Form-2
APPLICATION FOR PRIOR ENVIRONMENTAL CLEARANCE
S. No.Item Details
1.
Whether it is a violation case and application is being submitted under Notification No. S.O.804(E) dated 14.03.2017 ? No
Details of Project:
(a)Name of the project(s) Delhi Live
(b)Name of the Company / Organisation Kali Mandal
(c)Registered Address ,, , ,,East,Delhi-0
(d)Legal Status of the Company State Government
(e)Joint Venture No
2.
Address for the correspondence:
(a)Name of the Applicant Kali kumar mandal
(b)Designation (Owner/ Partner/ CEO) programmer
(c)Address 55 56 rajat vihar,khora noida,Gandhi Nagar,East,Delhi-123456
(d)Pin code 123456
(e)E-mail rupeshyadav12@gmail.com
(f)STD Code. 11(f)Telephone No. 1234567
(g)Fax No. 11123456
(h)Copy of documents in support of the competence/authority of the person making this application to make application on behalf of the User Agency . Annexure-Uploaded Copy of documents in support of the competence/authority
3.
Category of the Project/Activity as per Schedule of EIA Notification,2006:
(a.I)Project/Activity2(a) Coal washeries
Minor Activity1(a) Mining of minerals
(b)Category A
(c)Proposal Number IA/DL/CMIN/116252/2009
(d)Master Proposal Number(Single Window) SW/116250/2019
(e)EAC concerned (for category A Projects only) Coal Mining
(f)Project Type Fresh EC
4.
Location of the Project:
(a)Plot/Survey/Khasra No. 10
(b)Pincode 110010
(c)Bounded Latitudes (North)
From
Degree 121121
Minutes
Second
From
Degree 212212
Minutes
Second
(d)Bounded Longitudes (East)
From
Degree 121212
Minutes
Second
From
Degree 212121
Minutes
Second
(e)Survey of India Topo Sheet No. 1234567
(f)Uploaded Topo Sheet File Copy of Topo Sheet File
(g)Maximum Elevation Above Means Sea Level(AMSL) 250
(h)Uploaded (kml) File Copy of Kml File      
(i)Distance of Nearest HFL from the project boundary within the study area 10
(j)Seismic Zone 1
5.
(a)Number of States in which Project will be Executed 1
(b)Main State of the project Delhi
Details of State of the project
S. No. State Name District Name Tehsil Name Village Name
NIL
6.
Details of Terms of Reference (ToR):
(b)MoEF&CC / SEIAA File Number NA
(c)Date of Issue of TOR / Standard ToR NA
(d)Previous TOR Letter NA
7.
Details of Public Consultation:
(a)Whether the Project Exempted from Public Hearing?No
(b)Whether details of Public Hearing available? No
(c)Reason na
(d)Supporting Document Copy of Supporting Document
8.
Details of Project Configuration/Product:
     8.1.       Project Configuration
S. No.Plant/Equipment/FacilityConfigurationRemarks
(1.)WEFEGREG
     8.2.       Product
S. No.Product/Activity (Capacity/Area)QuantityUnitOther UnitMode of Transport / Transmission of ProductOther Mode of Transport / Transmission of Product
(1.)wef10Tons per AnnumRoad
9.
In case of Expansion / Modernisation / One Time Capacity Expansion (only for Coal Mining) / Expansion under Clause 7(ii) / Modernisation under Clause 7(ii) / Change of Product Mix under Clause 7(ii):
Details Not Applicable
9.1.
Details of Consent to Operate
(i)Whether Consent to operate obtained ? NA
(ii)Copies of all Consent to operate obtained since inception NA
(iii)Date of Issue N/A
(iv)Valid Upto N/A
(v)File No. NA
(vi)Application No. NA
(vii)Copy of Consent to operate valid as on date NA
10.
Project Cost:
(a)Total Cost of the Project at current price level (in Crores) 10
(b) Funds Allocated for Environment Management (Capital) (in Crores) 5
(c) Funds Allocated Towards CER (Corporate Environment Responsibility) (in Crores) 5
(d) Funds Allocated for Environment Management Plan (EMP) (Recurring per Annum) (in Crores) 0
11.
Whether project attracts the General Condition specified in the Schedule of EIA Notification ? No
12.
Whether project attract the Specific Condition specified in the Schedule of EIA Notification ? No
13.
