Form – I

for

Proposed Construction Project

of
Santnagari
at

Survey No. 1439, Near Dharoi Dam,

Village Mahor, Taluka Vadali,
District Sabarkantha,
Gujarat

by

Gujarat Pavitra Yatradham Vikas Board

(By Govt. of Gujarat)
Block No. 6, Second Floor
Jivaraj Mehta Bhavan,
Gandhinagar -382010

1
 (I) Basic Information

S.N. ITEM DETAILS

1. Name of the project. Santnagari

2. S.No.in the schedule. 8 (a)

3. Proposed capacity/area/length/tonnage to be For the proposed construction of total 4,75,000

handled/ command area/ lease area/ number sq.mt (47.5 hectors) land will be utilized.
wells to be drilled.

4. New/Expansion/Modernization. New

5. Existing Capacity/Area etc. NA

6. Category of Project i.e. ‘A’ or ‘B’ B (Building and Construction Projects)

7. Does it attract the general Condition? If yes, No

please specify.

8. Does it attract the specific condition? If yes, No

Please Specify.

9. Location:

Plot/Survey/Khasra No. Survey No. 1439

Village. Mahor

Tehsil. Vadali

District. Sabarkantha

State. Gujarat

10. Nearest railway station/airport along with Railway station: Taranga hill at approximately 15
Distance in kms. km from proposed site in WSW direction.
Vadali at approximately 18 km from proposed site
in E direction.
Airport: Ahmedabad at 100 km from the proposed
site in SSW direction.

11. Nearest Town, city, District Headquarters Idar around 20 km in SSE direction.
Along with distance in kms.

12. Name of the applicant. Rami Milind Kalpeshbhai

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13. Registered address. Gujarat Pavitra Yatradham Vikas Road
Block-6/2, Dr. Jivaraj Mehta Bhavan, Gandhinagar-
382010.

14. Address for correspondence.

Name. Rami Milind Kalpeshbhai

Designation (Owner/Partner/CEO). Technical Supervisor

Address. 9/97 Pooja Society, Nr. Himatlal park, Ambavadi,

Ahmedabad

Pin Code. 380015

E-mail. mirami0009@gmail.com, gpyvb@yahoo.co.in

Telephone No. 9054636291

Fax No. 079 – 23252459

15. Details of Alternative Sites examined if Not Applicable, as this location is selected based on
any. Location of these sites should be its merits on seismic and approachability. It is a
shown on a toposheet. wasteland hence the environmental impacts shall be
minimal.

16. Interlinked Project. No

17. Whether separate application of interlinked No

project has been submitted?

18. If yes, date of submission. Not Applicable

19. If no, reason. Not Applicable

20. Whether the proposal involves No

approval/clearance under: if yes, details of
the same and their status will be given.
(a) The Forest (Conservation) Act, 1980?
(b) The Wildlife (Protection) Act, 1972?
(c) The C.R.Z. Notification, 1991?

21. Whether there is any Government
Order/Policy relevant/relating to the site?
For the Planning, Monitoring, Execution and
Maintenance of the project, a committee was
formed through Government Resolution No.
102014/1197/Y dated 18/11/2016 published by
Industries & Mines Department, Government of
Gujarat. GR and GO are for this project are
attached as additional attachments.

22. Forests land involved (hectares). None

23. Whether there is any litigation pending There is no litigation pending against the project

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 against the project and/or land in which the and/or land in which the proposed project to be set
project is proposed to be set up? up.
(a) Name of the Court
(b) Case No.
(c) Order/Directions of the Court, if any
and its relevance with the proposed
project.

24. Cost of the project Rs. 48.51 Crores

(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.)

