FORM - 1

PART C5
APPLICATION FOR CONSENT FOR ESTABLISHMENT
(Information to be furnished for the purpose of issue of consent for Establishment
1. Name of the Industrial Undertking & Address AMBATI MILLS
: ,Sircilla,Mustabad,Bandankal,99,BANDANKAL,505404

2. Process details :

2.1 Production Schedule :

2.1.1 List of main products proposed to be produced

Sl. No. Name of The Product Capacity Units

1. PARABOILED RICE 40 Tons/day

2.1.2 Name of By-products :

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

1. RICE BRAN 5 Tons/day
2. RICE HUSK 7 Tons/day
3. BROKEN RICE 3 Tons/day

2.1.3 Approximate time by which the factory will go into 11/2020

production.(Month/Year)

2.2 RAW MATERIAL CONSUMPTION :

Sl. No. Description Quantity Units

1. PADDY 56 Tons/day

2.3 MANUFACTURING PROCESS :

2.3.1 Any details regarding Manufacturing Process : No

2.3.2 Have you any foreign collaboration : No

2.4 ENERGY CONSUMPTION :

2.4.1 Source of Energy : publicsupply

2.4.2 If energy is generated in plant, fuel used with consumption for e.g. Coal/Fuel oil/Diesel/Natural
Gas/Wood/Others.
 Name of Fuel Daily Consumption Unit

3. LOCATION :

3.1 Please attach a map indicating the site with approach

roads including adjacent areas on all four sides for easy
identification of site of the proposed plant, for inspection.

3.2 Area of land proposed to be aquired(in Sq. Mts.) : 26305.72

3.3 Area proposed to be developed(in Sq. Mts.) : 26305.72

3.4 Built up area(in Sq. mts) : 4129.22

3.5 Green belt area(in Sq mts) : 4047

3.6 Present use of land : Industrial

3.7 Specify location : Landlocked

3.8 Is the land situated within any Municipality or no

Municipal Corporation/Contonment Jurisdiction :

If Yes, name of the Municipality/Municipal

Corporation/Contonment :

3.9 Is the land situated in approved industrial zone or no

estate :

If Yes, name of zone/estate :

3.10 Which of the following features exist within 20 kilometers radius of the site in respect of L & Ml and 5 Kms in
respect of SSI :

Feature Name Distance(in Km)

Crops agriculture crops 0.1

3.9 Enclose a topographical plan covering an area of 20

KM radius of the proposed industry in respect of L & MI
and 5 Kms radius of the proposed industry in respect of
SSI :

4. TOWN PLANNING :

Do you propose to build Township/housing/Quarters for no

your employees :

If yes, Area allocation for the above in Sq. Mts.:

Population to be accommodated(Including Employees &

Families) :

Distance from township to plant site in kilometers :

Water supply Daily consumption (K. Liters) :

Sewer system : Yes

Sewage treatment : Yes

Disposal Point : On land plantation

5. WATER REQUIREMENTS :

5.1 Source of water :

S.No. Source Type Source Name Quantity(KLD)
1. Ground BORE 52.0
5.2 Is any pretreatment necessary for use : no

5.3 Average daily consumption of water

Sl. No. Purpose Quantity Unit

1. Process 45 KLD
2. Boiler feed/make up 5 KLD
3. Domestic 2 KLD

6. WASTE WATER DISCHARGES :

6.1 Waste Water discharges per day

SI.No. Purpose Quantity Units

1 Domestic 0.2 KLD
2 Others PROCESS 40.0 KLD
3 Boiler Blow Down 0.5 KLD

6.2 How do you propose to discharge the waste water : Separate streams

6.3 Type of treatment proposed to be adopted:

6.4 Pointof Final Discharge

Source Point of Final Discharge

Domestic Sewer
Others CETP
Boiler Blow Down CETP

6.5 Waste Water Characteristics

Physical

S.No. Source Tempera PH Color Turbidity Odour Total Total Total

ture Solids Suspende Volatile
d Solids Solids
 Chemical

S.No. Sour Acidi Alkal Hard B.O. C.O. Oils Total Sulp Total Total Sodi Potas Calci Mag
ce ty inity ness D. D. & Nitro hates Phos Chlo um sium um nesiu
Grea gen phate rides m
ses Phos s
phate
s

OTHER PARAMETERS

Sl. No. Source Parameter Quantity Units

6.6 What other specific toxic substance is discharged?

S.No. Source Toxic Substance Name Quantity(KLD)

1. Domestic Inorganic septic tank 0.5
2. Others Inorganic ETP 41.0
3. Boiler Blow Down Inorganic ETP 0.5

7. SOLID WASTES

7.1 Authorisation required for ( Please tick mark appropriate activity / activities) :

Collection Transport
Reception Storage
Treatment Reprocessing/Disposal

S.No. Name of Hazardo Quantity Storage Reuse/rec Disposal Existing Proposed Total
Waste us Waste generate & ycling(in After
Descripti d per day treatmen house)
on t/Pre-
treatmen
t

7.2 Non-Hazardous :

S.No. Description Quantity Units Disposal Existing Proposed Total After

1. ASH 2 Tons/day SOLD TO NO YES NA
BRICK
MANUFA
CTURING
UNITS

7.3 Are there any problems of subsequent Pollution of no

air, water or soil likely at the place of disposal of solid
wastes ?
8. Atmospheric Emissions :

8.1 Emissions from fuel burning:

S.no Stack Name Stack Temperature( Expected Proposed Air Are any
Height(in 'C) Quantity(m3/ Pollution Standard of
mtr) hr) Control Emission
System prescribed for
or adopted by
your
Industry?
1. BOILER 30 AS PER 4 TON MULTI Yes
REQUIREM CYCLONE
D
2. GENERAT 3 NA 100 K.V.A dust Yes
OR collectors

8.1.1 Composition of emissions :

Stack Name Nature of Dust Quantity(Mg/Cubic NM)

Stack Name Gases Quantity(Mg/Cubic NM)

8.2 Emission from process & Fugitive Sources

S.no Stack Name Stack Temperature( Expected Proposed Air Are any
Height(in 'C) Quantity(m3/ Pollution Standard of
mtr) hr) Control Emission
System prescribed for
or adopted by
your
Industry?

8.2.1 Composition Of Emissions

Stack Name Nature of Dust Quantity(Mg/Cubic NM)

Stack Name Gases Quantity

9. OTHER SOURCES OF POLLUTION :

9.1 Is your industry likely to cause noise Pollution? no

9.2 Is there odour problem likely to occur from your no

industry?

9.3 Is there any thermal pollution of surface Waters no

likely to occur from the industrial Discharge?

10 Pollution control management :

10.1 Give details of organisational set up for Pollution
control you propose to have?

10.2 What is the level of experience of the Persons

incharge of pollution control?

10.3 Do you propose to monitor the Pollution from your

industry?

10.4 Give details of Laboratory facilities Proposed.

10.5 Give details of operation and maintenance Or

facilities you propose to have for pollution Control
equipment and treatment plant.

11. Cost of Pollution Control

11.1 Total Capital Investment proposed for Pollution

monitoring and Control(in Rs.).

11.2 Percentage of Capital Investment on Pollution

Control to total fixed capital of the unit.

11.3 Recurring cost per annum(in Rs.)

We hereby declare that we will install and operate pollution control equipment required to meet the
standards prescribed by the Board and we will not commence production, until such pollution control
equipment is installed and ready for operation we will obtain a second No Objection Certificate from the
Board before going into production.

Place :
(Signature of Promoter or Authorized person)
Date :
(Designation)