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 Production of semi –precious stone (Iolite) of 158 kg from 13200 cum of cordierite schist per annum ,located at village Kutingpadar,Junagarh,Dist. Kalahandi,Odisha of M/s Manikeswari Gems (P) Ltd
Brief summary of projectAnnexure-Brief summary of project
Proposal Number IA/OR/MIN/106950/2019
Project Cost 20 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 158 kg ha.
4.
New/Expansion/ModernizationNew
5. Existing Capacity/Area etc. 14.394 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 projectKutingpadar, Junagarh, Kalahandi, Odisha
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.745/155,746/155,747/P/155,712/P/156 etc.
Town / VillageKutingpadar
State of the projectOrissa
Details of State of the project
S.no State Name District Name Tehsil Name
(1.)OrissaKalahandiJunagarh
10.
Nearest railway station along with distance in kms Junagarh road Railway Station, 22.0 km
Nearest airport along with distance in kms Utkela Airport, 85.0 km
11. Nearest Town/City/District Headquarters along with distance in kms Kutingpadar , 0.54 km
12. Village Panchayats, Zila Parishad, Muncipal Corporation, Local body (Complete postal address with telephone nos. to be given) Kalahandi
13. Name of the Applicant Naresh
14. Registered Address Plot No.-N1/65, IRC Village, Nayapalli, Bhubnaeswar
15.
Address for correspondance:
Name of the Company MS MANIKESWARI GEMS PVT LTD
Name of the Applicant Naresh
Designation (Owner/ Partner/ CEO) Owner
Pin code 751015
E-mail manikgems2000@gmail.com
Telephone No. 0674-2550644
Fax No. 0674-2550430
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 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?Yes
StatusApplication for Wildlife Clearance yet to be submitted
(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) Yes Temporary change in the Topography of the core zone will be changed due to the mining operation in the form of mine pits, surface dumps, haul roads, infrastructural facilities etc. However, there will be dump management reclamation and back-filling.
1.2 Clearance of existing land, vegetation and buildings? No Mining lease is allotted by Govt. of Odisha. The vegetation is mainly in form of bushes and shrubs which will have to be cleared before mining.
1.3 Creation of new land uses? Yes Types of land Existing area at present(ha.) Conceptual period Area under mining 0.488 1.458 Over-burden dump 0.641 - Top soil storage - - Mineral storage - - infrastructure 0.002 - roads 0.12 0.187 Retaining wall & garland drain - - Sub-total 1.251 1.645 undisturbed 13.143 12.749 Total 14.394 14.394
1.4 Pre-construction investigations e.g. bore houses, soil testing? Yes Exploration will be carried out after getting Environmental clearance as stated by approved mining plan.
1.5 Construction works? Yes Temporary site services have been constructed as per Mines Act and Mines Rule.
1.6 Demolition works? No No demolition works are involved.
1.7 Temporary sites used for construction works or housing of construction workers? No Temporary site for temporary Office/rest shelter etc only. Local labourers from nearby area will be employed. No housing will be required
1.8 Above ground buildings, structures or earthworks including linear structures, cut and fill or excavations and fill or excavations No There will be no building/structure to stay as work will be carried out in day time only. Local tribal labourer will be employed in priority.
1.9 Underground works including mining or tunnelling? No Not Applicable. As this is mining project by open-cast method
1.10 Reclamation works? Yes Backfilling and afforestation will be carried out
1.11 Dredging? No Not Applicable
1.12 Offshore structures? No Not Applicable
1.13 Production and manufacturing processes? No There is no production process in mining
1.14 Facilities for storage of goods or materials? Yes Presently, 0.656 ha has been earmarked for overburden dump .There will be no area for mineral storage.
1.15 Facilities for treatment or disposal of solid waste or liquid effluents? Yes • Total area will be 1.372 ha for dumping where there is less or no possibility of occurrence of ore. About 59230 m3 solid waste will be dumped to a maximum height of 16 m .The waste will be used for back-filling of quarries after the exhaustion of ore. So there will be no dump at the end of conceptual period. • There is no liquid effluent.
1.16 Facilities for long term housing of operational workers? No Most of the workers will be employed from nearby villages. Hence long term housing facilities are not involved
1.17 New road, rail or sea traffic during construction or operation? No No new road, rail or sea traffic is required. Existing facilities for transportation of minerals will be utilized. Only temporary approach roads will be made which connects to existing metal road.
