FORM 1 Riverbed Sand Mining Project

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FORM 1 Riverbed Sand Mining Project At Gata. 117ध, 1306म ( Kuda River) Village: Gujarauliya, Beltikar, Tehsil: Naugarh, District: Siddharthnagar, Submitted by M/s Baburam Construction Address-1769 B-5 Gayatri Mandir Kisan Compound Pikaura, Shiv gulam Gandhi nagar Basti Proprietor Shri Srichandra Chaudhary S/o Sh.Matibar Chaudhary An ISO 9001:2015 Certified Organization QCI-NABET Accredited Organization, Certificate. NABET/ EIA/ 1619/IA 0019 E-mail:eraenvcle@gmail.com www.eraconsultancy.org.in Phone : 0522-4078000, +91-7080999935, 84235000351

Form 1 Basic Information. Item Details 1. Name of the Project Mining of Minor Mineral (Sand) 2.. in the Schedule 1(a) i 3. Project Proprietor Name/ Authorized Signatory/ Father Name/ Address Proposed Capacity/Area/Length/Tonnage to be handled / command and area/lease area/number of wells to be drilled. 4. New / Expansion / Modernization New 5. Existing Capacity / Area etc. 6. Category of Project i.e., A or B B2 Shri Srichandra Chaudhary S/o Shri Matibar Chaudhary. Address-1769, B-5 Gayatri Mandir Kisan Compound Pikaura, Shiv gulam Gandhi nagar Basti, (U.P.) Proposed Capacity in LOI : 1,42,000 m 3 / year Area: 7.89 Ha Project Duration: Five years Existing or Mineable Capacity: 48,400 m 3 / year Depth- 1.0 m Ground water table is 2-5 m bgl ( CGWB -2013) Mineable Area 4.84 Ha Forested Area NIL n-forested land 7.89 Ha. 7. 8. 9. 10. 11. Does it attract the general condition? If yes, please specify Does it attract the specific condition? If yes, please specify Location Plot / Survey / Khasra. Village Tehsil District State Nearest railway station / airport along with distance in kms. Nearest Town, City, District Headquarter along with distance in Kms. Gujarauliya, Beltikar /Naugarh/ Siddharthnagar/ Uttar pradesh Gata. 117ध, 1306म Gujarauliya, Beltikar Naugarh Siddharthnagar Uttar Pradesh Naugarh Railway Station is located 11.5 km from the site Nearest Town: Naugarh is located 11.5 km in South-West direction District Headquarter: Naugarh is located 11.5 km in South-West direction from the site Page 2

12. Village Panchayat, ZillaParishad, Municipal Corporation, Local Body (Complete address with telephone no. to be given) 13. Name of the applicant (Lessee) 14. Registered Address 15. 16. Address for Correspondence Name Designation Address Details of alternative sites examined, if any. Location of these sites should be shown on a toposheet. 17. Interlinked Project 18. Whether separate application of interlinked project has been submitted? Gram Panchayat: Gujarauliya, Zilla Panchayat: Siddharthnagar Municipal Corporation: t in Purview M/s Baburam Construction 1769 B-5 Gayatri Mandir Society: Kisan Compound Pikaura, Shiv gulam Gandhi nagar Tehsil: Basti District: State: Basti Uttar Pradesh Shri Srichandra Chaudhary Proprietor 1769 B-5 Gayatri Mandir Kisan Compound Society: Pikaura, Shiv gulam Gandhi nagar Tehsil: Basti District: State: Basti Uttar Pradesh Pin Code: 272001 E-Mail: Telephone. Fax. ne t Applicable 19. If yes, mention the date of Submission t Applicable 20. If no. specify the reason t Applicable 21. Whether the proposal involves approval / clearance from other departments: If yes, NA details of the same and their status to be given. (a) The Forest (Conservation) Act, 1980 (b) The Wildlife (Protection) Act, 1972 -- (c) The C. R. Z. tification, 1991 -- ne ne ne 22. Whether there is any Government Order / Policy relevant / relating to the site? vide letter no. 630(1) / खनन सह यक / 2018-19 द न क 01/ May/ 2018 Page 3

