Checklist for CTE and CCA application
Sr. No. Title Page No.
1. Checklist for CTE – Fresh application 1
2. Checklist for CTE – Amendment application 3
3. Checklist for CCA – Fresh application 6
4. Checklist for CCA – Renewal application 8
5. Checklist for CCA – Amendment application 9
Checklist 1 Checklist for CTE – Fresh application
List of Mandatory Documents:
1. Land related documents :
a. If plot is outside GIDC area, submit following documents.
i. In case of plot owned by the Industry, submit land ownership document like
land records of 7/12, registered sale deed etc.
ii. In case of plot is rented by the Industry, submit valid rent / lease agreement
with condition “In case of violation of any Environmental laws, the tenant
(Industrial unit) and the plot owner are jointly and severally liable”*.
Note: In case of plot is rented by the Industry, above (i) & (ii) both
documents are applicable.
iii. N.A. permission. (Non-agricultural purpose)
iv. Distance certificate from Talati*.
b. If plot is within GIDC area, submit following documents.
i. In case of plot owned by the Industry, submit GIDC plot possession /
allotment letter.
ii. In case of plot is rented by the Industry, submit valid rent / lease agreement
with condition “In case of violation of any Environmental laws, the tenant
(Industrial unit) and the plot owner are jointly and severally liable”*.
Note: In case of plot is rented by the Industry, above (i) & (ii) both
documents are applicable.
2. Site Plan
It shall show nearby landmarks (covering a radius of 3 kms for Small Scale Industry and 5
kms in case of other industries) (satellite image is preferred).
3. Layout plan* (factory / plot layout)
4. CA Certificate* (with bifurcation)
5. List of Proprietor / Partners / Directors*
6. Technical Details*:
a) Product
b) Raw Material
c) Water Consumption
d) Wastewater Generation and Disposal
e) Fuel Details
f) Flue gas Emission
g) Process gas Emission
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h) Hazardous Waste Generation and Disposal
7. Manufacturing Process*
(Process flow diagram, Process description, Chemical reaction, Mass balance)
8. Water Balance Diagram*
9. Effluent Treatment Plant (ETP) details*
(Description of ETP scheme, ETP units with size / capacity, ETP flow diagram)
10. Membership of common facility (showing book quantity) for treated effluent disposal, if
applicable.
11. EIA report, if proposed investment is more than Rs. 250 Cr.
(Where Environment Clearance is not applicable to project / products / activities)
12. Details of land available for irrigation / plantation / gardening in case treated effluent
proposed to be used for that purpose.
13. Valid lease permission from concerned authority in case of mining / quarry project where
mining is included.
14. Compliance with respect to reasons of rejection in case of re-consideration (RCN) of CTE.
List of Other Required Documents:
1. Zoning document or undertaking of plot owner, if plot is outside GIDC area and within
urban development area where development plan is prepared by authority.
2. In case of EC applicability, copy of Term of Reference (ToR) / Environment Clearance (EC).
(in case of EC to CTE application)
3. Undertaking / Self Declaration for non-applicability of any Environmental Act*, if applicable.
4. Small Scale Industry (SSI) / MSME certificate (Udhyog Aadhar) / Memorandum of
Entrepreneurship Certificate, if applicable.
5. NOC application copy or NOC of CGWA for withdrawing bore well water, if applicable.
6. In case of Industrial Estate / Complex / Park / Special Economic Zone (SEZ), a legal
undertaking with clear identification of management to ensure adherence to the
compliance throughout the life of such estate/ complex with reference to specific condition
of Environment Impact Assessment Notification, 2006. (where ToR / EC obtained by
Industrial Estate / Complex / Park / Special Economic Zone)
7. Treatability report for Environment Management System (EMS), if applicable.
*Indicative format is uploaded.
Note:
I. Industry is required to upload scan copy of documents in XGN system in pdf format
only.
II. Technical & other details are required to be filled in XGN system in master technical
data and other pages.
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III. In case of EC to CTE (as fresh application), submit documents & details as per checklist
of CTE - Fresh.
