GOVERNMENT OF ANDHRA PRADESH

FORM II
PART B2
APPLICATION FOR CONSENT FOR DISCHARGE/CONTINUATION OF
DISCHARGE UNDER SECTION 25 / 26 OF THE WATER/AIR ACT

To Application ID :PRN2201692
THE MEMBER SECRETARY,
ANDHRA PRADESH POLLUTION CONTROL BOARD
DOOR NO. 33-26-14 D/2, NEAR SUNRISE HOSPITAL, PUSPHA
HOTEL CENTRE, CHALAMAVARI STREET, KASTURIBAIPET
VIJAYAWADA - 520010

Sir,
I/ We apply for CONSENT under Section 25/ Section 26 of the Water (Prevention and Control of Pollution Act,
1974) No.6 of 1974 * or bring into use any new or altered outlet for the discharge of * Sewage / trade effluent *
to begin to make new discharge of * sewage / trade effluent or * continue to make discharge of *sewage / trade
effluent from Land / premises owned by FLUE GASES THROUGH CHIMNEY in the name of L KRISHNA
CHAITANYA for a period up to 01/02/2023

(a) Sewage / sullage via, drains/outfall sewers / treatment works

(b) Trade effluent via, drains / outfall sewers / treatment works
(c) Solid Waste into

(3) (i) Stream NO River or

(ii) On land for irrigation, bearing Survey No PLOT NO 422 adjoining /at a distance of 10Kms stream River or
(iii) Lake, Pond adjoining / at a distance of stream / River or
(iv) Directly on land for open percolation into sub-terranean strata of Survey No NO ADJOINING / AT A
DISTANCE OF 0Kms stream / River OR
(v) Tidal waters/ estuarine waters know as NO OR
(vi) Sea along / off the shore as shown as NO.

2. The Annexure, Appendices other particulars and plans in triplicate are attached herewith.
3. I / We further declare that the information furnished in the Annexure, Appendices and plans is correct to the best of
my / our knowledge
4. I / We hereby submit that in case of change either of the point or the quantity of discharge or its quality, a fresh
application for CONSENT shall be made and until such CONSENT is granted, no change shall be made.

5. I / We hereby agree to submit to the State Board an application for renewal of Consent one month in advance of
date of expiry of the consented period for outlet / discharge, if to be continued thereafter.
6. I / We undertake to furnish any other information within one month of its being called by the State Board.
7. An amount of Rs. 30000 paid towards consent fee for 2 years.

Yours faithfully,

Signature

Name of the applicant

 ANNEXURE
EXISTING / NEW / ALTERED
OUTLET I DISCHARGE

Note : Any applicant knowingly giving incorrect information or suppressing any information pertains thereto
shall be liable to be punished under the Act

While filling this Annexure, the applicant not concerned with any of the items shall state ͞Not Concerned͟
against the relevant one:

1. (a) State whether the land/premises/industry factory bas been : No

declared as prohibited area
(b) If yes, state the name of the Authority and furnish a certified : NILL
copy to the order under which the area has been declared as
prohibited area

2. (a) Is the industry / factory for which application : No

is made closed on Sunday / Holiday?

3. State working season per year for the industry/ factory

FULL YEAR
From 01/04/2023 To 31/03/2024

4. (a) No. of workers attending the factory

Unit Shift No. 1 Shift No. 2 Shift No. 3 General Shift

I 4 4 4 2

(b) No. of workers attending the factory :0

5. For Local Bodies Only

(a) Present Population 20

(b) Population covered under regular Sewerage facilities 1

(c) Population covered by conservancy latrines 3

(d) Population having septic tank / pit privy facilities 2

6. (a) Give the list of raw materials, such as metals, alloys, chemicals, oil, fuels, etc., used per month in
Metric Tons:

Sl.No Name of the Raw Material Weight/Month(in Metric Tons)

1 SENNA 10
2 BACOPA 10
3 TURMERIC 100

(b) Give the list of Name of Products and by-products manufactured per month in (M.T.)

Sl.No Name of the Product Quantity/Month(in Metric Tons)

1 BACOPA SPENT 5
2 SENNA SPENT 5
3 TURMERIC SPENT 50

(c) Give the list of possible intermediate products

 Sl.No Name of the Intermediate Product Uses

1 TURMERIC OIL CATTLE FEED

7. State daily quantity of water in litres utilised

Domestic 10000
Industrial 20000
Agriculture 5000
Others 5000

8. State the hourly maximum and daily maximum quantity of effluents arising from land premises for which the
application is made.

