Consent to Establish (No Objection Certificate) Form

Application for Consent To Establish

Note:1. All enclosures, appendices, projects, plans and scheme to be submitted in triplicate.
2.Incomplete application will be rejected.
3.No work pertaining to site development or construction of industry be undertaken without NOC doing so
would be the sole responsibility of the applicant and against public interest.

From , Dated
PROJECT MANAGER GANGA POLLUTION 14/09/2022
CONTROL UNIT KANPUR, Farrukhabad -
Fatehgarh,,FARRUKHABAD,209625
City:near bhairav ghat templea
Block:Amritpur
District:FARRUKHABAD

To ,
The Members Secretary,
Uttar Pradesh Pollution Control Board
T.C.12V, Vibhuti Khand, Gomti Nagar,
Lucknow(226010).

Sir,
I/We M/s PROJECT MANAGER GANGA POLLUTION CONTROL UNIT KANPUR (name of proposed
unit), whose owner is Mr./Mrs. GYANENDRA KUMAR CHAUDHARY hereby apply for Consent To
Establish (NOC) from pollution and Environmental angle for proposed production of Sewage treatment
per/day by use of main raw material domestic Sewer per/day at proposed land . The annexure, appendices
other particulars and plans in triplicate are attached herewith.
1. I/We further declare that the information furnished in the Annexure, appendices and plans is
correct to the best of my/our knowledge.
2. I/We hereby guarantee that quality of final discharge of effluent and emissions will be
within the prescribed standards of the Board. The trial production will be started only after
implementing and operating the pollution control advices as proposed herein.
3. I/We hereby guarantee that quality of final discharge of effluent and emissions will be
within the prescribed standards of the Board. The trial production will be started only after
implementing and operating the pollution control advices as proposed herein.
4. I/We undertake that I/we will apply for seeking consent under section 25/26 of Water Act
and consent under section-21 of the Air Act at least two months before start of trial and
comply with the Water Cess Act-1977.
5. I/We declare that the provisions of these Acts have been known to me/us.
6. I/We accept that the application is for proposals submitted and if the site is not approved
then the final decision of Board will be accepted.

Yours faithfully,
 Signature
Name of Applicant:- GYANENDRA KUMAR
CHAUDHARY
Address of applicant:- office of Project Manager
ganga pollution control unit U.P.jal Nigam Kanpur
Dated :14/09/2022
 (Annexure to NOC Application)

