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) Gangloni (Gata No. Part of 1585, 1632, 1635, 1639, 1583, 1587, 1689, 1586, 1576, 1657) Soil Brick Mine
(b)Name of the Company / Organisation MS OM BRICK FIELD
(c)Registered Address Village- Gangloni, Tehsil - Baraut, Dist - Baghpat, UP,,Bagpat,Uttar Pradesh-250611
(d)Legal Status of the Company Private
(e)Joint Venture No
2.
Address for the correspondence:
(a)Name of the Applicant Rajeev Kumar Rathi
(b)Designation (Owner/ Partner/ CEO) owner
(c)Address Tikri Mainman, Tikri Rural, Baghpat, UP 250625,,Baraut,Bagpat,Uttar Pradesh-250625
(d)Pin code 250625
(e)E-mail ombrick64@gmail.com
(f)STD Code. 120(f)Telephone No. 4111527
(g)Fax No.
(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/Activity1(a) Mining of minerals
Minor Activity
(b)Category B2
   Reason for Applying at Ministry Other
   Other Reason for Applying at Ministry NA
(c)Proposal Number IA/UP/MIN/121906/2019
(d)Master Proposal Number(Single Window) SW/121903/2019
(e)EAC concerned (for category A Projects only) Non-Coal Mining
(f)Project Type Fresh EC
4.
Location of the Project:
(a)Plot/Survey/Khasra No. 1585, 1632, 1635, 1639, 1583, 1587, 1689, 1586, 15
(b)Pincode 250625
(c)Bounded Latitudes (North)
From
Degree 29.194
Minutes
Second
From
Degree 29.198
Minutes
Second
(d)Bounded Longitudes (East)
From
Degree 77.33752
Minutes
Second
From
Degree 77.34341
Minutes
Second
(e)Survey of India Topo Sheet No. 53G8
(f)Uploaded Topo Sheet File Copy of Topo Sheet File
(g)Maximum Elevation Above Means Sea Level(AMSL) 233
(h)Uploaded (kml) File Copy of Kml File      
(i)Distance of Nearest HFL from the project boundary within the study area 2
(j)Seismic Zone 4
5.
(a)Number of States in which Project will be Executed 1
(b)Main State of the project Uttar Pradesh
Details of State of the project
S. No. State Name District Name Tehsil Name Village Name
NIL
6.
Details of Terms of Reference (ToR):
(a)MoEF&CC / SEIAA File Number na
(b)Date of Apply of TOR 09 Oct 2019
(c)Date of Issue of TOR / Standard ToR 09 Oct 2019
(d)Previous TOR Letter Copy of Previous TOR letter
7.
Details of Public Consultation:
(a)Whether the Project Exempted from Public Hearing?Yes
(b)Reason this is a B2 category Mining Project . so Public H
(c)Supporting Document Copy of Supporting Document
8.
Details of Project Configuration/Product:
     8.1.       Project Configuration
S. No.Plant/Equipment/FacilityConfigurationRemarks
(1.)Brick earth7500
     8.2.       Product
S. No.Product/Activity (Capacity/Area)QuantityUnitOther UnitMode of Transport / Transmission of ProductOther Mode of Transport / Transmission of Product
(1.)Brick Earth (Soil)7500OthersCUM/yearRoad
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 08 Oct 2019
(iv)Valid Upto 10 Oct 2019
(v)File No. Na
(vi)Application No. na
(vii)Copy of Consent to operate valid as on date Copy of Consent to Operate
10.
Project Cost:
(a)Total Cost of the Project at current price level (in Crores) 0.7225
(b) Funds Allocated for Environment Management (Capital) (in Crores) 0.01
(c) Funds Allocated Towards CER (Corporate Environment Responsibility) (in Crores) 0.0144
(d) Funds Allocated for Environment Management Plan (EMP) (Recurring per Annum) (in Crores) 0.05
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 7500
(b)Existing quantity of raw material/fuel N/A
(c)Total quantity of raw material/fuel 7500
    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.)Brick Earth7500Otherscum/yearNear by villageRoad0.1 LinkageCopy of Linkage
14.