Raw Material / Fuel Requirement:
(a)Proposed quantity of raw material/fuel 10
(b)Existing quantity of raw material/fuel N/A
(c)Total quantity of raw material/fuel 10
    13.1.        Raw Material / Fuel Profile
S. No.Raw Material / Fuel QuantityUnitOther UnitSource (incase of Import. please specify country and Name of the port from which Raw Material / Fuel is received )Mode of TransportOther Mode of TransportDistance of Source from Project Site (in Kilometres) (In case of import, distance from the port from which the raw material / fuel is received)Type of Linkage Other Type of Linkage Uploaded Copy of Linkage
(1.)Water10Kilo Litre per DayriverRoad80 LinkageCopy of Linkage
14.
Baseline Data :
(a)Period of Base Line Data Collection FROM 01 Feb 2019 To 01 Jul 2019
(b)Season Three-Sesions
    14.1.     No. of ambient Air Quality (AAQ) monitoring locations : 20
S. No.Criteria Pollutants Other Criteria PollutantsUnitMaximum ValueMinimum Value98 Percentile ValuePrescribed Standard
(1.)PM10Micro Gram per Meter Cube1011010
(2.)PM2.5Micro Gram per Meter Cube1011010
(3.)SO2Micro Gram per Meter Cube1011010
(4.)NOxMicro Gram per Meter Cube1011010
    14.2.     No. of Ground Water monitoring locations : 10
S. No.Criteria Pollutants Other Criteria PollutantsHeavy MetalUnitOther UnitMaximum ValueMinimum ValueDesirable LimitMaximum Permissible Limit
(1.)Fluoridemg/l1111
(2.)TDSmg/l1111
(3.)pHmg/l10111
(4.)TSSmg/l1111
(5.)Total Hardnessmg/l1111
(6.)Chloridesmg/l1111
(7.)Heavy Metalsironmg/l1111
    14.3.     No. of Surface Water monitoring locations : 1
S. No.Criteria Pollutants Other Criteria PollutantsUnitOther UnitMaximum ValueMinimum ValueClassification of inland water body
(1.)pHmg/l11A
(2.)DOmg/l11B
(3.)CODmg/l11A
(4.)BODmg/l11B
    14.4.     No. of Ambient Noise monitoring locations : 1
S. No.Parameter UnitMaximum ValueMinimum ValuePrescribed Standard
(1.)Leq(Night)A-weighted decibels(dB(A))111
(2.)Leq(Day)A-weighted decibels(dB(A))111
    14.5.     No. of Soil Sample Monitored locations : 1
S. No.Parameter UnitOther UnitMaximum ValueMinimum Value
(1.)pHMilligram per Litre11
(2.)N(Nitrogen)Milligram per Litre11
(3.)Electric ConductivityMilligram per Litre11
(4.)P(Phosphorus)Milligram per Litre11
(5.)K(Potassium)Milligram per Litre11
14.6.
Details of Ground Water Table:
(a)Range of Water Table Pre-Monsoon Season (Meters Below Ground Level (m bgl)) From 10 To 10
(b)Range of Water Table Post-Monsoon Season (Meters Below Ground Level (m bgl)) From 10 To 10
(c)Whether Ground Water Intersection will be there ? NA
     15.      Details of Water Requirement (During Operation)
S. No.Source Source Other Required Quantity (Kilolitre per Day (Kld))Distance from SourceCopy of Permission from Competent Authority Mode of TransportOther Mode of TransportMethod of Water WithdrawalOther Method of Water WithdrawalLetter No.Date of IssuePermitted Quantity
(1.)Surface2010Copy of Permission LetterPipelineBarrage1022108 Jul 201540
15.1.
(a)Whether Desalination is proposed No
    16.       Waste Water Management(During Operation)
S. No.Type/Source Quantity of Waste Water Generated (Kilolitre per Day)Treatment Capacity (Kilolitre per Day) Treatment MethodMode of DisposalOther Mode of DisposalQuantity of Treated Water Used in Recycling/Reuse (Kilolitre per Day)Quantity of Discharged Water (Kilolitre per Day)
(1.)jal2020jalDischarge into Surface Water Body20
16.1.
