APPENDIX I
(See Paragraph-6)
FORM 1
Note : If space provided against any parameter is inadequate, Kindly upload supporting document under 'Additional Attachments if any'  at the last part of the Form1. Please note that all such Annexures must be part of single pdf document.
(I) Basic Information
S.No.Item Details
Is your project Comes under Notified Industrial Area NA
Whether proposal involved violation of EIA notificationN/A
Weather Consent to Establishment ObtainedN/A
Upload copy of CTE N/A
1.
Name of the Project/s Calsanichomato De Oilomol Iron Ore Mine ML.No. 05/AMLG (ML-2)/L/17
Brief summary of projectAnnexure-Brief summary of project
Proposal Number IA/GA/MIN/70307/2017
Project Cost 300 lacs
2.
S. No. in the schedule1(a) Mining of minerals
Project Sector Non-Coal Mining
3. Proposed capacity/area/length/tonnage to be handled/command area/lease area/number or wells to be drilled Amalgamated two adjacent and contiguous mining leases belonging to the same lessee i.e., T.C. No. 89/52 admeasuring 36.2202 Ha and M.L.No. 2/Fe/77 admeasuring 64.8570 Ha, Total Area 101.0772 Ha. ha.
4.
New/Expansion/ModernizationExpansion
Proposal NumberIA/GA/MIN/23560/1910
MoEFCC file number(Previous EC)J-11015/305/2006-IA.II(M)
Uploaded EC letterAnnexure-Uploaded EC letter
5. Existing Capacity/Area etc. 300000 ha.
6. Category of project i.e. 'A' or 'B' A
7.
Does it attract the general condition? If yes, please specify No
8.
Does it attract the specific condition? If yes, please specify No
9.
Location of the projectTivim and Advalpal villages in Bardez and Bicholim talukas of North Goa, Goa State
Shape of the project landBlock (Polygon)
Uploaded GPS fileAnnexure-GPS file      
Uploaded copy of survey of India ToposheetAnnexure-Survey of india toposheet
Plot/Survey/Khasra No.Survey Nos. 22(p), 28, 29(p), 109(p), 110(p), 111(p), 112(p), 116(p),117, 118(p), 119, 120, 121 , 122(p), 123(p), 124(p), 125(p), 126(p), Road of Advalpal village and 73(p), 75(p), 76(p), 78(p), 80, 81, 82, 83(p), 84, 85(p), 86(p), 88(p) and road in Tivim village
Town / VillageAdvalpal, Tivim
State of the projectGoa
Details of State of the project
S.no State Name District Name Tehsil Name
(1.)GoaNorth GoaBardez
(2.)GoaNorth GoaBicholim
10.
Nearest railway station along with distance in kms Tivim, 4.2 km
Nearest airport along with distance in kms Dabolim, 50 km
11. Nearest Town/City/District Headquarters along with distance in kms Mapusa , 14 km
12. Village Panchayats, Zila Parishad, Muncipal Corporation, Local body (Complete postal address with telephone nos. to be given) Village panchayat of Advalpal, Village Advalpal,Tal: Bicholim Po.Assonara ,North Goa Goa 403503 Tel:-08322215211 Village panchayat of Tivim, Village Tivim,Tal: Bardez Po.Tivim, North Goa Goa 403502 Tel:-08322298595
13. Name of the Applicant Kaustubh
14. Registered Address Calsanichomato De Oilomol Iron Ore Mine, Village Advalpal, Post:-Assnora, Taluka Bicholim, District North Goa, Goa
15.
Address for correspondance:
Name of the Company CALSANICHOMATO DE OILOMOL MINE
Name of the Applicant Kaustubh
Designation (Owner/ Partner/ CEO) Partner
Pin code 403507
E-mail advalpalmine@gmail.com
Telephone No. 0832-2441000
Fax No. 0832-
Copy of documents in support of the competence/authority of the person making this application to make application on behalf of the User Agency . Annexure-Uploaded Copy of documents in support of the competence/authority
16.
Details of Alternative Sites examined, if any. Location of these sites should be shown on a toposheet No
17. Whether part of Interlinked projects? No
18. Whether separate application of Interlinked project has been submitted? N/A
19.
