Form-4

APPLICATION FOR AMENDMENT IN ENVIRONMENTAL CLEARANCE

(To be filled up by User Agency)
1. Details of Project
 
Proposal No. : SIA/120101/2019  
(a) Name of the project : Ordinary Sand Mining  
(b) Name of Company / Organisation. : VAISHNAVI TRADING COMPANY  
(c) Registered Address. : 235, Roti Godam, Thana- Kotwali, Teh. & Distt.- Sitapur Uttar Pradesh 261001  
(d) Legal Status of the Company. : Private  
(e) Joint Venture (Yes/No) : No
2. Address for the Correspondence
 
(a) Name of the Applicant. : Mukesh Kumar Singh  
(b) Designation (Owner/Partner/CEO) : Lessee  
(c) Address :-  
       State : Uttar Pradesh  
       District : Sitapur  
       Town / Village : No  
(d) Pin Code : 261303  
(e) Email : vaishnavitradingcompany101@gmail.com  
(f) Telephone no : 00  
(g) Fax no : No  
(h) Mobile no : 9415022193  
(i) Contact Person. : Mukesh  
(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 ): Other  
(c). Reason : LOI has been amended  
      EAC Concerned (for category A Projects Only ): No
4. Location of the Project
 
(a) Plot No/Survey No/Khasra No : Gata no.- 1347  
(b) Village : No  
(c) Tehsil : No  
(d) District : No  
(e) State : No  
(f) Pin Code : 261403  
(g) Bounded Latitudes (North) : Yes  
        From : Degree:27, Minutes : 13, Seconds :3089  
        To    : Degree:27, Minutes : 13, Seconds :5007  
(h) Bounded Longitudes (East) : Yes  
        From : Degree:80, Minutes : 43, Seconds :5247  
        To    : Degree:80, Minutes : 44, Seconds :0227  
(i) Survey of India Topo Sheet No : 63A/12
5 Details of Environmental Clearance
 
(a) Project Name : Ordinary Sand Mining Project  
(b) MoEF&CC / SEIAA File No : 4442  
(c) Date of issue of EC : 02/10/2019   (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) : Non Avalability of sand
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
1mining of river bed sand 7.50135000Truck
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
1Sactioned mining lease area750003695036950none
2Sactioned mining lease area750003695036950none
3Proposed production1350004434044340nonje
4Truck per day for transportation501717none
10 Reasons for Amendment
 
Reasons for Amendment : Amendment in LOI
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
1Parya SEACNot RequiredNot requiredNot required
12 Details of EIA Consultant
 
Have you hired Consultant for preparing document (Yes/No) ? : Yes  
(i) Accereditation No : QCI/NABET/EIA/1821/RA0120  
(ii) Name of EIA Consultant : Paramarsh Servicing Environment and development  
(iii)Address : M.S.- 1/10 Sec-A, Aliganj, Lucknow  
(iv)Mobile No: 9415022193  
(v)Landline No : 0522226025  
(vi)E-mail Id : paramarsh.env@gmail.com  
(vii)Category of Accreditation : B  
(viii)Sector of Accreditation : Mining of Minerals  
(ix)Validity of Accreditation : May/ 01/ 2021   (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:
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 : Mukesh Kumar Singh (c)Designation: Lessee (d)Company: VAISHNAVI TRADING COMPANY (e)Address: 235, Roti Godam, Thana- Kotwali, Teh. & Distt.- Sitapur Uttar Pradesh 261001