23. 24. Whether forest land involved? If yes (Specify the area in hectares) Whether there is any litigation pending against the project and / or land in which the project is proposed to be set up? (a) Name of the Court (b) Case. (c) Order(s) / directions of the Court, if any and its relevance with the proposed project. t Applicable Litigation is pending or exist as off today against the project site or land Activity 1.0 Construction, Operation or decommissioning of the project involving actions, which will cause physical changes in the locality (topography, land use, change in water bodies, etc.). Yes/ Details 1.1 1.2 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) Clearance of existing land, vegetation and buildings? Proposed sand mining site is rugged and non-forested and non-arable land which is currently not in use. After the commissioning of the project, opencast, manual/semimechanized mine with the help of conventional hand tools sand mining will be executedin a careful manner to avoid any violation of the recommendations of MoEF. The topography of the site will remain unaffected. t Applicable 1.3 Creation of new land uses? t Applicable 1.4 Pre-construction investigations e.g., bore houses, soil testing? t Applicable 1.5 Construction works? t Applicable 1.6 Demolition works? t Applicable 1.7 Temporary sites used for construction works or housing of construction workers? Yes Temporary shed on the site will be provided for the workers Page 4

1.8 1.9 Above ground buildings, structures or earthworks including linear structures, cut and fill or excavations. Underground works including mining or tunneling? 1.10 Reclamation works? Yes t Applicable Open cast, manual/semi-mechanized mine. Sand shall be exploited with help of conventional hand tools. Sand mining will be done. The Sand mining is required to avoid the deposition which otherwise pose flooding threat to the nearby areas especially during rainy season. 1.11 Dredging? t Applicable 1.12 Offshore structures? t Applicable 1.13 1.14 1.15 Production and manufacturing processes? Facilities for storage of goods or materials? Facilities for treatment or disposal of solid waste or liquid effluents? The project does not involve any production or manufacturing process. t Applicable or very little solid waste will be generated depending upon the man power, since the entire work. The Environmental Management Plan is proposed. 1.16 Facilities for long term housing of operational workers? Laborers from nearby areas will be hired hence no need of housing. 1.17 New road rail or sea traffic during construction or operation? Approach road already exists. (Kachha road about 450 m) 1.18 1.19 1.20 1.21 New road, rail, air, waterborne or other transport infrastructure including new or altered routes and stations, ports, airports etc.? Closure or diversion of existing transport routes or infrastructure leading to changes in traffic movements? New or diverted transmission lines or pipelines? Impoundment, damming, culverting, realignment or other changes to the hydrology of water courses or aquifers? t required for the proposed project The project shall not affect the existing traffic status. t Applicable t Applicable 1.22 Stream crossings? stream is crossing through the site. Page 5

1.23 Abstraction or transfers of water form ground or surface waters? Water for drinking purpose shall be brought from nearby places. 1.24 1.25 1.26 1.27 1.28 Changes in water bodies or the land surface affecting drainage or run-off? Transport of personnel or materials for construction, operation or decommissioning? Long-term dismantling or decommissioning or restoration works? Ongoing activity during decommissioning which could have an impact on the environment? Influx of people to an area in either temporarily or permanently? Yes The mining site will not affect natural drainage. The extracted sand will be transported by roads. Responsibility of laborers employed at site will rest with the proponent only. - - Few people from nearby locality will be temporarily employed. 1.29 Introduction of alien species? - 1.30 Loss of native species or genetic diversity? Rugged land, non-forested and nonarable hence no concern lies for biodiversity loss. 1.31 Any other actions? t even anticipated. 2.0 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):. Yes/ 2.1 Land especially undeveloped or agricultural land (ha) Land is rugged and non-arable and currently not in use. (Area: 7.89 Ha) 2.2 Water (expected source & competing users unit: KLD) Dust suppression: Irrigation: Drinking: 5.50 KLD 0.80 KLD 0.63 KLD Total: 6.93 KLD 2.3 Minerals (MT) Yes Minor Mineral (Sand) 2,13,00 TPA 2.4 Construction material stone, aggregates, sand / soil (expected source MT) -- Page 6

