Form-4

APPLICATION FOR AMENDMENT IN ENVIRONMENTAL CLEARANCE

(To be filled up by User Agency)
1. Details of Project
 
 Proposal No. : SIA/TN/MIN/258247/2022  
 (a) Name of the project : The Executive Engineer MMD PWD WRD Pullamadai II sand quarry  
 (b) Name of Company / Organisation. : THE EXECUTIVE ENGINEER, MADURAI  
 (c) Registered Address. : PWD,WRD, MMD, Thallakulam, Madurai Tamil Nadu 625002  
 (d) Legal Status of the Company. : State Government  
 (e) Joint Venture (Yes/No) : No
2. Address for the Correspondence
 
 (a) Name of the Applicant. : Executive Engineer  
 (b) Designation (Owner/Partner/CEO) : Executive Engineer  
 (c) Address :-  
        State : Tamil Nadu  
        District : Madurai  
        Town / Village : No  
 (d) Pin Code : 625002  
 (e) Email : eemmdmdu@gmail.com  
 (f) Telephone no : No  
 (g) Fax no : No  
 (h) Mobile no : 9655910010  
 (i) Contact Person. : Executive  
 (j) Website (if any) : No
3. Category of the Project/Activity as per Schedule of EIA Notification,2006
 
 (a). Major Activity. : 1(a) Mining of minerals
                                 
       Minor Activity : No  
       Major Sub Activity. : No  
       Minor Sub Activity : No  
 (b). Category : B2  
       Reason for applicant at central level/state level(in case of B1 and B2 ): No  
 (c). Reason : No  
       EAC Concerned (for category A Projects Only ): No
4. Location of the Project
 
 (a) Plot No/Survey No/Khasra No : S.F.No 523(P)  
 (b) Village : Pullamadi - II  
 (c) Tehsil : Tiruvadanai  
 (d) District : Ramanathapuram  
 (e) State : Tamil Nadu  
 (f) Pin Code : 623525  
 (g) Bounded Latitudes (North) : Yes  
         From : Degree:9, Minutes : 40, Seconds :7  
         To    : Degree:9, Minutes : 40, Seconds :21  
 (h) Bounded Longitudes (East) : Yes  
         From : Degree:78, Minutes : 52, Seconds :31  
         To    : Degree:78, Minutes : 52, Seconds :39  
 (i) Survey of India Topo Sheet No : 58K/14
5 Details of Environmental Clearance
 
 (a) Project Name : Pullamadai sand quarry  
 (b) MoEF&CC / SEIAA File No : 7063/EC/1(a)/4307/2020  
 (c) Date of issue of EC : 03/09/2020   (d) Uploaded EC letter :
6 Details of Consent to Operate
 
 (i) Whether Consent to operate obtained (Yes/No) ? : No
7 Amendment Sought for
 
 Amendment in Configuration/ Amendments in Clearance condition/ Other (specify) : manual mining to semi mechanized mining operation
8 Details of Product (as per the approved EC)
Details of Products
S.no Product / Activity (Capacity/ Area). Quantity Unit Mode of Transport/ Transmission of Product
1Sand58098OthersRoad
9 Details of Configuration (Multiple Entries Allowed)
Details of Configurations
S.no Plant/ Equipment/ Facility Existing Configuration Proposed Configuration Final configuration after Amendment Remarks if Any
1Manual loading with bullock transportationManual loading with bullock cart transportationManual mining and bullock cart transportation andManual loading with bullock cart transportation an
10 Reasons for Amendment
 
 Reasons for Amendment : To satisfy the rate of supply of sand to complete government and public projects
11 Any Other Amendment required
Any Other Amendment Required
S.no Reference of Approved EC Description as per Approved EC Description as per Proposal. Remarks
1manual loading with bullock cart transportationManual loading with bullock cart transportationManual loading with bullock cart transportation an
12 Details of EIA Consultant
 
 Have you hired Consultant for preparing document (Yes/No) ? : Yes  
 (i) Accereditation No : NABET/1821/RA-0103  
 (ii) Name of EIA Consultant : AADHI BOOMI MINING AND ENVIRO TECH PVT LTD  
 (iii)Address : 3/216, KSV NAGAR, NARASODHIPATTI, ALAGAPURAM, SALEM  
 (iv)Mobile No: 9842729655  
 (v)Landline No : 2440446  
 (vi)E-mail Id : suriyakumarsemban@gmail.com  
 (vii)Category of Accreditation : Category A  
 (viii)Sector of Accreditation : Mining of Mineral - opencast only  
 (ix)Validity of Accreditation : 22-10-2024   (x)Uploaded certificate of Accreditation certified by QCI/NABET :
13. Documents to be Attached
  (a) Uploaded addendum to EIA/EMP Report:   (b) Uploaded Copy of revised -Feasibility Report /Detailed Project Report (DPR) / Detailed Engineering Report / Detailed Conceptual Plan / Approved Mining Plan (in case of mining proposals):   (c) Uploaded Copy of final Layout Plan:   (d)Uploaded Cover Letter duly signed by the project proponent or authorized person:   (e)Uploaded a copy of authorization duly signed by the project proponent in support of the person making this application on behalf of the User Agency:  
 (f)Uploaded Additional File, If any : No Data
Essential Details Sought
Essential Details Sought
S.no. EDS Sought Date EDS Sought Letter
NIL
 
Additional Detail Sought:   NIL
14. Undertaking
(a): 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. (b)Name : Executive Engineer (c)Designation: Executive Engineer (d)Company: THE EXECUTIVE ENGINEER, MADURAI (e)Address: PWD,WRD, MMD, Thallakulam, Madurai Tamil Nadu 625002