Checklist 2 Checklist for CTE – Amendment application
Type 1:
List of Mandatory Documents only for change in plot or addition of plot:
1. Land related documents :
a. If plot is outside GIDC area, submit following documents.
i. In case of plot owned by the Industry, submit land ownership document like
land records of 7/12, registered sale deed etc.
ii. In case of plot is rented by the Industry, submit valid rent / lease agreement
with condition “In case of violation of any Environmental laws, the tenant
(Industrial unit) and the plot owner are jointly and severally liable”*.
Note: In case of plot is rented by the Industry, above (i) & (ii) both
documents are applicable.
iii. N.A. permission (Non-agricultural purpose).
iv. Distance certificate from Talati*.
b. If plot is within GIDC area, submit following documents.
i. In case of plot owned by the Industry, submit GIDC plot possession /
allotment letter.
ii. In case of plot is rented by the Industry, submit valid rent / lease agreement
with condition “In case of violation of any Environmental laws, the tenant
(Industrial unit) and the plot owner are jointly and severally liable”*.
Note: In case of plot is rented by the Industry, above (i) & (ii) both
documents are applicable.
2. Site Plan
It shall show nearby landmarks (covering a radius of 3 kms for Small Scale Industry and 5
kms in case of other industries) (satellite image is preferred).
3. Layout plan* (factory / plot layout)
Type 2:
List of Mandatory Documents for all other applications:
1. CA Certificate* (with bifurcation) (with existing, proposed and total investment figures)
2. Technical Details* : (existing, proposed and total details)
a) Product
b) Raw Material
c) Water Consumption
d) Wastewater Generation and Disposal
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e) Fuel Details
f) Flue gas Emission
g) Process gas Emission
h) Hazardous Waste Generation and Disposal
3. Manufacturing Process* (If any change)
(Process flow diagram, Process description, Chemical reaction, Mass balance)
4. Water Balance Diagram* (If any change)
5. Effluent Treatment Plant (ETP) details* (If any change)
(Description of ETP scheme, ETP units with size / capacity, ETP flow diagram)
6. Membership of common facility (showing book quantity) for treated effluent disposal, if
applicable. (If any change)
7. EIA report, if proposed investment is more than Rs. 250 Cr.
(Where Environment Clearance is not applicable to project / products / activities)
8. Details of land available for irrigation / plantation / gardening in case treated effluent
proposed to be used for that purpose. (If any change)
9. Valid Lease permission from concerned authority in case of mining/ quarry project where
mining is included. (If any change)
10. Compliance with respect to reasons of rejection in case of re-consideration (RCN) of CTE.
Type 3:
List of Mandatory Documents for change in product mix application:
1. Copy of system generated acknowledgement after uploading “No increase in pollution load”
certificate by the Industry on “PARIVESH” portal for the proposed CTE, CCA Product mix
application.
2. Specific format of information pertaining to the information provided by the Industry on
PARIVESH portal.
3. “No increase in pollution load” certificate
4. Copy of prior Environment Clearance
5. Copy of existing valid CCA and amendments
6. Undertaking for installation and implementation of Online Continuous Monitoring System
(OCMS) before proposed change or increase with at least 95% uptime, connected to the
servers of the CPCB and GPCB to report the quantity and quality of emission and discharges.
(Undertaking may also include regular calibration of OCMS and compliance of guidelines
regarding OCMS being issued by GPCB/CPCB/MOEF&CC)
7. Adequacy and Efficacy report of Environment Management System for proposed product
mix from recognized Environment auditor (along with pollution load considering worst case
scenario of the proposed product mix) shall be submitted. (Report from Schedule I
Environment auditor shall be submitted in case of Schedule I industries as well as Red -
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Large and Red - Medium Industries. Report from Schedule II Environment auditor shall be
submitted in case of rest of industries).
Note: Refer notification / circular / OM issued by competent authority for additional
clarification / requirement.
List of Other Required Documents for all other applications:
1. List of Proprietor / Partners / Directors* (If any change)
2. Zoning document or undertaking of plot owner, if plot is outside GIDC area and within
urban development area where development plan is prepared by authority. (If any change /
addition of plot)
3. In case of EC applicability, copy of Term of Reference (ToR) / Environment Clearance (EC).
(EC to CTE application)
4. Undertaking / Self Declaration for non-applicability of any Environmental Act*, if applicable.
5. Small Scale Industry (SSI) / MSME certificate (Udhyog Aadhar) / Memorandum of
Entrepreneurship Certificate, if applicable.