If Yes, MoEF file numberN/A
Date of submissionN/A
20. If No, Reason N/A
21.
Whether the proposal involves Approval/ Clearance under: if yes, details of the same and their status to be given
(i) Whether the proposal involves approval/clearance under the Forest (Conservation) Act,1980?No
(ii) Whether the proposal involves approval/clearance under the wildlife (Protection) Act,1972?No
(iii) Whether the proposal involves approval/clearance under the C.R.Z notification, 2011?No
22.
Whether there is any Government Order/Policy relevant/relating to the site?Yes
Uploaded Order/PolicyAnnexure-Uploaded order/policy
23.
Whether any Forest Land Involved?No
Area of Forest land Involved (hectares)N/A
24.
Whether there is any litigation pending against the project and/or land in which the project is proposed to be set up?Yes
(a) Name of the CourtNGT
(b) Name of the Sub courtNGT Delhi
(c) Case No.Application no.212/2013, Goa Paryavaran Savrakshan Sangharsh Samitee Vs. M/s Lithoferro & Others
(d) Orders/directions of the court, if any and relevance with the proposed projectPending before the Court
(II) Activity
1 Construction, operation or decommissioning of the Project involving actions, which will cause physical changes in the locality (topography, land use, changes in water bodies, etc.)
S.No Information/Checklist confirmation Yes/No Details there of (with approximate quantities/rates, wherever possible) with source of information data
1.1 Permanent or temporary change in land use, land cover or topography including increase in intensity of land use (with respect to local land use plan) Yes The present project of the amalgamated mining lease area of 101.0772 Ha consists of the existing mining activities over 34.0952 Ha and allied activities over 39.9084 Ha which is a private land. Further, an additional area of 23.8807 Ha shall be utilized in future for mining and allied activities. At the expiry of lease period an area of 3.1929 Ha will remain un-utilized/un-broken.
1.2 Clearance of existing land, vegetation and buildings? Yes Majority of the area is already being utilized for mining and allied activities. The proposed mining requires some clearance of plantation in future which will be carried out as per the Approved Mining Plan.
1.3 Creation of new land uses? Yes At the conceptual stage, the land use pattern is shown in the Table given below:- Land use as per the Approved Mining Plan:- Sr. No. Head Area put to use at the end of Conceptual period (Ha) as on 02/08/2027 1 Area under mining 46.0257 2 Waste dump site 38.9314 3 Roads 4.2716 4 Others a.Environmental protective measures & greenbelt b. Un-utilized area 8.6556 3.1929 Total 101.0772 Conceptual Plan enclosed as Annexure IV.
1.4 Pre-construction investigations e.g. bore houses, soil testing? Yes The Mining lease has already been extensively explored by drilling 134 nos. of boreholes and Mining is being carried out in the mine. There is a future drilling plan for additional 38nos. of boreholes which are proposed to be carried out for further augmentation of mineral reserves & resources.
1.5 Construction works? Yes No fresh construction, however, various works for the purpose of Environmental Protective Measures and other allied activities such as weigh bridge, Wheel Wash Systems etc. will be carried out.
1.6 Demolition works? No Not applicable
1.7 Temporary sites used for construction works or housing of construction workers? No Workers and staff are employed from nearby villages therefore no residential colony is provided within the Mining Lease Area.
1.8 Above ground buildings, structures or earthworks including linear structures, cut and fill or excavations and fill or excavations No Not applicable
1.9 Underground works including mining or tunnelling? No Not applicable
1.10 Reclamation works? Yes Reclamation work shall be carried out as per the Approved Mining Plan and Progressive Mine Closure Plan.
1.11 Dredging? No Not applicable
1.12 Offshore structures? No Not applicable
1.13 Production and manufacturing processes? Yes The open cast mechanized mining operations shall be continued without drilling and blasting. The excavated Run off Mine (ROM) shall be subjected to dry screening and finished product shall be dispatched/sold to the prospective buyers.
1.14 Facilities for storage of goods or materials? Yes The excavated ROM shall be subjected to dry screening and finished products shall be temporarily stacked at earmarked area before dispatching to the prospective buyers. The waste generated shall be dumped and backfilled at earmarked site as per the proposal given in the Approved Mining Plan.
