APPENDIX I. (See paragraph - 6) FORM Existi ng capacity/area etc. 1,1O,OOO Tonnes/ Area 4.8O8 Hects. I. Bhatbhera Tehsil.

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1 Revised APPENDIX I (See paragraph - 6) S. (r) FORM - 1 BASIC INFORMATION 1. Name of the project Ripusudan Verma 2.. in the schedule 3. Proposed capacity/ area/ l ngth/ area/ lease a rea/-r+tmber'-etr-wehs tebedri{led Lease Area : 4.8O8 Hect. Capacity : 1,1O,OOO Tones/year ( ROM ) 4. New/@ion Mining lease with area of hect. with proposed production capacity of 1,10,000 Tons/ year ( ROM ). 5. Existi ng capacity/area etc. 1,1O,OOO Tonnes/ Area 4.8O8 Hects. I 6. Category of project i.e. 'A' or'b'. B 7. Does it attract the general condition? If yes, please specify. B. Does it attract the specific condition? If yes, please specify. 9. Location Plot/Su rvev/khasa ra, Khasara /1,100/2 & 100/3 Villaqe Bhatbhera Tehsil Simsa District Balodabazar State Chhattisqarh Railwav st. Air Port Raipur - 65 kms. 10. Nearest railway station/airport along with distance in km. 11. Nearest Town, city, District Headquarters along with distance in km. t2. Village Panchayats, Zilla Parishad, Municipal corporation, Local body (complete postal addresses with telephone nos. to be qiven) Town District Grampanchayat District 13. Name of the applicant Ripusudan Verma t4. Reqistered Address 15. Add ress for correspondence : Name Ripusudan Verma Desiq nation (owner/pa rtner/ceo) Address Hathbandh - 10 km Balodabazar km Balodabazar Km Leassee/Applicant Ripusudan Verm Village&Post-Suhela Tehsil - Simga District - Balodabazar Chhattisearh. Pin Pin code vuea12504@srrrail.cory: Bhatbhera Balodabazar( C.G.)

2 Telephone , Fax. 16. Details of Alternative sites examined, if any. Location these sites should be shown on a toposheet alternative site has been considered. Mining lease already granted 17. Interlinked Projects interlinked project 18. Whether separate application of interlinked project has been N.A. submitted? 19. If yes, date of submission N.A. 20. If no, reason N.A. 2t. Whether the proposal involves approval/clearance under; if yes, details of the same and their status to be given. a. The Forest (conservation) Act,1980 b. The Wildlife (protection) Act,t972 c. The C.R.Z tification, 1991? Whether there is any a Government order/policy relevant/ N.A. relating to the site? 23. Forest land involved(hectares) forest land is involved. 24. Whether there is any litigation pending against the project and/or land in which the project is propose to be set up? a. Name of the court b. Case. c. Orders/directions of the coutt, if any and its relevance with the proposed nroiect- 1irffi$Hll\ENlLffiS]iil $N'iliNN court case is pending in any court of law. Nllrrllffiris 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.). Information /C heckl ist 1.1 Permanent or temporary change in land use, land topography cover. or including increase in intensity of land use (with respect to local land use plan) 1 quantities /ratei, wherever possible) with sciurce of information data The proposed project is opencast semimechanised mining project which will create depression after excavation of limestone. Present topography of the area have gentle slope towards south and south - west, The post excavation scenario of the site will

3 . Information/Checklist quantities /rates, wherever possible) with source of information data be as follows: F Total excavated area after lease = Hect. 7.2 Clearance of proposed land, vegetation and buildings? 1.3 Creation of new land uses? t required. 1.4 Pre-construction investigations e.g. bore houses, soil testing? 1.5 Construction works? N.A. As proposed lease area devoid of vegetation and any co-building. preconstruction activity has been u nderta ken. 1.6 Demolition works? t required, L.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 1.9 Underground works including mining or tunneling? t required. Since it is mining operation physical structure changes are there. Excavated Limestone will be stored for the short period at designated area in working pit. underground work is envisaged as the said quarry is opencast ordinary Quartzite quarry. 1,10 Reclamation works? Mine reclamation will be done as per quideline of the SEIAA/ CECB Dredging? t Applicable L.r2 Offshore structures? such activity proposed, 1.13 Production and ma nufactu ri ng processes? T,T Facilities for storage of goods or materials? Facilities for treatment disposal of solid waste liquid effluents? Facilities for long term housing of operational Mining of Limestone mineable quantity = 1,10,000 Tons Per Year The mined out Limestone will be utilized for cement manufacturing. t required. Entire generated waste will be used for Road Embankment and leveling of storage area and low lying area within premises. Regarding liquid effluent treatment; we hereby like to state that domestic effluent is expected to be generate; which will be treated through septic tanks. t Applicable