Baseline Data :
(a)Period of Base Line Data Collection FROM 09 Oct 2019 To 09 Oct 2019
(b)Season Post-Monsoon
    14.1.     No. of ambient Air Quality (AAQ) monitoring locations : 0
S. No.Criteria Pollutants Other Criteria PollutantsUnitMaximum ValueMinimum Value98 Percentile ValuePrescribed Standard
(1.)SO2NA0000
(2.)NOxNA0000
(3.)PM10NA0000
(4.)OthersnaNA0000
(5.)PM2.5NA0000
    14.2.     No. of Ground Water monitoring locations : 0
S. No.Criteria Pollutants Other Criteria PollutantsHeavy MetalUnitOther UnitMaximum ValueMinimum ValueDesirable LimitMaximum Permissible Limit
(1.)Total HardnessNA0000
(2.)ChloridesNA0000
(3.)FluorideNA0000
(4.)OthersnaNA0000
(5.)Heavy MetalsnaNA0000
(6.)pHNA0000
(7.)TSSNA0000
(8.)TDSNA0000
    14.3.     No. of Surface Water monitoring locations : 0
S. No.Criteria Pollutants Other Criteria PollutantsUnitOther UnitMaximum ValueMinimum ValueClassification of inland water body
(1.)DONA00B
(2.)CODNA00C
(3.)BODNA00A
(4.)OthersnaNA00B
(5.)pHNA00A
    14.4.     No. of Ambient Noise monitoring locations : 0
S. No.Parameter UnitMaximum ValueMinimum ValuePrescribed Standard
(1.)Leq(Day)A-weighted decibels(dB(A))000
(2.)Leq(Night)A-weighted decibels(dB(A))000
    14.5.     No. of Soil Sample Monitored locations : 0
S. No.Parameter UnitOther UnitMaximum ValueMinimum Value
(1.)K(Potassium)00
(2.)P(Phosphorus)00
(3.)Electric Conductivity00
(4.)N(Nitrogen)00
(5.)pH00
14.6.
Details of Ground Water Table:
(a)Range of Water Table Pre-Monsoon Season (Meters Below Ground Level (m bgl)) From 32.08 To 4.72
(b)Range of Water Table Post-Monsoon Season (Meters Below Ground Level (m bgl)) From 32.03 To 4.65
(c)Whether Ground Water Intersection will be there ? No
     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.)OthersPublic Tanker4.4160Copy of Permission LettermodeOthersPublic TankerOthersPublic TankerNA08 Oct 20194.416
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.)0000OthersNA00
16.1.
(a)Total Waste Water Generation (Kilolitre per Day) 0
(b)Total Discharged Water (Kilolitre per Day) 0
(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.)NAIndustrial Waste0Kilolitre0RoadTreatment, Storage and Disposal Facility(TSDF)
18.
    18.1.     Air Quality Impact Prediction
S. No.Criteria Pollutants Other Criteria PollutantsUnitBaseline ConcentrationDistance GLCIncremental ConcentrationTotal GLCPrescribed Standard
(1.)PM10naNA00010
(2.)SO2NA00010
(3.)NOxNA00010
(4.)Others(Specify)NANA00010
(5.)PM2.5NA00010
    18.2.     Stack Details
S. No.Source FuelStack Height(m)Stack Diameter(m)PollutantsOther PollutantsEmission (GLS)
(1.)na000PM100
(2.)0000SO20
(3.)0000NOx0
(4.)0000Othersna0
19.
Power Requirement:
(a)Quantity (Kilo Volt Amps (kVA)) 0
(b)Source 0
(c)Uploaded Copy of Agreement Copy of Agreement
(d)Standby Arrangement (Details of DG Sets) 0
(e)Stack Height (in m) 0
20.
Land Ownership Pattern:
(a)Forest Land (ha.) 0
(b)Private Land (ha.) 4.4032
(c)Government Land (ha.) 0
(d)Revenue Land (ha.) 0
(e)Other Land (ha.) 0
    Total Land (ha.) 4.4032
21.