6. NOC application copy or NOC of CGWA for withdrawing bore well water, if applicable. (If
any change)
7. In case of Industrial Estate / Complex / Park / Special Economic Zone (SEZ), a legal
undertaking with clear identification of management to ensure adherence to the
compliance throughout the life of such estate/ complex with reference to specific condition
of Environment Impact Assessment Notification, 2006 (where ToR / EC obtained by
Industrial Estate/ Complex/ Park/ Special Economic Zone).
8. Treatability report for putting up Environment Management System, if applicable.
9. Adequacy and efficacy of Environment Management System for proposed capacity from
recognized auditor in case of Schedule I or II industries as the case may be alongwith
compliance report in respect of existing products, in case of expansion.
10. Environment audit report of previous year with compliance of recommendation of auditor
(if applicable), in case of expansion.
*Indicative format is uploaded.
Note:
I. Industry is required to upload scan copy of documents in XGN in pdf format.
II. Technical & other details are required to be filled in XGN system in master technical
data and other pages.
III. In case of EC to CTE (as amendment application), submit documents & details as per
checklist of CTE – Amendment.
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Checklist 3 Checklist for CCA – Fresh application
List of Mandatory Documents:
1. Compliance of Consent to Establish (CTE).
2. Compliance of Environment Clearance (EC), if applicable.
3. CA Certificate* (with bifurcation).
4. List of plant & machinery*.
5. Membership of Common facility (showing book quantity) for hazardous waste disposal, if
applicable.
6. Public Liability Insurance (PLI), if applicable.
7. Valid lease permission from concerned authority in case of mining / quarry project where
mining is included.
8. Compliance with respect to reasons of rejection, in case of re-application of earlier CCA
rejected.
List of Other Required Documents:
1. Technical Details* :
a) Product
b) Raw Material
c) Water Consumption
d) Wastewater Generation and Disposal
e) Fuel Details
f) Flue gas Emission
g) Process gas Emission
h) Hazardous Waste Generation and Disposal
2. Manufacturing Process*
(Process flow diagram, Process description, Chemical reaction, Mass balance)
3. Water Balance Diagram*
4. Effluent Treatment Plant (ETP) details*
(Description of ETP scheme, ETP units with size / capacity, ETP flow diagram)
5. Membership of Common facility (showing book quantity) for treated effluent disposal, if
applicable.
6. In case of plot is rented by the Industry, submit valid rent / lease agreement with condition
“In case of violation of any Environmental laws, the tenant (Industrial unit) and the plot
owner are jointly and severally liable”*.
7. Layout plan* (factory/plot layout)
8. Undertaking for non-applicability of any Environmental Act*, if applicable.
9. Hazardous Waste Storage Area Details, if applicable.
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10. Small Scale Industry (SSI) / MSME certificate (Udhyog Aadhar) / Memorandum of
Entrepreneurship Certificate, if applicable.
11. NOC application copy or NOC of CGWA for withdrawing bore well water, if applicable.
12. Safety related documents in case of Major Accident Hazard (MAH) units:
a. DISH approval
b. PESO license (if applicable)
c. Onsite emergency plan (if applicable)
d. Other compliance of MSIHC rules as applicable
13. Details of installation of OCEMS in case of 17 category industries and common facilities or as
applicable.
14. Adequacy and Efficacy of Environment Management System for proposed capacity from
recognized auditor in case of Schedule I or II industries as the case may be alongwith
compliance report.
15. Compliance report of SOP prepared by CPCB/GPCB, in case of Rule 9 application under
Hazardous waste rules 2016.
*Indicative format is uploaded.
Note:
I. Industry is required to upload scan copy of documents in XGN in pdf format.
II. Technical & other details are required to be filled in XGN system in master technical
data and other pages.
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Checklist 4 Checklist for CCA – Renewal application
List of Mandatory Documents:
1. Compliance of earlier CCA.
2. Compliance of Environment Clearance (EC), if applicable.
3. Environment statement form-V of previous year.
4. Form-4 (Annual report) under Hazardous waste rules of previous year, if applicable.
5. Public Liability Insurance (PLI), if applicable.
6. Compliance of last legal action taken, if not complied previously.
7. Valid lease permission from concerned authority in case of mining / quarry project where
mining is included.
8. Compliance with respect to reasons of rejection in case of re-application of earlier CCA
rejected.