1.18 New road, rail, air water borne or other transport infrastructure including new or altered routes and stations, ports, airports etc? No Existing Facilities are sufficient
1.19 Closure or diversion of existing transport routes or infrastructure leading to changes in traffic movements? No The project does not involve any closure or diversion of existing transport routes or infrastructure leading to changes in traffic movements
1.20 New or diverted transmission lines or pipelines? No The project does not involve any new or diversion of transmission lines or pipeline.
1.21 Impoundment, damming, culverting, realignment or other changes to the hydrology of watercourses or aquifers? No No impoundment or damming is involved in the project. The average height and minimum width of the benches will be 3m. No groundwater intersection is involved hence no change is anticipated in the hydrology of watercourses or aquifers by the mining operation
1.22 Stream crossings? No Proposed project will disturb natural drainage pattern. No perennial stream crosses in lease area.
1.23 Abstraction or transfers of water from ground or surface waters? Yes Particulars Quantity(m3/day)/KLD Domestic 5.0 dust suppression 15.0 plantation 5.0 Total 25.0 Water will be brought by tanker from outside and will be stored in 10Kl capacity storage tank for domestic purposes. Surface water will be made from nearby nala for which permission has been sought. from the competent Authority.
1.24 Changes in water bodies or the land surface affecting drainage or run-off? No There is proposal for rainwater harvesting .Local drainage will be channelized.
1.25 Transport of personnel or materials for construction, operation or decommissioning? No Labourers will be employed from nearby villages. There will no significant transport of personnel required. However, expert and supervisor will be provided transport by project proponent .
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 There will be influx of people during operational stage.
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 No other actions will be involved for the excavation.
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 No Agriculture Land is Present
2.2 Water (expected source & competing users) unit: KLD Yes About 25.0 KLD water will be used. Water will be used for dust suppression and plantation for which permission is awaited..Domestic water will be brought from nearby areas by water tanker and will be stored in 10 KL storage tank..
2.3 Minerals (MT) Yes 158 Kg of Iolite from 13200 cum of Cordierite Schist
2.4 Construction material – stone, aggregates, sand / soil (expected source – MT) No No construction activity is proposed.
2.5 Forests and timber (source – MT) No No forest and timber products will be used in the proposed project.
2.6 Energy including electricity and fuels (source, competing users) Unit: fuel (MT),energy (MW) Yes • There will be electrical consumption of 5 kw/month .The power will be drawn from state grid. • Diesel about 11 kL/month will be used for mining operation & its allied activities .All equipments are on contractual basis.
2.7 Any other natural resources (use appropriate standard units) No No other natural resources will be used
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 All equipments to be used are on contractual basis.
3.2 Changes in occurrence of disease or affect disease vectors (e.g. insect or water borne diseases) No Project activities are not likely to cause effect.
3.3 Affect the welfare of people e.g. by changing living conditions? Yes Improvement in the socio-economic conditions of the nearby villages ,improvement in increasing per capita income
3.4 Vulnerable groups of people who could be affected by the project e.g. hospital patients, children, the elderly etc. No No vulnerable groups of people will be affected by the project.
3.5 Any other causes No All precautions will be taken to prevent generation of dust by water sprinkling at its source. The mine worker will also be medically examined as per statutory provisions.
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 21240 m3 top soil will be generated which will be utilized for plantation. • About 59230 cubicmeter solid waste will be generated during first five years, OB will spread over an area 1.372 ha .All overburden will be backfilled after exhaust of mine.
4.2 Municipal waste (domestic and or commercial wastes) Yes About 500 kg/month of municipal waste will be generated which is negligible
4.3 Hazardous wastes (as per Hazardous Waste Management Rules) Yes Hazardous waste (as per Hazardous Waste Management Rules) will be generated .Used lubricants will be stored and auctioned.
4.4 Other industrial process wastes No There will be no industrial process waste involved in the project
4.5 Surplus product No No surplus product will be there.
4.6 Sewage sludge or other sludge from effluent treatment Yes Domestic effluent will be discharged in septic tank and soak pit combination
4.7 Construction or demolition wastes No No construction or demolition waste is involved.
4.8 Redundant machinery or equipment Yes Excavator, Tippers, Water tankers and pumps etc are provided by the contractor.
4.9 Contaminated soils or other materials No No contamination of soil as soil will be used for plantation purposes .
4.10 Agricultural wastes No No agricultural waste will be generated.
4.11 Other solid wastes No No other solid waste generated.
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 emission of gases from combustion of fuel used in the transportation vehicles (trucks, tractors, etc.) for mineral. The emissions are of temporary type. Mitigation measures will be taken to reduce impacts from such emissions .The vehicles moving to and fro for transportation will have valid PUC certificate and low sulphur diesel will be used.