2.5 Forests and timber (Source MT) t Applicable 2.6 2.7 Energy including electricity and fuels (source, competing users) Unit: fuel (MT), energy (MW) Any other natural resources (use appropriate standard units) t Applicable t Applicable 3.0 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 3.2 Use of substances or materials, which are hazardous (as per MSIHC rules) to human health or the environment (flora, fauna, and water supplies) Changes in occurrence of disease or affect disease vectors (e.g., insect or water borne diseases) Yes/ t Applicable such impacts are anticipated 3.3 Affect the welfare of people e.g., by changing living conditions? Yes Short termed employment will be available to the local people 3.4 Vulnerable groups of people who could be affected by the project e.g., hospital patients, children, the elderly etc. any vulnerable group of people will be affected by the project. 3.5 Any other causes t Anticipated 4.0 Production of solid wastes during construction or operation or decommissioning (MT/months). Yes/ 4.1 Spoil, overburden or mine wastes 4.2 Municipal waste (domestic and or commercial wastes) Progressive mine closure plan is proposed. Since no temporary or permanent residence facility will be provided and 8 hrs. working does not anticipate any significant generation Page 7

of Municipal Waste on the sand mining site. 4.3 Hazardous wastes (as per Hazardous Waste Management Rules) t Applicable 4.4 Other industrial process wastes t Applicable 4.5 Surplus product t Applicable 4.6 Sewage sludge or other sludge from effluent treatment t Applicable 4.7 Construction or demolition wastes t Applicable 4.8 Redundant machinery or equipment t Applicable 4.9 Contaminated soils or other materials t Applicable 4.10 Agricultural wastes t Applicable 4.11 Other solid wastes t Anticipated 5.0 Release of pollutants or any hazardous, toxic or noxious substances to air (kg/hr). 5.1 Emissions from combustion of fossil fuels from stationary or mobile sources Yes/ Yes 5.2 Emissions from production processes Yes There are only mobile sources of fossil fuel consumption i.e., in tippers and water tankers. Since maintained vehicles will be used and continuous maintenance of the vehicles is being ensured by the proponent however; the emission of obnoxious gasses cannot be ruled out completely. To control such emissions to the threshold limits proper green belt designing has been planned around the mining site and around the haulage roads. Particulate matter (Fugitive dust emission) will arise as a result of mining process further; it is being ensured that water sprinkling will be used as dust suppressor. Page 8

5.3 Emissions from materials handling including storage or transport Yes Trucks and trolleys will be used for transporting extracted sand covered with tarpaulin to minimize the fugitive dust emission. 5.4 Emissions from construction activities including plant and equipment t Applicable 5.5 Dust or odors from handling of materials including construction materials, sewage and waste t Applicable 5.6 Emissions from incineration of waste t Applicable 5.7 Emissions from burning of waste in open air (e.g., slash materials, construction debris) t Applicable 5.8 Emissions from any other sources t Applicable 6.0 Generation of ise and Vibration and Emissions of Light and Heat. Yes/ 6.1 From operation of equipment e.g., engines, ventilation plant, crushers t Applicable 6.2 From industrial or similar processes t Applicable 6.3 From construction or demolition t Applicable 6.4 From blasting or piling 6.5 From construction or operational traffic Yes blasting or piling will be used in the current sand mining project site. t Applicable 6.6 From lighting or cooling systems t Applicable 6.7 From any other sources t Applicable 7.0 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:. 7.1 From handling, storage, use or spillage of hazardous materials Yes/ t Applicable Page 9

