Form-2
APPLICATION FOR PRIOR ENVIRONMENTAL CLEARANCE
S. No.Item Details
1.
Whether it is a violation case and application is being submitted under Notification No. S.O.804(E) dated 14.03.2017 ? No
Details of Project:
(a)Name of the project(s) "M/S SSE BRICK INDUSTRY MINING PERMIT AREA” FOR EARTH
(b)Name of the Company / Organisation MS SSE BRICK FIELD
(c)Registered Address Kujibali Habi Gaon P.O. Hahchara P.S. Sivasagar Dist. Sivasagar, Assam,,Sibsagar,Assam-785640
(d)Legal Status of the Company Private
2.
Address for the correspondence:
(a)Name of the Applicant VIJAY KUMAR PASARI
(b)Designation (Owner/ Partner/ CEO) Proprietor
(c)Address Kujibali Habi Gaon P.O. Hahchara P.S. Sivasagar Dist. Sivasagar, Assam,Sibsagar,Assam-785640
(d)Pin code 785640
(e)E-mail pasarivijay101@gmail.com
(f)Telephone No. 91-98798786
(g)Fax No.
(h)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
3.
Category of the Project/Activity as per Schedule of EIA Notification,2006:
(a)Major Project/Activity1(a) Mining of minerals
(b)Minor Project/Activity1(a) Mining of minerals
(c)Category B2
(d)Proposal Number SIA/AS/MIN/190991/2021
(e)Master Proposal Number(Single Window) SW/190990/2021
(f)EAC concerned (for category A Projects only) Non-Coal Mining
(g)Project Type Fresh EC
4.
Location of the Project:
(a)Plot/Survey/Khasra No. P.P. Land (Dag No. 359,360 , Patta No. 123)
(b)Pincode 785640
(c)Bounded Latitudes (North)
From
Degree 26.94322222
Minutes
Second
From
Degree 26.94336111
Minutes
Second
(d)Bounded Longitudes (East)
From
Degree 94.72311111
Minutes
Second
From
Degree 94.72358333
Minutes
Second
(e)Survey of India Topo Sheet No. 83 J/9
(f)Uploaded Topo Sheet File Copy of Topo Sheet File
(g)Maximum Elevation Above Means Sea Level(AMSL) 100
(h)Uploaded (kml) File Copy of Kml File     
(i)Distance of Nearest HFL from the project boundary within the study area 0
(j)Seismic Zone 5
5.
(a)Number of States in which Project will be Executed 1
(b)Main State of the project Assam
Details of State(s) of the project
S. No. State Name District Name Tehsil Name Village Name
(1.)AssamSibsagarSibsagarChunpura Habi Gaon
6.
Details of Terms of Reference (ToR):
7.
Details of Public Consultation:
(a)Whether the Project Exempted from Public Hearing?Yes
(b)Reason Below 5 Hectares
(c)Supporting Document Copy of Supporting Document
8.
Details of Project Configuration/Product:
     8.1.       Project Configuration
S. No.Plant/Equipment/FacilityConfigurationRemarks
(1.)NANANo
     8.2.       Product
S. No.Product/Activity (Capacity/Area)QuantityUnitOther UnitMode of Transport / Transmission of ProductOther Mode of Transport / Transmission of Product
(1.)BRICK EARTH4Cubic Meter per DayRoad
9.
In case of Expansion / Modernisation / One Time Capacity Expansion (only for Coal Mining) / Expansion under Clause 7(ii) / Modernisation under Clause 7(ii) / Change of Product Mix under Clause 7(ii):
Details Not Applicable
9.1.
Details of Consent to Operate
(i)Whether Consent to operate obtained ? NA
(ii)Copies of all Consent to operate obtained since inception NA
(iii)Date of Issue 30 Nov 2020
(iv)Valid Upto 30 Nov 2020
(v)File No. NA
(vi)Application No. NA
(vii)Copy of Consent to operate valid as on date Copy of Consent to Operate
10.
Project Cost:
(a)Total Cost of the Project at current price level (in crores) 0.12
(b) Funds Allocated for Environment Management (Capital) (in crores) 0.001464
(c) Funds Allocated Towards ESC (Entrepreneur Social Responsibility) (in crores) 0.002988
(d) Funds Allocated for Environment Management Plan (EMP) (Recurring per Annum) (in crores) 0.000336
(e) Funds Allocated for Environment Management Capital(%) 1.22
11.
Whether project attracts the General Condition specified in the Schedule of EIA Notification ? No
12.
