Form-4
APPLICATION FOR AMENDMENT IN ENVIRONMENTAL CLEARANCE
(To be filled up by User Agency)
Proposal No. : SIA/OR/MIN/307867/2023
(a) Name of the project : Jalameripalli Sand Quarry
(b) Name of Company / Organisation. : SMT LAXMI SETHI
(c) Registered Address. : AT/PO ADAPADA VIA KANKORADA Orissa 761144
(d) Legal Status of the Company. : Others
(e) Joint Venture (Yes/No) : No | 2. | Address for the Correspondence |
(a) Name of the Applicant. : LAXMI SETHI
(b) Designation (Owner/Partner/CEO) : OWNER
(c) Address :-
State : Orissa
District : Ganjam
Town / Village : No
(d) Pin Code : 761144
(e) Email : laxmisethisand@gmail.com
(f) Telephone no : No
(g) Fax no : No
(h) Mobile no : 9078263111
(i) Contact Person. : LAXMI
(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 : B1
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 : Khata no.-327 & Plot no.-1488
(b) Village : Jalameripalli
(c) Tehsil : Digapahandi
(d) District : Ganjam
(e) State : Orissa
(f) Pin Code : 761144
(g) Bounded Latitudes (North) : Yes
From : Degree:19, Minutes : 22, Seconds :58
To : Degree:19, Minutes : 23, Seconds :07
(h) Bounded Longitudes (East) : Yes
From : Degree:84, Minutes : 29, Seconds :49
To : Degree:84, Minutes : 30, Seconds :14
(i) Survey of India Topo Sheet No : 74A/7, 74A/11 | 5 | Details of Environmental Clearance |
(a) Project Name : Jalameripalli Sand Quarry
(b) MoEF&CC / SEIAA File No : 63826/258-MINB1/07-2022
(c) Date of issue of EC : 22/09/2022 (d) Uploaded EC letter : 
| 6 | Details of Consent to Operate |
(i) Whether Consent to operate obtained (Yes/No) ? : No
Amendment in Configuration/ Amendments in Clearance condition/ Other (specify) : SUBMISSION OF REPLENISHMENT SAND FOR GRANT OF EC. | 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 |
|---|
| 1 | SAND | 24 | Cubic meter per Day | 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 |
|---|
| 1 | MINING OF SAND | 5000 | 5000 | 5000 | |
| 2 | MINING OF SAND | 5000 | 5000 | 5000 | |
Reasons for Amendment : FOR APPROVAL 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 |
|---|
| 1 | EC GRANTED WITH SUBMISSION OF REPLENISHMENT STUDY REPORT | APPROVED QUANTITY IS 5000cu.m WITH THE DEPTH OF MI | SUBMISSION OF REPLENISHMENT STUDY REPORT | |
| 12 | Details of EIA Consultant |
Have you hired Consultant for preparing document (Yes/No) ? : No
(i)Reason for not engaging the Consultant : NA | 13. | Documents to be Attached |
(c) Uploaded Copy of final Layout Plan : No Data (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 |
|---|
| S.no. | EDS Sought Date | EDS Sought | Letter |
|---|
| 1. | 08/01/2024 | The PP ask to submit the signed copy of replenishment study report by lessee, consultant and forwarded by the lease granting authority. | |
| 2. | 24/01/2024 | The corrections have been made as per the instruction received. | |
| | Additional Detail Sought: NIL |