APPENDIX I (See paragraph - 6) FORM 1

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1 (I) Basic Information APPENDIX I (See paragraph - 6) FORM 1 SN Contents 1 Name of Project : Mining of Soapstone at Village-Kimoli, Tehsil & Dist -Bageshwar, Uttarakhand with an area ha. 2 S. in Schedule : 1(a) 3 Proposed capacity/ area/ length/ tonnage to be handled/ command area/ lease area/ number of wells to be drilled 4 New/ Expansion/ Modernization : New Mine 5 Existing Capacity/ Area etc. : Ha 6 Category of Project i.e. A or B : B 7 Does it attract the general condition? If yes, please specify 8 Does it attract the specific condition? If yes, please specify 9 Location Village Tehsil District State 10 Nearest Railway station/ airport along with distance in KM 11 Nearest Town, city, District Headquarters along with distance in Kms. 12 Village Panchayats, ZillaParishad, Municipal Corporation, Local body (complete postal addresses with telephone nos. to be given) : Total Recoverable Quantity of Soapstone Tonnes/Annum (max) ML (As per approved Mining Scheme) Area Approved of Mining : Ha Lease Period : 20 Years Consent of Mining Lease: The LOI vide letter no. 759/VII-I/2015/191- Kha/2011 was issued for mine lease period of 20 years. Approved Mining Scheme: The present scheme of mining is approved on 2083/Mukhya Khanij-/T.C.- 10/Ma.Plan/Bhu.Khni.E./ /dated for 5 years period. : : : Kimoli, Bageshwar Bageshwar Uttarakhand : Railway station : Kathgodam, 66 Km (Aerial) Nearest Airport : Pantnagar, 93 Km (Aerial) : Town: Bageshwar, 8.20 Km (Aerial) City : Bageshwar, 8.20 Km (Aerial) Dist. Headquarter:Bageshwar,8.20 km (Aerial) : Gram Panchayat: Kimoli, ZilaParishad: Bageshwar Municipal Corporation: Bageshwar 13 Name of the Applicant : Shri Prakash Singh Nagarkoti 14 Registered Address : Village-Gairar, Tehsil & Dist- Bageshwar, Uttarakhand 15 Address for correspondence Name : Shri Prakash Singh Nagarkoti 1

2 Designation (Owner/Partner/CEO) Address Owner Village-Gairar, Tehsil & District- Bageshwar, Uttarakhand Pin Code - 16 Details of Alternative sites examined, if any. : Mining is a site specific activity. The Location of these sites should be shown on area has been examined by IBM and a topo sheet approved for mining 17 Interlinked Projects : ne 18 Whether separate application of interlinked : t applicable project has been submitted? 19 If yes, date of submission : t applicable 20 If no, reason : t applicable 21 Whether the proposal involves approval/ : clearance under: If yes, details of their status to be given. a) The Forest (Conservation) Act, 1980? b) The Wildlife (Protection) Act, 1972? c) The CRZ tification, 1991? 22 Whether there is any Govt. order / Policy relevant/ relating to the site? : The LOI vide letter no. 759/VII- I/2015/191-Kha/2011 was issued for mine lease period of 20 years. 23 Forest land involved (hectares) : 24 Whether there is any litigation pending : against project and / or land in which the project is proposed to be set up? a) Name of Court b) Case. c) Orders/ directions of the Court, if any and its relevance with the proposed project. 25 Location /site under consideration : Geographically location of mine lease area is between Latitude " N to " N and Longitude " E to " E, covered under SOI Toposheet. 53 O/13, scale 1:50, Size of the Project : tonne per annum (maximum) mine lease area Ha. 27 Expected cost of the project : Rs. 21 lakhs 28 Contact Information : Shri Prakash Singh Nagarkoti Owner Village-Gairar, Tehsil & District- Bageshwar, Uttarakhand 29 Screening Category : Category B2 Capacity corresponding to sectoral activity (such as production capacity for manufacturing, mining lease area and production capacity for mineral production, area for mineral exploration, length for linear transport infrastructure, generation capacity for power generation etc.,) 2

