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- '..r' - Delhi Pollution Control Committee

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-<br />

OFFICE OF THE: DELHI POLLUTION CONTROL COMMITTEE<br />

~<br />

4thFLOOR, ISBT BUILDING, KASHMERE GATE, DELHI-110006<br />

'..<strong>r'</strong><br />

For Office Use Only<br />

FORM NO.: 5.:7.~.......<br />

Received by "k,' .. .....<br />

Date of Receiving ... ... ... ... .~'t).. ".,.<br />

Common Application for Consent<br />

Under Water (Prevention and <strong>Control</strong> of <strong>Pollution</strong>) Act, 1974 and<br />

Under Air (Prevention and <strong>Control</strong> of <strong>Pollution</strong>) Act, 1981, as amended<br />

RANGE<br />

From:<br />

~ MIs Shanti Hospitality Pvt. Ltd.<br />

Lower Ground Floor,<br />

To,<br />

Sir/Madam,<br />

C 4/5, Safdarganj Development Area,<br />

New <strong>Delhi</strong> - 110016<br />

The Member Secretary,<br />

<strong>Delhi</strong><strong>Pollution</strong><strong>Control</strong> <strong>Committee</strong>,<br />

4thFloor,I.S.BT Building,<br />

Kashmere Gate, <strong>Delhi</strong> - 110006.<br />

3:>~r<br />

Dated:<br />

D~


(c) Name and address of the premises owner (with<br />

telephone and fax number)<br />

(d) Name & Designation of the person authorized to sign<br />

this application form (The original authorization except<br />

in case of individual proprietary concern to be<br />

enclosed)<br />

MIs Shanti Hospitality Pvt. Ltd.<br />

Lower Ground Floor,<br />

C 4/5, Safdarganj Development Area,<br />

New <strong>Delhi</strong> -110016.<br />

Tel No. 91-11-26512393<br />

Fax. No. 91 -11 - 26511158<br />

Mr. Prakash lal Kapur (Director)<br />

Lower Ground Floor,<br />

C 4/5, Safdarganj Development Area,<br />

New <strong>Delhi</strong> - 110016.<br />

Tel No. 91-11-26512393<br />

Fax. No. 91 -11 - 26511158<br />

"<br />

,.<br />

3.<br />

Names, residence address with telephone and fax number<br />

of Managing Director/Managing Partner and officer:<br />

responsible for matters connected with pollution control<br />

4. a) Are you registered as a small scale Industrial Unit<br />

b) If yes, give the number and date of registration<br />

5.<br />

6.<br />

7.<br />

Gross capital investment (in Rs.) of the Unit without<br />

depreciation till date of application (cost of building, land,<br />

plant and machinery) (To be supported by an affidavit and:<br />

Certificate form a Charted Accountant. For proposed<br />

unit(s), give estimated figure)<br />

a) Location of the Unit<br />

b) If situated in industrial Area, details of CETP Society<br />

membership thereof (Enclose copy of CETP membership)<br />

a) Total plot area of the unit (in sq. meter)<br />

b) Built-up area of the unit (in sq. meter)<br />

c) Sanction Power Load (in KW)<br />

8. Month and Year of Commencement of Production<br />

9.<br />

10.<br />

11.<br />

12.<br />

a) Proposed Unit<br />

b) Existing Unit<br />

a) Number of workers<br />

b) Number of employees (including workers and office<br />

staff)<br />

List of products and by-products manufactured in<br />

tones/month, Kllmonth or numbers/month (Give figure<br />

corresponding to maximum installed production capacity<br />

(Separate sheet may be enclosed)<br />

List of raw materials and process chemicals with annual<br />

consumption corresponding to above stated production<br />

figures, in tones/month or kllmonth or numbers/month<br />

(Separate sheet may be enclosed)<br />

Description of process of manufacture for each of the<br />

products (showing input, output, quality and quantity of<br />

solid, liquid and gaseous wastes, if any from each unit<br />

process)<br />

(To be supported by flow sheet and/or water balance<br />

sheet)<br />

Part B: Waste Water Aspects<br />

Mr. Prakash Lal Kapur (Desianation)<br />

C 4/5, Safdarganj Development Area,<br />

New <strong>Delhi</strong> - 110016.<br />

Tel No. 91-11- 26512393<br />

Fax. No. 91 -11 - 26511158<br />

Not Applicable<br />

0 ¥as ",No<br />

The total estimated cost of the proposed<br />

project is about Rs, 79. Crore.<br />

0 Industrial Area {jJ Non Industrial Area<br />

Not Applicable<br />

39051.86 sq m sq m<br />

3930.36 sq m<br />

11 KV Supply from BSES Rajdhani Power<br />

Ltd.<br />

Tentatively on April 2006 (Refer Annexure-I<br />

for Scheduling Details of Project)<br />

Not Applicable<br />

Approximately 1000 during construction<br />

phase.<br />

Approximately 60 Persons will be step for<br />

the purposes of day- to-day maintenance<br />

work.<br />

Not Applicable<br />

Not Applicable<br />

Not Applicable<br />

13.<br />

«<br />

Water consumption for different users (Iitres/day)<br />

a) Domestic purpose<br />

118 KLD<br />

Contd 3....