Present Land Use Breakup of the Study Area in Ha:
(a)Agriculture Area (ha.) 4.4032
(b)Waste/Barren Land (ha.) 0
(c)Grazing/ Community Land (ha.) 0
(d)Surface Water Bodies (ha.) 0
(e)Settlements (ha.) 0
(f)Industrial (ha.) 0
(g)Forest (ha.) 0
(h)Mangroves (ha.) 0
(i)Marine Area (ha.) 0
(j)Others (ha.) : 0 0
    Total (ha.) 4.4032
    22.     Land requirement for various activities
S. No.Description of Activity / Facility / Plant / Others OthersLand Requirement (ha.)Remarks
(1.)Quarry Area4.4032Mining Area
Total (ha.) 4.4032
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.)Critically Polluted Areana00
(2.)ESZsNA00
(3.)CorridorsNA00
(4.)WLSNA00
(5.)ESAsYamuna18.45River
(6.)Wildlife CorridorsNA00
(7.)NPANA00
    23.2.     Details of Environmental Sensitivity :
S. No.Details of Environmental Sensitivity Other Details of Environmental Sensitivity NameDistance from the Project (Km)Remarks
(1.)ForestNA00
(2.)Archaeological SitesNA00
(3.)OthersNANA00
(4.)Defence InstallationsNA00
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) 0
(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) 0
(b)Land yet to be acquired(Ha) 0
(c)Status of Land acquisition if not acquired 0
27.
Rehabilitation and Resettlement (R&R):
(a)No. of Villages 0
(b)No. of Households 0
(c)No. of PDFs (Project Displaced Families) 0
(d)No. of PAFs (Project Affected Families) 0
(e)Funds Allocated for R&R(in INR) (in Lacs) 0
(f)Status of R&R Yet To Start
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 0
(b)Permanent Employment-During Operation 32
(c)Temporary Employment- During Construction 0
(d)Temporary Employment- During Operation 0
(e)No. of working days 150
(f)Total Manpower 32
32.
Green Belt in Ha:
(a)Total Area of Green Belt 2.38
(b)Percentage of Total Project Area 54.05
(c)No. of Plants to be Planted 22
(d)Funds Allocated for Plantation 100000
(e)Uploaded Green Belt plan Copy of Green Belt Plan
    33.         Project Benefits
S. No.Type of Project Benefits Details of Project Benefits
(1.)FinancialEmpolyment Generation
(2.)SocialImprove Social culture
   34.   CRZ Specific Details : Not Applicable
   35.   Sector Specific Details For Non-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.)Brick earth (soil)Minor
2.
Mine Capacity in ROM (Run of Mine) 7500
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. na
(b)Date of Approval 01 Oct 2019
(c)Approved Letter Copy of Approved Letter
(d)Approved By State Mining and Geology Department Directorate
(e)Approved Mining Lease Area 4.4032
(f)Approved Capacity 7500
5.
Technical Details:
(a)Total Geological Reserves (Million Ton) 105676.8
(b)Mineable Reserves (Million Ton) 89561
(c)Extractable Reserves(Million Ton) 89561
(d)Percent(%) of Extraction 84.74
(e)Grade of Coal /Ore /Mineral na
(f)Stripping Ratio 0 : 0
(g)Category of Gaseousness (Only for Coal Mining, Others may Write NA) 0
(h)Average Gradient(Degree) 0
(i)Mining Method Opencast
(j)Life of Mine (Years) 9
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) 4.4032
(b)Whether obtained Letter of Intent (LOI) from the state government ? No
(i)Reason thereof lease allotment deed & registration deed is attach
(c)Whether Lease Deed Executed ? No
(i)Reason thereof lease allotment deed & registration deed attach
(d)Whether Lease Deed Renewed ? No
(i)Reason thereof lease allotment deed & registration deed attach
9.
