Annexure-IV. Form-I for seeking clearance for project attracting CRZ notification. At Thengamputhur Village, Tamil Nadu by

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1 Annexure-IV Form-I for seeking clearance for project attracting CRZ notification Basic Information: Name of the Project :- Location or site alternative under consideration: - Construction of Beach Resort Project at At Thengamputhur Village, Tamil Nadu by M/s Escapade Resorts Pvt. Ltd. Re Survey s. 477/1, 2, 3, 5 & 6, 479/3, 4, 7 & 8 of Thengamputhur Village, Agastheeswaram Taluk, Kanniyakumari District, Tamil Nadu. Size of the project ( in terms of total area ): hectares ( 53,290 sq. m. ) ( Plot Area ) 5,168 sq. m. ( Total Built-up Area ) (@9.7%) Proposed Cottages = 28 s. with Swimming pool, spa, Yoga room, Craft shop, service block etc. CRZ classification of the area :- Expected cost of the project: - Contact Information:- CRZ III (The proposed development is beyond 200m. ( Development Zone) from HTL and hence in CRZ III. The CRZ Status report confirming above aspects and the CRZ Classification of the project site, prepared by National Centre for Earth Science Studies (NCESS) is attached) Rs. 474 Lakhs M/s Escapade Resorts Pvt. Ltd., CASINO HOTEL, Willington Island, Cochin, Ernakulam, Kerala Mr. Doland Alwyn Project Administrator Tel , doland@cghearth.com S.. ( 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, and the like ) Information / Checklist confirmation / 1.1 Permanent or temporary change in land use, land cover or topography including increase in intensity of land use ( with respect to local land use plan ) 1.2 Details of CRZ classification as per the approved Coastal Zone Management Plan? Details thereof (with approximate quantities / rates, wherever possible) with source of information data Permanent construction of beach resorts project will be done in plot area of hectares. The area is classified as CRZ III area and the CESS report is enclosed. 1.3 Whether located in CRZ-I area? Located in CRZ III as per CESS Report 1.4 The distance from the CRZ-I area. Sand dunes near sea are in CRZ I and about 200m away from the proposed development. 1.5 Whether located within the hazard zone as mapped by Ministry of Environment and Forests / National Disaster Management Authority? 1.6 Whether the area is prone to cyclone, tsunami, tidal surge, subduction, earthquake etc.? 1 There is no reported incidence of cyclone, tsunami, tidal surge, sub-duction,

2 earthquake etc. in the project vicinity. Further, the site falls under Zone III in Seismic Zone of India. 1.7 Whether the area is prone for saltwater ingress? 1.8 Clearance of existing land, vegetation and buildings? Since the existing land is vacant, no major clearance activities will take place. Only minor activities will be carried out to clear existing shrubs and weeds as and when required. 1.9 Creation of new land uses? The project site will be developed as beach resort project Pre-construction investigations e.g. bore hole, soil testing? Per-construction soil investigation has been carried out for the site Construction Works? Construction of 28 resort cottages with swimming pool, spa, health club, internal roads, parking & services etc Demolition Works? demolition work required Temporary sites used for construction works, or housing of construction workers? 1.14 Above ground buildings, structures or earthworks including linear structures, cut and fill or excavations Temporary sheds will be constructed for housing of construction workers (About 50 persons) Excavation works will be carried out for providing foundation for the structures. Later on the site will be leveled. Thus the cut and fill process will be required to the minimum extent. underground works including mining / tunneling required Underground works including mining or tunneling? 1.16 Reclamation works? Reclamation work required Dredging / reclamation / land filling / disposal of dredging, reclamation, land filling dredged material etc.? required Offshore structures? offshore structure required Production and manufacturing processes? production / manufacturing process involved Facilities for storage of goods or materials? Separate raw material handling yard will be made within the project premises Facilities for treatment or disposal of solid waste or liquid effluents? 2 Construction Phase: - Solid waste generation from the project during construction phase will be about 20 kg/day and domestic sewage about 3 KL / day. The non-biodegradable waste and other packaging material will be sold to the vendors. The bio-degradable solid waste will be disposed in a bio-bin system for microbial composting and a mobile STP for treatment of domestic sewage from the labour colony. Operation Phase:- Solid waste generation about 100 KG / Day would be generated and adequate number of collection bins separately for Biodegradable and n-biodegradable waste shall be provided as per the MSW Rules, The non-biodegradable and recyclable waste would be sold to recyclers. The biodegradable solid waste will be

