Form-I

APPLICATION FOR CONSENT FOR EMISSION UNDER SECTION(21) OF THE ACT

(SEE CHAPTER-11)

To

THE MEMBER SECRETARY

T.S. Pollution Control Board,
Paryavaran Bhavan,
A3, IE, Sanathnagar, Hyderabad.

Sir,

I/We apply for CONSENT under section(21) of the Air(Prevention and Control of
Pollution)Act,1981(14 of 1981) to make emission from industrial plant owned by (1) or occupied by.
(2) Mallampati Chakradhar for a period upto

(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 emission
or its quality a fresh application for CONSENT shall be made and until such consent is
granted, no chamnge shall be made.
(5) I/We hereby agree to submit to the Board, an application for renewal of CONSENT one
month in advance of the date of expiry of the consented period for emission, if to be
continued thereafter.
(6) I/We undertake to furnish any other information with in one month of its being called by
the Board.
(7) I/We enclosed here fee details.

D.D NO. Bank Name Amount(Rs)

(8) The Annexure, appendices, other particulars and plans are attached herewith in triplicate.

Signature

Name of the applicant: Mallampati Chakradhar

Address of Applicant: MEDCHAL II,Qutubullapur,Jeedimetla,Plot No.11, IDA, Jeedimetla, Quthbullapur

(M), Medchal-Malkajgiri District,IDA Jeedimetla,500005
 ANNEXURE TO FORM - 1
CHIMNEY
Note: Any Applicant knowingly giving incorrect information or suppressing any information thereto shall be
liable for action under the provisions of the Act. While filling this Annexure the applicant shall for such of
the items not pertaining to his activity shall state not applicable against the relevant item and shall not leave
it blank.

1. (a) Full name of the applicant with address: Mallampati Chakradhar

(b) Name and Telephone No. of persons incharge of
the premises:
2. (a) Full name of the industrial plant with address: M/s.Vani Pharma Labs Ltd. Unit-I MEDCHAL
II,Qutubullapur,Jeedimetla,Plot No.11, IDA, Jeedimetla,
Quthbullapur (M), Medchal-Malkajgiri District,IDA
Jeedimetla,500005
(b) Full name and address of the occupier (defined in M a l l a m p a t i C h a k r a d h a r
the Act ) as Registered with the Director of Factories & Medchal,Qutubullapur,Jeedimetla,Plot No.11, IDA,
Boilers of the State or with any other competent authority Jeedimetla,IDA Jeedimetla,0
of the state. :
3. Give revenue / city survey number of land/ premises
for which the application is made stating District/ Mandal
and Village.
(a) Mandal : Quthubullapur
(b) Village : Jeedimetla
.
(b) Magisterial Jurisdiction of the industry (premises)
for purposes of prosecution case under the Act and also
the name & address of the Police station under the
industry (Premises) falls for all criminal cases connected
with the Water Act, 1974 or Air Act, 1981.
4. State month and year in which the industrial plant was 03/11/2018
actually put into commission or is proposed to be put into
commission/or the month and year from which the local
body is functioning
5. (a) State the civil/Military Defence/Industrial Estate Collectorate
etc., under. Whose administrative jurisdiction the
occupiers industrial plant is situated.
6.Elevation above mean sea
7.Present use of the Land
8.Indicate the nature of topography Plains Surrounding Plains
the site.
9.(a) State whether the industrial plant has been declared Not-Selected
as prohibited area.
(b) If Yes, State the name of the authority and furnish a
certified copy of the order which the area has been
declared as prohibited.

10 Which of the following features exist within 20 kilometers radius of the site.:

Feature Name Distance(in Km)

11. Is the industrial plant of the occupier closed on Not-Selected

Sunday/Holiday
12.State working season per year of the Industrial plant.

From Date To Date

13. Climatological & Meteorological Data

(1).Indicate the climatic conditions at the site(eg Arid,
Semi Arid etc.):
(2).Precipitation, yearly average range:
(3).Temperature, Seasonal ranges:
(4). Average annual speed and direction of wind
Humidity/Solar radiation:

11.Raw material used

Sl. No. Description Quantity Units

1. PMP 245.12 Kg/day
2. Acetic anhydride 540.4 Kg/day
3. Activated Carbon 14.47 Kg/day
4. Ammonia 273.1 Kg/day
5. Ammonium hydroxide 352.3 Kg/day
6. Ammonium 797.9 Kg/day
thiocyanate
7. Chlorine Gas 333.3 Kg/day
8. CS Lye 26.6 Kg/day
9. Cyclohexanone 1401.7 Kg/day
10. Di Methyl sulphate 177.6 Kg/day
11. Isopropyl alcohol 51.2 Kg/day
12. Methanol 9530.0 Kg/day
13. Methyl cyano acetate 2887.4 Kg/day
14. n- heptane 668.0 Kg/day
15. Ortho Nitro aniline 664.9 Kg/day
16. Soda Ash 150.4 Kg/day
17. Sulfuric acid 2677.6 Kg/day
18. Toluene 601.6 Kg/day
19. Vaccum Salt 23.68 Kg/day