) Industrial cooling or boiler feeds<br />

c) Processing whereby water get polluted and the<br />

pollutants are easily bio-degradable<br />

d) Processing whereby water gets polluted and the<br />

pollutants are not easily biodegradable and are<br />

toxic.<br />

e) Others such as agriculture, Gardening etc.<br />

(specify)<br />

14. Source of water supply<br />

Total<br />

75 KLD<br />

Not Applicable<br />

Not Applicable<br />

Sanitation<br />

Irrigation:<br />

Recreational:<br />

114 KLD<br />

33 KLD<br />

80 KLD<br />

420 KLD<br />

(a) Municipal<br />

Authority<br />

Not Applicable<br />

'-'<br />

VfI'<br />

15.<br />

16.<br />

17.<br />

18.<br />

(b) Ground Water<br />

Quantity of waste (effluent) generated<br />

i. Domestic<br />

ii. IndustrialfTrade Effluent<br />

iii. Process<br />

iv. Washings<br />

v.<br />

vi.<br />

Cooling Water Blowdown<br />

Boiler Blowdown<br />

vii.<br />

viii.<br />

DM PlanUSoftening Plant washings<br />

Other<br />

TotallndustriallTrade Effluent<br />

Present treatment of trade effluent (Give<br />

sizes/capacities of treatment units). (A schematic<br />

diagram. of the treatment scheme with inleUoutlet<br />

characteristics of each unit operation/process is to be<br />

provided. Include details of residue management<br />

systems (ETP sludges)<br />

Mode of disposal of treated effluents, with Respective<br />

quantity, Litres/Day<br />

i. Into public sewer/open drain /Iand for irrigation/ .<br />

inland surface water. .<br />

ii. Quantity of treated effluent reused/Recycled,<br />

(litres/day)<br />

iii. Provide a location map of disposal Arrangement<br />

clearly indicating the outlet(s) for sampling<br />

(a) Quality of Untreated/treated effluents (Specify pH,<br />

SS. BOD and specific pollutant relevant to the<br />

industry. Refer Schedule-I for industry specific<br />

standards and Schedule-VI for General effluent<br />

standards of Environment Protection Rules, 1986,<br />

as amended to date)<br />

(b) Enclose a copy of the latest + report of Analysis<br />

from the laboratory approved by <strong>Delhi</strong> <strong>Pollution</strong><br />

<strong>Control</strong> <strong>Committee</strong> for proposed unit furnish<br />

expected characteristics<br />

effluent.<br />

of the Untreated/treated<br />

2 Existing Bore-well (Registration Under<br />

Progress)<br />

250 KLD<br />

250 KLD<br />

STP with design capacity of 250 KLD with<br />

Primary, Secondary and Tertiary Treatment<br />

(Refer Annexure - II for Schematic<br />

Diagram of Proposed STP)<br />

Not Applicable<br />

Treated waste water will be 100 % reused<br />

for irrigation, flushing and cooling purpose<br />

Not Applicable<br />

Not Applicable<br />

Not Applicable<br />

Part - C: Air Emission<br />

Aspects<br />

19. Details of Stack (Process & Fuel Stacks)<br />

(a) Stack number(s)<br />

(b) Attached to<br />

(c) Capacity<br />

(d) Fuel Type<br />

(e) Fuel Quantity (Kg/hr or liUhr)<br />

(f) Material of construction<br />

(g) Shape (round/rectangular)<br />

(h) Height,m (above ground level)<br />

(i) Height, m (above roof level)<br />

Not Applicable<br />

Not Applicable<br />

Not Applicable<br />

Not Applicable<br />

Not Applicable<br />

Not Applicable<br />

Not Applicable<br />

Not Applicable<br />

Not Applicable<br />

Contd 4....<br />

~<br />

~


-------<br />

'-"<br />

21.<br />

0> Sampling facility provided<br />

(k) Diameter/size, in meters<br />

(I) Gas Quantity, Nm3/hr.<br />

(m) Gas temperature, OC<br />

(n) Exit gas velocity,m/sec.<br />

(0) <strong>Control</strong> equipment<br />

-. - n- -. . .<br />

S.No.<br />

1.<br />

2.<br />

Part - D: Hazardous Waste Aspects<br />

Not Applicable<br />

Not Applicable<br />

Not Applicable<br />

Not Applicable<br />

Not Applicable<br />

Not Applicable<br />

Stack<br />

Month &<br />

Stack Height<br />

Noise<br />

Year of Noise<br />

Month & Height above roof<br />

Level<br />

Acoustic installation<br />

Year of above of the<br />

Monitoring<br />

within<br />

Capacity<br />

enclosure of<br />

installation Ground report<br />

building the<br />

(in KVA) installed acoustic submitted<br />

ofD.G. Level where<br />

limit<br />

(Yes/No) enclosure/<br />

Set (Yes/No)<br />

(in D.G. Set<br />

acoustic<br />

(Yes/No)<br />

meters) installed<br />

treatment<br />

(in meters)<br />

2 x 500 Aug -07 13 4.47 Yes Aug -07<br />

New<br />

Construction<br />

Yes<br />

2 x 380 Aug -07 12.5 3.9 Yes Aug-07<br />

New<br />

Construction<br />

Yes<br />

Quality of treated fuel gas emissions and process<br />

emissions (Enclose a copy of the latest + report of<br />

analysis from the approved laboratory by <strong>Delhi</strong> Not Applicable<br />

