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 Gandhigram UG Project
Brief summary of projectAnnexure-Brief summary of project
Proposal Number IA/MP/CMIN/63660/2017
Project Cost 67183.09 lacs
2.
S. No. in the schedule1(a) Mining of minerals
Project Sector Coal Mining
3. Proposed capacity/area/length/tonnage to be handled/command area/lease area/number or wells to be drilled Capacity: --1.26MTPA(Normative) ,1.60MTPA(Peak), Land Area – 718.073 ha ha.
4.
New/Expansion/ModernizationNew
5. Existing Capacity/Area etc. 0 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 projectNear Gandhigram Village,Ghoradongri Tehsil, Betul District
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.Latitude : 22 degree10’06” to 22 degree12’13” N Longitude : 78 degree 10’07” to 78degree13’00” E Topo sheet no : 55- J /4
Town / VillageNear Gandhigram Village
State of the projectMadhya Pradesh
Details of State of the project
S.no State Name District Name Tehsil Name
(1.)Madhya PradeshBetulGhoradongri
10.
Nearest railway station along with distance in kms Ghoradongri Railway station of Central Railway, 30 km
Nearest airport along with distance in kms Raja Bhoj Airport ,Bhopal, 205 km
11. Nearest Town/City/District Headquarters along with distance in kms Betul District , 65 km
12. Village Panchayats, Zila Parishad, Muncipal Corporation, Local body (Complete postal address with telephone nos. to be given) Gandhigram Village Panchayat, Tehsil – Ghoradongri, Dt. Betul, Madhya Pradesh State
13. Name of the Applicant KAUSHIK
14. Registered Address Coal Estate Civil lines, Nagpur-440001
15.
Address for correspondance:
Name of the Company Western Coalfields Limited
Name of the Applicant KAUSHIK
Designation (Owner/ Partner/ CEO) G.M (MINING)/ ENVIRONMENT.
Pin code 440001
E-mail gmenvironment.wcl@coalindia.in
Telephone No. 712-2510151
Fax No. 712-2510151
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?Yes
StatusApplication for Forest Clearance yet to be submitted
(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?No
23.
Whether any Forest Land Involved?Yes
Area of Forest land Involved (hectares)628.067 ha.
24.
Whether there is any litigation pending against the project and/or land in which the project is proposed to be set up?No
(a) Name of the CourtN/A
(b) Name of the Sub courtN/A
(c) Case No.N/A
(d) Orders/directions of the court, if any and relevance with the proposed projectN/A
(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 total land requirement for this project is 718.073 ha and out of this 27.51 Ha is government land , 62.496 Ha is tenancy land and 628.067 Ha is forest land. Land required for UG mining operation is 705.433 Ha and for mining infrastructure is 12.640 Ha. Gandhigram village is proposed to be re-located at a new site.
1.2 Clearance of existing land, vegetation and buildings? Yes (a) Land will be acquired under CB Act. (b) Clearance of existing vegetation /buildings/ others will be done as and when required at the time of construction of mine infrastructure, colony, approach road etc. in surface right and all right area. (c) Rehabilitation and resettlement of 92 nos. land owners is involved in this project.
1.3 Creation of new land uses? Yes The total land requirement for this project is 718.073 ha and out of this 27.51 Ha is government land , 62.496 Ha is tenancy land and 628.067 Ha is forest land. Land use plan as suggested in PR: All rights – 83.536 Ha, Surface rights – 11.64 Ha, Mining rights – 622.897Ha
1.4 Pre-construction investigations e.g. bore houses, soil testing? Yes For assessing reserve and feasibility of coal mining exploration bore holes 10 Nos./ Sq. km have been drilled and soil samples have been proposed for qualitative analysis
1.5 Construction works? Yes Major infrastructures like pit-office, cap lamp room, sub-station, workshop, stores, approach road, coal handling plant, culverts, office buildings, magazine building etc. will be developed.
1.6 Demolition works? No There is no demolition.
1.7 Temporary sites used for construction works or housing of construction workers? Yes A few of temporary site structures will be constructed during development period for contractual workers and the same will be removed after completion of the contracts.
1.8 Above ground buildings, structures or earthworks including linear structures, cut and fill or excavations and fill or excavations Yes Major infrastructures like pit-office, cap lamp room, sub-station, workshop, stores, approach road, coal handling plant, culverts, office buildings, magazine building etc. will be developed. Additional construction of water supply system, sewage disposal arrangement etc. will be done.
1.9 Underground works including mining or tunnelling? Yes This is an underground project. Mining development will be done by Bord and Pillar method and extraction by caving. This will employ continuous miner and LHD both to extract the planned quantity of coal.