4 . f nformation/checklist quantities f rates, wherever possible) with source of information data workers? r.t7 New road, rail or sea traffic during construction or operation? t Applicable 1. 1B 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 transport routes or infrastructure leading to changes in traffic movements? 7.20 New or diverted transmission lines or pipelines? t Applicable t Applicable t Applicable L.2r Impoundment, damming, culverting, realignment or other changes to the hydrology of watercourses or aquifers? Since water table is below then the max excavation depth of operation. Thus no changes is envisage in this regard Stream crossings? t Applicable L.23 Abstraction or transfers of water form ground or surface waters? t.24 Changes in water bodies or the land surface affecting drainage or run-off? t.25 Transport of personnel or materials for construction, operation or decommissioning? t.26 Long-term dismantling or decommissioning or restoration works? 1.27 Ongoing activity during decommissioning which could have an impact on the environment? Drinking water requirement will be drawn from ground water sources. t Applicable Most of the worker engaged will be from nearby villages. t required. such activity envisaged. I.2B Influx of people to an in either temporarily permanently? area or such activity involves. r.29 Introduction of alien species? t Applicable

5 . Information/Checklist quantities /rates, wherever possible) with source of information data 1.30 Loss of native species or genetic diversity? t Applicable 1.31 Anv other actions? t Aoolicable 2. 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):. Informatio n/ch eckl ist quantities/ rates, wherever possible) with 2.1 Land especially undeveloped or agricultural land (ha) 2.2 Water (expected source & competing users) unit: KLD Mining lease has been accorded to lessee for over an area of Hect. for excavation of Limestone. The mine land js barren land. 5 mrlper day of Water will be required to satisfy domestic and other activities. 2.3 Minerals (MT) Limestone - 1,10,,000 tons/ year 2.4 Construction materialstone, aggregates, sand / soil (expected source - MT) construction activities are envisaged for proposed, mining activates. 2.5 Forests and timber (source _ MT) t Applicable 2.6 Energy including electricity and fuels (source, competing users) Unit: fuel (MT), energy (MW) Fuel = Diesel 250 Liters Per day 2.7 Any other natural resources (use aporooriate standard units) t Applicable 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,. 3.1 Use of substances or materials, which are hazardous (as per MSIHC rules) to human health or the environment (flora, fauna & water supplies) 4 quantities/ rates, wherever possible) with

6 . quantities/ rates, wherever possible) with 3.2 Changes in occurrence of disease or affect disease VeCtOfS (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., 3.5 Anv other causes Economic status of the area will improve, & thus living conditions & standard. 4. Production of solid wastes during construction or operation or decommissioning (MTlmonth). Details thereof (with approximate quantities/ iates, wherever possible) with 4.L Spoil, overburden or mine wastes 4.2 Municipal waste (domestic and or commercial wastes) 4.3 Hazardous wastes (as per Hazardous Waste Management Rules) Marginal quantity of waste in the form of stones/ shales etc. and the same will be utilized for road maintenance and protective bund making. hazardous waste generated from the proposed expansion. 4.4 Other industrial process t applicable. wastes 4.5 Surplus product t applicable 4.6 Sewage sludge or other sludge from effluent treatment 4.7 Construction or demolition wastes 4.8 Redundant machinery or equipment 4.9 Contaminated soils or other materials t applicable... t applicable. 4.to Agricultural Waste. 4.Lt Other Solid Waste.

