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 Information
S.No.Item Details
Is your project Comes under Notified Industrial Area NA
Whether proposal involved violation of EIA notificationN/A
Weather Consent to Establishment ObtainedN/A
Upload copy of CTE N/A
1.
Name of the Project/s Godbaem Ou Cuttiem (Curpem) Mine (TC No. 63/51) of Shri. Rajesh P. Timblo
Brief summary of projectAnnexure-Brief summary of project
Proposal Number IA/GA/MIN/77170/2018
Project Cost 950 lacs
2.
S. No. in the schedule1(a) Mining of minerals
Project Sector Non-Coal Mining
3. Proposed capacity/area/length/tonnage to be handled/command area/lease area/number or wells to be drilled 1,00,000 MTPA ha.
4.
New/Expansion/ModernizationNew
5. Existing Capacity/Area etc. 0.045 ha.
6. Category of project i.e. 'A' or 'B' A
7.
Does it attract the general condition? If yes, please specify Yes
a) Protected areas notified under the wildlife (Protection) Act, 1972
8.
Does it attract the specific condition? If yes, please specify No
9.
Location of the projectCurpem Village, Sanguem District, South Goa District, Goa State
Shape of the project landBlock (Polygon)
Uploaded GPS fileAnnexure-GPS file      
Uploaded copy of survey of India ToposheetAnnexure-Survey of india toposheet
Plot/Survey/Khasra No.Survey no 2(part) of Govt. Forest land and survey no’s 5(part), 6(part), 7(part), 8(part), 10(part), 12(part) & 13(part) of Private lands of Curpem Village
Town / VillageCurpem Village, Sanguem Taluka, South Goa District, Goa State
State of the projectGoa
Details of State of the project
S.no State Name District Name Tehsil Name
(1.)GoaSouth GoaSanguem
10.
Nearest railway station along with distance in kms
Nearest airport along with distance in kms
11. Nearest Town/City/District Headquarters along with distance in kms
12. Village Panchayats, Zila Parishad, Muncipal Corporation, Local body (Complete postal address with telephone nos. to be given)
13. Name of the Applicant Rajesh
14. Registered Address B1-B2, Felecinta Complex, Near Statue Circle, Gogol, Post Box No. 785
15.
Address for correspondance:
Name of the Company SHRI RAJESH P TIMBLO
Name of the Applicant Rajesh
Designation (Owner/ Partner/ CEO) Owner
Pin code 403602
E-mail rajeshtimblo12@gmail.com
Telephone No. 0832-2759051
Fax No. 0832-
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
16.
Details of Alternative Sites examined, if any. Location of these sites should be shown on a toposheet
17. Whether part of Interlinked projects?
18. Whether separate application of Interlinked project has been submitted? N/A
19.
If Yes, MoEF file numberN/A
Date of submissionN/A
20. If No, Reason N/A
21.
Whether the proposal involves Approval/ Clearance under: if yes, details of the same and their status to be given
(i) Whether the proposal involves approval/clearance under the Forest (Conservation) Act,1980?
(ii) Whether the proposal involves approval/clearance under the wildlife (Protection) Act,1972?
(iii) Whether the proposal involves approval/clearance under the C.R.Z notification, 2011?
22.
Whether there is any Government Order/Policy relevant/relating to the site?
23.
Whether any Forest Land Involved?
Area of Forest land Involved (hectares)N/A
24.
Whether there is any litigation pending against the project and/or land in which the project is proposed to be set up?
(a) Name of the CourtN/A
(b) Name of the Sub courtN/A
(c) Case No.N/A
(d) Orders/directions of the court, if any and relevance with the proposed projectN/A
(II) Activity
1 Construction, 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 As it is in existing mine located part in forest land and part in private land with necessary Forest Clearance and land conversion. The lease area has already broken for mining and its allied mining activities and forest area was already diverted under Section (2) of Forest Conservation Act, 1980 for mining and allied mining activities.
1.2 Clearance of existing land, vegetation and buildings? No As it is in existing mine located part in forest land and part in private lands with necessary Forest Clearance. The lease area has already broken for mining and its allied mining activities and forest area was already diverted under Section (2) of Forest Conservation Act, 1980.
1.3 Creation of new land uses? No Mining activity already carried-out in the approved lease area in a progressive manner
1.4 Pre-construction investigations e.g. bore houses, soil testing? No Not applicable as it is an existing mine.
1.5 Construction works? No Nil
1.6 Demolition works? No None
1.7 Temporary sites used for construction works or housing of construction workers? No Nil
1.8 Above ground buildings, structures or earthworks including linear structures, cut and fill or excavations and fill or excavations Yes The exhausted mine pit will be progressively back filled by mine rejects and area will be used for allied mining activities.