5.2 Emissions from production processes Yes Particulate matter emissions (dust) from mining and transportation.
5.3 Emissions from materials handling including storage or transport Yes • Fugitive emissions are envisaged from material handling and transportation areas. • Emissions of SO2, NOx and CO are envisaged due to vehicular movements • Dust emission will be controlled by spraying of water.
5.4 Emissions from construction activities including plant and equipment No No construction activity is proposed.
5.5 Dust or odours from handling of materials including construction materials, sewage and waste Yes The mining and its allied activities may cause increase fugitive dust. Dust suppression will be done by sprinkling of water. However ,there will be no odours generation substances.
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 From transportation vehicles .However the noise level will be maintained to keep within permissible limit by proper maintenance
6.2 From industrial or similar processes No Not applicable.
6.3 From construction or demolition No Not applicable.
6.4 From blasting or piling No Not applicable.
6.5 From construction or operational traffic Yes • Marginal increase in noise level due to transportation of mineral. Meager noise can be anticipated from the traffic. • Measures shall be taken to control noise with proper preventive maintenance and lubrications
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 No No hazardous material storage or handling is envisaged.
7.2 From discharge of sewage or other effluents to water or the land (expected mode and place of discharge) No It will be a zero discharge mine .Domestic effluent will be discharged in septic tank/ soak pits. Surface run off will be collected in series of settling ponds and mined out pits. No effluent will be discharged from the mine lease area.
7.3 By deposition of pollutants emitted to air into the land or into water Yes Airborne dust may deposit on leaves of plantation but its effect is less on the plants. However ,proper care will be taken to keep within permissible limit .
7.4 From any other sources No Not envisaged
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 Risk of accidents is anticipated during transportation .However, preventive measures will be undertaken.
8.2 From any other causes Yes Vehicle movement, waste dump failure ,proper retaining wall ,slopes ,garland drain will be maintained.
8.3 Could the project be affected by natural disasters causing environmental damage (e.g. floods, earthquakes, landslides, cloudburst etc)? No As per the 2002 Bureau of Indian Standards (BIS) map ,Kalahandi is lying under Zone II
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 • The lessee has provided financial aid to the local community as well as health centre as well as in other Community Development Activities in the region. • Infrastructure facilities will be improved • Educational facilities will be improved • Medical facilities will be improved • Socio-economic up-liftmen will be one of the major contribution to the society • Other business opportunities like garages/ workshops, shops; etc has developed for the local people.
9.2 Lead to after-use of the site, which could have an impact on the environment No The mine lease area will be developed into afforested area at the conceptual stage
9.3 Set a precedent for later developments Yes The IOLITE is proposed to be sold in the market or to the Iolite stone traders.
9.4 Have cumulative effects due to proximity to other existing or planned projects with similar effects No No effect on planned projects.
(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 Not Applicable
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 Yes Mukhiguda Junagarh Right Canal Road 4.32 Km in NW Direction SH-44 7.3 Km in SE direction
7 Defence installations No Not applicable.
8 Densely populated or built-up area No Nil
9 Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship, community facilities) Yes Hospital Medical College Hospital and Research School - Centre in N direction. Town High School in NE direction Temple - Kutingpadar 0.54 Km in NW direction
10 Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) No None
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 Yes As per the 2002 Bureau of Indian Standards (BIS) map, Kalahandi falls under seismic zone II
(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
Additional Attachments, if any
Attached File
Affidavit
Status of Mines
Mining Lease Document
            Essential Detail Sought:
Sno. EDS Letter Remarks Date of EDS
1.NAThe correction have been made as per the instruction received 16 Nov 2019
2.NA1.Category B project, 14.394 Ha 2. In PFR, It is mentioned that “This is a violation case .Mine was operating since 2004-05 without Environmental Clearance upto 2008-09 .Consent to operate was withdrawn on 6.1.2010 due to want of EC.” Provide complete details of violation. 3. Validity of mine lease and copy of valid lease document 4. Copy of affidavit needs to be submitted by PP in compliance of the Ministry’s OM no. 3-50/2017-IA.III (Pt.), dated 30th May 2018 5. Details of past production of mine since its inception, duly authenticated by Department of Mines & Geology, State Government. 6. Details of demand if any raised by Department of Mining and Geology. 7. Details of payment, if any made to Department of Mines & Geology 8. Status of mine whether working or not 9. Upload the KML file. 15 Jul 2019
      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 ApplicantNaresh
DesignationOwner
Name of Company (Applicant Name should not be given here)MS MANIKESWARI GEMS PVT LTD
AddressPlot No.-N1/65, IRC Village, Nayapalli, Bhubnaeswar
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