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 Manufacturing of Manganese oxide by Shree Hanuman Minerals
Brief summary of projectAnnexure-Brief summary of project
Proposal Number IA/MH/IND/89190/2018
Project Cost 300 lacs
2.
S. No. in the schedule3(a) Metallurgical industries (ferrous & non ferrous)
Project Sector Industrial Projects - 1
3. Proposed capacity/area/length/tonnage to be handled/command area/lease area/number or wells to be drilled Manganese Oxide: 14400 TPA ha.
4.
New/Expansion/ModernizationExpansion
Proposal NumberIA/MH/IND/89189/1900
MoEFCC file number(Previous EC)----
Uploaded EC letterAnnexure-Uploaded EC letter
5. Existing Capacity/Area etc. 1.42 ha.
6. Category of project i.e. 'A' or 'B' A
7.
Does it attract the general condition? If yes, please specify No
8.
Does it attract the specific condition? If yes, please specify No
9.
Location of the projectBahmani
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. 7/2
Town / VillageBahmani
State of the projectMaharashtra
Details of State of the project
S.no State Name District Name Tehsil Name
(1.)MaharashtraNagpurNagpur (Rural)
10.
Nearest railway station along with distance in kms Borkhedi, 3.0 km
Nearest airport along with distance in kms Dr. Babasaheb Ambedkar Airport, Nagpur, 30 km
11. Nearest Town/City/District Headquarters along with distance in kms Butibori , 10.0 km
12. Village Panchayats, Zila Parishad, Muncipal Corporation, Local body (Complete postal address with telephone nos. to be given) Bahmani Grampanchayat
13. Name of the Applicant Ashok
14. Registered Address Sr. No. 7/2, Brahmni (P H No. 80) At Post Borkhedi Distt. Nagpur
15.
Address for correspondance:
Name of the Company SHRI HANUMAN MINERALS
Name of the Applicant Ashok
Designation (Owner/ Partner/ CEO) Owner
Pin code 441108
E-mail hanumanmin2018@gmail.com
Telephone No. 0712-2293225
Fax No. 0712-2293225
Copy of documents in support of the competence/authority of the person making this application to make application on behalf of the User Agency . NIL
16.
Details of Alternative Sites examined, if any. Location of these sites should be shown on a toposheet No
17. Whether part of Interlinked projects? No
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?No
(ii) Whether the proposal involves approval/clearance under the wildlife (Protection) Act,1972?No
(iii) Whether the proposal involves approval/clearance under the C.R.Z notification, 2011?No
22.
Whether there is any Government Order/Policy relevant/relating to the site?No
23.
Whether any Forest Land Involved?No
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?No
(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 The proposed project is in the existing premises of the MnO2 plant (only crushing activity is being carried out) of the company which is already in industrial use. Therefore, the change in the land use envisaged within the existing premises of the plant. No other project activity requires change in the land use in the local area or outside the existing plant.
1.2 Clearance of existing land, vegetation and buildings? No There will not be any clearance of vegetation and building as it is in industrial use.
1.3 Creation of new land uses? No No the land is already in Industrial use & it will remain same after proposed project also.
1.4 Pre-construction investigations e.g. bore houses, soil testing? Yes Soil testing shall be carried out for finalization of construction drawing.
1.5 Construction works? Yes Existing Industrial Shed, Storage areas, rent room; admin office etc. will be constructed for the proposed project.
1.6 Demolition works? No Not Applicable
1.7 Temporary sites used for construction works or housing of construction workers? No Not Applicable
1.8 Above ground buildings, structures or earthworks including linear structures, cut and fill or excavations and fill or excavations Yes Furnace with wet scrubbers as air pollution control system of specified size followed by 30 m. stack. Excavation and earthworks shall be done for structures for erection of industrial installations as mentioned above
1.9 Underground works including mining or tunnelling? Yes Tunneling and mining works are not envisaged. Underground/below surface working pertaining to excavation/earthworks/ internal drainage/rainwater harvesting pits
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 The detailed manufacturing process for production of MnO is given in the Pre-Feasibility Report.
