APPENDIX I
(See Paragraph-6)
FORM 1
Note : If space provided against any parameter is inadequate,Kindly upload supporting document under 'Additional Attachments if any'  at the last part of the Form1. Please note that all such Annexures must be part of single pdf document.
(I)Basic Informations
S.No.Item Details
1.Name of the Project Telsara Sand mine - 2
2.Project Sector Non-Coal Mining
3.Location of the project Telsara Sand mine - 2
4.
Shape of the project landBlock (Polygon)
Uploaded GPS fileAnnexure-GPS file
Uploaded copy of survey of India ToposheetAnnexure-Survey of india toposheet
5.Brief summary of projectAnnexure-Brief summary of project
6.State of the projectChhattisgarh
7.Date of Submission09 Aug 2018
Details of State of the project
S.no State Name District Name Tehsil Name
(1.)ChhattisgarhKorbaKatghora
8.Town / VillageTelsara
9.Plot/Survey/Khasra No.50
10.S. No. in the schedule1(a) Mining of minerals
11. Proposed capacity/area/length/tonnage to be handled/command area/lease area/number or wells to be drilled 59400 ha.
12.
New/Expansion/ModernizationNew
13. Category of project B
14. Does it attract the general condition? If yes, please specify No
16. Does it attract the specific condition? No
16.Is there any litigation pending against the project?
18. Nearest railway station along with distance in kms. Korba, 14.00 km
19. Nearest airport along with distance in kms Bilaspur, 71.00 km
20. Nearest Town/City/District Headquarters along with distance in kms Katghora , 10.00 km
21. Distance of the project from nearest Habitation 0.650 , 0.650 km
22.
Details of alternative sites examined shown on a toposheetNo
23.
Whether part of interlinked projects?No
24.
Whether the proposal involves approval/clearance under the Forest (Conservation)Act,1980?No
25.
Whether the proposal involves approval/clearance under the wildlife (Protection)Act,1972?No
26.Whether the proposal involves approval/clearance under the C.R.Z notification,2011?No
27.
Whether there is any Government Order/Policy relevent/relating to the site?No
28.
Whether there is any litigation pending against the project and/or land in which the project is proposed to be set up?No
29. Project Cost(in lacs) 0.90
30. Type of Lease

Mining lease area (in ha.) 		Cluster

9
(II) Activity
1Construction, operation or decommissioning of the Project involving actions, which will cause physical changes in the locality (topography, land use, changes in water bodies, etc.)
S.No Information/Checklist confirmation Yes/No Details there of (with approximate quantities/rates, wherever possible) with source of information data
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) Yes Permanent change in land use – No - This is river bed sand excavation project and no other activity on the land is being done or proposed. No construction, demolition or dismantling is involved in project; therefore there will not be any permanent change in land cover, land use, etc. Temporary change in land use – Yes -Proposed project will create temporary depression after excavation of sand.
1.2 Clearance of existing land, vegetation and buildings? No No
1.3 Creation of new land uses? No No
1.4 Pre-construction investigations e.g. bore houses, soil testing? No No construction is involved.
1.5 Construction works? No No construction is involved.
1.6 Demolition works? No No demolition is required.
1.7 Temporary sites used for construction works or housing of construction workers? No No construction is involved. Temporary hutment will be created for workers as rest shelters during operational period.
1.8 Above ground buildings, structures or earthworks including linear structures,cut and fill or excavations and fill or excavations No No such activity required above the ground.
1.9 Underground works including mining or tunneling? No No
1.10 Reclamation works? No No reclamation would be required. As There is no specific life or end of quarry. Whatever quantity of Sand extracted during one year; more than the extracted quantity of the sand are automatically replenished every year by the Arihan river itself through its replenishment potential which is generated due to its flow, velocity.
1.11 Dredging? No No dredging activity will be involved.
1.12 Offshore structures? No The area is not located at seashore.
1.13 Production and manufacturing processes? Yes Excavation/removal of sand – Scrapping of sand by manual mining. Loading method - Manual
1.14 Facilities for storage of goods or materials? No No sand stacking yard is proposed to be developed.
1.15 Facilities for treatment or disposal of solid waste or liquid effluents? No There is no material which can be called as waste rock or solid waste. Moreover no chemical or liquid shall be used in mining activity which will generate liquid effluents or like items.
1.16 Facilities for long term housing of operational workers? No No, there shall not be any facility for long term housing of the labors as all the labors will come from the nearby villages.
1.17 New road, rail or sea traffic during construction or operation? Yes Construction traffic – NIL Operational Traffic – Yes, Haul road/Ramp will be constructed for mining activities so as to reach to the nearest tar road or regular haul road.
1.18 New road, rail, air water borne or other transport infrastructure including new or altered routes and stations, ports, airports etc? No NA
1.19 Closure or diversion of existing transport routes or infrastructure leading to changes in traffic movements? No No.
1.20 New or diverted transmission lines or pipelines? No No such diversion required.
1.21 Impoundment, damming, culverting, realignment or other changes to the hydrology of watercourses or aquifers? No The project would not make any changes to the water course or aquifers by any means.
1.22 Stream crossings? No No stream crossing is involved.
1.23 Abstraction or transfers of water from ground or surface waters? No No such activity required.
1.24 Changes in water bodies or the land surface affecting drainage or run-off? No Site is more or less flat mining will not be carried out in active channel and a buffer zone of minimum 3 m. will be left along the active channel so that the aquatic life and the natural flow of river will not be disturbed.
1.25 Transport of personnel or materials for construction, operation or decommissioning? Yes Transport arrangement will be made for operational staff coming from distant villages/towns where they commute for work.
1.26 Long-term dismantling or decommissioning or restoration works? No No such works are envisaged
1.27 Ongoing activity during decommissioning which could have an impact on the environment? No No such works are envisaged
1.28 Influx of people to an area in either temporarily or permanently? No No public influx will be affected temporarily or permanently. Peoples may commute for employment and purchase of sand which is temporary short term activity.
1.29 Introduction of alien species? No No such activity is envisaged.
1.30 Loss of native species or genetic diversity? No As a part of green belt development plan native species that are suitable to that soil condition will be developed.
1.31 Any other actions? No Nil
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):
S.No Information/Checklist confirmation Yes/No Details thereof (with approximate quantities/rates, wherever possible) with sourceof information data
2.1 Land especially undeveloped or agricultural land (ha) No The area consists of essentially flat land with flow of river towards North - West. Land is undeveloped river Bed. Land is not being used for agriculture purpose.
2.2 Water (expected source & competing users) unit: KLD Yes Requirement of Water – Process Total (KLD- Kilo Litter Per Day) Mining Operation Nil Dust suppuration and plantation 2.0 KLD Domestic (Sanitation & Drinking) 1.0 KLD Total (A+B) 3.0 KLD Source of Water – Dust suppuration and plantation – As instructed by concerned authorities. Domestic Usage -Dug well & hand pump of nearby village or as instructed by concerned authorities.
2.3 Minerals (MT) No No minerals will be used
2.4 Construction material – stone, aggregates, sand / soil (expected source – MT) No No construction activities are envisaged for proposed activity.
2.5 Forests and timber (source – MT) No Not Applicable
2.6 Energy including electricity and fuels (source, competing users) Unit: fuel (MT),energy (MW) No Nil
2.7 Any other natural resources (use appropriate standard units) No None of the other natural resources will be used.
3 Use, storage, transport, handling or production of substances or materials, whichcould be harmful to human health or the environment or raise concerns about actualor perceived risks to human health
S.No Information/Checklist confirmation Yes/No Details thereof (with approximate quantities/rates, wherever possible) with sourceof information data
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 No None
3.2 Changes in occurrence of disease or affect disease vectors (e.g. insect or water borne diseases) No The project will have no occurrence of disease or affect disease vectors.
3.3 Affect the welfare of people e.g. by changing living conditions? Yes Social & Economic standard of living of population surrounding the proposed project area is likely to be improved.