List of Other Required Documents:
1. In case of plot is rented by the Industry, submit valid rent / lease agreement with condition
“In case of violation of any Environmental laws, the tenant (Industrial unit) and the plot
owner are jointly and severally liable”*.
2. CA Certificate* (with bifurcation) (If investment figures defer from XGN)
3. Compliance of recommendation of Environment Audit report, if applicable.
4. NOC application copy or NOC of CGWA for withdrawing bore well water, if applicable.
5. Safety related documents in case of Major Accident Hazard (MAH) units:
a. DISH approval
b. PESO license (if applicable)
c. Onsite emergency plan (if applicable)
d. Other compliance of MSIHC rules as applicable
6. Details of installation of OCEMS in case of 17 category units and common facilities or as
applicable.
7. Copy of ISO 14001 certificate and Responsible Care Management System, if Industry want
to obtain CCA with additional validity as per Board circular.
8. Compliance report of SOP prepared by CPCB/GPCB, in case of Rule 9 application under
Hazardous waste rules 2016.
*Indicative format is uploaded.
Note:
I. Industry is required to upload scan copy of documents in XGN in pdf format.
II. Technical & other details are required to be filled in XGN system in master technical
data and other pages.
8|Page
Checklist 5 Checklist for CCA – Amendment application
This checklist is applicable to CCA Renewal cum Amendment application also.
List of Mandatory Documents:
1. Compliance of CTE – Amendment, if applicable.
2. Compliance of Environment Clearance (EC), if applicable.
3. Public Liability Insurance (PLI), if applicable.
4. Environment statement form-V of previous year, if not submitted.
5. Form-4 (Annual report) under Hazardous waste rules of previous year (If applicable), if not
submitted.
6. Membership of Common facility (showing book quantity) for hazardous waste disposal. (If
any change)
7. Compliance of last legal action taken, if not complied previously.
8. CA Certificate* (with bifurcation) (with existing, proposed and total investment figures) (If
investment figures defer from XGN)
9. Valid lease permission from concerned authority in case of mining/ quarry project where
mining is included. (If any change)
10. Compliance with respect to reasons of rejection in case of re-application of earlier CCA
rejected.
List of Other Required Documents:
1. Technical Details* : (existing, proposed and total details)
a) Product
b) Raw Material
c) Water Consumption
d) Wastewater Generation and Disposal
e) Fuel Details
f) Flue gas Emission
g) Process gas Emission
h) Hazardous Waste Generation and Disposal
2. Manufacturing Process* (If any change)
(Process flow diagram, Process description, Chemical reaction, Mass balance)
3. Water Balance Diagram* (If any change)
4. Effluent Treatment Plant (ETP) details* (If any change)
(Description of ETP scheme, ETP units with size / capacity, ETP flow diagram)
5. Membership of Common facility (showing book quantity) for treated effluent disposal, if
applicable. (If any change)
9|Page
6. In case of plot is rented by the Industry, submit valid rent / lease agreement with condition
“In case of violation of any Environmental laws, the tenant (Industrial unit) and the plot
owner are jointly and severally liable”*.
7. Layout plan* (factory/plot layout) (If any change)
8. Compliance of recommendation of Environment Audit report, if applicable.
9. List of plant & machinery* (If any change)
10. NOC application copy or NOC of CGWA for withdrawing bore well water, if applicable. (If
any change)
11. Safety related documents in case of Major Accident Hazard (MAH) units:
a. DISH approval
b. PESO license (if applicable)
c. Onsite emergency plan (if applicable)
d. Other compliance of MSIHC rules as applicable
12. Details of installation of OCEMS in case of 17 category units and common facilities or as
applicable.
13. Adequacy and efficacy of Environment Management System for proposed capacity from
recognized auditor in case of Schedule I or II industries as the case may be alongwith
compliance report, in case of expansion.
14. Steps taken for reduction and prevention in waste generation or for recycling or reuse, if
any such step taken.
15. Compliance report of SOP prepared by CPCB/GPCB, in case of Rule 9 application under
Hazardous waste rules 2016.
*Indicative format is uploaded.
Note:
I. Industry is required to upload scan copy of documents in XGN in pdf format.
II. Technical & other details are required to be filled in XGN system in master
technical data and other pages.
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