Form-4

APPLICATION FOR AMENDMENT IN ENVIRONMENTAL CLEARANCE

(To be filled up by User Agency)
1. Details of Project
 
Proposal No. : SIA/RJ/MIN/235177/2021  
(a) Name of the project : Asotra Masonry Stone Mining Project  
(b) Name of Company / Organisation. : SHRI OMA RAM S/O SH. PURKHA RAM  
(c) Registered Address. : Village Asotra Tehsil Pachpadra District Barmer Rajasthan Rajasthan 344022  
(d) Legal Status of the Company. : Others  
(e) Joint Venture (Yes/No) : No
2. Address for the Correspondence
 
(a) Name of the Applicant. : Shri Oma Ram Godara  
(b) Designation (Owner/Partner/CEO) : Applicant  
(c) Address :-  
       State : Rajasthan  
       District : Jodhpur  
       Town / Village : No  
(d) Pin Code : 342014  
(e) Email : omaramgodara2021@gmail.com  
(f) Telephone no : No  
(g) Fax no : No  
(h) Mobile no : 9829930877  
(i) Contact Person. : Shri Oma Ram  
(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 : KhasraNo. 2144  
(b) Village : Asotra  
(c) Tehsil : Pachpadra  
(d) District : Barmer  
(e) State : Rajasthan  
(f) Pin Code : 304422  
(g) Bounded Latitudes (North) : Yes  
        From : Degree:25, Minutes : 43, Seconds :56  
        To    : Degree:25, Minutes : 43, Seconds :57  
(h) Bounded Longitudes (East) : Yes  
        From : Degree:72, Minutes : 20, Seconds :28  
        To    : Degree:72, Minutes : 20, Seconds :31  
(i) Survey of India Topo Sheet No : 45 C/1,2,5, 6
5 Details of Environmental Clearance
 
(a) Project Name : Asotra Masonry Stone Mining Project  
(b) MoEF&CC / SEIAA File No : F1/DEIAA/DEAC/-BMR/Sectt/42/2016-17  
(c) Date of issue of EC : 31/05/2016   (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) : Expansion in production from 45000 TPA to 200000 TPA (ROM) & EC Transfer
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
1Existing Masonry Stone Mining Project ML Area 1.00 Hect45000Tons per Annun(TPA)Road
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
1Asotra Masonry Stone Mining Project ML NO 91/2008Existing Capacity 45000 TPAProposed Production 200000 TPA (ROM)Production Expansion from 45000 TPA to 200000 TPAProduction Expansion & EC Transfer
10 Reasons for Amendment
 
Reasons for Amendment : it is existing mine, Applied for Expansion in Production From 45000 TPA to 200000 TPA (ROM) & EC Transfer for Sh Roshan Gehlot to Sh Oma Ram S/o Sh Purkha Ram
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
1Asotra Masonry Stone Mining ProjectExpansion in Production from 45000 TPA to 200000 TExpansion in production from 45000 TPA to 200000 TProduction Expansion & EC Transfer
12 Details of EIA Consultant
 
Have you hired Consultant for preparing document (Yes/No) ? : Yes  
(i) Accereditation No : NABET/EIA/1922/RA 0173  
(ii) Name of EIA Consultant : Ms N S Envirotech Laboratories And Consultant  
(iii)Address : Plot No 51, Ganeta House Shiv Vihar Near Patarkar Colony Road Mansorver Jaipur  
(iv)Mobile No: 9829930877  
(v)Landline No : 2781959  
(vi)E-mail Id : nsenvirotech@gmail.com  
(vii)Category of Accreditation : Cate. A  
(viii)Sector of Accreditation : Mining , Highway, & Ropeways  
(ix)Validity of Accreditation : 18/08/2022   (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
1.21/01/2022Since this Project is covered under amendment and transfer of EC granted by DEIAA, so you are required to submit proposal online in Form-7 also and all the documents, corresponding file of concerned DEIAA along with following essential list of documents 1. Earlier E.C. 2. Covering letter. 3. Copy of Form-1 duly signed by pp and consultant. 4. M.L. document showing area of lease. 5. Certified compliance of earlier E.C. 6. Certified past production figures. 7. Aravali certificate in prescribed format. 8. Cluster certificate duly certified by ME/AME in prescribed format. 9. Affidavit regarding violation of EIA notification and regarding correctness of submitted data & documents by consultant as well as by PP. 10. Certificate from concerned Deputy Conservator of Forest for proposed area not falling within 10 kms of boundary of wildlife Sanctuary/NP/ conservation reserve. 11. District survey report as per MoEF notification. 12. 15 km GT sheet. 13. Copy of Green belt plan 14. Copy of approved mining plan. 15. Copy of accreditation Certificate. 16. Pre feasibility Report 17. Annexure-G 18. Noc from transferor
 
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 : Shri Oma Ram Godara (c)Designation: Applicant (d)Company: SHRI OMA RAM S/O SH. PURKHA RAM (e)Address: Village Asotra Tehsil Pachpadra District Barmer Rajasthan Rajasthan 344022