3 (II) Activity 1. Construction, operation, or decommissioning of the Project involving actions, which will cause physical changes in the locality (topography, land use, changes in water bodies, etc.): SN Information/Checklist confirmation Yes / 1.1 Permanent or temporary change in land use, land cover or topography including increase in intensity of land use (with respect to local land use plan) 1.2 Clearance of existing land, vegetation and buildings? quantities / rates, wherever possible) with source of Landuse & Landcover: The proposed lease area is private agricultural land. Boulders of Soapstone will be broken and the mined out land will be reclaimed and subsequently used for agriculture purpose. Topography: The highest RL is about m on the north eastern side of the applied area, while the lowest RL recorded on the southwestern side of the applied area is about m. Yes Top soil is present over mining lease area which will be removed and used for back filling of benches. 1.3 Creation of new land uses? Pre-construction investigations e.g. - bore houses, soil testing? 1.5 Construction works? The opencast manual working does not entail any construction work. However site office, store, drinking water shed & rest shelter are provided. 1.6 Demolition works? t Applicable 1.7 Temporary sites used for construction works or Housing of construction workers? 1.8 Above ground buildings, structures or earthworks including linear structures, cut and fill or excavations - Local labor will be deployed for mining work. 1.9 Underground works including mining or tunneling. Yes Mining will be done at 1623 mrl to 1707 mrl as per the pit location Reclamation works. Yes After completion of mining, the top soil will be used for backfilling of Benches Dredging? Offshore structures? Production and manufacturing processes? Yes Saleable production of Soapstone Tonnes/Annum (Maximum). The opencast mining process for extraction of soapstone primarily 3

4 1.14 Facilities for storage of goods or materials? 1.15 Facilities for treatment or disposal of solid waste or liquid effluents? 1.16 Facilities for long term housing of operational workers? 1.17 New road, rail or sea traffic during construction or operation? 1.18 New road, rail, air, waterborne or other transport infrastructure including new or altered routes and stations, ports, airports. etc.? 1.19 Closure or diversion of existing transport routes or infrastructure leading to changes in traffic movements? 1.20 New or diverted transmission lines or pipelines? 1.21 Impoundment, damming, culverting, t Applicable realignment or other changes to the hydrology or watercourses or aquifers? 1.22 Stream crossings? t applicable involves excavation of soapstone through use of hand implements like sambal, Shovel, spade, hammer, etc. Yes Infrastructure for storage of soapstone and dump is adequately available near the mined field. Yes During the mining period the waste will be temporarily dumped near the mining pit in external dumps & it will be secured with retaining walls. After completion of backfilling, the top soil will be spread on the mined out backfilled land. The reclaimed pits and dump area will be made suitable for Agriculture purpose. Domestic effluent will be disposed through eco-friendly Mobile Toilet. Solid waste material viz. Rappers, Plastic Bags, Cloth Pieces etc. will be stored / managed separately during operation phase of the mining. As mules will be utilized for shifting of soapstone from upper reach to road side, therefore the generated dung will be collected separately & used for manuring in Plantation / agricultural purpose. Local workers will be deployed and no housing is proposed. Yes t applicable The existing road is adequate for meeting additional traffic intensity during operational phase of the mine Abstraction or transfers of water from ground or surface waters? 1.24 Changes in water bodies or the land surface affecting drainage or run-off. Yes During operational phase of the mine water for drinking purpose shall be taken from water sources in the nearby village. Total demand of water shall be approximately 1.5 KLD. Due to mining activities no change in the nearby water bodies is envisaged. 4

5 1.25 Transport of personnel or materials for construction, operation or decommissioning? 1.26 Long-term dismantling or decommissioning works? 1.27 Ongoing activity during decommissioning which could have an impact on the environment? 1.28 Influx of people to an area in either temporarily or permanently? Mining will not be carried out during rainy season. Pits formed due to mining will be backfilled & restoring the periphery of the terrain & maintain drainage pattern of the site. Transportation of material and personnel is not warranted as no construction activity is involved. During the operational phase, the labor / personnel shall arrange for their own means of transport either on foot or by bicycle etc. to reach to the mine site. However excavated mineral during operational phase of mine shall be transported by mule or trucks/tractor trolleys hired on contractual basis temporary or permanent influx of people is envisaged. The work will be carried out during day time by deploying local labor, which will come to the work in the lease area and return to their home Introduction of alien species? Only indigenous species will be planted 1.30 Loss of native species or genetic diversity? As the mining is restricted to defined stretch only, hence there is no loss of genetic diversity except for some temporary grasses etc. grown during the dry period Any other actions? Use of Natural resources for construction or operation of the Project (such as land, water, materials or energy, especially any resources which are non-renewable or in short supply): SN Information/checklist confirmation Yes / 2.1 Land especially underdeveloped or agricultural land (ha) 2.2 Water (expected) source & competing users) unit: KLD quantities /rates, wherever possible) with source of Yes The mining area is private agricultural land. Yes Only 1.5 KLD water will be required for drinking purpose, green belt development, and dust suppression. Source of water will 5