Whether project attract the Specific Condition specified in the Schedule of EIA Notification ? No
13.
Raw Material / Fuel Requirement:
(a)Proposed quantity of raw material/fuel 0
(b)Existing quantity of raw material/fuel N/A
(c)Total quantity of raw material/fuel 0
    13.1.        Raw Material / Fuel Profile
S. No.Raw Material / Fuel QuantityUnitOther UnitSource (incase of Import. please specify country and Name of the port from which Raw Material / Fuel is received )Mode of TransportOther Mode of TransportDistance of Source from Project Site (in Kilometres) (In case of import, distance from the port from which the raw material / fuel is received)Type of Linkage Other Type of Linkage Uploaded Copy of Linkage
(1.)NA0OthersNANARoad0 LinkageCopy of Linkage
14.
Baseline Data :
(a)Period of Base Line Data Collection FROM 30 Dec 2020 To 30 Dec 2020
(b)Season Summer
    14.1.     No. of ambient Air Quality (AAQ) Monitoring Locations : 0
S. No.Criteria Pollutants Other Criteria PollutantsUnitMaximum ValueMinimum Value98 Percentile ValuePrescribed Standard
(1.)SO2NA000NA
(2.)NOxNA000NA
(3.)PM10NA000NA
(4.)PM2.5NA000NA
(5.)OthersNANA000NA
    14.2.     No. of Ground Water Monitoring Locations : 0
S. No.Criteria Pollutants Other Criteria PollutantsHeavy MetalUnitOther UnitMaximum ValueMinimum ValueDesirable LimitMaximum Permissible Limit
(1.)TDSNA0000
(2.)ChloridesNA0000
(3.)OthersNANA0000
(4.)FluorideNA0000
(5.)pHNA0000
(6.)Heavy MetalsNANA0000
(7.)TSSNA0000
(8.)Total HardnessNA0000
    14.3.     No. of Surface Water Monitoring Locations : 0
S. No.Criteria Pollutants Other Criteria PollutantsUnitOther UnitMaximum ValueMinimum ValueClassification of inland water body
(1.)BODNA00A
(2.)CODNA00A
(3.)OthersNANA00A
(4.)pHNA00A
(5.)DONA00A
    14.4.     No. of Ambient Noise Monitoring Locations : 0
S. No.Parameter UnitMaximum ValueMinimum ValuePrescribed Standard
(1.)Leq(Day)A-weighted decibels(dB(A))00NA
(2.)Leq(Night)A-weighted decibels(dB(A))00NA
    14.5.     No. of Soil Sample Monitored Locations : 0
S. No.Parameter UnitOther UnitMaximum ValueMinimum Value
(1.)N(Nitrogen)00
(2.)Electric Conductivity00
(3.)P(Phosphorus)00
(4.)K(Potassium)00
(5.)pH00
14.6.
Details of Ground Water Table:
(a)Range of Water Table Pre-Monsoon Season (Meters Below Ground Level (m bgl)) From 0 To 0
(b)Range of Water Table Post-Monsoon Season (Meters Below Ground Level (m bgl)) From 0 To 0
(c)Whether Ground Water Intersection will be there ? NA
     15.      Details of Water Requirement (During Operation)
S. No.Source Source Other Required QuantityDistance from SourceCopy of Permission from Competent Authority Mode of TransportOther Mode of TransportMethod of Water WithdrawalOther Method of Water WithdrawalLetter No.Date of IssuePermitted Quantity
(1.)OthersNA00Copy of Permission LettermodeOthersNAOthersNANA29 Dec 20200
15.1.
(a)Whether Desalination is proposed No
    16.       Waste Water Management(During Operation)
S. No.Type/Source Quantity of Waste Water Generated (Kilolitre per Day)Treatment Capacity (Kilolitre per Day) Treatment MethodMode of DisposalOther Mode of DisposalQuantity of Treated Water Used in Recycling/Reuse (Kilolitre per Day)Quantity of Discharged Water (Kilolitre per Day)
(1.)NA00NAOthersNA00
16.1.
(a)Total Waste Water Generation 0
(b)Total Discharged Water 0
(c)Total Reused Water 0
    17.       Solid Waste Generation/Management
S. No.Name of Waste Item Other ItemQuantity per AnnumUnitDistance from Site(KM)Mode of TransportOther Mode of TransportMode of DisposalOther Mode of Disposal
(1.)NAOthersNA0Tons0OthersNAOthersNA
18.