Hourly Maximum(in litres) Daily Maximum(in litres)

Domestic 10 100
Industrial 10 100
Agriculture 10 50
Other use 10 50
Total Quantity of effluent 300

9. (a) State whether the land/premises/industry factory bas been : No

declared as prohibited area
(b) If yes, state the name of the Authority and furnish a certified : NILL
copy to the order under which the area has been declared as
prohibited area

10. (a) Is domestic effluent allowed to get mixed in industrial effluent? : No

(b) If yes, state ratio : NILL

11. (a) Describe if any treatment of industrial or domestic effluent or : No

one for the combined effluent is made.
(b) State the process of treatment in brief :
(c) Is the quality of effluent emanating either without or after : No
treatment approved by any authority ?

12. (a) Is any effluent from any shop/ shops toxic ? : No

(b) If so, volume of this effluent :0

13. Is there any provision for disposal of: Already made Proposed to be made
(a) domestic effluent in public underground sewer No No
(b) Industrial effluent in public underground sewer No No
(c) Give the name of the public authority owning the sewer no

14. Is there any provision for disposal of: Already made Proposed to be made
(a) Domestic effluent: on land for irrigation Yes No
(b) Industrial effluent: on land for irrigation Yes No
(c) Domestic effluent in the underground strata No No
(d) State the area of land used for (a) above, in hectares 0
(e) State the area of land used for (b) above, in hectares 0

15. Give quantitative disposal of effluent in litres provided for the places mentioned below:
 Domestic Industrial Mixed
(i) Stream / River 0 0 0
(ii) On land for irrigation 0 1000 0
(iii) On land for percolation 1000 0 0
(iv) Lake / Pond 0 0 0
(v) Tidal Waters 0 0 0
(vi) Estuarine Waters 0 0 0
(vii) Open Sea 0 0 0

16. Is there any provision for disposal of: Already made Proposed to be made
(a) domestic effluent in public underground sewer No No
(b) Industrial effluent in public underground sewer No No
(c) Give the name of the public authority owning the sewer no

17. Is sufficient land available / can be made available in case pumping of : Yes
the effluent on land has to be considered ?

18. a) Give details of composition of Domestic Industrial /Combined effluents in respect of the following

Description Effluent before treatment Effluent after treatment

At Max Dis At Min Dis At Avg Dis At Max Dis At Min Dis At Avg Dis

B.O.Ds at 20 C mg/l 100 80 90 70 40 55

C.O.D mg/l 250 230 240 200 160 180
Suspended solids 240 220 230 95 85 90
Dissolved solids 2400 2200 2300 2100 1900 2000
PH 7 2 7 7 7 7

Note: 1) Furnish a copy of the analysis report of representative samples carried out by a competent laboratory.
2) Methods of determination as approved by the Board will be followed for determination of above
mentioned parameters

(a) Is the effluent toxic? No

(b) State if the industrial effluent is having
i) Unpleasant smell No
ii) Irritating and or harmful effect No
iii) Corrosive No
iv) Colour No
(d) Is there any sudden change of temperature exceeding 10oC at any time? No

19. a) Are facilities available with the applicant for carrying out the following tests of the waste water?

Existing Proposed
i) Physical Yes No
ii) Chemical No No
iii) Bacteriological No No
iv) Toxicological No No
(b) If yes, details of equipment Ph TDS meter
20. Does the Land/Premises etc. (for which application is made) have open.

Highly Polluting Matter

Toxic Organic
(a) Cooling Tanks 0 0
(b) Mixing Tanks 0 0
(c) Mixing Ponds Which contain 0 0
(d) Re-circulation- Wells 0 0
Inorganic Microbiological
0 0
0 0
0 0
0 0
21. State details of solid wastes

Discharge Quantity Method of Collection Method of Disposal

Seasonal Waste 1 100 MANUALLLY dISPOSED TO BRICK
MANUFACTURING UNIT
Spillage. 0 0 NIL NIL
Rejected materials 0 0 NIL NIL

ANNEXURE TO PART B1
CHIMNEY

1. Elevation above mean sea 90

2. Present use of the Land Agricultural

3. Indicate the nature of topography surrounding the site Land-Locked

4. (a) State whether industrial plant has been declared as prohibited area No

(b) Name of the authority

5. What of the following features exist within 20 Kms of the site Human Settlement,Agricultural

6. Is the industrial plant of the occupier closed on Sunday/Holiday No

7. working season per year of the Industrial Plant Continuous

From To
i) 01/04/2022 31/07/2022
ii) 01/08/2022 30/11/2022
iii) 01/12/2022 01/02/2023

a) No.of persons attending the factory/day 25

b) No. of persons residing in the premises 0

8. Climatological & Meterological Data

(a) Indicate the climatic conditions at the site semi arid

(b) Precipitation, yearly average range 850

(c) Temperature, Seasonal ranges 25-50 deg

(d) Average annual speed and direction of wind 16 km/h

(e) Humidity/solar radiation 68

9. Raw material used

Sl.No Name Source Quantity Units

1 bopopa 10 tonns
2 senna 10 tonns
3 turmeric 100 tonns
10. Products/By Products/ Waste Material

