firm or company or business
factory ENERJAY GREEN PVT LTD

(b) Name of the proprietor/owner


Nil
(c) Name of contract

3. Description of –
(a) Nature of business, trade or process Solar Power Generation
(b) Commodities and quantities applied for 16 MW
(c) Position of storages in relation to number Office (Ground floor only)
of room floor area, etc.
(d) Commodities already licensed together CEIG – Temporary
with quantities (by Municipality, State or
Central Government) State Licence
number Nil
(e) Trade, business or commodities applied
for disapproved with reasons if any
Building –
Constructional features (Fire resistance of the
building in hours)
General Low fire Risk
Low fire risk – cement concrete or brick walled
Medium fire risk brick walled and timber framed
High fire risk mostly timber framed such as timber
floors, timber roof, timber staircase etc.
Particulars-
Number of storeys and basement if any Ground Floor Only
Walls Bricks with Cement
Doors PVC Door
Windows (barred, etc.) Steel and Glass
Verandahs or balconies Nil
Floors (Attics, Mezzanine floors, lofts, etc.) Tiles with Cement
Ceiling RCC
Roof (or Terrace) Terrace and GI Sheet
Number of staircases and position enclosed open Nil
Other occupations within immediate 20/all around
the proposed building- Vacant Land
(Shops, godowns, factories, workshops, hotels,
departmental stores, schools, hospitals, residences,
offices, etc.)
Observation –
(i) Width of road/street/lane 30 feet
(ii) Accessibility for Fire engines Yes
(iii)Nearest Fire Hydrant Nil
(iv) Bounded on (if open space, state width Road
and whether road, lane, by-lane or
sweeper’s lane.
(v) If structures, state shed building etc,
and proximity)
Vacant Land
North
Other Site
South
Vacant Land
East
Vacant Land
West
4. Nearest means of communication –
(a) Telephone +91-7305853009
(b) Street Fire Alarm Nil
(c) Fire Station Nilakkottai
(d) Police Chowki or Nilakkottai
Station/Telephone No.
5. Installed fire-fighting equipment, if any
Fire Extinguisher 6kg – 16Nos
(buckets and fire-extinguishers and their
Fire Bucket with Stand (4 bucket * 4 Stand)
types, First-aid, hose reel, private hydrants
and hose, sprinklers, pumps, etc.)
6. Fire detection –
(a) Fire-detecting and alarms system, if Nil
any
2 Nos (Day + Night)
(b) Watchman, if any
7. Water-supply, other sources, if any Sump (200000 Liters)
Lists, Static Tanks, Wells, Ponds, etc., Sintex Tank (1000 liters)
Storage tanks (Overhead, Surface or
underground) Bore well - 1

Certified that the above particulars furnished are true to the best of my knowledge.

Signature of the Applicant

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