Form-6

APPLICATION FOR EXTENSION OF VALIDITY OF ENVIRONMENTAL CLEARANCE

(To be filled up by User Agency)
1. Details of Project
 
Proposal No. : SIA/MH/MIN/308062/2024  
(a) Name of the project : Shri. Kantaram Gangaram Mungase  
(b) Name of Company / Organisation. : KANTARAM MUNGASE  
(c) Registered Address. : Gat No. 169 P, Village- Kelgaon, Taluka- Khed, District- Pune Maharashtra 412105  
(d) Legal Status of the Company. : Individual  
(e) Joint Venture (Yes/No) : No
2. Address for the Correspondence
 
(a) Name of the Applicant. : KANTARAM MUNGASE  
(b) Designation (Owner/Partner/CEO) : No  
(c) Address :-  
       State : Maharashtra  
       District : Pune  
       Town / Village : No  
(d) Pin Code : 412105  
(e) Email : dilipmungase0@gmail.com  
(f) Telephone no : No  
(g) Fax no : No  
(h) Mobile no : 9822707321  
(i) Contact Person. : KANTARAM MUNGASE  
(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 : 1(a) Mining of minerals
                               
 
      Major Sub Activity. : No  
      Minor Sub Activity : Open Cast Mining  
(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 : Gat No. 169 P  
(b) Village : Kelgaon  
(c) Tehsil : Khed  
(d) District : Pune  
(e) State : Maharashtra  
(f) Pin Code : 412105  
(g) Bounded Latitudes (North) : Yes  
        From : Degree:18, Minutes : 42, Seconds :25  
        To    : Degree:18, Minutes : 42, Seconds :24  
(h) Bounded Longitudes (East) : Yes  
        From : Degree:73, Minutes : 53, Seconds :9  
        To    : Degree:73, Minutes : 53, Seconds :7  
(i) Survey of India Topo Sheet No : 47 F/14
5. Details of Environmental Clearance
 
(a) Project Name : Shri. Kantaram Gangaram Mungase  
(b) MoEF&CC / SEIAA File No : SIA/MH/MIN/234052/2021  
(c) Date of issue of EC : 05/01/2022   (d) Uploaded EC letter :
6. Details of Consent to Establishment
 
(i) Whether Consent to operate Establishment obtained (Yes/No) ? : No
7 Whether Amendment is environmental clearance is also sought for ?:-
 
Amendment in Configuration/ Amendments in Clearance condition/ Other (specify) : No
8 Details of Production (as per the approved EC ):-
Details of Products
S.no Product / Activity (Capacity/ Area). Quantity Unit Mode of Transport/ Transmission of Product
1Basalt Stone11962Tons per Annun(TPA)Road
9 Details of Amendment in Configuration sought(Multiple Entries Allowed):-
Details of Configurations
S.no Plant/ Equipment/ Facility Existing Configuration Proposed Configuration Final configuration after Amendment Remarks if Any
1Jack Hammer, Drill, Air Compressor101NA
10 Any other Amendment required:-
Any Other Amendment Required
S.no Reference of Approved EC Description as per Approved EC Description as per Proposal. Remarks
1NANANANA
11 Reason for Seeking Extension of Validity of the Environmental Clearance:-
  Uploaded substantiating the reason of the delay in implementation :
12 Progress of Implementation of the Project /Facilities /Activities:-
 
Progress of implementation of the project /facilities /activity for which environmental clearance was granted (Physical Progress) : Mining activities is being carried out as per approved Mining Plan
13 Schedule of the Completion of the Balance Activity / Project:-
  Uploaded bar chart of schedule of implementation:
14 Details of EIA Consultant
 
Have you hired Consultant for preparing document (Yes/No) ? : Yes  
(i) Accereditation No : NABET/EIA/2225/RA-0262  
(ii) Name of EIA Consultant : Aditya Environmental Services Pvt Ltd  
(iii)Address : 107, Hiren Light Industrial Estate, Mogul Lane, Mahim, Mumbai  
(iv)Mobile No: 9812513367  
(v)Landline No : 8600107678  
(vi)E-mail Id : rajiv@aespl.co.in  
(vii)Category of Accreditation : Both  
(viii)Sector of Accreditation : Non Coal Mining Projects  
(ix)Validity of Accreditation : 01/05/2025   (x)Uploaded certificate of Accreditation certified by QCI/NABET :
15. Documents to be attached
  (a) Uploaded addendum to EIA/EMP Report (in case of Amendment in environmental clearance also sought):   (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)(in case of Amendment in environmental clearance also sought):   (c) Uploaded Copy of final Layout Plan (in case of Amendment in environmental clearance also sought):   (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
16. 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 : KANTARAM MUNGASE (c)Designation: No (d)Company: KANTARAM MUNGASE (e)Address: Gat No. 169 P, Village- Kelgaon, Taluka- Khed, District- Pune Maharashtra 412105