Sl.No Name Source Quantity Units

1 bacopa spent By Product 5 tonns
2 senna spent By Product 5 tonns
3 turmeric spent By Product 50 tonns

11. Complete flow chart giving description and chemical processes, if any as per Annexure - I

12. Fuel Consumption in T/day:

Sl.No Fuel Daily Consumption Calorific Ash Content % Sulphur Others

(in tonnes) Value content%
1 Wood 2 3000 1 0

13. Furnace / Cupolas

a) No.of furnaces/Cupolas
i) Installed
ii) In use
b) Date of installation
c) Capacity
d) Purpose used
e) Stack data
i) Height
ii) Diameter
iii) Temperature
iv) Flow rate

14. Boilers

(a) No. of boilers installed 1

(b) No. of boilers in use 1
(c) Type
(d) Capacity 1 TON
(e) Method of fuel charging Grate Charging
(Manual/Mechanical)
(f) Quantity of fuel used in boilers 2
(g) Stack data
(i) Height above the roof (Mtrs) 70
(i) Height above the ground level(Mtrs) 100

Diameter 45
Temperature 120
Flow rate 4500
Stack Top Round or Circular
 15. Emission control equipment for air pollutants

(a) Nature of the pollution control equipment CYCLONE

(b) Efficiency 99

(c) Capacity 10CUM

(d) Details of Air Pollution Control Systems CYCLONE

(e) Give detailed specifications of Cyclones, CYCLONE

electrostatic precipitators, scrubbers, Bag filters
(f) Any other monitoring facilities available

16. Atmospheric Emissions

Stack No 1 Gas quantity(m3/hr) 4500

Stack attached to BOILER Fuel Gas temp (c) 120

Stack height (mts) 30 Exit Velocity of the fuel gas(m/sec) 6

a) Flue Gas Emission

Sl.No Type of Fuel C Fuel/hr Ash % ANALYSIS OF THE FUEL GAS

1 NIL 0 0 Nox

b) Process Emission

So2 Co2 CO NOX Analysis of vent gas in mg/m3

0 0 0 0 0

c) Particulate analysis

i) Size distribution in each stack 0

ii) Chemical Composition 0

d) Give details of Flue gas sampling arrangements PORT HOLE

e) Give details of Laboratory facilities THIRD PARTY

available for analysis of emissions.
f) Is there sufficient space available for installing Yes
Air Pollution Control Equipment.

17. Solid Wastes

a) Nature ASH KG PER DAY

b) Quantity 100
c) Mode of disposal SEND TO BRICK MANUFACTURING

18. Any relevant information not covered in the above items

19. Water consumption

a) Quantity per month or day 22KLD

b) Source BOREWELL
20. a)
WasteQuantity
Water generated
per month or Day :2Yes
b) Disposal To River
c) Waste water Treatment existing Existing
d) Waste water Characteristics PH TDS METER

21. Before Treatment AfterTreatment

i) B.O.D. 90 90

ii) C.O.D. 240 180

iii) Suspended Solids 230 90

iv) Heavy Metals 0 0
v) Toxic Chemicals 0 0
vi) Others 0 0

22. State the total Quantity of air handled by ventilation equipment so also specify size and No.of equipments
installed/to be installed.

(a) Location and Dimension of outlets

i) Flue Gas Emissions

Sl.No Type of Fuel Qty. of Fuel S% Ash % Analysis of the fuel gas

1 NIL 0 0 0 Nox

ii) Process Emissions

Sl.No So2 Co2 NOX Analysis of vent in mg/nm3

1 0 0 0 Others

iii) Particulate analysis

a) Size distribution 0

b) Chemical Composition NIL

23. Give the following details.

a) a) Total Investment in the factory and the year of investment 69900000

b) b) The estimated expenditure for implementing the project 69900000

c) c) Expenditure incurred to date and rogress achieved (physical) for 5000000

air pollution control, If any and the Year/Years of investments
along with pysical progress achieved
d) d) Annual operation and maintenance of air Pollution control plant, 100000
If any :
e) e) Further action that is being taken by the firm to control Air 0
Pollution

24. Other relevant information, if any : NIL

 (a) Nature of the pollution control equipment CYCLONE

(b) Efficiency 99

(c) Capacity 10CUM

(d) Details of Air Pollution Control Systems CYCLONE

(e) Give detailed specifications of Cyclones, CYCLONE

electrostatic precipitators, scrubbers, Bag filters
(f) Any other monitoring facilities available

I/We hereby declare that the statements made above have been checked up by me and are true and I/We undertake
to abide by the terms and conditions of the Licence which will be granted to me/us.

(IN BLOCK LETTERS)

Place:
Signature of Promoter
or Authorised person (only in Ink)
Date: 02/02/2023

Designation: