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 Sirka Stone Deposit
2.Project Sector Non-Coal Mining
3.Location of the project Sirka Stone Deposit
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 projectJharkhand
7.Date of Submission06 Jan 2018
Details of State of the project
S.no State Name District Name Tehsil Name
(1.)JharkhandKhuntiKhunti
8.Town / VillageSirka
9.Plot/Survey/Khasra No.Plot no. 1590(P), Khata No. – 103
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 318606.25MT/Annum 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. Lodhma, 3 km
19. Nearest airport along with distance in kms Ranchi, 19 km
20. Nearest Town/City/District Headquarters along with distance in kms Ranchi , 19 km
21. Distance of the project from nearest Habitation 2 , 2 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) 22.11
30. Type of Lease

Mining lease area (in ha.)
Cluster

13.51
(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) No Not applicable
1.2 Clearance of existing land, vegetation and buildings? No Not applicable
1.3 Creation of new land uses? No Not applicable
1.4 Pre-construction investigations e.g. bore houses, soil testing? No Not applicable
1.5 Construction works? No Not applicable
1.6 Demolition works? No Not applicable
1.7 Temporary sites used for construction works or housing of construction workers? No Not applicable
1.8 Above ground buildings, structures or earthworks including linear structures,cut and fill or excavations and fill or excavations No Not applicable
1.9 Underground works including mining or tunneling? No Not applicable
1.10 Reclamation works? No Not applicable
1.11 Dredging? No Not applicable
1.12 Offshore structures? No Not applicable
1.13 Production and manufacturing processes? No Not applicable
1.14 Facilities for storage of goods or materials? No Not applicable
1.15 Facilities for treatment or disposal of solid waste or liquid effluents? No Not applicable
1.16 Facilities for long term housing of operational workers? No Not applicable
1.17 New road, rail or sea traffic during construction or operation? No Not applicable
1.18 New road, rail, air water borne or other transport infrastructure including new or altered routes and stations, ports, airports etc? No Not applicable
1.19 Closure or diversion of existing transport routes or infrastructure leading to changes in traffic movements? No Not applicable
1.20 New or diverted transmission lines or pipelines? No Not applicable
1.21 Impoundment, damming, culverting, realignment or other changes to the hydrology of watercourses or aquifers? No Not applicable
1.22 Stream crossings? No Not applicable
1.23 Abstraction or transfers of water from ground or surface waters? No Not applicable
1.24 Changes in water bodies or the land surface affecting drainage or run-off? No Not applicable
1.25 Transport of personnel or materials for construction, operation or decommissioning? No Not applicable
1.26 Long-term dismantling or decommissioning or restoration works? No Not applicable
1.27 Ongoing activity during decommissioning which could have an impact on the environment? No Not applicable
1.28 Influx of people to an area in either temporarily or permanently? No Not applicable
1.29 Introduction of alien species? No Not applicable
1.30 Loss of native species or genetic diversity? No Not applicable
1.31 Any other actions? No Not applicable
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 Not applicable
2.2 Water (expected source & competing users) unit: KLD Yes 15.635
2.3 Minerals (MT) Yes 1351861.88
2.4 Construction material – stone, aggregates, sand / soil (expected source – MT) No Not Applicable
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 Not Applicable
2.7 Any other natural resources (use appropriate standard units) No Not Applicable
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 Not Applicable
3.2 Changes in occurrence of disease or affect disease vectors (e.g. insect or water borne diseases) No Not Applicable
3.3 Affect the welfare of people e.g. by changing living conditions? No Not Applicable
3.4 Vulnerable groups of people who could be affected by the project e.g. hospital patients, children, the elderly etc. No Not Applicable
3.5 Any other causes No Not Applicable
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 Not Applicable
4.2 Municipal waste (domestic and or commercial wastes) No Not Applicable
4.3 Hazardous wastes (as per Hazardous Waste Management Rules) No Not Applicable
4.4 Other industrial process wastes No Not Applicable
4.5 Surplus product No Not Applicable
4.6 Sewage sludge or other sludge from effluent treatment No Not Applicable
4.7 Construction or demolition wastes No Not Applicable
4.8 Redundant machinery or equipment No Not Applicable
4.9 Contaminated soils or other materials No Not Applicable
4.10 Agricultural wastes No Not Applicable
4.11 Other solid wastes No Not Applicable
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 Not Applicable
5.2 Emissions from production processes No Not Applicable
5.3 Emissions from materials handling including storage or transport No Not Applicable
5.4 Emissions from construction activities including plant and equipment No Not Applicable
5.5 Dust or odours from handling of materials including construction materials, sewage and waste No Not Applicable
5.6 Emissions from incineration of waste No Not Applicable
5.7 Emissions from burning of waste in open air (e.g. slash materials, construction debris) No Not Applicable
5.8 Emissions from any other sources No Not Applicable
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 Yes Crusher
6.2 From industrial or similar processes No Not Applicable
6.3 From construction or demolition No Not Applicable
6.4 From blasting or piling No The shallow hole drilling shall be made by Jackhammer rock drills driven by air compressors
6.5 From construction or operational traffic No Not Applicable
6.6 From lighting or cooling systems No Mining work will be done in day time
6.7 From any other sources Yes A DG set (500KVA) shall be used as power.
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
7.2 From discharge of sewage or other effluents to water or the land (expected mode and place of discharge) No Not Applicable
7.3 By deposition of pollutants emitted to air into the land or into water No Not Applicable
7.4 From any other sources No Not Applicable
7.5 Is there a risk of long term build up of pollutants in the environment from these sources? No Not Applicable
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
8.2 From any other causes No Not Applicable
8.3 Could the project be affected by natural disasters causing environmental damage (e.g. floods, earthquakes, landslides, cloudburst etc)? No Not Applicable
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 Not Applicable
9.2 Lead to after-use of the site, which could have an impact on the environment No Not Applicable
9.3 Set a precedent for later developments No Not Applicable
9.4 Have cumulative effects due to proximity to other existing or planned projects with similar effects No Not Applicable
(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 any area within 15 Km
2 Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests No No any area within 15 Km
3 Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration No The applied lease area is devoid of any flora and fauna. The nearest flora & Fauna rich area (Forest area) is mentioned below: No any area within 15 Km
4 Inland, coastal, marine or underground waters No Not applicable
5 State, National boundaries No No any State boundary is present within 10.00 km as per CO report.
6 Routes or facilities used by the public for access to recreation or other tourist, pilgrim areas Yes The applied area is easily approachable from Ranchi-Lodhma road on the Western side at a distance of about 5.0km. The nearest Railway Station is Lodhma which is located on the western side at a distance of about 3.0km and also Hatia railway station which is located at a distance of about 19.0 km on the NE side from applied lease area.
7 Defence installations No There is no Defence installation near the applied area.
8 Densely populated or built-up area No The densely populated area near to the applied area is Ranchi located at a distance of about 19.00 km.
9 Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) No Primary Health centre Khunti 13.0 km Primary School Sirka 1.0 km Mandir Sirka 1.0 km
10 Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) No This applied area does not contain any important, high quality or scarce resources.
11 Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) No This area is not subjected to pollution or environmental damage.
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 High risk factors such as landslide, subsidence flood, etc are neither encountered nor anticipated. However proponent/contractor will take appropriate measures to reduce such impact.
(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)
NameSAFE ENVIRONMENT
DesignationPropritor
Company SAFE ENVIRONMENT
Address31-Tulsi Bhawan Bistupur, Jamshedpur
Print