Preliminary Data Capture Form — Brownfield Projects

Client Instructions: This form is meant for existing industrial sites, running plants, partially operational units, old factories, expansion projects, modernization projects, and compliance regularisation cases. Approximate values may be entered where exact figures are not immediately available.

Confidentiality: This document is for internal techno-legal review only. Do not circulate outside the intended consulting and client team.

00Existing Unit & Client IdentificationID

Company / Unit Name

Signed MoU with Guidance Bureau

Yes No

Primary Contact Person

Designation

Phone

Existing Facility Status

Brownfield Project Objective

Expansion Amendment Regularisation

01Site, Land & Existing Building StatusSITE

Existing Site Address

Village / Local Body

Taluk / District

GPS Location (Google Maps Link)

Unit Located In

Land Ownership / Possession

Year of Original Establishment

Existing Building Approval Status

Approved Partially Available Not Available To be Regularised

Building Stability Certificate

02AExisting vs Proposed Comparison Inputs NeededCOMPARE

Use this section for all direct existing-versus-proposed comparison values. Later sections capture only status, applicability, constraints and remarks to avoid repetition.

Capture the present approved/operating condition and the proposed post-modification condition side by side. Enter quantities wherever available.

Parameter

Existing

Proposed

Remarks / Basis

Land Area (Sqm / Acres)

Product List with Quantity

Raw Materials

Effluent Generation (KLD)

Manpower (Nos)

Total Built-up Area (Sqm)

ETP Capacity (KLD)

Project Cost - Plant & Machinery (₹ Lakhs)

Compressors

Chiller

Cooling Tower

DG Sets

02BGeneral Information & Special ApplicabilityINFO

Whether Existing Unit Attracts EIA / EC

CRZ Notification Applicability

Existing Height of Building (m)

Proposed / Total Height of Building (m)

Existing Height of Other Structures (m)

Proposed / Total Height of Other Structures (m)

Source of Water Supply

Biomedical Waste Applicability

Ground Water Clearance Applicability

CRZ Clearance Status

02Existing Licences, Consents & Statutory ApprovalsLEGAL

Enter the current status of key approvals. Expiry dates are important for brownfield review because renewal, amendment, and expansion sequencing depends on existing validity.

Approval / Licence

Status

Expiry / Validity

Remarks

Environment Clearance

Consent to Operate

Building Plan Approval (DTCP / CMDA)

Factory Licence

Sanitary Certificate (Health)

Hazardous Waste Authorisation

Fire NOC / Fire Safety Approval

PESO

Boiler

Pressure Vessel

Biomedical Waste Authorisation

Ground Water Clearance

CRZ Clearance

Other Licence

03Brownfield Scope & Modification DetailsSCOPE

Brief Description of Proposed Brownfield Work

Will Existing Operations Continue During Work?

Shutdown Window Available

Known Brownfield Constraints

04Existing & Proposed Production ProfilePROCESS

Manufacturing Process Change

Whether Proposed Change Attracts EIA / EC

Existing Pollution Category

05Utilities, Power, Water & InfrastructureUTIL

Existing Sanctioned Power Load (kVA / HP)

Additional Power Required (kVA / HP)

Existing Boiler / Thermic Fluid Heater / Furnace

Proposed Boiler / Thermic Fluid Heater / Furnace

Existing Water Consumption (KLD)

Additional Water Requirement (KLD)

Support Utilities - Existing vs Proposed

06Environment, Waste, Emission & Compliance HistoryENV

Existing ETP System Status / Adequacy

Effluent / Sewage Change Details

Air Emission Sources & APC Measures

Hazardous / Solid Waste Profile

Past Notices, Non-Conformities, Complaints or Pending Compliance Issues

07Safety, Manpower & Hazardous StorageSAFE

Number of Shifts

Contract Labour / Migrant Labour

Hazardous Chemical / Petroleum / Gas Storage

Yes No

Storage Details

On-site Emergency Plan Available

Incident / Accident History

08Implementation TimelineTIME

Planned Start of Modification

Target Completion of Modification

Target Trial Run / Commissioning Date

Target Commercial Operation Date

09Supporting Documents ChecklistDOCS

Tick the documents that are available. Files are not uploaded here. Bucephalus will request copies separately after submission.

Latest Consent to Operate / Consent Order

Current pollution control board consent with conditions and validity.

Factory Licence and Approved Factory Plan

Licence copy, latest renewal, approved factory layout and endorsement details.

Building Plan Approval / Stability Certificate

Approved drawings, completion/occupancy records, and structural stability certificate.

Land / Lease / Rental Documents

Ownership, lease, sub-lease, rental agreement, patta, EC or industrial park allotment.

Existing and Proposed Process Flow / Layout

Current plant layout, proposed layout, machinery list, process flow and utility flow.

Environmental Monitoring / Waste Disposal Records

ETP/STP reports, stack reports, Form 4, manifest, disposal invoices, water bills.

Fire NOC / PESO / Boiler / Other Statutory Licences

Relevant special licences depending on fuel, chemicals, pressure systems and building use.

Other Remarks / Information

Assistance: For any assistance and guidance in filling this form, please call Mr. Vignesh Ganapathy at +91 99529 38898.