6 be natural spring (nallah) of the nearby area of villages. 2.3 Minerals (MT) Yes Proposed project is for excavation of tonne per annum (maximum) of soapstone. 2.4 Construction material stone, - aggregates, and/soil (expected source MT) 2.5 Forests and timber (source MT) Energy including electricity and fuels (source, competing users) Unit: fuel (MT) energy (MW) electricity is required. 2.7 Any other natural resources (use - appropriate standard units) 3. Use, storage, transport, handling or production of substances or materials, which could be harmful to human health or the environment or raise concerns about actual or perceived risks to human health: SN Information/Checklist confirmation Yes / 3.1 Use of substances or materials, which are hazardous (as per MSIHC rules) to human health or the environment (flora, fauna, and water supplies) 3.2 Changes in occurrence of disease or affect disease vectors (e.g. insect or water borne diseases) 3.3 Affect the welfare of people e.g. by changing living conditions? 3.4 Vulnerable groups of people who could be affected by the project e.g. hospital patients, children, the elderly etc., - Yes 3.5 Any other causes - Details thereof (with approximate quantities / rates, wherever possible) with source of t applicable Project will have a positive effect on the welfare of local people by providing direct and indirect employment opportunity. hospital, school exists nearby the mine lease area which may get affected. 4. Production of solid wastes during construction or operation or decommissioning (MT/month): SN Information/Checklist confirmation Yes / quantities / rates, wherever possible) with source of 4.1 Soil, inter-burden or mine wastes Yes Top soil & Inter-burden are present which will be removed and used for back filling of benches. 4.2 Municipal waste (domestic and or commercial wastes) Yes municipal waste other than domestic sewage shall be generated, 6

7 which shall be disposed eco-friendly mobile toilets. 4.3 Hazardous wastes (as per Hazardous Waste Management Rules) Mining does not involve production of any kind of hazardous waste 4.4 Other industrial process wastes other industrial process wastes will be generated during mining activities. 4.5 Surplus product surplus product will be produced as excavation shall be done as per the demand and will be directly sent to the destined places. 4.6 Sewage sludge or other sludge from effluent treatment Effluent is not generated in mining activities Hence treatment is not required. Domestic sewage will be disposed through eco-friendly mobile toilets. 4.7 Construction or demolition wastes Neither any construction of permanent structure nor any demolition is contemplated. 4.8 Redundant machinery or equipment Yes The machinery or hand equipment shall be either auctioned to other miners as per the suitability or will be disposed in a proper way based on the condition of equipment or tools. 4.9 Contaminated soils or other materials contaminated soil or other materials are envisaged as it is open cast mining Agricultural wastes agriculture waste is produced Other solid wastes - 5. Release of pollutants or any hazardous, toxic or noxious substances to air (Kg/hr) SN Information/check list confirmation Yes / 5.1 Emission from combustion of fossil fuels from stationary or mobile sources quantities / rates, wherever possible) with source of Yes Emissions from vehicles are anticipated during transportation. 5.2 Emissions from production processes Yes Some dust is expected during loading and excavation of mineral. 5.3 Emissions from materials handling including storage or transport Yes Dust and fugitive emissions will be generated during activities such as loading and transportation of minerals. construction activity is envisaged. 5.4 Emissions from construction activities including plant and equipment 5.5 Dust or odours from handling of - materials including construction materials, sewage and waste 5.6 Emissions from incineration of waste incineration is proposed as there will not be any non-biodegradable 7

8 5.7 Emissions from burning of waste in open air (e.g. slash materials, construction debris) 5.8 Emissions from any other sources - waste burning of material is proposed 6. Generation of ise and Vibration and Emissions of Light and Heat: SN Information/Checklist confirmation Yes / 6.1 From operation of equipment e.g. engines ventilation plant, crushers quantities / rates, wherever Possible) with source of of with source of Yes ise will be generated during manual extraction of mineral by using open cast manual mining. 6.2 From industrial or similar process industrial process is involved at mine lease area. 6.3 From construction or demolition construction or demolition is proposed. 6.4 From blasting or piling From construction or operational traffic Yes construction is proposed in the mine lease area; however, Transportation of excavated mineral will generate some noise. 6.6 From lighting or cooling systems cooling system is required for the mining activity. 6.7 From any other sources - 7. Risks of contamination of land or water from releases of pollutants into the ground or into sewers, surface waters, groundwater, coastal waters or the sea: SN Information/Checklist confirmation Yes / 7.1 From handling, storage, use or - spillage of hazardous materials 7.2 From discharge of sewage or other Yes effluents to water or the land (expected mode and place of discharge) generated. 7.3 By deposition of pollutants emitted to air into the land or into water 7.4 From any other sources Is there a risk of long term buildup of pollutants in the environment from these sources? quantities / rates, wherever possible) Domestic sewage will be discharged through eco-friendly mobile toilets. Other than that no effluent is However, water sprinkling will be done to minimize the dust. Only major pollutant generated from this mining activity is fugitive dust which will be suppressed by spraying and sprinkling of water, covering of trucks with tarpaulin sheets. 8