3 1.22 Facilities for long term housing of operational workers? 1.23 New road, rail or sea traffic during construction or operation? 1.24 New road, rail, air waterborne or other transport t Applicable infrastructure including new or altered routes and stations, port airport etc.? 1.25 Closure or diversion of existing transport routes or t Applicable infrastructure leading to changes in traffic movements? 1.26 New or diverted transmission lines or pipelines? t Applicable 1.27 Impoundment, damming, culverting, realignment or other changes to the hydrology of watercourses or aquifers? 3 composted in a bio-mass digester. Further, the spent oil from the DG Sets (defined as hazardous waste) will be sold to CPCB approved recyclers. Effluent: - The domestic sewage from the site will be treated through proposed Sewage Treatment Plant of 30 KLD capacity to be developed within the project premises. The proposed project is a resort project and operational workers will be hired locally therefore, no housing facilities will be required for operational workers. t Applicable impoundment, damming, culverting, realignment or other changes to hydrology of surface water courses is proposed Stream and river crossings? stream crossing in the project site Abstraction or transfers of water from ground or surface waters? 1.30 Changes in water bodies or the land surface affecting drainage or run-off? 1.31 Transport of personnel or materials for construction, operation or decommissioning? 1.32 Long-term dismantling or decommissioning or restoration works? 1.33 Ongoing activity during decommissioning which could have an impact on the environment? 1.34 Influx of people to an area in either temporarily or permanently? abstraction of water from ground is required. There will be no change in water bodies. Transportation of personnel / material during the construction and operation phase are envisaged. In the construction phase, approx trucks / day is envisaged. t Applicable t Applicable The local labourers (skilled / unskilled) would be engaged during construction phase Introduction of alien species? t Applicable 1.36 Loss of native species or genetic diversity? loss of native species will occur Any other actions? ne Nil 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): S.. Information / checklist confirmation / Details thereof ( with approximate quantities / rates, wherever possible ) with source of information data 2.1 Land especially undeveloped or agricultural land ( ha ) Plot of Hectares is the undeveloped land. 2.2 Water (expected source & competing users ) unit: KLD Construction phase: - The water consumption during construction phase is for meeting domestic requirement (10 KLD) of the construction labourers and for construction purposes water requirement ( 5 KLD). The source of water will be from stored rain

4 water and well water. Operation Phase: - The total daily domestic water consumption for the proposed project would be 25 KLD. The sources of water during operation phase for the project are: - 1. Stored Roof Rain Water (Rainy Days- Concurrent use) (n-flushing). 2. Treated water from STP (Flushing requirement) (Entire year) 3. Public supply ( n-rainy days) The details regarding the water consumption & waste water generation are provided at daily water balance chart attached. 2.3 Minerals ( MT ) t Applicable 2.4 Construction material stone, aggregates, sand / soil ( expected source MT ) Steel : 31 MT M-Sand: 4,800 Cu. Mtr. Cement Blocks & Laterite Blocks : 4,300 Cu. Mtr. Cement : 1350 tonnes It shall be procured from local market 2.5 Forests and timber ( source MT ) Wood shall be used for frame, however 2.6 Energy including electricity and fuels (source, competing users) Unit: fuel (MT), energy (MW) 2.7 Any other natural resources ( use appropriate standard units ) S.. 4 recyclable wood shall be used for doors. Total quantity of power required during construction and operation phase will be 30 KW and 75 MW. t Applicable 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. Information / Checklist confirmation / 3.1 Use of substances or materials, which are hazardous (as per MSIHC rules) to human health or the environment (flora, fauna, and water supplies) 3.2 Changes in occurrence of disease or affect disease vectors ( e.g. insect or water borne diseases ) 3.3 Affect the welfare of people e.g. by changing living conditions? Details thereof ( with approximate quantities / rates, wherever possible ) with source of information data This is a beach resort project and no storage of hazardous chemicals. ( as per MSIHC Rules ) will be done, apart from used oil from D.G. Sets and suitable arrangement will be adopted for the same. It will be stored in HDPE drums and kept in covered rooms under lock and will be sold to CPCB approved vendors only. Suitable drainage & waste management measures will be adopted both in the construction and operation phase which will restrict stagnation of water or accumulation of water. This will effectively restrict the reproduction and growth of disease vectors. Further, appropriate sanitation facility will be provided at site during construction phase & operation phase. Good house-keeping and hygienic measures will be followed during construction and operation phase to avoid any cause which can lead to occurrence of disease. The proposed project is a beach resort project. Also there will be various ancillary activities like convenient shops, transport facilities etc. attached to the project which will benefit the local people and change their living condition.