3.4 Vulnerable groups of people who could be affected by the project e.g. hospital patients, children, the elderly etc. No No effect envisaged
3.5 Any other causes No Nil
4 Production of solid wastes during construction or operation or decommissioning (MT/month)
S.No Information/Checklist confirmation Yes/No Details thereof (with approximate quantities/rates, wherever possible) with source of information data
4.1 Spoil, overburden or mine wastes No The applied area is completely devoid of top soil and overburden.
4.2 Municipal waste (domestic and or commercial wastes) No There is no residential or commercial arrangements, in turn would not generate any municipal waste.
4.3 Hazardous wastes (as per Hazardous Waste Management Rules) No No release of solid waste is expected during various stages of the project.
4.4 Other industrial process wastes No No interlinked industry or subsidiary of project exists to generate any waste.
4.5 Surplus product No Production of sand is not in surplus, nor it becomes waste.
4.6 Sewage sludge or other sludge from effluent treatment No There will not be any kind of sewage sludge or other sludge generation therefore requirement of treatment of effluent is not needed.
4.7 Construction or demolition wastes No Project does not involve any construction or demolition activity.
4.8 Redundant machinery or equipment No The applicant does not have any machinery and redundant machinery or equipment
4.9 Contaminated soils or other materials No Owing to the nature the project, it does not contaminate any materials by releasing harmful solid, liquid or emissions.
4.10 Agricultural wastes No No agricultural wastes will be generated during any phase of project, as this is river bed sand mining project.
4.11 Other solid wastes No No any other solid waste is expected during various stages of the project.
5 Release of pollutants or any hazardous, toxic or noxious substances to air(Kg/hr)
S.No Information/Checklist confirmation Yes/No Details thereof (with approximate quantities/rates, wherever possible) with source of information data
5.1 Emissions from combustion of fossil fuels from stationary or mobile sources No Stationery - NIL Mobile - The emission of SOx and NOx may be due to incoming diesel operated Truck / Tractor at mine for loading of sand. Such movement of Truck / Tractor at mine area is for short term.
5.2 Emissions from production processes No - No machinery is involved in sand production process, hence no emission is expected. - Dust might be generated during sand excavation & loading.
5.3 Emissions from materials handling including storage or transport No Storage is not required, however only permitted transport may cause emissions.
5.4 Emissions from construction activities including plant and equipment No No construction, plant and equipment are involved that liberates considerable emissions.
5.5 Dust or odours from handling of materials including construction materials, sewage and waste No Project involves handling of sand, which is normally dust/odor free.
5.6 Emissions from incineration of waste No Since no incineration of waste is envisaged therefore emission is not expected.
5.7 Emissions from burning of waste in open air (e.g. slash materials, construction debris) No None as no burning activity involve in mining or operational activity.
5.8 Emissions from any other sources No There is no any other source of Emission
6 Generation of Noise and Vibration, and Emissions of Light and Heat:
S.No Information/Checklist confirmation Yes/No Details thereof (with approximate quantities/rates, wherever possible) with source of information data
6.1 From operation of equipment e.g. engines, ventilation plant, crushers No Operator possesses no machinery or equipment’s and neither interlinked industry or plants, therefore no noise, vibration and emissions of light and heat is expected. There is likelihood of some increase in noise due to operation of vehicles.
6.2 From industrial or similar processes No On the grounds mentioned above at point no noise, vibration and emissions of light and heat is envisaged.
6.3 From construction or demolition No Construction or demolition is not needed to attract this issue.
6.4 From blasting or piling No Sand forms unconsolidated placer deposit which needs no blasting or piling.
6.5 From construction or operational traffic No Vide reasons mentioned earlier no construction or operational traffic is expected
6.6 From lighting or cooling systems No The project requires no specific lighting or cooling systems
6.7 From any other sources No No other source is envisaged to generate noise, vibration and emissions of light and heat
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:
S.No Information/Checklist confirmation Yes/No Details thereof (with approximate quantities/rates, wherever possible) with source of information data
7.1 From handling, storage, use or spillage of hazardous materials No Not applicable, As the handled material does not contain any hazardous material.