Details thereof (with approximate

Sr.
Information/Checklist confirmation Yes/No quantities /rates, wherever possible) with
No.
source of information data
Permanent or temporary change in Land of around 47.5 hectors is reserved/
land use, land cover or topography earmarked for the project. Permanent
including increase in intensity of land change will occur on the land cover after
1.1 use (with respect to local land use Yes completion of the project.
plan). Land document is given in additional
attachment.
Clearance of existing land, vegetation
1.2 No There is no vegetation, its barren land.
and buildings?
This land is barren land and here the entire
1.3 Creation of new land uses? Yes project will be constructed as per the layout
enclosed.
Pre-construction investigations e.g. Soil testing has been carried out. Detailed
1.4 bore houses, soil testing? Yes soil testing report is attached as additional
information.
Detailed layout plan is attached as
1.5 Construction works? Yes
additional information.
1.6 Demolition works? No Not Applicable.

Temporary sites used for construction Labour Camps with all sanitation facilities
1.7 works or housing of construction No will be provided at sites for labours during
workers? construction phase.
Construction of different pillars and other
Above ground buildings, structures or architectural structures, buildings. The
1.8 earthworks including linear structures, Yes excavation formed due to the
cut and fill or excavations. constructional activities is filled up with
same side.
Underground works including mining
1.9 No Not Applicable
or tunneling?
1.10 Reclamation works? No Reclamation is not required.
1.11 Dredging? No Not Applicable.

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Sr.
Information/Checklist confirmation
No.
1.12 Offshore structures?
1.13 Production and manufacturing
processes?
Facilities for storage of goods or
1.14 materials?
Facilities for treatment or disposal of
1.15
solid waste or liquid effluents?
Facilities for long term housing of
1.16
operational workers?
1.17 New road, rail or sea traffic during
construction or operation?
1.18 New road, rail, air waterborne or other
transport infrastructure including new
or altered routes and stations, ports,
airports etc?
1.19 Closure or diversion of existing
transport routes or infrastructure
leading to changes in traffic
movements?
1.20 New or diverted transmission lines or
pipelines?
1.21 Impoundment, damming, culverting,
realignment or other changes to the
hydrology of watercourses or aquifers?
1.22 Stream crossings?
1.23 Abstraction or transfers of water form
ground or surface waters?
1.24 Changes in water bodies or the land
surface affecting drainage or run-off?
1.25 Transport of personnel or materials for
construction, operation or
decommissioning?
Details thereof (with approximate
Yes/No quantities /rates, wherever possible) with
source of information data
No Not Applicable.
No No manufacturing process is involved.
Storage facilities will be provided at site
Yes during construction phase to keep the raw
materials used in construction activities.
Domestic Wastewater will be generated
during Construction & Operation phase
which will be treated in STP and reused for
gardening and flushing purpose.
Yes
Solid waste collection and management
system will be developed and followed.
Waste will be disposed based on
segregation of dry and wet waste.
Labour camps will be made available for
construction workers. Majorly local
workers will be employed for construction
Yes
works. During operational phase, all
management staff will be provided housing
inside the project location.
No Proposed site is well connected with the
road, rail and infrastructure. During
construction no new road is required.
No Not Applicable.
No Not Applicable.
No Not Applicable.
No Not Applicable.
No Not Applicable.
Yes During Construction phase and operational
phase source of water will be met through
surface water i.e Dharoi dam.
Yes Change in drainage pattern is envisaged.
Yes By Road only.
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 Details thereof (with approximate
Sr.
Information/Checklist confirmation Yes/No quantities /rates, wherever possible) with
No.
source of information data
1.26 Long-term dismantling or No Not Applicable.
decommissioning or restoration
works?
1.27 Ongoing activity during No No Decommissioning is involved.
decommissioning which could have an
impact on the environment?
1.28 Influx of people to an area in either Yes During Construction around 200 workers
temporarily or permanently? per day will be employed on contract basis.
Santnagari is essentially a spiritual tourism
project. During peak days it is expected to
attract ~30,000 visitors while there will be
~1,000 residents/staff/overnight visitors in
the facility.
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 None.

