Form-4

APPLICATION FOR AMENDMENT IN ENVIRONMENTAL CLEARANCE

(To be filled up by User Agency)
1. Details of Project
 
Proposal No. : SIA/OR/MIN/307934/2023  
(a) Name of the project : DURAGAM SAND QUARRY-II  
(b) Name of Company / Organisation. : PREMCHAND GUPTA  
(c) Registered Address. : AT/PO-MAIN ROAD CHANDILI PS-KOTPAD DIST-KORAPUT STATE-ODISHA Orissa 764058  
(d) Legal Status of the Company. : Individual  
(e) Joint Venture (Yes/No) : No
2. Address for the Correspondence
 
(a) Name of the Applicant. : PREMCHAND GUPTA  
(b) Designation (Owner/Partner/CEO) : No  
(c) Address :-  
       State : Orissa  
       District : Koraput  
       Town / Village : No  
(d) Pin Code : 764058  
(e) Email : siunigudastone@gmail.com  
(f) Telephone no : No  
(g) Fax no : No  
(h) Mobile no : 9425258314  
(i) Contact Person. : PREMCHAND GUPTA  
(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 : Khata no,-256 and Plot no- 01  
(b) Village : DURAGAM  
(c) Tehsil : Kodinga  
(d) District : Nabarangpur  
(e) State : Orissa  
(f) Pin Code : 764058  
(g) Bounded Latitudes (North) : Yes  
        From : Degree:19, Minutes : 10, Seconds :39  
        To    : Degree:19, Minutes : 10, Seconds :44  
(h) Bounded Longitudes (East) : Yes  
        From : Degree:82, Minutes : 10, Seconds :51  
        To    : Degree:82, Minutes : 10, Seconds :55  
(i) Survey of India Topo Sheet No : 65I/4
5 Details of Environmental Clearance
 
(a) Project Name : DURAGAM SAND QUARRY-II  
(b) MoEF&CC / SEIAA File No : 10318/SEIAA  
(c) Date of issue of EC : 17/12/2020   (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) : SUBMISSION OF SAND REPLENISHMENT REPORT 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
1SAND12Cubic 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
1MINING OF SAND248824882488
10 Reasons for Amendment
 
Reasons for Amendment : FOR APPROVAL OF SAND 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
1EC GRANTED WITH SUBMISSION OF REPLENISHMENT REPORT.APPROVED QUANTITY IS 2488 Cu.m WITH THE DEPTH OF MSUBMISSION 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 : AS IT IS A 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 : 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
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 : PREMCHAND GUPTA (c)Designation: No (d)Company: PREMCHAND GUPTA (e)Address: AT/PO-MAIN ROAD CHANDILI PS-KOTPAD DIST-KORAPUT STATE-ODISHA Orissa 764058