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 Kurghot Sand Ghat
2.Project Sector Non-Coal Mining
3.Location of the project Kurghot Sand Ghat
4.
Shape of the project landPoint
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 projectMaharashtra
7.Date of Submission18 Jan 2017
Details of State of the project
S.no State Name District Name Tehsil Name
(1.)MaharashtraSolapurSolapur South
8.Town / VillageKurghot
9.Plot/Survey/Khasra No.65,76, 59, 164, 58,57, 56,55 ,54, 53,52,51
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 23796 Brass 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. hodagi, 15 km
19. Nearest airport along with distance in kms Solapur City, 35 km
20. Nearest Town/City/District Headquarters along with distance in kms Kurghot , 1 km
21. Distance of the project from nearest Habitation 0.800 , 0.800 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) 2000
30. Type of Lease

Mining lease area (in ha.)
Cluster

6.73
(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
1.2 Clearance of existing land, vegetation and buildings? No
1.3 Creation of new land uses? No
1.4 Pre-construction investigations e.g. bore houses, soil testing? No
1.5 Construction works? No
1.6 Demolition works? No
1.7 Temporary sites used for construction works or housing of construction workers? No
1.8 Above ground buildings, structures or earthworks including linear structures,cut and fill or excavations and fill or excavations No
1.9 Underground works including mining or tunneling? No
1.10 Reclamation works? No
1.11 Dredging? No
1.12 Offshore structures? No
1.13 Production and manufacturing processes? No
1.14 Facilities for storage of goods or materials? No
1.15 Facilities for treatment or disposal of solid waste or liquid effluents? No
1.16 Facilities for long term housing of operational workers? No
1.17 New road, rail or sea traffic during construction or operation? No
1.18 New road, rail, air water borne or other transport infrastructure including new or altered routes and stations, ports, airports etc? No
1.19 Closure or diversion of existing transport routes or infrastructure leading to changes in traffic movements? No
1.20 New or diverted transmission lines or pipelines? No
1.21 Impoundment, damming, culverting, realignment or other changes to the hydrology of watercourses or aquifers? No
1.22 Stream crossings? No
1.23 Abstraction or transfers of water from ground or surface waters? No
1.24 Changes in water bodies or the land surface affecting drainage or run-off? No
1.25 Transport of personnel or materials for construction, operation or decommissioning? No
1.26 Long-term dismantling or decommissioning or restoration works? No
1.27 Ongoing activity during decommissioning which could have an impact on the environment? No
1.28 Influx of people to an area in either temporarily or permanently? No
1.29 Introduction of alien species? No
1.30 Loss of native species or genetic diversity? No
1.31 Any other actions? No
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
2.2 Water (expected source & competing users) unit: KLD No
2.3 Minerals (MT) No
2.4 Construction material – stone, aggregates, sand / soil (expected source – MT) Yes Sand Mining 23796 Brass
2.5 Forests and timber (source – MT) No
2.6 Energy including electricity and fuels (source, competing users) Unit: fuel (MT),energy (MW) No
2.7 Any other natural resources (use appropriate standard units) No
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
3.2 Changes in occurrence of disease or affect disease vectors (e.g. insect or water borne diseases) No
3.3 Affect the welfare of people e.g. by changing living conditions? No
3.4 Vulnerable groups of people who could be affected by the project e.g. hospital patients, children, the elderly etc. No
3.5 Any other causes No
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
4.2 Municipal waste (domestic and or commercial wastes) No
4.3 Hazardous wastes (as per Hazardous Waste Management Rules) No
4.4 Other industrial process wastes No
4.5 Surplus product No
4.6 Sewage sludge or other sludge from effluent treatment No
4.7 Construction or demolition wastes No
4.8 Redundant machinery or equipment No
4.9 Contaminated soils or other materials No
4.10 Agricultural wastes No
4.11 Other solid wastes No
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
5.2 Emissions from production processes No
5.3 Emissions from materials handling including storage or transport No
5.4 Emissions from construction activities including plant and equipment No
5.5 Dust or odours from handling of materials including construction materials, sewage and waste No
5.6 Emissions from incineration of waste No
5.7 Emissions from burning of waste in open air (e.g. slash materials, construction debris) No
5.8 Emissions from any other sources No
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 Sludge Pump
6.2 From industrial or similar processes No
6.3 From construction or demolition No
6.4 From blasting or piling No
6.5 From construction or operational traffic No
6.6 From lighting or cooling systems No
6.7 From any other sources No
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
7.2 From discharge of sewage or other effluents to water or the land (expected mode and place of discharge) No
7.3 By deposition of pollutants emitted to air into the land or into water No
7.4 From any other sources No
7.5 Is there a risk of long term build up of pollutants in the environment from these sources? No
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
8.2 From any other causes No
8.3 Could the project be affected by natural disasters causing environmental damage (e.g. floods, earthquakes, landslides, cloudburst etc)? No
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 All Category
9.2 Lead to after-use of the site, which could have an impact on the environment No
9.3 Set a precedent for later developments No
9.4 Have cumulative effects due to proximity to other existing or planned projects with similar effects No
(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
2 Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests No
3 Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration No
4 Inland, coastal, marine or underground waters No
5 State, National boundaries No Karnataka 100 Mtrs
6 Routes or facilities used by the public for access to recreation or other tourist, pilgrim areas No
7 Defence installations No
8 Densely populated or built-up area No
9 Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) No
10 Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) No
11 Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) No
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
(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)
NameGMC ENGINEERS AND ENVIRONMENTAL SERVICES ASHWINI K JAGTAP
DesignationPropritar
Company GMC ENGINEERS AND ENVIRONMENTAL SERVICES ASHWINI K JAGTAP
Address161/7, Gulmohar Colony, Dadu Chaugule Nagar, Near Shahu Toll Bhoth Ujalaiwadi Kolhapur
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