1.9 Underground works including mining or tunnelling? No Not Applicable.
1.10 Reclamation works? Yes Reclamation of inactive dumps is being carried-out and the same will be continued.
1.11 Dredging? No Not Applicable
1.12 Offshore structures? No Not Applicable
1.13 Production and manufacturing processes? Yes Maximum Production: 1,00,000 Metric Tons of Iron Ore/ Annum. Process: Mining will be carried out by mechanized open cast mining method by making benches of 6m height and width of >6m. Excavators will be used for development of the benches. Major portion of the lease area which is already exposed is proposed for iron ore production and development. Systematic benches are already formed for carrying-out scientific method of mining. The ore from the pits will be loaded into 10-ton tippers an
1.14 Facilities for storage of goods or materials? Yes The rejection/overburden will be dumped in the area earmarked for the same with effective environmental practices.
1.15 Facilities for treatment or disposal of solid waste or liquid effluents? Yes Generated overburden will be dumped in the area earmarked for the same with effective environmental practices including back filling of exhausted mine pits.
1.16 Facilities for long term housing of operational workers? No Nil.
1.17 New road, rail or sea traffic during construction or operation? Yes For the purposes of mining activities, existing roads are adequate. However, haul road will be suitably developed within the lease area, once the mine start its operation.
1.18 New road, rail, air water borne or other transport infrastructure including new or altered routes and stations, ports, airports etc? No Existing transportation network will cater to the requirements of the mining operation.
1.19 Closure or diversion of existing transport routes or infrastructure leading to changes in traffic movements? No Nil
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? Yes Existing garland drains will be strengthened. Additional technical reclamation measures will be taken to ensure runoff during monsoon. Water will be collected in settling pond through garland drains and the same will be utilized for Plantation/Green Belt, dust suppression and domestic purpose. However, one pit will be retained for the purpose of rainwater harvesting / ground water recharge
1.22 Stream crossings? No Nil
1.23 Abstraction or transfers of water from ground or surface waters? No Nil
1.24 Changes in water bodies or the land surface affecting drainage or run-off? Yes There will be changes in drainage pattern within the leased area of 70.7948 Ha. There will not be any disturbance to water bodies. However, effective storm water management plan will be adopted to minimize the impact on drainage pattern during the mining operation.
1.25 Transport of personnel or materials for construction, operation or decommissioning? Yes Facilities will be provided for transportation of personal at site. The ROM of the mine will be transported through 10 tons tippers with proper care.
1.26 Long-term dismantling or decommissioning or restoration works? Yes Final mine closure plan will be prepared by adopting technical and biological reclamation measures.
1.27 Ongoing activity during decommissioning which could have an impact on the environment? No Measures proposed such as technical and biological reclamation in the progressive mine closure plan will be adopted.
1.28 Influx of people to an area in either temporarily or permanently? Yes Due to recommencement of mining activity, the influx of people is expected for their livelihood during mining operation.
1.29 Introduction of alien species? No None
1.30 Loss of native species or genetic diversity? No Part of the lease area is already broken up due to mining operations and due care will be taken to avoid loss of native species or genetic diversity.
1.31 Any other actions? No NIl
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 source of information data
2.1 Land especially undeveloped or agricultural land (ha) No Mining is being carried out within the existing lease area of 70.7948 Ha, as per DGPS survey approved by DMG, Goa (37.9602 Ha of forestland and 32.8346 Ha private land).
2.2 Water (expected source & competing users) unit: KLD Yes 125 KLD (120 KLD (Dust Suppression, & Plantation/Green Belt and 5 KLD for Domestic Purpose)
2.3 Minerals (MT) Yes 1,00,000 Metric Tons of Iron Ore/Annum
2.4 Construction material – stone, aggregates, sand / soil (expected source – MT) No Nil as there is no construction activities involved, mining activities is being carried-out within the lease area.
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) Yes Power requirement - 15 KVA Source: Goa State Electricity Board. Backup: DG set of capacity 2 X 125 KVA
2.7 Any other natural resources (use appropriate standard units) Yes High Speed Diesel to run movement of vehicles, HEMMs and other machineries.
3 Use, storage, transport, handling or production of substances or materials, which could be harmful to human health or the environment or raise concerns about actual or perceived risks to human health
S.No Information/Checklist confirmation Yes/No Details thereof (with approximate quantities/rates, wherever possible) with source of 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 Consumption of HSD.
3.2 Changes in occurrence of disease or affect disease vectors (e.g. insect or water borne diseases) No Not envisaged.
3.3 Affect the welfare of people e.g. by changing living conditions? Yes The project will help in improving the socio-economic condition of the region through direct and indirect employment.