(a)Total Waste Water Generation (Kilolitre per Day) 20
(b)Total Discharged Water (Kilolitre per Day) 20
(c)Total Reused Water (Kilolitre per Day) 0
    17.       Solid Waste Generation/Management
S. No.Name of Waste Item Other ItemQuantity per AnnumUnitDistance from Site(KM)Mode of TransportOther Mode of TransportMode of DisposalOther Mode of Disposal
(1.)101 jalMunicipal Solid Waste1540Tons20RoadAuthorized Recyclers
18.
    18.1.     Air Quality Impact Prediction
S. No.Criteria Pollutants Other Criteria PollutantsUnitBaseline ConcentrationDistance GLCIncremental ConcentrationTotal GLCPrescribed Standard
(1.)PM10Microgram per Meter Cube111101
(2.)PM2.5Microgram per Meter Cube111101
(3.)SO2Microgram per Meter Cube111101
(4.)NOxMicrogram per Meter Cube111101
    18.2.     Stack Details
S. No.Source FuelStack Height(m)Stack Diameter(m)PollutantsOther PollutantsEmission (GLS)
(1.)jaljal2020PM1020
19.
Power Requirement:
(a)Quantity (Kilo Volt Amps (kVA)) 120
(b)Source jal
(c)Uploaded Copy of Agreement Copy of Agreement
(d)Standby Arrangement (Details of DG Sets) 53
(e)Stack Height (in m) 20
20.
Land Ownership Pattern:
(a)Forest Land (ha.) 2
(b)Private Land (ha.) 2
(c)Government Land (ha.) 2
(d)Revenue Land (ha.) 2
(e)Other Land (ha.) 2
    Total Land (ha.) 10
21.
Present Land Use Breakup of the Study Area in Ha:
(a)Agriculture Area (ha.) 1
(b)Waste/Barren Land (ha.) 1
(c)Grazing/ Community Land (ha.) 1
(d)Surface Water Bodies (ha.) 1
(e)Settlements (ha.) 1
(f)Industrial (ha.) 1
(g)Forest (ha.) 1
(h)Mangroves (ha.) 1
(i)Marine Area (ha.) 1
(j)Others (ha.) : na 1
    Total (ha.) 10
    22.     Land requirement for various activities
S. No.Description of Activity / Facility / Plant / Others OthersLand Requirement (ha.)Remarks
(1.)Main Plant10na
Total (ha.) 10
23.
Ecological and Environmental Sensitivity (Within 10 Km):- WLS-Wild Life Sanctuaries; NPA-Notified Protected Area; ESAs-Eco Sensitive Areas; ESZs-Eco Sensitive Zones :
    23.1.     Details of Ecological Sensitivity :
S. No.Details of Ecological Sensitivity NameDistance from the Project (Km)Remarks
(1.)NPApollution1na
(2.)Wildlife Corridorspollution1na
(3.)Critically Polluted Areapollution10na
(4.)WLSwls10na
(5.)ESAswls1na
(6.)ESZspollution1na
(7.)Corridorspollution1na
    23.2.     Details of Environmental Sensitivity :
S. No.Details of Environmental Sensitivity Other Details of Environmental Sensitivity NameDistance from the Project (Km)Remarks
(1.)Forestforest1na
(2.)Archaeological Sitesforest1na
(3.)Defence Installationsforest1na
23.3.
(a)Whether Noc / Permission from the competent authority is required? No
(b)Whether NBWL recommendation is required? No
24.
Forest Land:
Whether any Forest Land involved? No
25.
Tree Cutting:
(a)No. of Trees Cut for the Project (if Forest Land not Involved) 1
(b)Details of Tree Cutting and Planting of Trees Copy of Details of Tree Cutting and Planting of Trees
26.
Land Acquisition Status:
(a)Acquired Land(Ha) 10
(b)Land yet to be acquired(Ha) 10
(c)Status of Land acquisition if not acquired 7
27.
Rehabilitation and Resettlement (R&R):
(a)No. of Villages 8
(b)No. of Households 809
(c)No. of PDFs (Project Displaced Families) 8777
(d)No. of PAFs (Project Affected Families) 77
(e)Funds Allocated for R&R(in INR) (in Lacs) 7667
(f)Status of R&R Completed
28.
Details of Presence of Schedule-I Species:
(a)Whether there is Presence of Schedule-I Species ? No
(b)Whether conservation plan for Schedule-I Species has been prepared ? No
(c)Whether conservation plan for Schedule-I Species has been approved by competent authority ? No
29.