1. Name and Address, Category & PROJECT MANAGER GANGA POLLUTION CONTROL
Type of Industry UNIT KANPUR and Farrukhabad -
Fatehgarh,,FARRUKHABAD,209625
GREEN
Miscellaneous Industry
2. General
2.1 Name & Address of Applicant GYANENDRA KUMAR CHAUDHARY & office of Project
Manager ganga pollution control unit U.P.jal Nigam Kanpur
2.2 Proposed Location (Attach location Not Attatched
map of site Showing of point 2.3)
2.3 Details of direction and distance of Surrounding of Distance (in Description
nearest sanctuary, highway railway Site meters)
line, human settlements, river, drain,
reserved forests religious places etc
form the site (In a 5 km. distance)
2.4 Present use of land (enclousure
certificate) Agricultural/ Residential/ Not Attatched
Commercial/ Industrial
2.5 Details of letter of intent/SSI
Registration Document-Not Attatched
2.6 Brief process description with flow
chart Enclosure No.-
Document-Not Attatched
2.7 List of main products with daily Product Name Quantity
designed capacity
treated water 900 Metric Tonnes/month
treated water 360 Metric Tonnes/month
2.8 List of bye products with daily By Product Name Licence Quantity Installed Quantity
designed capacity
30 MLD STP 30000 Cubic 30000 Cubic
Meters/Day Meters/Day
17.7 MLD STP 17700 Cubic 17700 Cubic
Meters/Day Meters/Day
2.9 List of Basic raw material with daily Raw Materials Name Quantity
consumption
Sewer 0 Cubic Meters/Day
2.10 List of other industrial units operated
by applicantorits partners.
2.11 Capital cost of project 7200.0
2.12 Expected date of commissioning of June 2024
plant
3. Water Pollution
3.1 Source of Supply of water Source Type Source Name Quantity
Ground Water 1.0
(within premises)
3.2 Daily Consumption of water Source Consumption Quantity
Others(Washing) 1.0
3.3 Total quantity of liquid effluents Generation Waste Water Generation
discharged per pay. Quantity
3.4 Are there any expected Pollutants. No
3.5 Type of Pollutants Liquid
3.6 Indicate available information on Name of Effluent Characteristics Available
effluent characteristic as below : Information
3.6 Is the effluent to be generated within Yes
specifications
3.7 Proposed Time bound programme Sewage treatment plant work on SBR technology
for Water Pollution Control System. Document-Not Attatched
3.8 Mode of final discharge Closed Drain
3.9 Point of final discharge Any Other
3.10 Is industrial effluent allowed to mix No
with domestic effluent, if no specify only domestic
disposal of domestic effluent.
4. Air Pollution
4.1 Type and quantity of fuel consumed Fuel Consumption
per day in manufacturing or
subsidiary process.
4.2 Details of emissions form fuel Expected,Agricultural
combustion
4.3 Expected process emissions sources NA
quantity
4.4 Proposed Air Pollution Control Not Attatched
System for flue gas and process
emission
4.5 Capacity of Proposed Diesel 1000KVA+650KVA
Generating Set in K.V.A.
4.6 Height of all sources of emission AS per CPCB/UPPCb
5. Solid/Waste Nature of Approxim Total Hazardou Mode of
Waste ate Quantity( s Disposal
Compositi per day)
on
6 Details of use and storage of Chemical Daily Use Storage at a time
Hazardous materials
6.1 Plan for Safety and disaster As per CPCB / UPPCB Guidline
management Document-Not Attatched

Dated : 14/09/2022 Name of Applicant:- GYANENDRA KUMAR

CHAUDHARY
Address of Applicant:- office of Project Manager
ganga pollution control unit U.P.jal Nigam Kanpur
INFORMATION REQUIRED FOR
NOC:-
1. form (Attached)
2. Layout Map (Attached)
Common General Information required for consent to operate under Water Pollution
(Prevention & Control) Act, 1974 and Air Water Pollution (Prevention & Control)Act,
1981.

1. (a) Full name of the applicant with address : GYANENDRA KUMAR

CHAUDHARY,office of Project
Manager ganga pollution control unit
U.P.jal Nigam Kanpur
(Tel. No.) -
(b) Is the firm registered? : YES
(c) If yes, give the number & date of registration and : ,
authority with whom registered.
(d) Full Address of the registered office :
(e) Names, designation and full address of persons like : GYANENDRA KUMAR
Partners, Managing Director/Manager etc. CHAUDHARY
office of Project Manager ganga
pollution control unit U.P.jal Nigam
Kanpur
KANPUR NAGAR
9473942739
(f) Under which category does the industry fall: : small
Large/Medium/Small Scale.
2. Full name of the : PROJECT MANAGER G A N G A
Land/Premises/Institute/Factory/Industry/Local body POLLUTION CONTROL UNIT
with address KANPUR

Address:Farrukhabad -
Fatehgarh,,FARRUKHABAD,209625
Tel. No.:-9650193877
E-mail :[email protected]
3. Give revenue /City Survey No. of the land/premises : District:FARRUKHABAD
for which the application is made: Town/Village:near bhairav ghat templea
City Survey no./Revenue Survey
no.:near bhairav ghat templea
Khata No.:Fatehgarh
Area in Hectares:
4. State month and year in which the plant was actually : June,2024
put into commissions or is proposed to be put into
commission:
5. State the Civil/Military /Defence/industrial Estate etc. : Other
under whose administrative jurisdiction the
occupiers/industrial plant is situated: District:FARRUKHABAD
Corporation:
Village Panchayat
Contonment:
Defence Deptt:
State Govt:
Prohibited areas:
Others:
6. (a) State whether plant site has been declared as : NO
prohibited area:
(b) If yes, state the name of the Authority and furnish a : -
certified copy of the order under which the area has
been declared as prohibited area