7.2 From discharge of sewage or other effluents to water or the land (expected mode and place of discharge) No Since no sewage or other effluents are discharged in to water or on the land.
7.3 By deposition of pollutants emitted to air into the land or into water No No emission or depositions of pollutants are envisaged to air on the land or into water. Dust will be generated during vehicle movement and loading. The emission of SOx and NOx may be due to incoming diesel operated vehicles etc. Impacts of these are localized, transitory and intermittent in nature and hence their effect on environment is insignificant.
7.4 From any other sources No No other sources are expected to release pollutants
7.5 Is there a risk of long term build up of pollutants in the environment from these sources? No There is no risk of long term buildup of pollutants in the environment from any source.
8 Risk of accidents during construction or operation of the Project, which could affect human health or the environment
S.No Information/Checklist confirmation Yes/No Details thereof (with approximate quantities/rates, wherever possible) with source of information data
8.1 From explosions, spillages, fires etc from storage, handling, use or production of hazardous substances No Not applicable as there is no blasting, spillage, fire, etc. required or expected.
8.2 From any other causes No There is no any other cause to have risk of accidents
8.3 Could the project be affected by natural disasters causing environmental damage (e.g. floods, earthquakes, landslides, cloudburst etc)? No The project is not located in earthquakes or landslide prone zone. It is non-operational during rainy days, therefore no risk of accident is envisaged
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
S.No Information/Checklist confirmation Yes/No Details thereof (with approximate quantities/rates, wherever possible) with source of information data
9.1 Lead to development of supporting.lities, 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.)
  • housing development
  • extractive industries
  • supply industries
  • Other
 No The project has no conventional structures of developmental work, solid or fluidal wastes or harmful emissions therefore it would not have any impact on the environment of any type of existing, developmental or other planned activities.
9.2 Lead to after-use of the site, which could have an impact on the environment No The project would not have any impact on the environment after-use of the site.
9.3 Set a precedent for later developments No A better planned and executed project will yield a better result individually; which in turn will give better cumulative effect also.
9.4 Have cumulative effects due to proximity to other existing or planned projects with similar effects No None
(III) Environmental Sensitivity
S.No Areas Name/Identity Aerial distance (within 15km.) Proposed project location boundary
1 Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
 No No such areas are located within mentioned aerial distance from project location.
2 Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests No No such areas are located within mentioned aerial distance from project location.
3 Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration No No such areas are located within mentioned aerial distance from project location. No impact on fauna and flora is anticipated
4 Inland, coastal, marine or underground waters No The project site is in riverbed which has surface water flow, however, the project will not be operational at this level.
5 State, National boundaries No There is no State or, national boundary close within mentioned aerial distance from project location.
6 Routes or facilities used by the public for access to recreation or other tourist, pilgrim areas No No route or facilities are available in the area, which are being used for public access to recreation or other tourist, pilgrim
7 Defence installations No The area is not located close to any of the defense installations
8 Densely populated or built-up area No The area is not densely populated or have built-up area
9 Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) No The area located in the riverbed is sufficiently away from sensitive man-made land uses
10 Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) No None
11 Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) No None
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) similar effects No The area is safe with natural hazardous except flood prone area. However, the project is non-functional in such cases.
(IV) PROPOSED TERMS OF REFERENCE FOR EIA STUDIES
1 Uploaded EMP for all leases in the Cluster File NIL
2 Uploaded scanned copy of covering letter Annexure-scanned copy of covering letter
3 Uploaded Pre-Feasibility report(PFR) Annexure-PFR
4 Uploaded District Survey Report(only single pdf file) Annexure-District Survey Report
5 Uploaded Approved Mining Plan (AMP) Annexure-Approved Mining Plan
Uploaded Additional attachments, if any
S.noAttached File Date of Submission
NIL
(V) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge
V.(i)
NameTELSARA SAND MINE
DesignationSarpanch
Company TELSARA SAND MINE
AddressGram Panchayat Telsara
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