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 Building Stone Quarry
2.Project Sector Non-Coal Mining
3.Location of the project Building Stone Quarry
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 projectKarnataka
7.Date of Submission22 Jul 2017
Details of State of the project
S.no State Name District Name Tehsil Name
(1.)KarnatakaBellarySandur
8.Town / VillageSandur Kalingeri
9.Plot/Survey/Khasra No.240
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 18000 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. Yeshwanthnagar, 16.90 km
19. Nearest airport along with distance in kms Jindal Airport, 47 km
20. Nearest Town/City/District Headquarters along with distance in kms Kudigi , 20.90 km
21. Distance of the project from nearest Habitation 3 , 3 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) 35
30. Type of Lease

Mining lease area (in ha.)
Cluster

7.48
(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 The Topography of the core zone will be changed due to the quarry operation in the form of excavations etc.
1.2 Clearance of existing land, vegetation and buildings? No Not Applicable
1.3 Creation of new land uses? Yes It will be used for quarrying and related activities
1.4 Pre-construction investigations e.g. bore houses, soil testing? No Not Applicable
1.5 Construction works? Yes Temporary site services will be constructed.
1.6 Demolition works? No Not Applicable
1.7 Temporary sites used for construction works or housing of construction workers? No There is no proposal for using temporary sites for construction works
1.8 Above ground buildings, structures or earthworks including linear structures,cut and fill or excavations and fill or excavations Yes Quarry office of temporary nature will be constructed
1.9 Underground works including mining or tunneling? No The proposal is for opencast mining
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? Yes Building Stone Quarrying and Processing Details are given in Approved Quarry Plan (Enclosed).
1.14 Facilities for storage of goods or materials? Yes Storage sheds of temporary nature will be constructed.
1.15 Facilities for treatment or disposal of solid waste or liquid effluents? Yes Generation of solid waste is very minimal which will be used for making approach and haulage roads. There will not be any liquid effluent treatment
1.16 Facilities for long term housing of operational workers? No No facilities are proposed for long term housing for operational workers.
1.17 New road, rail or sea traffic during construction or operation? Yes Internal haulage roads will be constructed
1.18 New road, rail, air water borne or other transport infrastructure including new or altered routes and stations, ports, airports etc? No There will not be any closure or diversion of existing transport routes or infrastructure.
1.19 Closure or diversion of existing transport routes or infrastructure leading to changes in traffic movements? No There will not be any closure or diversion of existing transport routes or infrastructure leading to changes in traffic movements.
1.20 New or diverted transmission lines or pipelines? No The project does not involve any diversion in transmission lines or pipelines.
1.21 Impoundment, damming, culverting, realignment or other changes to the hydrology of watercourses or aquifers? No No Impoundment, damming, culverting, realignment or other changes to the hydrology of watercourses or aquifers are proposed.
1.22 Stream crossings? No Not Applicable
1.23 Abstraction or transfers of water from ground or surface waters? Yes 7.5 KLD of water will be extracted from bore well near the site.
1.24 Changes in water bodies or the land surface affecting drainage or run-off? No No change in water bodies or the land surface affecting drainage or run-off.
1.25 Transport of personnel or materials for construction, operation or decommissioning? Yes During overburden removal, mobilization and quarrying, 10 labours are required.
1.26 Long-term dismantling or decommissioning or restoration works? Yes The proposed activity is building stone quarrying and it will be temporary. No long-term dismantling or decommissioning or restoration works are involved.
1.27 Ongoing activity during decommissioning which could have an impact on the environment? Yes Very little impact on Environment is anticipated
1.28 Influx of people to an area in either temporarily or permanently? Yes 10 local workers will be involved in the excavation work
1.29 Introduction of alien species? No No introduction of alien species.
1.30 Loss of native species or genetic diversity? No There will not be loss of native species or genetic diversity.
1.31 Any other actions? No None
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) Yes Un developed Government Waste land is converted to quarrying purpose and used for building stone quarrying.
2.2 Water (expected source & competing users) unit: KLD Yes Water Requirement: 7.5 KLD Source: Ground Water. No competing users.
2.3 Minerals (MT) Yes Building Stone Quarry about 117,078 MT (Mineable Reserves) Optimum production 18,000 tonnes/annum, 1,500 tonnes per month & 60 tonnes/day
2.4 Construction material – stone, aggregates, sand / soil (expected source – MT) No No major construction work is involved
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 No such diseases are likely to occur during the proposed operations.
3.3 Affect the welfare of people e.g. by changing living conditions? No No substances or materials will be used which could affect the welfare of the people
3.4 Vulnerable groups of people who could be affected by the project e.g. hospital patients, children, the elderly etc. No There are no vulnerable groups of people in the vicinity of quarry
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 Yes Mine Waste of about 729 tonnes/Annum will be generated, 61 tonnes per month and the waste will be Used for making haulage & approach road .
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 Yes Fugitive emissions are envisaged from material handling and transportation areas. Emission of SO2, NOx and CO are envisaged due to vehicular movements
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 Yes Very small quantity of dust will be generated during quarrying operation.
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 Noise will be generated during operation of equipments
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 Yes No piling foundations in this project. Blasting will be practiced by controlled method.
6.5 From construction or operational traffic Yes Noise level in the range of 60-90 db (A) due to use of machinery.
6.6 From lighting or cooling systems No Not applicable.
6.7 From any other sources No There will not be generation of noise & vibration etc from any other source.
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 No contamination of land or water from release of pollutants.
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 Yes HSD/LSD being categorized under low hazard substances. So no use or production of hazardous substances in the quarry. Even for the supply of explosives for blasting will be given for outsourcing to the authorized agency.
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)? Yes The proposed area does not come under any flood zone and comes under seismic zone II which is low damage risk zone interms of seismicity.
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
Yes Quarry will result in growth of service sector. • The quarrying will generate the employment opportunities in the surrounding area.
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 Yes A better planned and executed project has to yield a better result individually; which in turn has to give better cumulative effect.
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 The area is not covered under any international convention.
2 Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests No There are no sensitive for ecological areas.
3 Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration No Not applicable. None in 15km radius.
4 Inland, coastal, marine or underground waters No Not applicable
5 State, National boundaries No Not applicable
6 Routes or facilities used by the public for access to recreation or other tourist, pilgrim areas No Not applicable
7 Defence installations Yes There are no defense installations in the study area.
8 Densely populated or built-up area Yes Kudligi ~20.90 Kms from the lease SW
9 Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Yes Kudligi ~20.90 Kms, SW has some schools and primary health centers and private hospitals.
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 Not Applicable
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 Not Applicable. The project site is in low seismic damage zone. It is situated in earthquake sensitive Zone-II as defined in IS: 1893-2002.
(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)
NameKUMAR SWAMY HM
Designationprojectproponent
Company KUMAR SWAMY HM
Address#434 Hosa Chapparada Halli Sandur Taluk
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