For TOR New Projects. Mo. no. : Contact no. and ID of the Applicant

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1 SEAC, Gujarat : Page 1 of 6 For TOR New Projects 1. Basic Information of the Project: i Name & Address of the Project site (Complete details with plot /Survey, Landmark etc. ) M/s. Perstorp Industries India Private Limited Plot T 49 to T 54, Saykha Industrial Estate, Vagra Taluka, Bharuch District Name of the Applicant Mr. Payrul Kaiprath Divakaran, Managing Director i Address for correspondence M/s. Perstorp Industries India Private Limited 501,5 th Floor, Kesar Solitaire, Sector 19, Sanpada, Navi Mumbai, Thane, Maharashtra, India iv Contact and ID of the Applicant v Aerial distance of nearest Habitat (KM) 0.99 km vi Longitude & Latitude of the Project Site: (4 corners of the site) v Total cost of Proposed Project (Rs. in Crores): Mo. : divakaran.kaiprath@perstorp.com A: N; E B: N; E C: N; E D: N; E E: N; E F: N; E INR 480 Crores vi Total Plot area ( sq. meter) ix Green belt area,/tree Plantation area ( sq. meter) x Category as per the Schedule to the EIA Notification 2006 i.e. 1(d), 2(b), 5(f) etc. xi Applicability of General Conditions of EIA Notification 2006: i.e. Ensure that I. Protected areas notified under the Wildlife (Protection) Act, 1972; II. CEPI areas III. Ecosensitive areas and IV. Interstate boundaries and international boundaries; are not located within 5 km or 10 km (as the case may be) area from the boundary of the proposed site. 2. Online application proposal : 3. Date of application for TOR: 4. Project status: New 5. Product profile: m m 2 5(f) Not Applicable

2 SEAC, Gujarat : Page 2 of 6 No. Name of the Products 1 Pentaerythritols CAS Pentaerythritol Dipentaerythritol Mix Penta Mixture of 40% Penta 40% Di Penta, 20% moisture 2 Calcium Formate MT/Month (40000 MT/Annum) (26000 MT/Annum) Total Production Enduse of product The project falls under Category B of project activity 5(f) as per the schedule of EIA Notification Product wise Raw material consumption: Name of the Products Name of the Raw CAS of raw Materials materials. List of Raw Material is given in Form I. 7. Water, Air and Hazardous waste management: Particulars Details A Water i Source of Water Supply GIDC (GIDC, Bore well, Surface water etc...) Status of permission from the concern authority. Permission is taken from GIDC for water supply. MT/Month Water consumption (KL/day) Existing KL/day (A) Domestic 7 (B) Gardening 55 (C) Industrial Process 0 Washing 58 Boiler 234 Cooling 810 Others (Water Treatment Plant) 37 Total 1200 i Waste water generation (KL/day) Category Existing KL/Day (A) Domestic 6 Remarks

3 SEAC, Gujarat : Page 3 of 6 (B) Industrial Process 0 Washing 58 Boiler 191 Cooling 143 Others 346 from WTP, from Raw material, Water with Ejector Steam Total Industrial waste 744 water iv Treatment facility with capacity ETP: 1000 KLD (ETP, CETP, MEE, STP etc). v Mode of Disposal & Final meeting point Domestic: To ETP for treatment and then to CETP for further treatment and disposal Industrial: To ETP for treatment and then to CETP for further treatment and disposal vi Reuse/Recycle details (KL/day) v B i Air Flue gas emission details No. of Boilers/TFH/Furnaces/DG sets etc. with capacities viz. TPH, Kcal/hr, MT/hr, KVA etc. SR. Source of emission With Capacity e.g. Boiler (8 TPH) Stack Height (meter) Name of the fuel of Fuel MT/hr & MT/Day APCM Type of emissions i.e. Air Pollutants Emission Standards 1 Boiler 1 (20 2 Boiler 2 ( Boiler 3 (20 (stand by) Waste Heat Recovery Boiler 1 (5 Waste Heat 5 Recovery Boiler 2 (5 6 D. G. Set (700 KW) 7 D. G. Set (700 KW) NG/FO 1500 Nm 3 / 1250Kg NG/FO 1500 Nm 3 / 1250Kg NG/FO 1500 Nm 3 / 1250Kg NG/FO 375 Nm 3 / 0 Kg NG/FO 375 Nm 3 / 0 Kg HSD HSD 280 kg/hr 280 kg/hr Adequate Stack Height SO2 NOx Process gas i.e. Type of pollutant gases (SO 2, HCl, NH 3, Cl 2, NO x etc.) PM 80 µg/m 3 80 µg/m 3 100µg/m 3

4 SEAC, Gujarat : Page 4 of 6 Source of emission Stack/Vent Height (meter) APCM Type of emissions i.e. Air Pollutants Emission Standards v C i 1 Process and storage area 2 Recovered methanol buffer 3 Calcium Hydroxide Vessel 4 HCl storage tank Central Absorption Scrubbing System Formaldehyde HC 10 mg/nm 3 15 mg/nm 3 10 Water Scrubber HC 15 mg/nm 3 10 Water Scrubber PM 150 mg/nm 3 10 Water Scrubber HCl 20 mg/nm 3 Fugitive emission details with its mitigation measures. Fugitive emission details will be provided in EIA report. Hazardous waste (as per the Hazardous and Other Wastes (Management and Transboundary Movement) Rules Type/Name of Hazardous waste 1 Waste from lime 2 Ash from incineration 3 Spent active carbon 4 Spent ion exchange resin 5 Sludge from ETP 6 Broken packaging 7 Mother Liquor 8 Recovered Methanol Source of generation Category and Schedule as per HW Rules. (MT/Annum) Disposal Method Process MT TSDF Boiler MT To Brick Manufacturing and Cement Manufacturing Unit Process MT TSDF Process MT TSDF ETP MT TSDF Storage MT Process MT Process MT To registered recycler Incinerated at site Incineration at Site

5 SEAC, Gujarat : Page 5 of 6 9 To registered Used oil Maintenance MT recycler of all the wastes including discarded containers must be in MT/Annum. D i Membership details of CETP, TSDF, CHWIF, Common MEE etc. Details of NonHazardous waste & its disposal (MSW and others) Solvent management (If any) Details of Solvent recovery (As per respective ToR) VOC emission sources and its mitigation measures Membership of CETP and TSDF will be taken. NonHazardous waste will be generated in the facility on a yearly basis which are listed below: 1. Wooden scrap/ broken pallet 2. Metal scrap 3. Paper waste 4. Poly bag/plastic waste 5. Powder bag/ gunny bag 6. Miscellaneous garbage Canteen waste Not applicable Not applicable 8. Details of Environmental Consultants: Particulars Details i Name of the Consultant M/s. Kadam Environmental Consultants Validity of Certificate of accreditation issued by the NABET, QCI i Accreditation for the categories Accredited for sector 21 as per NABET & 5(f) as per MoEFCC for category A iv Any other details Name & designation of the Applicant: Stamp & Signature of Applicant: Date: General Instructions Format shall be in WORD Format (Font type Arial, Font size 11) Provide authenticated (with stamp & Signature) hard copy during presentation. Kindly mail to : seacgujarat@gmail.com and copy to all members.

6 SEAC, Gujarat : Page 6 of 6 Above data should be as per application Form1 & PFR. Incorporate relevant details in respective column of the Format. Do not attach Annexure in Format.