1.14 Facilities for storage of goods or materials? Yes During the operational phase, raw material will be stored in the raw material storage sheds.
1.15 Facilities for treatment or disposal of solid waste or liquid effluents? Yes Waste Water: The wastewater generated in zigging process and pollution control equipment will be treated in settling tank and reused. Ash : 1080 TPA The ash generated will be sold to brick manufacturers.
1.16 Facilities for long term housing of operational workers? No Not Applicable
1.17 New road, rail or sea traffic during construction or operation? No Existing road network are adequate to handle the traffic during operation of plant.
1.18 New road, rail, air water borne or other transport infrastructure including new or altered routes and stations, ports, airports etc? No No new road/rail/ air transport infrastructure is proposed.
1.19 Closure or diversion of existing transport routes or infrastructure leading to changes in traffic movements? No No closure or diversion of existing transport routes is envisaged.
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? No Not Applicable
1.22 Stream crossings? No No stream crossing is involved
1.23 Abstraction or transfers of water from ground or surface waters? Yes Water Requirement : 3 KLD Source : Ground Water
1.24 Changes in water bodies or the land surface affecting drainage or run-off? No No changes in water bodies, drainage and land surface are anticipated
1.25 Transport of personnel or materials for construction, operation or decommissioning? Yes The raw material is being transported in tarpaulin covered trucks by road and stored in raw material storage yard. The transport of personnel during operation will be by public/private mode. The existing road network will be utilized for the transportation of personal in operation phase.
1.26 Long-term dismantling or decommissioning or restoration works? No Not Applicable
1.27 Ongoing activity during decommissioning which could have an impact on the environment? No Not Applicable
1.28 Influx of people to an area in either temporarily or permanently? Yes New job opportunity due to proposed project will create additional employment.
1.29 Introduction of alien species? No Not Applicable
1.30 Loss of native species or genetic diversity? No Not Applicable
1.31 Any other actions? No Not Applicable
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 The proposed project is in the existing premises of the plant which is already in industrial use. Hence there is no change in land use.
2.2 Water (expected source & competing users) unit: KLD Yes Water Requirement : 3 KLD Source : Ground Water
2.3 Minerals (MT) Yes List of major raw materials as per requirement Manganese Dioxide – 18000 TPA Coal – 10800 TPA
2.4 Construction material – stone, aggregates, sand / soil (expected source – MT) Yes Will be finalized after design and drawing
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 Electricity : 80 KW Source : State Electricity Board
2.7 Any other natural resources (use appropriate standard units) No Not Applicable
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 The raw materials / substances are not hazardous to human health or environment.
3.2 Changes in occurrence of disease or affect disease vectors (e.g. insect or water borne diseases) No Not Applicable
3.3 Affect the welfare of people e.g. by changing living conditions? Yes Increase in employment potential for locals and improve the living conditions.
3.4 Vulnerable groups of people who could be affected by the project e.g. hospital patients, children, the elderly etc. No Not Applicable
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 No Not Applicable
4.2 Municipal waste (domestic and or commercial wastes) Yes Only domestic waste shall be generated which will be treated in Packaged type STP.
4.3 Hazardous wastes (as per Hazardous Waste Management Rules) No No hazardous waste generated from the proposed project. Used machine oil shall be generated during maintenance and overhauling and shall be stored in environment friendly manner and sell to registered vendors only.
4.4 Other industrial process wastes Yes The ash generated will be sold to brick manufacturers.
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 Will be used for making internal roads, fencing etc.
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 Yes There will be small amount of exhaust from the vehicles engage in transportation. All the vehicles are designed to comply Norms.
5.2 Emissions from production processes Yes During operation of furnace for MnO some emission are envisaged. Proper care will be taken by installing wet scrubbers followed by Stack.