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):

Details thereof (with approximate quantities

Sr. Information/checklist
Yes/No /rates, wherever possible) with source of
No. confirmation
information data
2.1 Land especially undeveloped No Land of around 47.5 hectors is reserved/ earmarked
or agricultural land (ha). for the project. No acquisition is being done for the
proposed project. Total built area for proposed
project would be 23,300 sq.m.
2.2 Water (expected source & Yes During Construction Phase around 45 KLD water
competing users) unit: KLD. required which will be sourced from Dharoi Dam.
During Operation Phase around 2,130 KLD water
(930 KLD fresh water and 1,200 KLD treated
water) will be required, total 1,200 KLD treated
water will be used for flushing and gardening
purpose.
2.3 Minerals (MT). No None.
2.4 Construction material – stone, Yes Construction materials will be procured from the
aggregates, sand / soil local market as per requirements. Approx
(expected source – MT). Quantities are:
SR.
MATERIAL QUANTITY
NO.
1. Cement 1,67,381 (50 kg Bags)
2. Sand 6,00,722 CFT.
3. Coarse Aggregate 2,61,853 CFT.
4. Reinforced Steel 4,10,750 kg.
5. Bricks 1,48,07,550 Nos.

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 Details thereof (with approximate quantities
Sr. Information/checklist
Yes/No /rates, wherever possible) with source of
No. confirmation
information data
2.5 Forests and timber (source – Yes Timber collected from nearest sources as per the
MT). requirement for the completion of project. Quantity
required will be calculated based on the availability
and quality of the material.
2.6 Energy including electricity Yes Construction Phase: 400 KVA (Multiple of 50 to
and fuels (source, competing 70 KW in different location) and D. G. Set 500
users) Unit: fuel (MT), energy KVA (Multiple of 50 KVA and 75 KVA).
(MW). Fuel: 50 KVA DG set - 8.6 lit/Hr &
75 KVA DG set – 14.3 lit/Hr

Operational Phase: 12 MW (Multiple of 500 to

750 KVA in different location) and D. G. Set 1.5
MW (Multiple of 250 KVA and 500 KVA).
Fuel: 250 KVA DG set - 40.8 lit/Hr &
500 KVA DG set – 77.4 lit/Hr
2.7 Any other natural resources Yes Alternate natural resources like solar and wind
(use appropriate standard energy will be explored. If found viable will be
units). installed.

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.

Details thereof (with approximate

Sr.
Information/Checklist confirmation Yes/No quantities/rates, wherever possible) with
No.
source of information data
3.1 Use of substances or materials, which are No No hazardous substance or materials will
hazardous (as per MSIHC rules) to human be used.
health or the environment (flora, fauna,
and water supplies).
3.2 Changes in occurrence of disease or affect No Not Applicable.
disease vectors (e.g. insect or water borne
diseases).
3.3 Affect the welfare of people e.g. by Yes The project will positively affect the locals
changing living conditions? with improved employment opportunities
and presence of a Tourist/Spiritual/Cultural
attraction of this scale.
3.4 Vulnerable groups of people who could be No Not Applicable.
affected by the project e.g. hospital
patients, children, the elderly etc.,
3.5 Any other causes. No None.

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4. Production of solid wastes during construction or operation or decommissioning (MT/month)

Details thereof (with approximate

Sr.
Information/Checklist confirmation Yes/No quantities/rates, wherever possible) with
No.
source of information data
4.1 Spoil, overburden or mine wastes. No None
4.2 Municipal waste (domestic and or Yes Solid waste collection and management
commercial wastes). system will be developed and followed.
Waste will be disposed based on
segregation of dry and wet waste.
4.3 Hazardous wastes (as per Hazardous No Waste oil generated, if any will be disposed
Waste Management Rules). as per Hazardous waste (M&H) rules 2017.
4.4 Other industrial process wastes. No Not Applicable
4.5 Surplus product. No Not Applicable
4.6 Sewage sludge or other sludge from Sludge from STP will be dried and utilized
effluent treatment. Yes
as manure in own green belt development.
Yes Constructional waste will be utilized during
4.7 Construction or demolition wastes. internal road making etc.
4.8 Redundant machinery or equipment. No None.
4.9 Contaminated soils or other materials. No Not Applicable.
4.10 Agricultural wastes. No Not Applicable.
4.11 Other solid wastes. No None.