5 3.4 Vulnerable groups of people who could be affected by the project e.g. hospital patients, children, the elderly etc., 3.5 Any other causes, that would affect local communities, fisherfolk, their livelihood, dwelling units of traditional local communities etc ne t Applicable. There is no storage of any material within the site which will affect the vulnerable groups of people. S.. 4. Production of solid wastes during construction or operation or decommissioning ( MT / Months ) Information / Checklist confirmation / Details thereof ( with approximate quantities / rates, wherever possible ) with source of information data 4.1 Spoil, overburden or mine wastes such spoil over burden or mine waste will be generated. The construction debris will be used for backfilling purposes. 4.2 Municipal waste ( domestic and or commercial wastes ) 4.3 Hazardous wastes (as per Hazardous Waste Management Rules ) 5 There will be about 20 kg of municipal solid waste during construction phase. The total municipal solid waste generated from the project would be about 100 kg / day on full occupancy during operation phase. The oil used in the DG Sets (as standby source of power) after certain of hours of operation, needs to be changed. This used oil from the DG Sets will be sold to the CPCB approved recyclers. Used oil will be stored in HDPE drums in isolated covered facility. 4.4 Other industrial process wastes t Applicable 4.5 Surplus product t Applicable 4.6 Sewage sludge or other sludge from effluent treatment The sludge from STP will be partially recycled for enhancing biological treatment and the excess sludge will be sent to the filter press and the de-canted sludge will be used as a manure in green area during operation phase. 4.7 Construction or demolition wastes Construction waste & demolition waste will be used for back filling purposes. 4.8 Redundant machinery or equipment t Applicable 4.9 Contaminated soils or other materials t Applicable 4.10 Agricultural wastes t Applicable 4.11 Other solid wastes Some horticulture waste will be generated and which will be stored along with bio-degradable waste and would be disposed accordingly. S.. 5. Release of pollutants or any hazardous, toxic or noxious substances to air ( Kg / hr. ) Information / Checklist confirmation / Details thereof ( with approximate quantities / rates, wherever possible ) with source of information data 5.1 Emissions from combustion of fossil fuels from stationary or mobile sources The operation of proposed project does not envisage any major air pollutant generating sources except D.G. Sets and vehicular movement during construction phase and operation phase. 5.2 Emissions from production processes t Applicable. production activity envisaged. 5.3 Emissions from materials handling including storage or transport This will be restricted to the construction phase and within the project site only.

6 5.4 Emissions from construction activities including plant and equipment 5.5 Dust or odours from handling of materials including construction materials, sewage and waste 6 Dust will be generated during unloading of construction materials, drilling and grinding operation etc. this will be restricted to the construction phase and within the project site only. The other source of emission is from DG Set. During construction phase dust will be generated during the handling of construction materials, sprinklers for suppression of dust will be installed during construction phase to minimize the dust operation. Wind breakers (i.e. barricades with GI Sheets) at all vulnerable sides (all along the nearby houses) or location or using shade nets will be used for dust control. 5.6 Emissions from incineration of waste t Applicable, no incineration proposed. 5.7 Emissions from burning of waste in open air t Applicable (e.g. slash materials, construction debris ) 5.8 Emissions from any other sources t Applicable S.. 6. Generation of ise and Vibration, and Emissions of Light and Heat: Information / Checklist confirmation / 6.1 From operation of equipment e.g. engines, ventilation plant, crushers Details thereof ( with approximate quantities / rates, wherever possible ) with source of information data During construction, the machinery used for construction will be of highest standard of reputed make and will adhere to international standards. These standards itself take care of noise pollution control. Hence insignificant impacts due to construction machinery are envisaged. The source of vibration from the project is during construction of the building. Pile foundation excavation through rotary drilling is the source of vibration. The PPV levels from the rotary drilling for pile foundation would be maintained within 10 mm/sec at 20 m from the source. Therefore, there will not be any damage due to the vibration to be generated during foundation work to the nearby structures. Apart from this, the construction activity will be restricted to day time only. ise will be created from operation of D.G. Sets but all the D.G. Sets shall be acoustically treated to restrict the noise within the permissible limit. ise barriers all along the project boundary will be created. Also the marble / tile cutting area noise barrier enclosures at appropriate height. 6.2 From industrial or similar processes t Applicable 6.3 From Construction or demolition Due to the various construction activities there will be short term noise impacts in the immediate vicinity of the project site. The