    18.1.     Air Quality Impact Prediction
S. No.Criteria Pollutants Other Criteria PollutantsUnitBaseline ConcentrationDistance GLCIncremental ConcentrationTotal GLCPrescribed Standard
(1.)SO2NA0000NA
(2.)PM10NA0000NA
(3.)NOxNA0000NA
(4.)PM2.5NA0000NA
(5.)Others(Specify)NANA0000NA
    18.2.     Stack Details
S. No.Source FuelStack Height(m)Stack Diameter(m)PollutantsOther PollutantsEmission (GLS)
(1.)NA000OthersNA0
19.
Power Requirement:
(a)Quantity (Kilo Volt Amps (kVA)) 0
(b)Source NA
(c)Uploaded Copy of Agreement Copy of Agreement
(d)Standby Arrangement (Details of DG Sets) 0
(e)Stack Height (in m) 0
20.
Land Ownership Pattern:
(a)Forest Land 0
(b)Private Land 0
(c)Government Land 0
(d)Revenue Land 0.31
(e)Other Land 0
    Total Land 0.31
21.
Present Land Use Breakup of the Study Area in Ha:
(a)Agriculture Area 0
(b)Waste/Barren Land 0
(c)Grazing/ Community Land 0
(d)Surface Water Bodies 0
(e)Settlements 0
(f)Industrial 0
(g)Forest 0
(h)Mangroves 0
(i)Marine Area 0
(j)Others : P.P. Land 0.31
    Total 0.31
    22.     Land Requirement for Various Activities
S. No.Description of Activity / Facility / Plant / Others OthersLand RequirementRemarks
(1.)Quarry Area0.31NA
Total 0.31
23.
Ecological and Environmental Sensitivity (Within 10 Km):- WLS-Wild Life Species; NPA-Notified Protected Area; ESAs-Eco Sensitive Areas; ESZs-Eco Sensitive Zones :
    23.1.     Details of Ecological Sensitivity :
S. No.Details of Ecological Sensitivity NameDistance from the Project (Km)Remarks
(1.)ESZsNA0Not within 10 KM
(2.)Wildlife CorridorsNA0Not within 10 KM
(3.)NPANA0Not within 10 KM
(4.)WLSNA0Not within 10 KM
(5.)CorridorsNA0Not within 10 KM
(6.)Critically Polluted AreaNA0Not within 10 KM
(7.)ESAsNA0Not within 10 KM
    23.2.     Details of Environmental Sensitivity :
S. No.Details of Environmental Sensitivity Other Details of Environmental Sensitivity NameDistance from the Project (Km)Remarks
(1.)OthersNANA0No
(2.)ForestNA0No
(3.)Defence InstallationsNA0No
(4.)Archaeological SitesNA0No
23.3.
(a)Whether Noc / Permission from the competent authority is required? No
(b)Whether NBWL recommendation is required? No
24.
Forest Land:
Whether any Forest Land involved? No
25.
Tree Cutting:
(a)No. of Trees Cut for the Project (if Forest Land not Involved) 0
(b)Details of Tree Cutting and Planting of Trees Copy of Details of Tree Cutting and Planting of Trees
26.
Land Acquisition Status:
(a)Acquired Land(Ha) 0.31
(b)Land yet to be acquired(Ha) 0
(c)Status of Land acquisition if not acquired Completed
27.
Rehabilitation and Resettlement (R&R):
(a)No. of Villages 0
(b)No. of Households 0
(c)No. of PDFs (Project Displaced Families) 0
(d)No. of PAFs (Project Affected Families) 0
(e)Funds Allocated for R&R(in Rs) 0
(f)Status of R&R Completed
28.
Details of Presence of Schedule-I Species:
(a)Whether there is Presence of Schedule-I Species ? No
(b)Whether conservation plan for Schedule-I Species has been prepared ? No
(c)Whether conservation plan for Schedule-I Species has been approved by competent authority ? No
29.
Details of Presence of Water Bodies in Core Area:
(a)Whether there is Presence of Water Bodies in Core Area ? No
(b)Whether there is Diversion Required ? No
(c)Whether permission has been obtained from competent authority ? No
30.
Details of Presence of Water Bodies in Buffer Area:
(a)Whether there is Presence of Water Bodies in Buffer Area ? No
31.
Manpower Requirement:
(a)Permanent Employment-During Construction 0
(b)Permanent Employment-During Operation 0
(c)Temporary Employment- During Construction 0
(d)Temporary Employment- During Operation 20
(e)No. of working days 250
(f)Total Manpower 20
32.
