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 M/s Sri Anjaneya Waddera Balaheena Vargamula Labour Contract Co-Operative Society LTD
Brief summary of projectAnnexure-Brief summary of project
Proposal Number IA/TG/MIN/106618/2019
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 42290 ha.
4.
New/Expansion/ModernizationNew
5. Existing Capacity/Area etc. 1.31 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 projectKannala Village, Kamanpur Mandal, Peddapally District, Telangana 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: 493
Town / VillageKannala Village, Kamanpur Mandal, Peddapally District, Telangana State
State of the projectTelangana
Details of State of the project
S.no State Name District Name Tehsil Name
(1.)TelanganaPeddapalliPeddapalle
10.
Nearest railway station along with distance in kms Raghavapuram, 2 km
Nearest airport along with distance in kms Shamshabad, 228 km
11. Nearest Town/City/District Headquarters along with distance in kms Peddapally , 10.5 km
12. Village Panchayats, Zila Parishad, Muncipal Corporation, Local body (Complete postal address with telephone nos. to be given) Survey No: 493 Kannala Village, Kamanpur Mandal, Peddapally District, Telangana State
13. Name of the Applicant Sri
14. Registered Address Sy.No 493, Kannala Village, Kamanpur Mandal, Peddapally District
15.
Address for correspondance:
Name of the Company M/S SRI ANJANEYA WADDERA BALAHEENA VARGAMULA LABOUR CONTRACT CO-OPERATIVE SOCIETY LTD
Name of the Applicant Sri
Designation (Owner/ Partner/ CEO) Partner
Pin code 505184
E-mail buildingstoneroadmetals@gmail.com
Telephone No. 040-65552250
Fax No. 040-
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 mine lease area of 1.31 ha is an undulating mound of 3m height using for mining activity. The method of mining is opencast Semi Mechanized method
1.2 Clearance of existing land, vegetation and buildings? No The land area is an undulating mound with BUILDING STONE & ROAD METAL. Lease deed executed and work orders issued by Department of Mines and Geology.
1.3 Creation of new land uses? No Not required
1.4 Pre-construction investigations e.g. bore houses, soil testing? Yes Survey completed – Mine office, temporary rest shelters, first aid shed and toilets to workers are constructed. No major construction will be done.
1.5 Construction works? Yes Temporary sheds will be constructed as rest shelter for labor and for office use.
1.6 Demolition works? No Not required
1.7 Temporary sites used for construction works or housing of construction workers? No People from the nearby villages will be employed, no housing is required. Temporary rest shelter will be provided.
1.8 Above ground buildings, structures or earthworks including linear structures, cut and fill or excavations and fill or excavations Yes Above ground building for the temporary mining office. No major excavation activity is involved
1.9 Underground works including mining or tunnelling? No The proposed mining activity is open cast method with the help of drilling for blast holes, after blasting the mineral will be loaded into tippers. No underground works or tunneling required.
1.10 Reclamation works? Yes After completion of mining workings, the pits Can Developed as Reservoir ca devolved for aqua culturing.
1.11 Dredging? No NA
1.12 Offshore structures? No NA
1.13 Production and manufacturing processes? Yes Opencast semi mechanised method of mining proposed to extract Building Stone & Road Metal- 42,290 M3per annum
1.14 Facilities for storage of goods or materials? Yes Temporary stock yard will be maintained.
1.15 Facilities for treatment or disposal of solid waste or liquid effluents? No NA
1.16 Facilities for long term housing of operational workers? No Temporary rest shelters to workers shall be constructed. No long term housing required. People from the nearby villages will be employed.
1.17 New road, rail or sea traffic during construction or operation? No Building Stone & Road Metals loaded into 10 ton tippers by manual loading and transported to the consumers industries by their trucks .
1.18 New road, rail, air water borne or other transport infrastructure including new or altered routes and stations, ports, airports etc? No Connecting Roads are sufficient for the mining activities. No new rail line is required. Sea traffic is not applicable
1.19 Closure or diversion of existing transport routes or infrastructure leading to changes in traffic movements? No NA
1.20 New or diverted transmission lines or pipelines? No NA
1.21 Impoundment, damming, culverting, realignment or other changes to the hydrology of watercourses or aquifers? No The proposed method of mining is opencast on the slope of a mound.
1.22 Stream crossings? No NA
1.23 Abstraction or transfers of water from ground or surface waters? Yes Water shall be drawn from local village through tankers.
1.24 Changes in water bodies or the land surface affecting drainage or run-off? No The proposed method of mining is open cast method. The ground water availability at a depth of 35-50m BGL and the mine workings are confined to a depth of 10m from surface.
1.25 Transport of personnel or materials for construction, operation or decommissioning? Yes Local villagers shall be employed for construction and operation. Building Stone & Road Metal produced from the mine will be transported through tippers. The numbers of trips will be 3 per day.
1.26 Long-term dismantling or decommissioning or restoration works? No NA
1.27 Ongoing activity during decommissioning which could have an impact on the environment? No Office and rest shelter will only be constructed with temporary structures. No impact will be there while decommissioning
1.28 Influx of people to an area in either temporarily or permanently? No Mining requires 21 employees. People from the nearby villages will be employed.
1.29 Introduction of alien species? No None
1.30 Loss of native species or genetic diversity? No Ecologically the area of the mine is very small and no specific habitat existing for important species. There is no major requirement of cutting vegetation and no major loss to biomass.