Details of Presence of Water Bodies in Core Area:
(a)Whether there is Presence of Water Bodies in Core Area ? No
(b)Whether there is Diversion Required ? No
(c)Whether permission has been obtained from competent authority ? No
30.
Details of Presence of Water Bodies in Buffer Area:
(a)Whether there is Presence of Water Bodies in Buffer Area ? No
31.
Manpower Requirement:
(a)Permanent Employment-During Construction 10
(b)Permanent Employment-During Operation 10
(c)Temporary Employment- During Construction 10
(d)Temporary Employment- During Operation 5
(e)No. of working days 200
(f)Total Manpower 35
32.
Green Belt in Ha:
(a)Total Area of Green Belt 20
(b)Percentage of Total Project Area 200.00
(c)No. of Plants to be Planted 2615
(d)Funds Allocated for Plantation 200
(e)Uploaded Green Belt plan Copy of Green Belt Plan
    33.       Project Benefits
S. No. Type of Project BenefitsDetails of Project Benefits
NIL
   34.   CRZ Specific Details : Not Applicable
   35.   Sector Specific Details For Coal Mining
S. No.Item Details
     1.       No. of Mineral(s) to be Mined : 1
S. No.Mineral(s) to be Mined Major or Minor Mineral
(1.)54Major
2.
Mine Capacity in ROM (Run of Mine) 25
3.
Uploaded 500 meters Cluster Certificate from State Mines and Geology in case of minor minerals Copy of 500 meters Cluster Certificate from State Mines and Geology
4.
Mining Plan:
(a)Approval Letter No. 124567
(b)Date of Approval 15 May 2018
(c)Approved Letter Copy of Approved Letter
(d)Approved By State Mining and Geology Department Coal
(e)Approved Mining Lease Area 20
(f)Approved Capacity 20
5.
Technical Details:
(a)Total Geological Reserves (Million Ton) 20
(b)Mineable Reserves (Million Ton) 20
(c)Extractable Reserves(Million Ton) 20
(d)Percent(%) of Extraction 20
(e)Grade of Coal /Ore /Mineral 20
(f)Stripping Ratio 1 : 1
(g)Category of Gaseousness (Only for Coal Mining, Others may Write NA) na
(h)Average Gradient(Degree) 20
(i)Mining Method Opencast
(j)Life of Mine (Years) 20
6.
Details of Beneficiations:
(a)Whether it is proposed to install beneficiation plant/Coal washery within the mining lease area No
(b)Whether it is proposed to install crusher within the mining lease area No
7.
Details of Seams:
(a)Whether details of seam applicable No
8.
Details of Mining Lease:
(a)Mining Lease Area (in Hectare) 20
(b)Whether obtained Letter of Intent (LOI) from the state government ? No
(i)Reason thereof na
(c)Whether Lease Deed Executed ? No
(i)Reason thereof na
(d)Whether Lease Deed Renewed ? No
(i)Reason thereof na
9.
OB (Over Burden) Management:
(a) Details of External Dumps:
(i)No. of OB Dumps
(ii)Total Area (in Hectare)
(iii)Height (in meter)
(iv)Quantity (in Million Cubic meter)
(v)No. of year back fill up
(b) Details of Internal Dumps:
(i)No. of Internal Dumps
(ii)Total Area (in Hectare)
(iii)Height (in meter)
(iv)Quantity (in Million Cubic meter)
10.
Details of Topsoil Management:
(a)Quantity of Topsoil excavated during the entire life of the mine (in Million Cubic metre) 125
(b)Quantity of Topsoil proposed for utilization for reclamation during the entire life of the mine (in Million Cubic metre) 124
(c)Quantity of Topsoil proposed for utilization for other activities during the entire life of the mine (in Million Cubic metre) 4545
11.
Details of Final Mine Void:
(a)Area (in Hectare)
(b)Depth (in meter)
(c)Volume (in Million Cubic meter)
12.
Details of Quarry:
(a)Final Void of 10 (hectare) at a Depth of 10 meter which is Proposed to be Converted into a Water Body.
(b)Total Quarry Area (ha) 10
13.
