Form-4

APPLICATION FOR AMENDMENT IN ENVIRONMENTAL CLEARANCE

(To be filled up by User Agency)
1. Details of Project
 
 Proposal No. : SIA/OR/MIN/300727/2023  
 (a) Name of the project : Kaladeep Mahandi River Sand Sairat Kaladeep over an area of 6.45 acres or 2.61 hectares in village Kaladeep under Kujang Tahasil in Jagatsinghpur District Odisha  
 (b) Name of Company / Organisation. : NARAYAN BISWAL  
 (c) Registered Address. : S/O- ALEKHA BISWAL At/Po- Bramhanigaon, Ps- Baranga Dist- Cuttack. Orissa 751010  
 (d) Legal Status of the Company. : Individual  
 (e) Joint Venture (Yes/No) : No
2. Address for the Correspondence
 
 (a) Name of the Applicant. : NARAYAN BISWAL  
 (b) Designation (Owner/Partner/CEO) : Lessee(Successful bidder)  
 (c) Address :-  
        State : Orissa  
        District : Cuttack  
        Town / Village : No  
 (d) Pin Code : 751010  
 (e) Email : nbiswalec2022@gmail.com  
 (f) Telephone no : No  
 (g) Fax no : No  
 (h) Mobile no : 9861271236  
 (i) Contact Person. : NARAYAN  
 (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 : Mouza-Kaldeep, Plot No-05, Khata No-204, Kissam-Nadi, Tahasil-Kujang, District-Jagatsinghpur, Odisha  
 (b) Village : Kaladeep  
 (c) Tehsil : Kujang  
 (d) District : Jagatsinghapur  
 (e) State : Orissa  
 (f) Pin Code : 754141  
 (g) Bounded Latitudes (North) : Yes  
         From : Degree:20, Minutes : 18, Seconds :53  
         To    : Degree:20, Minutes : 18, Seconds :59  
 (h) Bounded Longitudes (East) : Yes  
         From : Degree:86, Minutes : 27, Seconds :30  
         To    : Degree:86, Minutes : 27, Seconds :37  
 (i) Survey of India Topo Sheet No : F45U7
5 Details of Environmental Clearance
 
 (a) Project Name : Kaladeep Mahandi River Sand Sairat Kaladeep over an area of 6.45 acres or 2.61 hectares in village Kaladeep under Kujang Tahasil in Jagatsinghpur District Odisha  
 (b) MoEF&CC / SEIAA File No : SEIAA-1234/01-2021  
 (c) Date of issue of EC : 22/09/2021   (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) : NA
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
1SAND/2.61HA.25Cubic meter per DayRoad
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
1Kaladeep Mahanadi River Sand Sairat Kaladeep500029322932Production of Sand per Annum
10 Reasons for Amendment
 
 Reasons for Amendment : Submission of Replenishment Study Report
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
1SEIAA-1234/01-20212841/SEIAADated-22/09/2021NA
12 Details of EIA Consultant
 
 Have you hired Consultant for preparing document (Yes/No) ? : No  
 (i)Reason for not engaging the Consultant : It is B2 Category Project
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
1.10/06/20231).The project proponent ask to submit the replenishment study report with signature of Tahasildar, Consultant and lessee that all are agree the replenishment quantity for next year production. 2). The PP shall mentioned the last year extraction quantity of sand in EC compliance and Tahasildar shall certified the compliance report as per EC conditions. 3). The PP ask to submit the KML file of the lease area and send to SEIAA, Odisha email-info.seiaaodisha@gmail.com
2.21/12/2023The PP ask to submit the KML file of the lease area and send to SEIAA, Odisha email-info.seiaaodisha@gmail.com
 
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 : NARAYAN BISWAL (c)Designation: Lessee(Successful bidder) (d)Company: NARAYAN BISWAL (e)Address: S/O- ALEKHA BISWAL At/Po- Bramhanigaon, Ps- Baranga Dist- Cuttack. Orissa 751010