1.15 Facilities for treatment or disposal of solid waste or liquid effluents? Yes The solid waste generated is non-toxic and does not contain any leachable heavy metals. The Solid waste (Overburden) generated shall be dumped above the ground during first five years plan period (2017-18 to 2021-22) as per the Approved Mining Plan. However, during the second five year plan period (2022-23 to 2026-27) shall be backfilled in the exhausted part of mined out pit as per the Approved Mining Plan. The domestic waste water will be treated into soak pits.
1.16 Facilities for long term housing of operational workers? No Most of the workers and staff are from the nearby villages and hence do not require housing facilities at the mine site.
1.17 New road, rail or sea traffic during construction or operation? No Present access roads will be continued to be used.
1.18 New road, rail, air water borne or other transport infrastructure including new or altered routes and stations, ports, airports etc? No No new road or altered routes or station are required.
1.19 Closure or diversion of existing transport routes or infrastructure leading to changes in traffic movements? No No diversion of existing transport routes or infrastructure.
1.20 New or diverted transmission lines or pipelines? No No diversion of existing transmission line and pipelines.
1.21 Impoundment, damming, culverting, realignment or other changes to the hydrology of watercourses or aquifers? No There is no proposal for impounding, damming, culverting, realignment of water courses, however, there is an accumulation of storm water in the mined out pit during monsoon which is used for recharging purpose.
1.22 Stream crossings? No No stream crossing.
1.23 Abstraction or transfers of water from ground or surface waters? No During monsoon season, all the rainwater is diverted through trenches and drains into the open mine pit & settling ponds. A part of this water is utilized for dust suppression and afforestation.
1.24 Changes in water bodies or the land surface affecting drainage or run-off? No The natural water bodies will not be disturbed. All the rainwater during monsoon is diverted through trenches and drains into the open mine pit & settling ponds and clear water is discharged from the mine.
1.25 Transport of personnel or materials for construction, operation or decommissioning? Yes Conveyance is provided to the Staff and workmen residing in the nearby villages. Material required for operation will be transported through existing road.
1.26 Long-term dismantling or decommissioning or restoration works? Yes Will be addressed in the Final Mine Closure Plan.
1.27 Ongoing activity during decommissioning which could have an impact on the environment? Yes Will be addressed in the Final Mine Closure Plan. Proper EMP will be implemented.
1.28 Influx of people to an area in either temporarily or permanently? No No influx of people as the local villagers in the neighborhood are employed.
1.29 Introduction of alien species? No Not applicable
1.30 Loss of native species or genetic diversity? No No loss of native species or genetic diversity
1.31 Any other actions? No Not applicable
2 Use of Natural resources for construction or operation of the Project (such as land, water, materials or energy, especially any resources which are non-renewable or in short supply):
S.No Information/Checklist confirmation Yes/No Details thereof (with approximate quantities/rates, wherever possible) with source of information data
2.1 Land especially undeveloped or agricultural land (ha) Yes The area (2.4193Ha.) is agriculture land which is already broken up and used for mining and allied activities.
2.2 Water (expected source & competing users) unit: KLD Yes Source – Rain Water stored in Mining Pit and Ground Water Total requirement shall be 520 m3/day. Dust suppression & - 300 m3/day Wheel Wash System - 200 m3/day Green belt - 10 m3/day Domestic & drinking - 10 m3/day
2.3 Minerals (MT) Yes 3 Lakh tonnes of Iron ore per annum. Environmental Clearance is already obtained from MoEF for the production of quantity of 3.0 Lakh tonnes per annum. No increase in production quantity is proposed now.
2.4 Construction material – stone, aggregates, sand / soil (expected source – MT) No It is an operating mine and no additional construction is proposed.
2.5 Forests and timber (source – MT) No Not Applicable
2.6 Energy including electricity and fuels (source, competing users) Unit: fuel (MT),energy (MW) Yes Diesel Fuel is used by Heavy Earth Moving Machineries, like excavator, loader and transport vehicles etc. DG sets are used for Mine office. Solar lights are used for street lighting near the office and workshop premises. Fuel: 3000 liters/day Energy: 19KWH /day Out of this required 19KWH/day, about 3.635KWH/day is sourced from the solar energy, rest is sourced from the DG sets.