Details of Transportation:
(a)In Pit/Underground to Surface 10
(b)Surface to Siding/Loading 1
(c)Transportation / Conveyor Details 0
     14.      Details of Land Usage (Pre-Mining)
S. No.LAND USE Other LAND USEWITHIN ML AREA (Hectare)OUTSIDE ML AREA (Hectare)TOTAL (Hectare)
(1.)AGRICULTURE LAND11011
(2.)FOREST LAND10111
(3.)SETTLEMENTS112
(4.)GRAZING LAND112
(5.)SURFACE WATER BODIES112
(6.)WASTE LAND112
TOTAL151530
     15.      Details of Land Usage (Post-Mining)
S. No.LAND USE Other LAND USEPlantation (ha)Water Body (ha)Public Use (ha)Undisturbed (ha)Total
(1.)EXCAVATION/QUARRY1113
(2.)EXTERNAL OB DUMPS1113
(3.)GREEN BELT1113
(4.)TOP SOIL STORAGE1113
(5.)INTERNAL OB DUMPS1113
(6.)ROADS1113
(7.)VIRGIN AREA1113
(8.)BUILT UP AREA (COLONY/OFFICE)1113
TOTAL888024
16.
Details of Reclamation:
Total Afforestation Plan shall be Implemented Covering of Mining.
This will Include:
(a)External OB Dump(in hectare) 1
(b)Internal Dump(in hectare) 1
(c)Quarry(in hectare) 1
(d)Safety Zone(in hectare) 1
(e)Final Void of 1 (hectare) at a Depth of 1 meter which is Proposed to be Converted into a Water Body.
(f)Density of Tree Plantation per ha (in no.) 1
(g)Others in ha (such as Excavation Area along ML Boundary, along Roads and Infrastructure, Embankment Area and in Township Located Outside the Lease etc) 1
(h)Total afforestation plant (in hectare) 10
17.
Status of progressive Mining Closure Plan:
Details Not Applicable
     18.      Details of Actual Coal/ ORE Production vis-a-vis Sanctioned Capacity since the Inception:
S. No.Financial Year Sanctioned Capacity as per EC (MTPA)Sanctioned Capacity as per CTOSanctioned Capacity as per approved mining planActual Production Excess Production Beyond the EC / CTO/ Mining Plan Sanctioned Capacity (MTPA)
(1.)2018101010110
S. No.Item Details
36.
Details of Court Cases:
(a)Whether there is any Court Cases pending against the project and/or land in which the project is proposed to be set up ? No
37.
Details of Direction Issued under Environment (Protection) Act / Air (Prevention & Control of Pollution)) Act / Water (Prevention & Control of Pollution) Act:
(a)Whether any Direction issued under EPA Act/Air Act/Water Act ? No
38.
Details of EIA Consultant:
(a)Have you hired Consultant for preparing document? No
(i)Reason for not Hiring the Consultant na
39.
Documents to be Attached:
(a)Uploaded Copy of EIA/EMP Report Copy of EIA/EMP
Copy of EIA/EMP(Annexures)
Copy of EIA/EMP(Plans/Figures)
(b)Uploaded Copy of Risk Assessment Report Copy of Risk Assessment
(c)Uploaded Copy of Feasibility Report/ Detailed Project Report(DPR) /Detailed Engineering Report /Detailed Conceptual Plan /Approved Mining Plan Copy of Feasibility Report/ Detailed Project Report(DPR) /Detailed Engineering Report /Detailed Conceptual Plan /Approved Mining Plan
(d)Uploaded Copy of Final Layout Plan Copy of Final Layout Plan
(e)Uploaded Cover Letter Copy of Cover Letter
(f)Uploaded Copy of documents in support of the competence/authority of the person making this application to make application on behalf of the User Agency Copy of documents in support of the competence/authority of the person making this application to make application on behalf of the User Agency
(g)Uploaded Additional File Copy of Additional File
(h)Uploaded Proposal Presentation (To be given in EAC meeting) NA
      Essential Detail Sought : NIL
      Additional Detail Sought : NIL
Undertaking
I hereby give undertaking that the data and information given in the application and enclosures are true to be best of my knowledge and belief. And I am aware that if any part of the data and information found to be false or misleading at any stage, the project will be rejected and clearance given, if any to the project will be revoked at our risk and cost. In addition to above, I hereby give undertaking that no activity/ construction/ expansion has since been taken up.
Name of ApplicantKali kumar mandal
Designationprogrammer
Name of Company (Applicant Name should not be given here)Kali Mandal
AddressDelhi
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