<strong>Pollution</strong> <strong>Control</strong> <strong>Committee</strong>. For proposed units<br />

furnish the expected characteristic of the emissions).<br />

22.<br />

23.<br />

24.<br />

25.<br />

26.<br />

27.<br />

28.<br />

29.<br />

(a) Whether the unit is generating hazardous waste as<br />

defined in the Hazardous Waste (Management and<br />

Handling) Rules, 1989, as amended.<br />

(b) If so, the category No.<br />

Not Applicable<br />

Quantity of hazardous waste generated (kg/days) or . NotA r bl<br />

(MT/month) . pp lca e<br />

I/We further declare that the information furnished above is correct to the best of my/our knowledge.<br />

I/We hereby submit that in case of any change from what is stated in this application in respect of raw<br />

materials, products, process of manufacture and treatment and/or disposal of effluent, emissions,<br />

hazardous wasted etc. in quality and quantity; a fresh application for Consent/Authorization no<br />

change shall be made.<br />

I/We undertake to furnish any other information within one month of its being called by the<br />

<strong>Committee</strong>. . .<br />

I/We agree to submit to the <strong>Committee</strong> an application for renewal of consent/authorization in two<br />

months in advance before the date of expiry of the consent/authorization validity period.<br />

I/We hereby declare t~at the provisions of Master Pla"!~,~~:~i;~~11 not be violated at any stage.<br />

I/We enclose herewith a Demand Draft N ';""""~H'~ Dated. Drawn on<br />

Bank ."[f:iTfl-(to. ~ Rs\1i~ '. .,(Rupees<br />

";'~:.Ir.{,.i:'&) Drawn In favour of Deihl <strong>Pollution</strong> <strong>Control</strong><br />

<strong>Committee</strong> as the fee of consent.<br />

U<br />

Datedt<br />

Yours faithfully,<br />

.~<br />

For Shanti Hospitality Pvt. Ltd.<br />

Signature ...........<br />

Name...........<br />

DeSignation...: .'.~~~.ector .............. iAuth. Sign.<br />

Contd 5....


Documents enclosed:<br />

1. Certificate from Charted Accountant<br />

2. List of raw materials used, product manufactured and by-products<br />

DYes IJ No<br />

generated during the process with maximum quantity per day.<br />

3. Manufacturing Process in Detail DYes bJ No<br />

4.<br />

...JJYes D No<br />

Approved Layout Plan of the Unit (Annexure III)<br />

,/<br />

5. Proof of CETP Membership (Attested by Gazetted Officer) DYes D No D NA<br />

6. Stack/Chimney monitoring report DYes D NoiJI NA<br />

7. Effluent analysis report DYes D No{j1 NA<br />

8. Noise Monitoring Report DYes D NoiJ NA<br />

9. Affidavit in the prescribed format mentioning date of Establishment of 1-iJ Yes D NoD NA<br />

the Unit. (Annexure IV)<br />

10. Adequacy report of ETP DYes D Noi;b NA<br />

11. Adequacy report of ECS DYes D No1!J NA<br />

~<br />

12.<br />

Copy of MCD/Local Body (Factory Licence) duly attested by Gazetted<br />

officer, as a proof of existence of the unit (Annexure V: Indenture of<br />

{jJYes D No D NA<br />

Lease)<br />

Copy of electricity/power supply sanction QjYes D No D NA<br />

13. (For the operational stage, shall be applied once NoC from OPCC is obtained<br />

Enclosed in Annexure VII Copy of approval for Construction State)<br />

14. Copy of Permission for Existing Bore-well from Central ground Water DYes bJ No D NA<br />

Board<br />

15. Others: Authorization Letter Yes D No D NA<br />

for Shanti<br />

~<br />

HOsPitalitY Pvt. Ltd.<br />

Signature ............. . ............<br />

Name ........... . ..: ... ... ... ... ... ... ....<br />

Designation..P.i.rector/Auth. ... Sign.. .....<br />

\k<br />

Note: 1. .Strike out which ever is not relevant<br />

2. + Latest Test Report --- Not more than three months old, from the date of submission of the consent<br />

application.<br />

3. In case of Consent to Establish to the new Industrial units, following documents are required<br />

(i) Application Form<br />

(ii) Project Report giving details of the unit, proposed capital investment, Activities processes, raw materials<br />

(with quantity per day), products with quantity per day, and sources of waste water/emissions and<br />

proposed pollution control systems/measures (details of design and constitute units)<br />

(Hi) Proof of possession of the ploUAliotment letter/Rental AgreemenULeased Deed.<br />

(iv) Affidavit in prescribed format.<br />

(v) Location Plan.<br />

Contd 6....<br />

rI<br />

ri<br />

l<br />

=<br />

~ ..I

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