REVISED APPENDIX I (See paragraph - 6) FORM - 1 S. (r) BASIC INFORMATION 1. Name of the project Khemlal Verma 2.. in the schedule 3. Proposed capacity/ area/ leng+h/ Lease Area = Capacity = 4.!96 Hect. 77,OOO Tones/Year (RoM) afea/ lease a rea/--numberetr*'ehs tebedritted 4. New/@isn Mining lease with area of 4.196 hect. with proposed production capacity of 77,OOO Tons/ year(rom). 5. Existing capacity/area etc. 77,OOO Tonnes/ Area 4.196 Hects. 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. - 387,401./-l,2,3,402/ 7,8,9 Villaqe Bitkuli Tehsil Simqa District Balodabazar State Chhattisqarh Railwav st. Hathbandh - 11 km 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. Town District 12. Village Panchayats, Zilla Parishad, Grampanchayat Municipal corporation, Local body District (complete postal addresses with telephone nos. to be aiven) 13. Name of the applicant Khemlal Verma 74. Reqistered Address 15. Add ress for correspondence : Name Khemlal Verma Desiq nation (owner/partner/ceo) Address Pin code E-Mail Balodabazar - 23.0 km Balodabazar - 23.0 Km Bitkuli Balodabazar [C,G.] Lessee/Aoolicant Khemlal Verma,Teachers Colony Bajrang Ward ' Tehsil - Tilda District - Raipur Chhattissarh. Pin - 493114 493LL4 Khemla lverma45@gmail.com
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. 21. Whether the proposal involves approval/clearance under; if yes, details of the same and their status to be given. b. The Forest (conservation) Act,19B0 The Wildlife (protection) Act,tg7 2 The C.R.Z tification, 1991?... 22. 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 court, if any and its relevance with the proposed Droiect. court case is pending in any court of law. 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/Checklist 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) I quantities /rates, 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
. Information/Checklist quantities /rates, wherever possible) with source of information data be as follows: ) Total excavated area after lease = 4.196 Hect. t.2 Clearance of proposed land, vegetation and buildings? 1.3 Creation of new land uses? t required. L.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 ndertaken. 1.6 Demolition works? t required, 7.7 Temporary sites used for construction works or housing of construction workers? 1.8 Above ground buildings, structu res or ea rthworks 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. 1.11 Dredging? t Applicable 1.12 Offshore structures? such activity proposed. 1.13 Production and manufactu ri ng processes? T.T4 Facilities for storage of goods or materials? 1.15 Facilities for treatment disposal of solid waste liquid effluents? or 1.16 Facilities for long term housing of operational Mining of Limestone mineable quantity = 77,OOO 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
. Information/Checklist quantities /rates, wherever possible) with source of information data workers? t.r7 New road, rail or sea traffic during construction or operation? t Applicable 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 transport routes or infrastructure leading to changes in traffic movements? t Applicable t Applicable r.20 New or diverted transmission lines or pipelines? r.2t Impoundment, damming, culverting, realignment or other changes to the hydrology of watercourses or aquifers? t Applicable 7.22 Stream crossings? t Applicable 7.23 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? L.25 Transport of personnel or materials for construction, operation or decommissioning? r.26 Long-term dismantling or decommissioning or restoration works? 7.27 Ongoing activity during decommissioning which could have an impact on the environment? Since water table is below then the max excavation depth of operation. Thus no changes is envisage in this regard. 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. 7.28 Influx of people to an area in either temporarily or permanently? t.29 Introduction of alien species? such activity involves. t Applicable
. Information/Checklist 1.30 Loss of native species or genetic diversity? quantities /rates, wherever possible) with source of information data t Applicable 1.31 Any other actions? t Apolicable 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):. Info rmation/ch eckl ist 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 4.L96 Hect. for excavation of Limestone. The mine land,is barren land. 5 m3lper day of Water will be required to satisfy domestic and other activities. 2.3 Minerals (MT) Limestone - 77,00O tons/ year ROM 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 200 Liters Per day 2.7 Any other natural resources lrr rqe annrnnriatp cfandard rrnitc\ 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.. Information/checklist 3.1 Use of substances or materials, which are hazafdous (as per MSIHC rules) to human health or the environment (flora, fauna & water supplies) 4
. Information/checkl ist 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 elderlv 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). Information/checkl ist l Details thereof (with approximate 4.1 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 eouipment 4.9 Contaminated soils or other materials t applicable.., t applicable. 4.to Agricultural Waste. 4.t! Other Solid Waste.
5. Release of pollutants or any hazardous, toxic or noxious substances to air (Kglhr). Information/checkl ist 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 materials, sewage and waste 200 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 6. Generation of ise and Vibration, and Emissions of Light and Heat:. Information/checklist 6.1 From operation of equipment e.g. engines, ventilation plant, crushers quantities I rates, wherever possible) with t Applicable 6.2 From industrial or similar processes 6.3 From construction or demolition t applicable t applicable 6.4 From blasting or piling 6.5 From construction or operational traffic N.A. 6
. f nformation/checklist 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:. Informatio n/ch eckl ist 7.L From handling, storage, use or spillage of hazardous materials 7.2 From 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/ rates, wherever possible) with t applicable t applicable Impact will be very marginal. 7.4 From anv other sources t applicable 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;. Informatio n/ch eckl ist 8.1 From explosions, spillages, fires etc from storage, handling, use or production of hazardous substances 8.2 From anv 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: Information/checklist 7
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.:.t Supporting infrastructure (roads, power supply, waste or waste water treatment, etc. ) {. Housinq development * Extractive industries N. Supply 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 developments 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 SE NSITIVITY S.. Information/checklist 1 Areas protected under international conventions, national or local legislation for their ecolog ical, 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, ffiountains, forests 3 Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration Name I 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
S.. Information/checkl ist 6 Routes or facilities used by the public for access to recreation or other tourist, Name I identitv oilorim areas 7 Defense installations t applicable Aerial distance (within 15 km.) Proposed project location boundary t applicable B Densely populated or builtup area 9 Areas occupied by sensitive man-made land uses (hospitals, schools, places of worsh i n - co m m u n itv fa ci I ities) 10 Areas containing important, high quality or scarce resou rces (ground water resources, sur-face resources, forestry, agriculture, fisheries, tourism, mi nera 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 environmental sta ndards are L2 exceeded) 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) 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: 10.04.2018 Place: Tilda Signature k\^^-yt\ Khemlal Verma Applicant