5. Release of pollutants or any hazardous, toxic or noxious substances to air (Kg/hr).

Details thereof (with Approximate

Sr.
Information/Checklist confirmation Yes/No quantities/rates, wherever possible) with
No.
source of information data
5.1 Emissions from combustion of fossil No No continuous source of air emission. D.G.
fuels from stationary or mobile sources. set will be operated in power failure only
during construction & operational phase
that emission will be SPM, SO2 and NOX.
5.2 Emissions from production processes. No Not Applicable.
5.3 Emissions from materials handling Yes There will be increase in SPM level during
including storage or transport. construction phase.
5.4 Emissions from construction activities Yes Due to movement of construction
including plant and equipment. equipments, increased level of SPM, SO2
and NOX observed. These emissions will be
low in quantity and temporary in nature.
5.5 Dust or odours from handling of Yes Dust will generate during construction and
materials including construction handling of materials, due care will be
materials, sewage & waste. taken.
5.6 Emissions from incineration of waste. No Not Applicable.
5.7 Emissions from burning of waste in open No No Burning of waste will be carried out.
air (e.g. slash materials, construction

8
 Details thereof (with Approximate
Sr.
Information/Checklist confirmation Yes/No quantities/rates, wherever possible) with
No.
source of information data
debris).

5.8 Emissions from any other sources. No None.

6. Generation of Noise and Vibration, and Emissions of Light and Heat:

Details thereof (with approximate
Sr.
Information/Checklist confirmation Yes/No quantities/rates, Wherever possible) with
No.
source of information data
6.1 From operation of equipment e.g. engines, Yes During construction phase noise will be
ventilation plant, crushers. generated from various equipments and
machineries. Enclosures will be provided
wherever possible. PPEs to the construction
workers working near source of noise will
be given.
6.2 From industrial or similar processes. No Not Applicable.
6.3 From construction or demolition. Yes During the construction, some of the
activities would temporarily enhance the
ambient noise levels for short period.
6.4 From blasting or piling. No Not Applicable.
6.5 From construction or operational traffic. Yes During the construction or operational
traffic would temporarily enhance the
ambient noise levels for short period.
6.6 From lighting or cooling systems. No Not Applicable.
6.7 From any other sources. No None.

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:

Details thereof (with approximate

Sr.
Information/Checklist confirmation Yes/No quantities/rates, wherever possible) with
No.
source of information data
7.1 From handling, storage, use or
No No hazardous material will be used.
spillage of hazardous materials.
7.2 From discharge of sewage or other During Construction & Operational phase
effluents to water or the land domestic wastewater will be generated which
No
(expected mode and place of will be treated in STP and treated water will be
discharge). reused in gardening and flushing purpose.
7.3 By deposition of pollutants emitted to
No Not Applicable.
air into the land or into water.
7.4 From any other sources. No None.
Is there a risk of long term build up of
7.5 pollutants in the environment from No None.
these sources?

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8. Risk of accidents during construction or operation of the Project, which could affect human
health or the environment

Details thereof (with approximate

Sr.
Information/Checklist confirmation Yes/No quantities/rates, wherever possible) with
No.
source of information data
8.1 From explosions, spillages, fires etc During construction phase, no such risk was
from storage, handling, use or anticipated. However, the contractors shall
production of hazardous substances. comply with the safety procedures, norms and
guidelines as applicable) mentioned in the
No National Building Code of India and Bureau of
Indian Standards.
During Operation Phase, all precautionary and
safety measures will be taken to minimize any
accident hazard.
8.2 From any other causes. No Not Applicable.
8.3 Could the project be affected by Project site comes under seismic zone-III. The
natural disasters causing structural design will be compliant with the
environmental damage (e.g. floods, requirements from earthquake point of view as
earthquakes, landslides, cloudburst the project site is on hilly area.
Yes
etc)? The project site is located on hilly areas with
average elevation of 573m. Thus the chances of
flooding are minimal. Dharoi Dam is located at
a distance of 1.85 km of the project site.