Green Belt in Ha:
(a)Total Area of Green Belt (in hectare) 0
(b)Percentage of Total Project Area 0.00
(c)No. of Plants to be Planted 0
(d)Funds Allocated for Plantation 0
(e)Uploaded Green Belt plan Copy of Green Belt Plan
    33.         Project Benefits
S. No.Type of Project Benefits Details of Project Benefits
(1.)FinancialProject Benefits : The socio-economic condition of the surrounding villages indicates that employment generation is seasonal. The occupational activities are agriculture, cattle rearing and employment
   34.   CRZ Specific Details : Not Applicable
   35.   Sector Specific Details For Non-Coal Mining
S. No.Item Details
     1.       No. of Mineral(s) to be Mined : 1
S. No.Mineral(s) to be Mined Major or Minor Mineral
(1.)BRICK EARTHMinor
2.
Mine Capacity in ROM (Run of Mine) 50
3.
Uploaded 500 meters Cluster Certificate from State Mines and Geology in case of minor minerals Copy of 500 meters Cluster Certificate from State Mines and Geology
4.
Mining Plan:
(a)Approval Letter No. GM/MM/86-B(40)/Pt-II/2444-48
(b)Date of Approval 29 Oct 2020
(c)Approved Letter Copy of Approved Letter
(d)Approved By State Mining and Geology Department State
(e)Approved Mining Lease Area 0.31
(f)Approved Capacity 2000
5.
Technical Details:
(a)Total Geological Reserves (Million Ton) 0.0111244
(b)Mineable Reserves (Million Ton) 0.0105672
(c)Extractable Reserves(Million Ton) 0.007238
(d)Percent(%) of Extraction 68.49
(e)Grade of Coal /Ore /Mineral 0
(f)Stripping Ratio 00 : 00
(g)Category of Gaseousness (Only for Coal Mining, Others may Write NA) NA
(h)Average Gradient(Degree) 0
(i)Mining Method Opencast
(j)Life of Mine (Years) 2
6.
Details of Beneficiations:
(a)Whether it is proposed to install beneficiation plant/Coal washery within the mining lease area No
(b)Whether it is proposed to install crusher within the mining lease area No
7.
Details of Seams:
(a)Whether details of seam applicable No
8.
Details of Mining Lease:
(a)Mining Lease Area (in Hectare) 0.31
(b)Whether obtained Letter of Intent (LOI) from the state government ? No
(i)Reason thereof P.P. Land
(c)Whether Lease Deed Executed ? No
(i)Reason thereof Fresh EC
(d)Whether Lease Deed Renewed ? No
(i)Reason thereof Fresh EC
9.
OB (Over Burden) Management:
(a) Details of External Dumps:
(i)No. of OB Dumps 0
(ii)Total Area (in Hectare) 0
(iii)Height (in meter) 0
(iv)Quantity (in Million Cubic meter) 0
(v)No. of year back fill up 0
(b) Details of Internal Dumps:
(i)No. of Internal Dumps 0
(ii)Total Area (in Hectare) 0
(iii)Height (in meter) 0
(iv)Quantity (in Million Cubic meter) 0
10.
Details of Topsoil Management:
(a)Quantity of Topsoil excavated during the entire life of the mine (in Million Cubic metre) 0
(b)Quantity of Topsoil proposed for utilization for reclamation during the entire life of the mine (in Million Cubic metre) 0
(c)Quantity of Topsoil proposed for utilization for other activities during the entire life of the mine (in Million Cubic metre) 0
11.
Details of Final Mine Void:
(a)Area (in Hectare) 0
(b)Depth (in meter) 0
(c)Volume (in Million Cubic meter) 0
12.
Details of Quarry:
(a)Final Void of 0 (hectare) at a Depth of 0 meter which is Proposed to be Converted into a Water Body.
(b)Total Quarry Area (ha) 0.31
13.