15(a) Products /waste material

Sl. No. Name of The Product Capacity Units

1. Phenazone 6.0 Tons/month
 2. 2- Nitro-4-thiocyano 25.0 Tons/month
aniline
3. 1,1 Cyclohexane 30.0 Tons/month
diacetic acid
monoamide
4. 1,1 Cyclohexane 55.0 Tons/month
diacetic acid
monoamide

15(b) By-Products /waste material

Sl. No. Name of The By-Product Capacity Units

1. Acetic acid 19 Tons/month

16.Complete flow chart giving description and-chemical process if any as per Annexure-I

17. Fuel Consumption in T/day

S.no. Types Daily Calorific Ash Content Sulphur Other Specify

Consumption Value % Content %
in Tonnes

18. Furnaces/Cupolas/Boilers/Others

Stack Name Used for Type of Date of Capacity Purpose Method of Quantity of
Furnace/cup installation used Fuel Fuel used in
olas/Boilers/ charging in Boilers
Others Boilers
Boiler Boilers Coal 11/11/2010 4 TPH Not
selected
250 kVA Others DG HSD 11/11/2010 250 kVA Not
DG Set Set selected
380 kVA Others DG HSD 11/11/2010 380 kVA Not
DG Set Set selected

19. Emission control equipment for air pollutants

Stack Used For Status Not Nature of Efficienc Capacity Details of Give Any
Name Existing the Air y Air detailed other
Pollution pollution specificat monitori
Equipme Control ions of ng
nt System cyclones, facilities
Electro available.
static
Precipita
tors,
Scrubber
s, Sag
Filters
etc.
20. Atmospheric Emissions (Stacks Details)

Stack attached to D.G Stack height Gas Quantity (Units) Fuel Gas temprature Are any Standard of
Set Emission prescribed
for or adopted by
your Industry?
Boiler 33 Yes
250 kVA DG Set 28 Yes
380 kVA DG Set 28 Yes
Process Emissions 10 Yes

(a) Fuel Gas Emissions

Stack Used For Type of C fuel/hr Ash % NOx SO2 HCL CO Particulat
Name Fuel e matter

(b) Atmospheric Emission for Process & Fugitive Sources

S.no Stack Name Stack Temperature( Expected Proposed Air Are any
Height(in 'C) Quantity Pollution Standard of
mtr) Control Emission
System prescribed for
or adopted by
your
Industry?

(c) Process Emissions

Stack Name SO2 CO2 CO NOx Hydrocarbon Particulars Others

specify
(d) Particulate analysis

Stack Name Chemical Give details of Flue Give details of Is there sufficient
composition gas sampling Laboratory facilities space available for
arrangements available for installing Air
analysis of emissions Pollution Control
Equipment

21. Solid Wastes

Nature Quantity Mode of Disposal

22. Any relevant information not covered in the above items :

23. Water Source

S.No. Source Type Source Name Quantity

1. Public Supply Municipal Connection 52.9
24. Average daily consumption of water

Sl. No. Purpose Quantity Unit

1. Process 15.4 KLD
2. Boiler feed/make up 10.0 KLD
3. Cooling water makeup 20.0 KLD
4. Domestic 4 KLD
5. Washing 1.5 KLD
6. Scrubbers 1.0 KLD
7. Greenbelt 1.0 KLD

25. Waste Water Discharge :

SI.No. Purpose Quantity Units

1 Others Process & 19.4 KLD
Washings and Scrubber
2 Others Boiler Blow down, 5.0 KLD
Cooling Tower Blow down
and Domestic effluents

26.Treatment

Features Before Treatment After Treatment

27. 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) Fuel Gas Emissions

Stack Type of Quantity S% Ash % NOx SO2 HCL CO Particulat

Name Fuel of fuel e matter

(ii) Process Emissions

Stack Name SO2 CO2 NOx Hydrocarbons Particulars Others Specify

28.Give the following details

(a) Total investment in the factory and the year of
investment.
(b) The estimated expenditure for implementing the
project
(c) Expenditure incurred to date and process achieved
(Physical) for air pollution control, if any and the
year/years of investments-along with physical process
achieved:
(d) Annual operation and maintenance of air pollution
control plant.
(e) Further action that is being taken by the firm to
control Air Pollution.
29.Other relevant information :

Place :
Signature
Date :
(Name & Address of the applicant)