OB (Over Burden) Management:
(a) Details of External Dumps:
(i)No. of OB Dumps 0
(ii)Total Area (in Hectare) 0
(iii)Height (in meter) 0
(iv)Quantity (in Million Cubic meter) 0
(v)No. of year back fill up 0
(b) Details of Internal Dumps:
(i)No. of Internal Dumps 0
(ii)Total Area (in Hectare) 0
(iii)Height (in meter) 0
(iv)Quantity (in Million Cubic meter) 0
10.
Details of Topsoil Management:
(a)Quantity of Topsoil excavated during the entire life of the mine (in Million Cubic metre) 0.0066
(b)Quantity of Topsoil proposed for utilization for reclamation during the entire life of the mine (in Million Cubic metre) 0.0066
(c)Quantity of Topsoil proposed for utilization for other activities during the entire life of the mine (in Million Cubic metre) 0.0066
11.
Details of Final Mine Void:
(a)Area (in Hectare) 4.4032
(b)Depth (in meter) 2
(c)Volume (in Million Cubic meter) 88064
12.
Details of Quarry:
(a)Final Void of 4.4032 (hectare) at a Depth of 0 meter which is Proposed to be Converted into a Water Body.
(b)Total Quarry Area (ha) 4.4032
13.
Details of Transportation:
(a)In Pit/Underground to Surface 0
(b)Surface to Siding/Loading 0
(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 LAND4.403204.4032
(2.)FOREST LAND000
(3.)OTHERS(Specify)na000
(4.)GRAZING LAND000
(5.)SETTLEMENTS000
(6.)WASTE LAND000
(7.)SURFACE WATER BODIES000
TOTAL4.403204.4032
     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.)ROADS0000
(2.)VIRGIN AREA0000
(3.)EXCAVATION/QUARRY0000
(4.)EXTERNAL OB DUMPS0000
(5.)INTERNAL OB DUMPS0000
(6.)Otherna0000
(7.)TOP SOIL STORAGE0000
(8.)BUILT UP AREA (COLONY/OFFICE)0000
(9.)GREEN BELT0000
TOTAL00000
16.
Details of Reclamation:
Total Afforestation Plan shall be Implemented Covering of Mining.
This will Include:
(a)External OB Dump(in hectare) 0
(b)Internal Dump(in hectare) 0
(c)Quarry(in hectare) 0
(d)Safety Zone(in hectare) 0
(e)Final Void of 0 (hectare) at a Depth of 0 meter which is Proposed to be Converted into a Water Body.
(f)Density of Tree Plantation per ha (in no.) 0
(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) 0
(h)Total afforestation plant (in hectare) 0
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.)000000
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? Yes
(i)Accreditation No. NABET/EIA/1619/RA0058
(ii)Name of the EIA Consultant Greencindia consulting pvt ltd
(iii)Address 607 to 611, level -5 , shopprix mall, sector 5, vaishali, ghaziabad, uttar pradesh
(iv)Mobile No. 9899101527
(v)Landline No. 0120411152
(vi)Email Id information@greencindia.com
(vii)Category of Accreditation A
(viii)Sector of Accreditation Non-Coal Mining
(ix)Validity of Accreditation 09 Oct 2019
(x)Uploaded Certificate of Accreditation certified by QCI/NABET Copy of Certificate of Accreditation
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 Copy of District Survey Report Copy of District Survey Report
(h)Uploaded Copy of Replenishment Study Report & Baseline Survey Data Copy of Replenishment Study Report & Baseline Survey Data
(i)Uploaded Additional File Copy of Additional File
(j)Uploaded Proposal Presentation (To be given in EAC meeting) NA
            Essential Detail Sought:
Sno. EDS Letter Remarks Date of EDS
1.NAThe instant proposal is the category B as per the EIA notification, 2006 kindly apply to respective SEIAA/SEAC. 08 Nov 2019
      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 ApplicantRajeev Kumar Rathi
Designationowner
Name of Company (Applicant Name should not be given here)MS OM BRICK FIELD
AddressVillage- Gangloni, Tehsil - Baraut, Dist - Baghpat, UP
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