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 | | | Is your project Comes under Notified Industrial Area | NA |
| | Whether proposal involved violation of EIA notification | N/A | | Weather Consent to Establishment Obtained | N/A | | Upload copy of CTE | N/A |
| | 2. | |
S. No. in the schedule | 1(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 | 18000 cum/anum ha. | | 4. | New/Expansion/Modernization | New | | | 5. | Existing Capacity/Area etc. | 2 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 project | Bompally village | Shape of the project land | Block (Polygon) | Uploaded GPS file | Annexure-GPS file | Uploaded copy of survey of India Toposheet | Annexure-Survey of india toposheet | Plot/Survey/Khasra No. | Sy no 179,Bompally village,Peddapally Mandal and District Telangana State | Town / Village | Kompally village,Peddapally Mandal and District | State of the project | Telangana | |
| Details of State of the project |
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S.no | State Name | District Name | Tehsil Name |
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(1.) | Telangana | Peddapalli | Peddapalle | | 10. | |
Nearest railway station along with distance in kms | Peddapally Railway staytion, 6 km | Nearest airport along with distance in kms | ShASHABAD, 272 km | |
| 11. | Nearest Town/City/District Headquarters along with distance in kms | Pedddapally , 6 km | | 12. | Village Panchayats, Zila Parishad, Muncipal Corporation, Local body (Complete postal address with telephone nos. to be given) | Sy no 179, Bomapally Village,Peddapally Mandal and District,Telangana State. | | 13. | Name of the Applicant | Musthyala | | 14. | Registered Address | Sri Musthyala Hari Prasad | | 15. | |
Address for correspondance: | Name of the Company | SRI MUSTHYALA HARI PRASAD | Name of the Applicant | Musthyala | Designation (Owner/ Partner/ CEO) | Lesee | Pin code | 505172 | E-mail | musthyalahariprasad2ha@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 number | N/A | Date of submission | 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 Court | N/A | (b) Name of the Sub court | N/A | (c) Case No. | N/A | (d) Orders/directions of the court, if any and relevance with the proposed project | N/A | |
| 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 2.00 Ha is an
undulating mound of 3m height
using for mining activity. The
method of mining is opencast Semi
Mechanised 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
a n d wo r k o r d e r s i s s u e d b y
Department of Mines and Geology. | 1.3 | Creation of new land uses? | No | NA | 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. | 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 empl oyed, no hous ing i s
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 will be backfilled with waste
material and covered with topsoil to
gets its original profile. | 1.12 | Offshore structures? | No | Not required | 1.13 | Production and manufacturing processes? | Yes | Opencast semi mechanised method
of mining proposed to extract
Building Stone & Road Metal-
18000 M3per annum | 1.14 | Facilities for storage of goods or materials? | Yes | No Mineral Stock yard area is
provided. | 1.15 | Facilities for treatment or disposal of solid waste or liquid effluents? | Yes | Ob Will be used for internal road To soil will be used for green Belt | 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 | Buiiding Stone & Road Metalis
loaded into 10 ton tippers by manual
loading and transported to the
consumers industries by their trucks
18-25 Nos. | 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 | Not required | 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.
No water bodies within the lease
area. | 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 | Water shall be drawn from local
village through tankers. | 1.25 | Transport of personnel or materials for construction, operation or decommissioning? | Yes | Local villagers shall be employed for
construction and operation. Buiiding
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
c o n s t r u c t e d wi t h t emp o r a r y
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 | None | | 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 2.00 Ha,is
an existing mine located at
Sy.No179,Bompally(V),Peddapall
y(M),Peddapally(DST),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 | None | 2.4 | Construction material – stone, aggregates, sand / soil (expected source – MT) | No | None | 2.5 | Forests and timber (source – MT) | No | None | 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
healt h or the env ironment.
However dr i l l ing 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 | None | 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 Bompally(V) is
at distance 1.5 km in W direction.
No Harm to nearset 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 | Yes | Top soil and OB is 9598 will be used internal road development and To soil for Green Belt | 4.2 | Municipal waste (domestic and or commercial wastes) | Yes | Domestic Sewage will be sent septic tank fallowed by soak pit | 4.3 | Hazardous wastes (as per Hazardous Waste Management Rules) | Yes | Used oil will be sent to Authorised re processing units | 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 Sewage 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 | Top soil and OB will used for Green Belt and internal road | | 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 raise 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 | Yes | Dust emissions are mitigated by
water spraying Dust emissions are mitigated by
water spraying | 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) | No | None | 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 | Yes | 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 | None | 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 | 2.00 KM from MLA | 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) | Yes | Bompally(V), is at a distance of
1.50 km from the lease area in
West direction. The PIA consists
of communi ty faci l i t ies in
various villages, however no
major impact is anticipated, as
the mine is away from the
residential area. | 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 | The area is undeveloped and
consists of very few industries. | 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 | None | | (IV) | Proposed Terms of Reference for EIA studies | 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 Applicant | Musthyala | Designation | Lesee | Name of Company (Applicant Name should not be given here) | SRI MUSTHYALA HARI PRASAD | Address | Sri Musthyala Hari Prasad |
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