2.7 Any other natural resources (use appropriate standard units) No Not applicable
3 Use, storage, transport, handling or production of substances or materials, which could be harmful to human health or the environment or raise concerns about actual or perceived risks to human health
S.No Information/Checklist confirmation Yes/No Details thereof (with approximate quantities/rates, wherever possible) with source of information data
3.1 Use of substances or materials, which are hazardous (as per MSIHC rules) to human health or the environment (flora, fauna, and water supplies No No substances or materials, which are hazardous (as per MSIHC rules) to human health or the environment are used.
3.2 Changes in occurrence of disease or affect disease vectors (e.g. insect or water borne diseases) No No changes expected
3.3 Affect the welfare of people e.g. by changing living conditions? Yes It has helped to improve socio-economic status and living standards of people, through continuous employment in mines and allied business opportunities. CSR activity has helped infrastructure development, education, health status, sanitation and roads etc. We have utilized Rs. 15.76 Lakhs towards health, education, transportation, and other socioeconomic upliftment projects in the year 2016-2017.
3.4 Vulnerable groups of people who could be affected by the project e.g. hospital patients, children, the elderly etc. Yes We provide dispensary and health checkup camps in the nearby villages.
3.5 Any other causes No Not Applicable
4 Production of solid wastes during construction or operation or decommissioning (MT/month)
S.No Information/Checklist confirmation Yes/No Details thereof (with approximate quantities/rates, wherever possible) with source of information data
4.1 Spoil, overburden or mine wastes Yes This is an existing mine. The total quantity of waste generated shall be at the rate of 0.95 million m3/annum and shall be accommodated within mining lease and backfilled in the worked out pit partially as per the Approved Mining Plan.
4.2 Municipal waste (domestic and or commercial wastes) No Not applicable. Domestic waste is treated in soak pits.
4.3 Hazardous wastes (as per Hazardous Waste Management Rules) Yes At present the Used oil generated is collected and stored at the predefined place which is further disposed through the registered recycler. We are in the process to obtain membership with Goa Industries Environment Management Association for the disposal of Hazardous Waste through Common Hazardous waste Treatment Storage Disposal Facility (CHWTSDF) which is being established by the State of Goa as per the Honb’le Supreme Court Directives.
4.4 Other industrial process wastes No Not applicable
4.5 Surplus product No Not applicable
4.6 Sewage sludge or other sludge from effluent treatment No Not applicable
4.7 Construction or demolition wastes No Not applicable
4.8 Redundant machinery or equipment No Not applicable
4.9 Contaminated soils or other materials No The present mining activity does not result in any contamination of soil or other material as proper drainage system, settling tank, afforestation, check dams and retaining walls are erected and adequate measures as per approved EMP are being implemented.
4.10 Agricultural wastes No Not Applicable
4.11 Other solid wastes No Not Applicable
5 Release of pollutants or any hazardous, toxic or noxious substances to air(Kg/hr)
S.No Information/Checklist confirmation Yes/No Details thereof (with approximate quantities/rates, wherever possible) with source of information data
5.1 Emissions from combustion of fossil fuels from stationary or mobile sources Yes Fuel oil shall be purchased from authorized dealers after testing its quality. State of art low polluting machineries (HEMM) is used for mining and allied activities. Emissions from HEMM are strictly within prescribed limits. Further regular Pollution Under Control (PUC) is conducted for transport vehicles.
5.2 Emissions from production processes Yes Dust emissions from production process are mainly controlled by water spray and vegetation growth.
5.3 Emissions from materials handling including storage or transport Yes Fugitive Dust generated from handling of ore, storage and transportation is controlled by proper maintenance of roads, speed control, covering of trucks by tarpaulin and water spray.