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.

Details thereof (with approximate

Sr. Information/Checklist
Yes/No quantities/rates, wherever possible) with source
No. confirmation
of information data
9.1 Lead to development of supporting. No Small commercial development like shops and
Facilities, ancillary development or wayside restaurants are anticipated due to the
development stimulated by the project. Since most of the amenities needed for the
project which could have impact on anticipated visitors are provided within the site any
the environment e.g.: large scale ancillary development outside the site is
• Supporting infrastructure (roads, not anticipated.
power supply, waste or waste water
treatment, etc.)
• Housing development
• Extractive industries
• Supply industries
• Other
9.2 Lead to after-use of the site, which No Not Applicable
could have an impact on the
environment.
9.3 Set a precedent for later No Not Applicable
developments.

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 Details thereof (with approximate
Sr. Information/Checklist
Yes/No quantities/rates, wherever possible) with source
No. confirmation
of information data
9.4 Have cumulative effects due to No Not Applicable
proximity to other existing or
planned projects with similar effects.

(III) Environmental Sensitivity

Aerial distance (within 15 km.)

Sr.
Areas Name/Identity Proposed project location
No.
boundary
1 Areas protected under international None Not Applicable
conventions, national or local legislation for
their ecological, landscape, cultural or other
related value.
2 Areas which are important or sensitive for Sabarmati River Around 0.6 km in West direction
ecological reasons – Wetlands, watercourses and Dharoi Dam and around 1.5 km in North
or other water bodies, coastal zone, direction respectively from the
biospheres, mountains, forests. project site.
3 Areas used by protected, important or None Not Applicable
sensitive species of flora or fauna for
breeding, nesting, foraging, resting, over
wintering, migration
4 Inland, coastal, marine or underground None Not Applicable
waters.
5 State, National boundaries. Rajasthan border Around 33 km in ENE direction
6 Routes or facilities used by the public for None Not Applicable
access to recreation or other tourist, pilgrim
areas.
7 Defense installations. None Not Applicable
8 Densely populated or built-up area. Idar Around 20 km in SE direction
9 Areas occupied by sensitive man-made land Hospitals, Schools Present within 15 Km radius
uses (hospitals, schools, places of worship, place of worship &
community facilities). community
facilities
10 Areas containing important, high quality or Sabarmati River Around 0.6 km in West direction
scarce resources (ground water resources, and Dharoi Dam and around 1.5 km in North
surface resources, forestry, agriculture, direction respectively from the
fisheries, tourism, minerals). project site.
11 Areas already subjected to pollution or None Not Applicable.
environmental damage. (Those where existing
legal environmental standards are exceeded).
12 Areas susceptible to natural hazard which Seismic zone-III. (i) An earthquake of magnitude
could cause the project to present 4.6 in 1962 some 10 km east of
environmental problems (earthquakes, the site
subsidence, landslides, erosion, flooding or (ii) An earthquake of magnitude
extreme or adverse climatic conditions). 3.9 which occurred more than 30
km west of the site on March 19,
2015

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(IV) Proposed Terms of Reference for EIA studies:

Proposed construction project comes under category-8(a) Building and Construction projects as per
EIA Notification date 14th September, 2006.

I hereby give an under taking that the data and information given in the application and enclosure 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 to the project will be revoked at our risk and cost.