1.10 Reclamation works? Yes The subsidence due to caving will be maintained within the permissible limit and closely monitored. Control measures are: Cracks if any will be filled and depressions if any will be made up. 1.Around the depillaring area, co-related on the surface, protective bunds and garland drains shall be laid 2.The surface cracks shall be sealed by using clay or other suitable material. Depressed portions shall be leveled using soil or clay or other suitable material.
1.11 Dredging? No Not applicable
1.12 Offshore structures? No Not applicable
1.13 Production and manufacturing processes? Yes Production of coal by underground method. Normative capacity – 1.26 MTPA Peak capacity – 1.60 MTPA
1.14 Facilities for storage of goods or materials? Yes 1.Coal produced from underground mine shall be stored on surface at designated coal stock yard duly provided with fire fighting & dust suppression system. 2.The goods & materials shall be stored in designated store. 3.Explosives shall be stored in magazines as approved by Controller of Explosives.
1.15 Facilities for treatment or disposal of solid waste or liquid effluents? Yes Solid Waste – There will be no generation of solid waste. Excavated material will be meager and will be used for making embankment around mine entries Liquid Effluent – Mine Pumped Out Water – Initial sedimentation in the mine sump in underground working & supernatant water is pumped out from UG and treated on surface in Sedimentation tank. Domestic Effluent – Treatment in septic tank and Soak pit provided with residential unit.
1.16 Facilities for long term housing of operational workers? Yes The total manpower requirement is 603. No additional residential quarters have been proposed for Gandhigram U/G Mine. The existing residential quarters in Pathakhera and Shobhapur townships shall cater to the residential needs of Gandhigram U/G Mine. Capital provision for renovation of 322 quarters has been made since these quarters are quite old.
1.17 New road, rail or sea traffic during construction or operation? Yes No new rail or sea traffic – only roads. New approach road of 5.5 km length is envisaged. In addition, 1.0 km of road for approaching various service building is also envisaged.
1.18 New road, rail, air water borne or other transport infrastructure including new or altered routes and stations, ports, airports etc? Yes No new rail or sea traffic – only roads. New approach road of 5.5 km length is envisaged. In addition, 1.0 km of road for approaching various service building is also envisaged.
1.19 Closure or diversion of existing transport routes or infrastructure leading to changes in traffic movements? No Not Applicable
1.20 New or diverted transmission lines or pipelines? Yes A 16 Kms long 33 kV feeder with double line from Sarni sub-station is proposed for feeding power to Gandhigram UG mine.
1.21 Impoundment, damming, culverting, realignment or other changes to the hydrology of watercourses or aquifers? No Not Applicable
1.22 Stream crossings? No Not Applicable
1.23 Abstraction or transfers of water from ground or surface waters? Yes Mine flow from underground mine will get accumulated in the under ground sump and will be pumped out to surface regularly to keep mine face workable. The pumped out water will be utilized for domestic and industrial consumption and excess water will be discharged into the stream.
1.24 Changes in water bodies or the land surface affecting drainage or run-off? No Not Applicable
1.25 Transport of personnel or materials for construction, operation or decommissioning? Yes Three nos. buses have been proposed for transport of workforce from township(s) to Gandhigram inclines in each shift because distance involved is more than 15km. Coal Transportation by Road.
1.26 Long-term dismantling or decommissioning or restoration works? Yes Final mine closure will be done with the sealing of the mine entry at the end of the project after decommissioning of the equipment. Other safety and conservation measures will also be taken at the time of mine closure as per statute.
1.27 Ongoing activity during decommissioning which could have an impact on the environment? No Not envisaged at present.
1.28 Influx of people to an area in either temporarily or permanently? Yes This is a replacement mine. Most of the manpower will come from old and exhausted mines of Pathakhera Area.
1.29 Introduction of alien species? No Not Applicable
1.30 Loss of native species or genetic diversity? No Not Applicable
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 Agricultural land – 62.496 Ha
2.2 Water (expected source & competing users) unit: KLD Yes i) Domestic - 32KLD ii) Industrial – 2110KLD Source – Mine water / DAM/River/ Bore well
2.3 Minerals (MT) Yes Net extractable reserve –30.67 MT coal , Mineable reserves - 57.389 MT, Total Mining loss - 26.719 MT
2.4 Construction material – stone, aggregates, sand / soil (expected source – MT) Yes Construction material in terms of bricks, cement, stone, aggregate etc. will be required for construction of building, office, water supply arrangement etc.
2.5 Forests and timber (source – MT) Yes Timber Props and Chocks for Support Purposes in Underground Working as per the Statutory Requirements. Timber recovery is maximized during withdrawal to ensure conservation.
2.6 Energy including electricity and fuels (source, competing users) Unit: fuel (MT),energy (MW) Yes Total projected maximum demand of power is 6986 kVA. Most of the equipment are electrically operated and requirement of fuel will be meager and met from area stores.
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 Not Applicable
3.2 Changes in occurrence of disease or affect disease vectors (e.g. insect or water borne diseases) No Not Applicable
3.3 Affect the welfare of people e.g. by changing living conditions? Yes The project will have positive impact on the welfare of people.