1.31 Any other actions? No NA
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) Yes The mine lease area of 1.31 ha, is located aSurvey No: 493 Kannala Village, Kamanpur Mandal, Peddapally District, Telangana State . The topography of the area is mound.
2.2 Water (expected source & competing users) unit: KLD Yes Total water required for the proposed mine will be 5.0 KLD, which shall be drawn from local villages through tankers
2.3 Minerals (MT) No NA
2.4 Construction material – stone, aggregates, sand / soil (expected source – MT) No NA
2.5 Forests and timber (source – MT) No NA
2.6 Energy including electricity and fuels (source, competing users) Unit: fuel (MT),energy (MW) No Power required for the office and mining operations shall be drawn from nearby village, supply from grid. Mining operations would be semi mechanized open cast method.
2.7 Any other natural resources (use appropriate standard units) No None
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 There is no usage of Hazardous substances or materials to human health or the environment. However drilling and smooth blasting is required if hard ore occurred.
3.2 Changes in occurrence of disease or affect disease vectors (e.g. insect or water borne diseases) No NA
3.3 Affect the welfare of people e.g. by changing living conditions? No The proposed project shall enhance the prospects of employment. Recruitment of the unskilled and semiskilled workers for the proposed project will be from the nearby villages
3.4 Vulnerable groups of people who could be affected by the project e.g. hospital patients, children, the elderly etc. No The nearest village is Boddaguttapally which is at a distance of 0.5 km,No Harm to nearest village
3.5 Any other causes No None
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 No Overburden
4.2 Municipal waste (domestic and or commercial wastes) No Domestic waste septic tank fallowed by soak pit
4.3 Hazardous wastes (as per Hazardous Waste Management Rules) Yes WASTE USED OIL, WILL BE STORED IN BARELL AND SENT TO AUTHORISED RE PROCESING UNIT
4.4 Other industrial process wastes No None
4.5 Surplus product No None
4.6 Sewage sludge or other sludge from effluent treatment Yes DOMESTIC WASTE WILL BE SENT SEPTIC TANK FALLOWED BY SOAK PIT
4.7 Construction or demolition wastes No None
4.8 Redundant machinery or equipment No None
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 None
5.2 Emissions from production processes Yes Dust emissions are mitigated by water spraying which arise from mining, and transport activity.
5.3 Emissions from materials handling including storage or transport Yes Dust may rise during mining, and transport.
5.4 Emissions from construction activities including plant and equipment Yes Dust may rise during transport of material and mining activity. The dust emissions shall be mitigated by water spraying.
5.5 Dust or odours from handling of materials including construction materials, sewage and waste No None
5.6 Emissions from incineration of waste No None
5.7 Emissions from burning of waste in open air (e.g. slash materials, construction debris) Yes Emission from DG set
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 Noise is anticipated during mining activity from drilling, blasting and transport vehicles. The protective noise reducing gear like earmuffs will provide to the workers.
6.2 From industrial or similar processes No None
6.3 From construction or demolition No No major construction involves in mining activity.
6.4 From blasting or piling Yes Dust and noise may rise during blasting. Muffed blasting will be practiced
6.5 From construction or operational traffic No The increased traffic shall not have any significant impact.
6.6 From lighting or cooling systems No None
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 The product is a mineral.
7.2 From discharge of sewage or other effluents to water or the land (expected mode and place of discharge) No Septic Tank followed by soak pit shall be provided for temporary toilets.
7.3 By deposition of pollutants emitted to air into the land or into water No None
7.4 From any other sources No None
7.5 Is there a risk of long term build up of pollutants in the environment from these sources? No None
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 None
8.2 From any other causes No None
8.3 Could the project be affected by natural disasters causing environmental damage (e.g. floods, earthquakes, landslides, cloudburst etc)? No None
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 proposed project shall enhance the prospects of employment. Recruitment of the unskilled and semiskilled workers for the proposed project will be from the nearby villages.
9.2 Lead to after-use of the site, which could have an impact on the environment No None
9.3 Set a precedent for later developments No None
9.4 Have cumulative effects due to proximity to other existing or planned projects with similar effects No The baseline environmental status of the surrounding areas is within the prescribed limits as observed from the secondary data.
(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 None
2 Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Yes Raginedu Cheruvu 1.85 Kms, Ranapur Lake at 4.00 Kms, Brahmanapalle Kunta at 2.92 Kms and Some Unnamed Water Bodies are Present with in 5Km Radius from QLA Nearest , No impact to these water bodys
3 Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration No None
4 Inland, coastal, marine or underground waters No None
5 State, National boundaries No None
6 Routes or facilities used by the public for access to recreation or other tourist, pilgrim areas No None
7 Defence installations No None
8 Densely populated or built-up area No None
9 Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship, community facilities) No None Boddaguttapally is at 0.5 km
10 Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) No None Raginedu Cheruvu 1.85 Kms, Ranapur Lake at 4.00 Kms, Brahmanapalle Kunta at 2.92 Kms and Some Unnamed Water Bodies are Present with in 5Km Radius from QLA Nearest
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 NA
(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
5Uploaded Approval of mining PlanN/A
      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 ApplicantSri
DesignationPartner
Name of Company (Applicant Name should not be given here)M/S SRI ANJANEYA WADDERA BALAHEENA VARGAMULA LABOUR CONTRACT CO-OPERATIVE SOCIETY LTD
AddressSy.No 493, Kannala Village, Kamanpur Mandal, Peddapally District
Print