5.4 Emissions from construction activities including plant and equipment No Nil
5.5 Dust or odours from handling of materials including construction materials, sewage and waste No Nil
5.6 Emissions from incineration of waste No Not Applicable
5.7 Emissions from burning of waste in open air (e.g. slash materials, construction debris) No Not Applicable
5.8 Emissions from any other sources No Not Applicable
6 Generation of Noise and Vibration, and Emissions of Light and Heat:
S.No Information/Checklist confirmation Yes/No Details thereof (with approximate quantities/rates, wherever possible) with source of information data
6.1 From operation of equipment e.g. engines, ventilation plant, crushers Yes The Mining machineries (HEMM) are BS-IV compliant and are low noise producing machines and therefore, sources of noise pollution during the proposed mining operations are negligible. No drilling and blasting activities are carried out and therefore, excessive noise is completely avoided. However, the material preparation, rock breaking and loading is carried out by use of eco-friendly heavy duty ripper dozers and hydraulic excavators.
6.2 From industrial or similar processes No Not applicable
6.3 From construction or demolition No Not applicable
6.4 From blasting or piling No No blasting operations are proposed
6.5 From construction or operational traffic No Not applicable
6.6 From lighting or cooling systems No Not applicable
6.7 From any other sources No Not applicable
7 Risks of contamination of land or water from releases of pollutants into the ground or into sewers, surface waters, groundwater, coastal waters or the sea:
S.No Information/Checklist confirmation Yes/No Details thereof (with approximate quantities/rates, wherever possible) with source of information data
7.1 From handling, storage, use or spillage of hazardous materials No Not applicable
7.2 From discharge of sewage or other effluents to water or the land (expected mode and place of discharge) No Not applicable
7.3 By deposition of pollutants emitted to air into the land or into water Yes Fugitive dust generated at the time of excavation, loading, transportation of ore and wastes is suppressed by means of proper Environmental Management Plan (EMP) by way of water spraying. Creation of Green belt has been planned along the haulage road and waste dump to control fugitive dust propagation.
7.4 From any other sources No Not applicable
7.5 Is there a risk of long term build up of pollutants in the environment from these sources? No There exists no risk of long term buildup of pollutants in the environment from these sources.
8 Risk of accidents during construction or operation of the Project, which could affect human health or the environment
S.No Information/Checklist confirmation Yes/No Details thereof (with approximate quantities/rates, wherever possible) with source of information data
8.1 From explosions, spillages, fires etc from storage, handling, use or production of hazardous substances No No explosives are used. However, used oil and cotton waste contaminated with oil is stored at predefined locations. Fire extinguishers are placed at strategic locations to tackle any exigencies. On account of limited storage, risks of accident due to spillage, usage, storage & handling of HSD are adequately minimized. Further, such storages are carried out in the approved containers only and are handled by approved pumps. Further the MMR 1961 regulations and the circulars issued by DGMS on p
8.2 From any other causes No Not Applicable
8.3 Could the project be affected by natural disasters causing environmental damage (e.g. floods, earthquakes, landslides, cloudburst etc)? No No such natural disaster has so far occurred, however, as an abundant caution and as required, the Lessee has formulated a detailed Disaster Management Plan in consultation and information to the State Authority and DGMS to deal with any such exigencies in future. It should be noted that the area falls in category II of seismic zone. Mine related geotechnical studies have been conducted by Central Institute of Mining & Fuel Research, Dhanbad (CIMFR) and its recommendations are being followed
9 Factors which should be considered (such as consequential development) which could lead to environmental effects or the potential for cumulative impacts with other existing or planned activities in the locality
S.No Information/Checklist confirmation Yes/No Details thereof (with approximate quantities/rates, wherever possible) with source of information data
9.1 Lead to development of supporting utilities, ancillary development or development stimulated   by the project which could have impact on the environment e.g.:
  • Supporting infrastructure (roads, power supply,waste or waste water treatment, etc.)
  • housing development
  • extractive industries
  • supply industries
  • Other
Yes • Effected a payment of Rs 63,79,194/- towards District Mineral Fund which is meant to be used for people and the area affected due to mining in the region • Effected a payment of Rs 1,41,75,987/-towards Goa Iron Ore Permanent Fund which is meant for the sustainability and intergenerational equity requirement of the people and the area affected due to mining in the region. • Improve socio-economic status of villages around mine area • Benefit to local people due to employment round the year
9.2 Lead to after-use of the site, which could have an impact on the environment No While implementation of Progressive Mine Closure Plan, the area will be restored by way of partly carrying out plantation and building up of a good water reservoir for the purpose and benefit of ground water recharge and water requirement in the surrounding villages.