Details of Transportation:
(a)In Pit/Underground to Surface Manual
(b)Surface to Siding/Loading Truck/Dumpers
(c)Transportation / Conveyor Details Truck/Dumpers
     14.      Details of Land Usage (Pre-Mining)
S. No.LAND USE Other LAND USEWITHIN ML AREA (Hectare)OUTSIDE ML AREA (Hectare)TOTAL (Hectare)
(1.)FOREST LAND000
(2.)GRAZING LAND000
(3.)WASTE LAND000
(4.)AGRICULTURE LAND000
(5.)SURFACE WATER BODIES000
(6.)SETTLEMENTS000
(7.)OTHERS(Specify)NA000
TOTAL000
     15.      Details of Land Usage (Post-Mining)
S. No.LAND USE Other LAND USEPlantation (ha)Water Body (ha)Public Use (ha)Undisturbed (ha)Total
(1.)BUILT UP AREA (COLONY/OFFICE)0000
(2.)EXCAVATION/QUARRY0000
(3.)VIRGIN AREA0000
(4.)TOP SOIL STORAGE0000
(5.)OtherNA0000
(6.)INTERNAL OB DUMPS0000
(7.)EXTERNAL OB DUMPS0000
(8.)GREEN BELT0000
(9.)ROADS0000
TOTAL00000
16.
Details of Reclamation:
Total Afforestation Plan shall be Implemented Covering of Mining.
This will Include:
(a)External OB Dump(in hectare) 0
(b)Internal Dump(in hectare) 0
(c)Quarry(in hectare) 0
(d)Safety Zone(in hectare) 0
(e)Final Void of 0 (hectare) at a Depth of 0 meter
    which is Proposed to be Converted into a Water Body.
(f)Density of Tree Plantation per ha (in no.) 0
(g)Others in ha (such as Excavation Area along ML Boundary, along Roads and Infrastructure, Embankment Area and in Township Located Outside the Lease etc) 0
(h)Total afforestation plant (in hectare) 0
17.
Status of progressive Mining Closure Plan:
Details Not Applicable
     18.      Details of Actual Coal/ ORE Production vis-a-vis Sanctioned Capacity since the Inception:
S. No.Financial Year Sanctioned Capacity as per EC (MTPA)Sanctioned Capacity as per CTOSanctioned Capacity as per approved mining planActual Production Excess Production Beyond the EC / CTO/ Mining Plan Sanctioned Capacity (MTPA)
(1.)202000000
S. No.Item Details
36.
Details of Court Cases:
(a)Whether there is any Court Cases pending against the project and/or land in which the project is proposed to be set up ? No
37.
Details of Direction Issued under Environment (Protection) Act / Air (Prevention & Control of Pollution)) Act / Water (Prevention & Control of Pollution) Act:
(a)Whether any Direction issued under EPA Act/Air Act/Water Act ? No
38.
Details of EIA Consultant:
(a)Have you hired Consultant for preparing document? No
(i)Reason for not Hiring the Consultant Category B2 Project
39.
Documents to be Attached:
(a.I)Upload Copy of EIA/EMP(Text) Copy of EIA/EMP(Text)
(a.II)Upload Copy of EIA/EMP(Annexures) Report Copy of EIA/EMP(Annexures)
(a.III)Upload Copy of EIA/EMP(Maps/Plans/Figures only) Copy of EIA/EMP(Maps/Plans/Figures only)
(b)Uploaded Copy of Risk Assessment Report Copy of Risk Assessment
(c)Uploaded Copy of Feasibility Report/ Detailed Project Report(DPR) /Detailed Engineering Report /Detailed Conceptual Plan /Approved Mining Plan Copy of Feasibility Report/ Detailed Project Report(DPR) /Detailed Engineering Report /Detailed Conceptual Plan /Approved Mining Plan
(d)Uploaded Copy of Final Layout Plan Copy of Final Layout Plan
(e)Uploaded Cover Letter Copy of Cover Letter
(f)Uploaded Copy of documents in support of the competence/authority of the person making this application to make application on behalf of the User Agency Copy of documents in support of the competence/authority of the person making this application to make application on behalf of the User Agency
(g)Uploaded Copy of District Survey Report NA
(h)Uploaded Copy of Replenishment Study Report & Baseline Survey Data NA
(i)Uploaded Additional File NA
(j)Uploaded Proposal Presentation (To be given in EAC/SEIAA/SEAC meeting) NA
(k)Uploaded Updated Form1 NA
           Essential Details Sought
S. No.EDS Sought DateEDS SoughtLetter
NO Record
           Addtional Details Sought
S. No.ADS Sought DateADS SoughtLetter
NO Record
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. In addition to above, I hereby give undertaking that no activity/ construction/ expansion has since been taken up.
Name of ApplicantVIJAY KUMAR PASARI
DesignationProprietor
Name of Company (Applicant Name should not be given here)MS SSE BRICK FIELD
AddressKujibali Habi Gaon P.O. Hahchara P.S. Sivasagar Dist. Sivasagar, Assam
Print