7 . Release of pollutants or any hazardous, toxic or noxious substances to air (Kglhr) f nformation/checklist 5.1 Emissions from combustion of fossil fuels from stationary or mobile sources 5.2 Emissions from production processes 5,3 Emissions from materials handling including storage or transport 5.4 Emissions from construction activities including plant and equipment 5.5 Dust or odors from handling of materials including construction materia ls, sewage and waste quantities/ rates, wherever possible) with 250 liters diesel will be used in machinery per day. Dust emission is envisaged due to vehicles movement. Due care and adequate dust suppression system will be installed on haulage road. t applicable Moveable type of water sprinkling system is deployed for checking dust emanation due to quarry activity, handling and transportation. 5.6 Emissions from incineration of waste 5.7 Emissions from burning of waste in open air (e.9. slash materials, construction debris) 5.8 Emissions from any other sources t applicable Generation of ise and Vibration, and Emissions of Light and Heat:. Information/checkl ist 6.1 From operation of equipment e.g. engines, ventilation plant, crushers 6.2 From industrial or similar processes 6.3 From construction or demolition quantities/ rates, wherever possible) with t Applicable t applicable t applicable 6.4 From blasting or piling 6.5 From construction or operational traffic N.A.

8 . 6.6 From lighting or cooling t applicable svstems 6.7 From any other sources t applicable quantities/ rates, wherever possible) with 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:. 7.r From handling, storage, use or spillage of hazardous materials 7.2 Fr:om discharge of sewage or other effluents to water or the land (expected mode and place of discharqe) 7.3 By deposition of pollutants emitted to air into the land or into water quantities f rates, wherever possible) with t applicable t applicable Impact will be very marginal. 7.4 From any other sources t aoplicable It will be marginal, 7.5 Is there a risk of long term build up of pollutants in the environment from these sources? 8. Risk of accidents during construction or operation of the Project, which could affect human health or the environment:. Information/ch eckl ist 8.1 From explosions, spillages, fires etc from storage, handling, use or production of hazardous substances 8.2 From any other causes 8.3 Could the project be affected by natural disasters causing environmental damage (e.9. floods, earthquakes, landslides, cloudburst etc)? quantities/ rates, wherever possible) with such activity envisages 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: 7 quantities/ rates, wherever possible) with

9 9.1 Lead to development of supporting utilities, ancillary development or development stimulated by the project which could have impact on the environment e.q.:.1. Supporting infrastructure (roads, power supply, waste or waste water treatment, etc.).1. Housinq development * Extractive industries * Supolv industries {. 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 develooments 9.4 Have cumulative effects due to proximity to other planned projects with similar effects t applicable t applicable t applicable t applicable (rrr) ENVIRON M E NTAL SENSITIVITY S.. Information/checkl ist 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 zonel biospheres, ffiountains, forests 3 Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration Name / identitv Aerial distance (within 15 km.) Proposed project location boundary t applicable t applicable t applicable 4 Inland, coastal, marine or underground waters Ground water Within quarry area. 5 State, National boundaries t applicable

10 S.. 6 Routes or facilities used by the public for access to recreation or other tourist, Name I identity oilorim areas 7 Defense installations t applicable Aerial distance (within 15 km.) Proposed project location boundary t applicable B Densely populated or builtud area 9 Areas occupied by sensitive man-made land uses (hospitals, schools, places of worsh i o. co m m u n itv faci I ities) 10 Areas containing important, high quality or scarce resources (ground water resources, surface resources, forestry, agriculture, fi sh e ries, tou rism, m i ne ra ls) Suhela Suhela Ground water 5km School 5 km Govt, Hospital Suhela 5 Km Within mine area. 11 Areas already subjected to pollution or environmental damage. (Those where legal environmenta I sta ndards are I2 exceeded) Areas susceptible to natural hazard which could cause the project to present envi ronmental problems (Earthquakes, subsidence, landslides, erosion, flooding or extreme or adverse climatic conditions\ t applicable t applicable "I hereby given 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 give, if any to the project will be revoked at our risk and cost. Date: Place: Suhela t) Signature (f1 a \J:1,\,.'---- Ripusudan Verma Applicant 9