9 8. Risk of accidents during construction or operation of the Project, which could affect human health or the environment: SN Information/Checklist confirmation Yes / 8.1 From explosions, spillages, fires etc. from storage, handling, use or production of hazardous substances 8.2 From any other causes Could the project be affected by Yes natural disasters causing environmental damage (e.g. floods, earthquakes, landslides, cloudburst etc.? quantities / rates, wherever possible) with source of t applicable in case of mining. The topography of the lease area, lying in hillock. Possibility of earthquakes cannot be neglected as the lease area lies within Seismic Zone: V as per seismic zoning map of India (IS: 1893: 2002). However the mine lease area does not house any structure. 9. Factors which should be considered (such as consequential development) which could lead to environmental effects or the potential for cumulative impacts with other existing or planned activities in the locality SN Information / Checklist confirmation 9.1 Lead to development of supporting utilities, ancillary development or development stimulated by the project which could have impact on the environment e.g. Supporting infrastructure (roads, power supply, waste or waste treatment etc.) Housing development Extractive industries Supply Other 9.2 Lead to after-use of the site, which could have an impact on the environment 9.3 Set a precedent for later developments 9.4 Have cumulative effects due to proximity to other existing or planned projects with similar effects Yes / quantities/rates, wherever possible) with source of Yes The soapstone mineral is an important raw material for various industries. The soapstone produced will be used in paper, pesticides and insecticides industries The site is in hillock section and shall be closed after the expiry of the lease and / or discontinuation of mining activity in the area. Thus, no significant impact on environment is 0expected

10 (III) Environmental Sensitivity SN Areas Name / Identity 1. Areas protected under international conventions, national or local legislation for their ecological, landscape, cultural or other related value 2. Areas which are important or sensitive for ecological reasons Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests -- Wetlands -- Water Bodies Kimoli Seasonal Gadera Coastal Zone -- Biosphere -- Mountains Forest - Gurana Reserve Forest Aerial distance (within 15 km.) Proposed project location boundary 0.50 Km. Central Himalayan Zone 1 Km. 3. Areas used by protected, important or sensitive species of flora and -- fauna for breeding, nesting, foraging, resting, over wintering, migration 4. Inland, coastal, marine or ne -- underground waters 5. State, National boundaries such as boundary within 15.0 Km from the site. 6. Routes or facilities used by the public for access to recreation or other tourist, pilgrim areas Bageshwar Dafaut Road 700 m 7. Defence installations ne 8. Densely populated or built-up area Areas occupied by sensitive manmade land uses (hospitals, schools, places of worship, community facilities) 10. Areas containing important, high quality or scarce resources (Ground water resources, surface resources, forestry, agriculture, fisheries, tourism, minerals) 11. Areas already subjected to pollution or environmental damage. (Those where existing legal PHC - Kimoli Junior High school - Kimoli Post Office Kimoli Place of worship - Kimoli Soap Stone ne 1.0 Km 1.0 Km 1.0 Km 1.0 Km 0.00 Km (Good quality soapstone is available at project site). ne 10

11 environmental standards are exceeded) 12 Areas susceptible to natural hazard which could cause the project to present environmental problems (Earthquakes, subsidence landslides, erosion, flooding or extreme or adverse climatic conditions) Earthquake The study area lies in Seismic Zone V. However natural hazards due to earthquakes are not anticipated to be a major environmental issue owing to the shallow mining depths. Also no major structures are part of the proposed development. Hence environmental impacts due to the proposed development are ruled out. Landslide Natural Subsidence is a quite common phenomenon in the hilly areas; however mining will be carried out by open cast manual method by adopted adequate safety measures. Erosion During Monsoon, mining will be stopped. Toe wall will be erected at the base of interburden dump/soil stack. Retaining wall will be made along the backfilled pits. However monitoring will be done for maintaining natural drainage batter in the area. Flooding Flooding may occur depending upon the rainfall, however mining will not be carried out during monsoon season. Extreme /adverse climate Extreme/ adverse climatic conditions such as cloud burst etc are observed in the study area. 11

12 (IV) PROPOSED TERMS OF REFERENCE FOR EIA STUDIES Considering Nature, size & scale of the project, the project is likely to have minimal impacts, we request to consider project as category B2. We propose to submit EMP for the same. I hereby given an undertaking that the data and information given in the application and enclosures are true to the best of my knowledge and belief and I am aware that if any part of the data and information submitted is found to be false or misleading at any stage, the project will be rejected and clearance given, if any to the project will be revoked at our risk and cost Date: Place: Bageshwar Shri Prakash Singh Nagarkoti Owner Village-Gairar, Tehsil & Distt- Bageshwar, Uttarakhand 12