7.2 From discharge of sewage or other effluents to water or the land (expected mode and place of discharge) t Applicable 7.3 By deposition of pollutants emitted to air into the land or into water t Applicable 7.4 From any other sources t Applicable 7.5 Is there a risk of long term buildup of pollutants in the environment from these sources? t Applicable 8.0 Risk of accidents during construction or operation of the project, which could affect human health or the environment. 8.1 From explosions, spillage, fires etc. from storage, handling, use or production of hazardous substances Yes/ t Applicable 8.2 From any other causes t Applicable 8.3 Could the project be affected by natural disasters causing environmental damage (e.g., floods, earthquakes, landslides, cloudburst etc.)? Mining site is in safe zone and no likely environmental damage is anticipated because of any natural disaster. 9.0 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.. 9.1 Leads 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 water treatment etc.) Yes/ t Anticipated Total of 53 man power working 8 hrs. on daily basis will require two temporary toilets and two temporary shelters. permanent development of any supporting infrastructure is proposed. Page 10

9.2 Housing development t Applicable Extractive industries t Applicable Supply industries t Applicable Other t Applicable Lead to after-use of the site, which could have an impact on the t Anticipated environment. 9.3 Set a precedent for later development 9.4 Have cumulative effects due to proximity to other existing or planned projects with similar effects. any other project is existing in the near area Environmental Sensitivity. Area Name/Identity 1. 2. 3. 4. Areas protected under international conventions, national or local legislation for their ecological, landscape, cultural or other related value. Areas which are important or sensitive for ecological reasons Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration. Inland, coastal, marine or underground waters. Aerial distance (within 15 km.) Proposed project location boundary - Kuda River 5. State, National boundaries. 6. Routes or facilities used by the public Flowing towards East direction of the site ne ne At 15.83 km towards north direction NH-233/ SH-5 at 8.65km towards West direction 7. Defense installations t Applicable 8. Densely populated or built-up area Naugarh 11.5 km in South-West direction Page 11

9. 10. 11. 12. Areas occupied by sensitive manmade land uses (hospitals, schools, places of worship, community facilities). Areas containing important, high quality or scare resources. (ground water resources, surface resources, forestry, agriculture, fisheries, tourism, minerals) Areas already subjected to pollution or environmental damage. (those where existing legal environmental standards are 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) Hospital Education Facility Places of Worship Community Facilities PHC at Naugarh, 11.5 Km towards South-West direction Primary School: at Naugarh, 11.5 Km towards South-West direction Temple at 3.60km towards West direction ne 2-5 m bgl ground water table is located in the mining lease area partially recharged by River Kuda in flowing through the region. any other mineral except sand/morrum is available in near 10 kms range. The mining area does not fall in any tourist or any pilgrimage site. ne The area under study falls in Zone-IV i.e. High intensity zone according to the Indian Standard Seismic Zoning. (IV) Proposed Terms of Reference for EIA studies t applicable Page 12

UNDERTAKING 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- te: Signature of Applicant SriChandra Chaudhary (Authorized Signatory) Resident of: Society: 1769 B-5 Gayatri Mandir Kisan Compound Pikaura, Shiv gulam Gandhi nagar Basti Tehsil: Basti District: Basti State: Uttar Pradesh 1. The projects involving clearance under coastal Regulation zone tification, 1991 shall submit with the application a C.R.Z map duly demarcated by one of the authorized agencies, showing the project activities, w.r.t. C.R.Z (at the stage of TOR) and the recommendations of the State coastal zone Management Authority (at the stage of EC). Simultaneous action shall also be taken to obtain the requisite clearance under the provisions of the C.R.Z. tification, 1991 for the activities to be located in the CRZ. 2. The projects to be located within 10 km of the National parks, sanctuaries, Biosphere Reserves, Migratory corridors of wild Animals, the project proponent shall submit the map duly authenticated by chief wildlife Warden showing these features vis-a-vis the project location and the recommendations or comments of the Chief Wildlife Warden thereon (at the stage of EC). 3. All correspondence with the Ministry of Environment & Forests including submission of application for TOR/Environmental Clearance, subsequent clarifications, as may be required from time to time, participation in the EAC Meeting on behalf of the project proponent shall be made by the authorized signatory only. The authorized signatory should also submit a document in support of his claim of being an authorized signatory for the specific project. Page 13