Date: 11.04.2017
Place: Gandhinagar

Rami Milind Kalpeshbhai

(Technical Supervisor)
Gujarat Pavitra Yatradham Vikas Board,
Dr. Jivaraj Mehta Bhavan, Block no.
6, Second floor, Gandhinagar

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 ADDITIONAL ATTACHMENT

LIST OF ANNEXURE

ANNEXURE
TITLE
NO.
I Photographs of the Proposed Project Site
II Land Document
III Layout Plan & Entrance
IV Water Requirement and Its Source
V Infrastructure and Facilities
VI Soil Testing Report
VII GR and GO for the project

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 ANNEXURE – I
PHOTOGRAPHS OF THE PROPOSED PROJECT SITE

14
 ANNEXURE – II
LAND DOCUMENT

15
 ANNEXURE – II (CONT…)
LAND DOCUMENT

16
 ANNEXURE – III
LAYOUT PLAN & ENTRANCE

17
 ANNEXURE – III (CONT…)
LAYOUT PLAN & ENTRANCE

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 ANNEXURE – IV
WATER REQUIREMENT AND ITS SOURCE

Proposed project site is near to Dharoi dam so water requirement for the construction and operation
phase will be sourced from this dam.

During construction phase only domestic wastewater will be generated which will be treated in
proposed Sewage treatment plant (STP).

During operation phase, domestic wastewater will be generated which will be treated in STP and
reused in gardening and flushing purpose. Domestic wastewater i.e. 1,200 KLD in peak traffic season
will be generated and that will be treated and reused for gardening and flushing purpose.

Details of Water Requirement

Sr. Total Water Requirement Total Wastewater
Purpose
No. (KLD) Generation (KLD)
A. During Construction
Drinking &
1. 45 24
Construction
Total (A) 45 24
B. During Operational
1 Domestic 700 560
800
2 Flushing 640
(fresh 230 + reused 570)
3 Gardening 630 (reused) -
2,130
Total (B) 1,200
(fresh 900 + reused 1,200)

Note: Total 1,200 KLD STP treated water will be reused for flushing and gardening purpose.

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 ANNEXURE –V
INFRASTRUCTURE AND FACILITIES

A. Sant Areas:
Nos. of Total land area
Description Unit Land area (sq. mt)
Saint (sq. mt)
Sant Pavilion-A type 11 200 2200
Sant Pavilion-B type 20 150 3000
Sant Pavilion-C type 20 100 2000
Total 450 7200

B. Residential Building/Infrastructure:
Nos. of Total land area
Description Unit Land area (sq. mt)
Building (sq. mt)
Guest House (50 Rooms) (G+2) 1 1800 1800
Admin complex (G+1) 1 3000 3000
Total 4800 4800

C. Special Infrastructures
Nos. of Total land area
Description Unit Land area (sq. mt)
Building (sq. mt)
Cave construction 20 200 4,000
Stone carving (3mt*2mt) 60 10 600
Inscription (5mt*2mt) (Story
10 20 200
telling)
Divine element (7mt*7mt) (Land) 100 50 5000
Total 280 9,800

D. Common facilities
Nos. of Total land area
Description Unit Land area (sq. mt)
Building (Sq. mt)
Food court, Toilets, Rest room,
Public lounge, First aid, Fire 1 1,500 1,500
station, Etc.
Road, Parking, Substations, UGR,
1
OHR, Gardens, Water tanks, Etc.
Total 1,500 1,500

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 ANNEXURE –VI
SOIL TESTING REPORT

Attached as separate report.

21
 ANNEXURE –VII
GR AND GO FOR THE PROJECT

22
 ANNEXURE –VII (CONT…)
GR AND GO FOR THE PROJECT

23
 ANNEXURE –VII (CONT…)
GR AND GO FOR THE PROJECT

24
 ANNEXURE –VII (CONT…)
GR AND GO FOR THE PROJECT

25
 ANNEXURE –VII (CONT…)
GR AND GO FOR THE PROJECT

26