3.4 Vulnerable groups of people who could be affected by the project e.g. hospital patients, children, the elderly etc. No There will not be any impact on human settlement. The nearest village (Curpem) is at a distance of 0.5 km from the lease boundary. The transportation of ore will be carried-out in a controlled manner as per existing DMG monitoring mechanism and tippers covering with tarpaulin.
3.5 Any other causes No The workers working in the mine will be provided with PPEs for occupation, health and safety of the workers.
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 About 1,18,000 tones of over burden will be generated annually and the same will be dumped in the area earmarked for the same with effective environmental practices including back filling of inactive mine pits.
4.2 Municipal waste (domestic and or commercial wastes) Yes About 15 kgs/day organic waste from canteen and rest shelters will be treated in the vermin compost pit.
4.3 Hazardous wastes (as per Hazardous Waste Management Rules) Yes Hazardous wastes of small quantities like used oil, soil cotton waste, oil filters and lead acid batteries will be generated from workshop due to maintenance of HEMMs. The above falls under category of Hazardous Waste (Management & Handling) Rules, 2008 and the same will be disposed to pollution control board approved reprocessor.
4.4 Other industrial process wastes No Nil
4.5 Surplus product No None
4.6 Sewage sludge or other sludge from effluent treatment Yes The sludge generated from the septic tank will be collected by authorized agencies as on required basis that we will further transported to the nearest sewage treatment plant.
4.7 Construction or demolition wastes Yes Will be carried out as per Final Mine Closure Plan (FMCP).
4.8 Redundant machinery or equipment No Redundant machinery, if any will be given to approved recyclers/ reprocessors.
4.9 Contaminated soils or other materials No None
4.10 Agricultural wastes No None
4.11 Other solid wastes No None
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 Nil. There is no usage of fossil fuels.
5.2 Emissions from production processes Yes Emission from various mining activities such as excavation, transportation of ore and waste, operation of crushing and screening plant will be generated. PP will ensure usage of low sulphur content HSD to operate HEMMs. Mist spray arrangement will be provided in the crushing and screening plant to arrest fine dust. Effective water spraying will be taken up on haul roads to arrest dust suppression during transportation.
5.3 Emissions from materials handling including storage or transport Yes There will be fugitive emissions generated during material handling such as loading and unloading of ore and waste, transportation. Regular water sprinkling on haul road will help in suppressing the dust particles hence, preventing them from getting air-borne.
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 None
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 The main sources of noise in the existing mine are; ? Operation of HEMMs ? Vehicular Movement Noise generated near mine workings would be 60 - 70 dB (A).
6.2 From industrial or similar processes Yes Near the crushing and screening plant noise level would be about 75 dB (A).
6.3 From construction or demolition No Not Applicable
6.4 From blasting or piling No No Blasting is involved in the mine.
6.5 From construction or operational traffic Yes Noise and emission will be generated due to usage of HSD to operate HEMMs & transport of ore outside the lease area and overburden within lease area.
6.6 From lighting or cooling systems No Not Applicable
6.7 From any other sources No None
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 Hazardous materials like used oil, old batteries are being disposed off as per the existing Rules & Guidelines of Hazardous Waste (Management & Handling) Rules, 2008 and are being sent to stores for disposal through authorized agency.
7.2 From discharge of sewage or other effluents to water or the land (expected mode and place of discharge) No Domestic wastewater will be disposed off in Septic Tank and Soak Pit. Sullage water from kitchen will be utilized for green belt development.
7.3 By deposition of pollutants emitted to air into the land or into water Yes Adequate dust suppression measures will be adopted due to mining and allied operation there is a likelihood of fine dust particles deposition on surrounding flora. Adequate settling pond/check dams/coco filters will be provided to ensure effective sedimentation fine silt. PP has proposed effective EMP to address the above.
7.4 From any other sources No Nil
7.5 Is there a risk of long term build up of pollutants in the environment from these sources? No Not envisaged
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 No blasting will be carried-out. Mine safety is one of the most essential aspects of any working mine. Safety of employees will be followed as per Mines Act 1952 and the rules and regulations made under this act. However, Disaster Management Plan (DMP) and Emergency preparedness will be in place to handle any fires incidences.
8.2 From any other causes Yes The risks of accidents are envisaged due to the operation of equipments, failure of mine benches. Pit slope will be maintained at 45°. No loose stone or debris will be allowed to remain near the edges of excavation and along the sites of haul road. Good safety practices will be adopted at the site. All precautionary measures will be adopted by providing PPEs.
