Fire - License - Form - LSM
Fire - License - Form - LSM
APPENDIX III
FORM OF APPLICATION FOR APPLYING LICENCE
(See section 13)
1. Premises Number and name of building : LS Mills Limited – Solar Power Plant
S.F.NO: 113/3, 136/4, 113/4, 113/5, 113/6, 113/7,
113/8, 113/9, 113/10, 113/11, 23/5A, 23/5B, 23/5C,
23/5D, 23/5E, 23/5F, 23/5H, 23/5J, 23/5K, 23/5L,
23/5M, 23/5N, 23/5O, 23/5P, 23/5Q, 23/5R, 23/5S,
23/5T, 53/5U, 23/5V, 23/5W, 23/5X, 22/7G, 22/7H,
22/7I, 22/7J, 22/7F, 24/1, 24/3, 24/2, 114/2, 115/1,
136/3, 115/2, 8/4B, 17/8B, 113/4A, 113/5A, 113/6A,
113/7A, 113/8A, 113/9A, 113/10A, 113/11A, 24/1A,
24/3A, 6/2B3, 23/3B, 2/2,2/3, 8/3B, 23/5G, 23/5I,
113/1, 136/5, 120/1B1A, 120/1B1B, 120/1B1D,
120/1C, 306/1, 306/2, 307/2C7, 318/1A, 120/1B1C,
121/2A2, 121/2B, 317/2A2, 317/2A3, 116/1, 117/1,
117/2A, 117/2B, 307/2C1, 304/2C2, 307/2C3,
307/2C4, 307/2C5, 307/2C6, 316/3, 316/4, 616/5,
316/6, 316/7, 316/8, 316/9, 316/10, 316/11, 316/12,
317/1C, 317/1D, 315/2A, 315/2B, 315/2C, 315/2D,
315/2E, 316/1, 316/2 317/2A1, 317/1B, 115/3, 115/4,
115/5, 120/1A2, 317/1A, 121/1A2, 121/1A3, 121/2F,
121/2E, 121/1A4, 121/2C, 121/1A1, 318/1B1, 121/2D,
305/1A, 307/2A, 313/2, 314/2, 114/1 at Mallanampatti
Village &
S.F.NO: 40/1B, 402B at Sevugampatti Village
2. Occupants –
(a) Name of firm or company or business LS Mills Limited
factory
(b) Name of the proprietor/owner Manivannan S
(c) Name of contract
Nil
1. Description of –
(a) Nature of business, trade or process Solar Power Generation
(b) Commodities and quantities applied for 16 MW
(c) Position of storages in relation to number of Office (Ground floor only)
room floor area, etc.
(d) Commodities already licensed together with CEIG – Temporary
quantities (by Municipality, State or Central
Government) State Licence number
Nil
(e) Trade, business or commodities applied for
disapproved with reasons if any
Building –
Constructional features (Fire resistance of the
building in hours)
General
Low fire risk – cement concrete or brick walled Low fire Risk
Medium fire risk brick walled and timber framed
High fire risk mostly timber framed such as timber
floors, timber roof, timber staircase etc.
Particulars-
Number of storeys and basement if any Ground Floor Only
Walls Bricks with Cement
Doors PVC Door
Windows (barred, etc.) Steel and Glass
Verandahs or balconies Nil
Floors (Attics, Mezzanine floors, lofts, etc.) Tiles with Cement
Ceiling RCC
Roof (or Terrace) Terrace and GI Sheet
Number of staircases and position enclosed open Nil
Other occupations within immediate 20/all around
the proposed building- Vacant Land
(Shops, godowns, factories, workshops, hotels,
departmental stores, schools, hospitals, residences,
offices, etc.)
Observation –
(i) Width of road/street/lane 30 feet
(ii) Accessibility for Fire engines Yes
(iii) Nearest Fire Hydrant Nil
(iv)Bounded on (if open space, state width Road
and whether road, lane, by-lane or
sweeper’s lane.
(v) If structures, state shed building etc, and
proximity)
North Vacant Land
South Vacant Land
East Vacant Land
West
Enerjay Site
1. Nearest means of communication –
(i) Telephone +91-7305853009
(ii) Street Fire Alarm Nil
(iii) Fire Station Nilakkottai
(iv) Police Chowki or Station/Telephone Nilakkottai
No.
1. Installed fire-fighting equipment, if any (buckets
and fire-extinguishers and their types, First-aid, Fire Extinguisher 6kg – 16Nos
hose reel, private hydrants and hose, sprinklers, Fire Bucket with Stand (4 Bucket * 4Stand)
pumps, etc.)
1. Fire detection –
(i) Fire-detecting and alarms system, if any Nil
(ii) Watchman, if any 2 Nos (Day + Night)
1. Water-supply, other sources, if any Sump (200000 Liters)
Lists, Static Tanks, Wells, Ponds, etc., Sintex Tank (1000 liters)
Storage tanks (Overhead, Surface or
Bore well – 1
underground)
Certified that the above particulars furnished are true to the best of my knowledge.