3.4 Vulnerable groups of people who could be affected by the project e.g. hospital patients, children, the elderly etc. No Not Applicable
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 No Not Applicable
4.2 Municipal waste (domestic and or commercial wastes) Yes Domestic waste – 121 kg/day , commercial wastes - Nil
4.3 Hazardous wastes (as per Hazardous Waste Management Rules) No Not Applicable
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 Not Applicable
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 Insignificant.
5.2 Emissions from production processes No Not Applicable
5.3 Emissions from materials handling including storage or transport Yes Quantity is insignificant
5.4 Emissions from construction activities including plant and equipment Yes Though a few construction activities are involved but the quantity will be insignificant.
5.5 Dust or odours from handling of materials including construction materials, sewage and waste Yes Not significant.
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 Avg. 70 dB(A) of noise level is expected in areas which are very close to mine.
6.2 From industrial or similar processes No Not Applicable
6.3 From construction or demolition No Constructional activities pertain to office, service buildings etc. Generation of noise will be negligible.
6.4 From blasting or piling Yes 110 dB(A) noise level and vibration (instantaneous and will be maintained within the DGMS specification) is expected.
6.5 From construction or operational traffic Yes 70 dB(A) of noise level very close to traffic (max).
6.6 From lighting or cooling systems Yes Insignificant
6.7 From any other sources Yes From operation of Evasee.
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 Yes Very rare
7.2 From discharge of sewage or other effluents to water or the land (expected mode and place of discharge) No Mine Pumped out water: Mine pumped out water after initial sedimentation in the mine sump in the underground workings will be treated at surface sedimentation pond. Quality parameters will be monitored every fortnight as per EPA Rule 2000 provisions. Domestic sewage:Domestic sewage will be treated in individual septic tank and soak pit provided with each residential unit. Used Oil: Insignificant quantity and will be re – used for lubrication in mine.
7.3 By deposition of pollutants emitted to air into the land or into water Yes Coal & Dust particle deposition will be insignificant
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 Not Applicable
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 Very rare
8.2 From any other causes Yes Followings are the causes which may result in risk of accident a) Mine inundation b) Explosion c) Fire These risks will be minimized by taking suitable safety measures.
8.3 Could the project be affected by natural disasters causing environmental damage (e.g. floods, earthquakes, landslides, cloudburst etc)? No Not Applicable
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 Economic growth associated with coal mining activities lead to semi Urban like development. This supports development of ancillary and supporting industries and other related activities. The opening of this project will lead to development of housing, roads, ancillary industries, Improvement in social & living standards by providing opportunities of direct & indirect employment to local community.
9.2 Lead to after-use of the site, which could have an impact on the environment Yes Some of the activity enumerated at 9.1 above can lead to permanent residency and sustain further growth.
9.3 Set a precedent for later developments Yes Activities at 9.1 & 9.2 above do culminate in conjunction with local set up and in a number of cases has set precedence of economic development leading to overall socio economic growth of the area.
9.4 Have cumulative effects due to proximity to other existing or planned projects with similar effects Yes Coal occurs in layers and continues to a large distances. Associated mining activity with numerous such closely located centers as indicated at 9.1, 9.2 and 9.3 along with other activities like power generation etc could have cumulative impact.
(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
 No Not Applicable
2 Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Yes Acquisition of forest land of 628.067 ha is proposed.
3 Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration No Not Applicable
4 Inland, coastal, marine or underground waters No Not Applicable
5 State, National boundaries No Not Applicable
6 Routes or facilities used by the public for access to recreation or other tourist, pilgrim areas No Not Applicable
7 Defence installations No Not Applicable
8 Densely populated or built-up area No Not Applicable
9 Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship, community facilities) No Not Applicable
10 Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) No Not Applicable
11 Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) No Not Applicable
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 Not Applicable
(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 PlanN/A
Additional Attachments, if any
Attached File
ACKNOWLEDGEMENT OF FOREST APPLICATION
ADS Letter
            Essential Detail Sought:
Sno. EDS Letter Remarks Date of EDS
1.NAThe correction have been made as per the instruction received 14 Jun 2017
2.NAKindly submit copy of acknowledgement for Forest Clearance. 12 Apr 2017
            Additional Detail Sought:
Sno. ADS Letter Remarks Date of ADS
1. ADS Reply LetterUpdated Form - 1 Containing Land Details including Forest Land for which application has been submitted to MoEF & CC is enclosed herewith 19 Jun 2017
2.NATotal forest land requirement 19 Jun 2017
(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 ApplicantKAUSHIK
DesignationG.M (MINING)/ ENVIRONMENT.
Name of Company (Applicant Name should not be given here)Western Coalfields Limited
AddressCoal Estate Civil lines, Nagpur-440001
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