7 construction activity will include the following noise generation activities: Operation of D.G. Sets, concreting and mixing. Excavation, jack hammer, etc. 6.4 From blasting or piling blasting or mechanized piling will be used in the construction phase. 6.5 From construction or operational traffic Some amount of noise will be generated from vehicular movement in the construction and operation phase. 6.6 From lighting or cooling systems The lighting proposed within the project area during construction phase and operation phase will be limited to the permissible lux level. The project is resort project thereby the buildings will not be centrally air conditioned and cooling system will not be installed. 6.7 From any other sources t Applicable 7. Risks of contamination of land or water from releases of pollutants into the ground or into sewers, surface waters, ground water, coastal waters or the sea: S.. Information / Checklist confirmation / Details thereof ( with approximate quantities / rates, wherever possible ) with source of information data 7.1 From handling, storage, use or spillage of hazardous materials 7.2 From discharge of sewage or other effluents to water or the land (expected mode and place of discharge) 7.3 By deposition of pollutants emitted to air into the land or into water 7.4 From any other sources t Applicable 7.5 Is there a risk of long term build up of pollutants t Applicable in the environment from these sources? Used Oil from the D.G. Sets will be stored in a separate place and sold to CPCB approved recyclers. Used oil will be stored in HDPE drums in isolated covered facility. The storage of used oil will be in such a way that no spillage of hazardous materials. Sewage will be disposed off through proposed Sewage Treatment Plant to be developed within the premises. t Applicable 8. Risk of accidents during construction or operation of the Project, which could affect human health or the environment S.. Information / Checklist confirmation / Details thereof ( with approximate quantities / rates, wherever possible ) with source of information data 8.1 From explosions, spillages, fires etc from storage, handling, use or production of hazardous substances 7 This is basically a resort project and does not involve major hazardous construction activity. Hence chances of explosions, spillages, fires are minimal. During Construction all the labours will be provided with suitable personal protective equipment (PPE) as required under the health & safety norms. Training and awareness about the safety norms will be provided to all supervisors and labours involved in construction activity. An agreement will be signed with the contractor which will clearly deals with the

8 safety aspects during construction. major hazardous waste is being stored within the project site. Industrial or process activity is involved in this project hence chances of chemical hazards and accidents are minimal. However, suitable fire fighting measures will be provided. 8.2 From any other causes t Applicable 8.3 Could the project be affected by natural disasters causing environmental damage (e.g., floods, earthquakes, landslides, cloudburst etc)? As per seismic classification, the project site falls in Zone-III. report of cloudburst in the area. Also there is no hilly area around the project site, there is no chance of landslide. Appropriate measures will be taken to protect the river passing near the site. Structural design aspects as per seismic code would be incorporated as per norms. 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 S.. Information / Checklist confirmation / Details thereof ( with approximate quantities / rates, wherever possible ) with source of information data 9.1 Lead to development of supporting facilities, ancillary development or development stimulated by the project which could have impact on the environment e.g.: Supporting infrastructure (roads, power supply, waste or waste water treatment, etc.) housing development extractive industries supply industries other Appropriate infrastructure like roads, power supply, waste management and waste water treatment will be developed within the site so that chances of occurrence of any adverse impacts are minimized. During construction skilled, unskilled and professional work force including temporary and permanent employees shall be hired locally in order to generate the employment to the local people. While during the project operation stage for the purposed of day-today maintenance workers will be employed. Moreover, some more employment will be created as a result of positive induced development in the immediate vicinity of project site. Proposed Resort Project t Applicable t Applicable t Applicable 9.2 Lead to after-use of the site, which could have t Applicable an impact on the environment 9.3 Set a precedent for later developments t Applicable 9.4 Have cumulative effects due to proximity to other existing or planned projects with similar effects t Applicable 8

9 III Environmental Sensitivity S. Area Name /. Identity Aerial distance ( within 15 km. ) Proposed project location boundary 1. Areas protected under international conventions, national or local legislation for their ecological, landscape, cultural or other related value 2. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests 3. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration There is no ecological, landscape, cultural or other related values areas. Lakshadweep sea is at a distance of about 250m from the site. The site falls under CRZ III zone classification. The project site is not ecologically sensitive. 4. Inland, coastal, marine or underground waters Lakshadweep sea is at a distance of about 250m from the site. The site falls under CRZ III zone classification. 5. State, National boundaries ne t Applicable 6. Routes or facilities used by the public for access to recreation or other tourist, pilgrim areas The site is located within Thengamputhur Village and several public areas are located near the site. 7. Defence installations t Applicable 8. Densely populated or built-up area Agastheeswaram Taluk is densely populated. 9. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship, community facilities) 10. Areas containing important, high quality or scarce resources (ground water resources, surface resources, forestry, agriculture, fisheries, tourism, minerals) 11. Areas already subjected to pollution or environmental damage. (those where existing legal environmental standards are exceeded) 12. Areas susceptible to natural hazard which could cause the project to present environmental problems (earthquakes, subsidence, landslides, erosion, flooding or extreme or adverse climatic conditions) ******************** *************** Several Hospitals, Schools, Temples and community centre areas are located within 15 KM radius. ne within the area. critically polluted area is located within 15 KM radius. The project area under study falls in Zone III, accordingly to the Indian Standards Seismic Zoning Map. Suitable seismic coefficients in horizontal and vertical directions respectively have to be adopted while designing the structures. 9

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