9.3 Set a precedent for later developments Yes The Lessee has implemented schemes and plans for skill development by way of imparting vocational training so as to empower the youth and women of the area affected.
9.4 Have cumulative effects due to proximity to other existing or planned projects with similar effects No There are neighboring mining projects, however, no cumulative effect is envisaged.
(III) Environmental Sensitivity
S.No Areas Name/Identity Aerial distance (within 15km.) Proposed project location boundary
1 Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
Yes Dr. Salim Ali Bird Sanctuary is 12.65 Km
2 Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Yes Water Courses:- 1. Assonara River – 2.40km 2. Amthane Dam -- 3.52km 3. Mayem Lake – 8.95km Forests:- 1.Cansarvornem Forest – 7.91km 2.Salem Forest – 6.19km 3.Alorna Forest – 7.43km 4.Latambarcem – 7.95km 5.Shirgao/Mulgao Forest 5.24km 6.North of Mulgao forest – 5.45km
3 Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration Yes Dr. Salim Ali Bird Sanctuary is 12.65 Km
4 Inland, coastal, marine or underground waters No Not Applicable
5 State, National boundaries Yes Maharashtra State Boundary:8.87 km
6 Routes or facilities used by the public for access to recreation or other tourist, pilgrim areas Yes . Tivim Railway Station – 1.10km 2.Pernem Railway Station – 9.49km 3.National Highway [(NH 17 (66)] – 4.56km
7 Defence installations No No such activity located in prescribed distance.
8 Densely populated or built-up area Yes Densely Populated area – Mapusa 8.34km
9 Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship, community facilities) Yes Lairai Temple (Shirgao) – 4.16km 2.Temples at Mulgao – 5.08km 3.Fort at Corjuem – 4.74km
10 Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) Yes The details on Surface water resources, Forestry, agriculture are mentioned in above paras. The area is also rich in iron ore minerals. The present project is surrounded by two iron ore Mining Leases bearing T.C. No. 41/55 and T.C. No. 76/52.
11 Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) No The parameters of prescribed environmental standards are well within permissible limits.
12 Areas susceptible to natural hazard which could cause the project to present environmental problems (earthquakes, subsidence, landslides, erosion, flooding or extreme or adverse climatic conditions) similar effects No No such natural disaster has so far occurred, however, as an abundant caution and as required, the Lessee has formulated a detailed Disaster Management Plan in consultation and information to the State Authority and DGMS to deal with any such exigencies in future. It should be noted that the area falls in category II of seismic zone.
(IV) Proposed Terms of Reference for EIA studies
1 Uploaded Proposed TOR File Annexure-TOR file
2 Uploaded scanned copy of covering letter Annexure-scanned copy of covering letter
3 Uploaded Pre-Feasibility report(PFR) Annexure-PFR
4 Uploaded additional attachments(only single pdf file) Annexure-Additional attachments
5Uploaded Approval of mining PlanAnnexure-Uploaded Approval of mining plan
            Essential Detail Sought:
Sno. EDS Letter Remarks Date of EDS
1.NAYou are requested to Submit fresh LoI in compliance with Hon'ble Supreme Court Order dated 7th February, 2018 in the matter of Goa Foundation V/s Sesa Sterlite Ltd. & Ors. 14 Mar 2018
2.NAThe correction have been made as per the instruction received 03 Feb 2018
3.NA1.You are kindly requested to upload a single executed lease in the name of the applicant for the entire unified lease area of 101.0772 ha. 2. You are requested to upload the past production details duly authenticated by the DMG from the inception of the mines till date. 13 Nov 2017
      Additional Detail Sought : NIL
(V) Undertaking
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.
V.(i)
Name of ApplicantKaustubh
DesignationPartner
Name of Company (Applicant Name should not be given here)CALSANICHOMATO DE OILOMOL MINE
AddressCalsanichomato De Oilomol Iron Ore Mine, Village Advalpal, Post:-Assnora, Taluka Bicholim, District North Goa, Goa
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