8.3 Could the project be affected by natural disasters causing environmental damage (e.g. floods, earthquakes, landslides, cloudburst etc)? No Nil
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 utilities, 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 Recommencement of mining operation will help the local community for their livelihood, as the mine requires about 100 employees. Preference for employment shall be given to local merited / eligible people from the nearby villages. About 500 people will be benefited directly and indirectly. Operation of mine will support ancillary units such as workshops and other facilities. The company shall promote education, health care, youth and women-empowerment programs, etc, through its Cor
9.2 Lead to after-use of the site, which could have an impact on the environment No The broken-up area will be fully reclaimed and rehabilitated by following approved Final Mine Closure Plan (FMCP) at the end of the life of the mine.
9.3 Set a precedent for later developments No Not envisaged at present.
9.4 Have cumulative effects due to proximity to other existing or planned projects with similar effects Yes There are other mines located within 2.0 kms from this lease. Due to similar in nature of activity from nearby mines, there is a possibility of cumulative effect.
(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
Yes The mine is located at a distance of 2.5 km (aerial distance) from the boundary of Netravali Wild Life Sanctuary.
2 Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Yes The mine is located at a 0.5 km (aerial distance) from the Salaulim dam backwater, Salaulim dam structure is at a distance of 7.5 km, The mine is located at a 1.0 km (aerial distance) from the Gulali River.
3 Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration Yes The mine is located at a distance of 2.5 km (aerial distance) from the boundary of Netravali Wild Life Sanctuary.
4 Inland, coastal, marine or underground waters No No inland, coastal, marine or underground waters
5 State, National boundaries Yes There are no inter-State, National boundaries within study region.
6 Routes or facilities used by the public for access to recreation or other tourist, pilgrim areas Yes The existing public road near the mine being used to go to Netravali Wild Life Sanctuary and Salaulim dam backwater.
7 Defence installations No No defense installation within study region.
8 Densely populated or built-up area No Portem Village having 2320 population, which is at a distance of 4.80 km.
9 Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship, community facilities) Yes Govt. primary school – Curpem Village is at a distance of 1.5 km by road. Places of worships and community facilities are present within the study region within 1.5 km by road.
10 Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) Yes The mine is located at a 0.5 km (aerial distance) from the Salaulim dam backwater, The mine is located at a 1.0 km (aerial distance) from the Gulali River. Netravali Wild Life Sanctuary is located at a distance of 2.5 km (aerial distance).
11 Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) No None
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 The area is not susceptible for natural hazards like earthquake, subsidence, landslides, flooding etc, and there are no records of such incidents over the past 50 years.
(IV) Proposed Terms of Reference for EIA studies
1 Uploaded Proposed TOR File Annexure-TOR file
2 Uploaded scanned copy of covering letter Annexure-scanned copy of covering letter
3 Uploaded Pre-Feasibility report(PFR) Annexure-PFR
4 Uploaded additional attachments(only single pdf file) Annexure-Additional attachments
5Uploaded Approval of mining PlanN/A
            Essential Detail Sought:
Sno. EDS Letter Remarks Date of EDS
1.NAThe correction have been made as per the instruction received 15 Sep 2018
2.NAYou are requested to submit the following 1. Copy of the valid executed lease document or valid LoI as on date 2. Copy of stage-I and stage-II Forest Clearance 3. Past production details from inception of the mine till date duly authenticated by the State Mines and Geology Department 4. Clarification from the State Mines and Geology Department your mine is covered or not in the judgment of Hon’ble Supreme Court passed on 07.02.2018 in Special Leave to Appeal (Civil) No. 32138 OF 2015 in the matter of Goa Foundation vs M/s Sesa Sterlite Ltd. & Ors and the interlocutory matters SLP (C) Nos. 32699-32727 of 2015, Writ Petition (C) No. 711 of 2015 and Writ Petition (C) No. 720 of 2015 and also to confirm whether the said lease has been cancelled or not by the Hon’ble Supreme Court in the above mentioned judgment or otherwise. 5. Copy of the earlier EC granted under the EIA Notification 1994 11 Sep 2018
            Additional Detail Sought:
Sno. ADS Letter Remarks Date of ADS
1. ADS Reply LetterDear Sir/Madam, Herewith attached additional information sough by Member Secretory. 21 Jan 2019
2. ADS Raise LetterShow cause notice 17 Dec 2018
(V) 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.
V.(i)
Name of ApplicantRajesh
DesignationOwner
Name of Company (Applicant Name should not be given here)SHRI RAJESH P TIMBLO
AddressB1-B2, Felecinta Complex, Near Statue Circle, Gogol, Post Box No. 785
Print