5.3 Emissions from materials handling including storage or transport Yes Dust emission will be envisage due to vehicles movement following measures will be adopted to control fugitive emission: • Installation of water sprinklers along the road side. • Water spraying will be done at raw material handling areas. • Internal roads will be concreted. • Development of good greenery.
5.4 Emissions from construction activities including plant and equipment Yes Dust may rise during transport of material and construction activity. The dust emissions shall be mitigated by water spraying on the roads within the plant premises.
5.5 Dust or odours from handling of materials including construction materials, sewage and waste No Very Small Quantity of solid waste & Liquid waste are envisaged during construction period
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 All machineries will be manufactured as per OSHA/MOEF guidelines. Earplugs will be provided to workers working in the noise prone areas. Ambient noise level will be <75dB (A) during daytime and <70dB (A) during nighttime.
6.2 From industrial or similar processes Yes All machineries will be manufactured as per OSHA/MOEF guidelines. Earplugs will be provided to workers working in the noise prone areas. Ambient noise level will be <75dB (A) during daytime and <70dB (A) during nighttime.
6.3 From construction or demolition Yes Construction equipment will cause some noise. Earplugs will be provided to construction workers who worked near the noise generating equipment.
6.4 From blasting or piling No Not Applicable
6.5 From construction or operational traffic Yes Due to movement of heavy vehicles
6.6 From lighting or cooling systems No Not Applicable
6.7 From any other sources No Not Applicable
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 Yes Good housekeeping practice will be maintained. This will eliminate any spillages. No hazardous material will be required.
7.2 From discharge of sewage or other effluents to water or the land (expected mode and place of discharge) No Zero liquid discharge shall be maintained..
7.3 By deposition of pollutants emitted to air into the land or into water Yes Controlled air emissions due to source and fugitive is envisaged due to operation of plant. Deposition of pollutants depending upon dispersion and dilution factors of the local meteorological conditions. Though the deposition of pollutants is natural phenomenon, no risk of contamination is envisaged due to local dilution factors. Proper care will be taken by installing wet scrubbers followed by Stack to control source emission. Hence there will not be any major deposition of pollutants into air,
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 No It may occur, proper arrangements for firefighting etc. exist and proposed for project.
8.2 From any other causes No Accident may occur during operation of the plant. Only trained personnel will be employed at critical operation of plant like charging of Raw Material, Handling of equipment etc.
8.3 Could the project be affected by natural disasters causing environmental damage (e.g. floods, earthquakes, landslides, cloudburst etc)? No Not Applicable
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 Additional Employment generation
9.2 Lead to after-use of the site, which could have an impact on the environment No Not anticipated.
9.3 Set a precedent for later developments No Not anticipated.
9.4 Have cumulative effects due to proximity to other existing or planned projects with similar effects No Not anticipated.
(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 Not Applicable
2 Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests No FOREST Junapani Reserved Forest : 4.5 Km (NNW) Dondargaon Reserved Forest: 6.5 Km (NNE) Wargaon Reserved Forest: 6.0 Km (SE) WATER BODIES Vena River : 7.0 Km (SE) Krishna Nala : 8.0 Km (N) Vaghai Nala : 5.0 Km (SSW) Wadgaon Lake: 7.0 km (E)
3 Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration No Not Applicable
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 No Not Applicable
8 Densely populated or built-up area Yes Bahmani: 0.5 Km
9 Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship, community facilities) Yes Hospitals : Primary Health Centre, Borkhedi : 3.0 Km (NNE) Om Sai Hospital – 10.5 Km (NNE)
10 Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) No Not Applicable
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
(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) NIL
      Essential Detail Sought : NIL
      Additional Detail Sought : NIL
(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 ApplicantAshok
DesignationOwner
Name of Company (Applicant Name should not be given here)SHRI HANUMAN MINERALS
AddressSr. No. 7/2, Brahmni (P H No. 80) At Post Borkhedi Distt. Nagpur
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