Report Part 1

Form-2

APPLICATION FOR PRIOR ENVIRONMENTAL CLEARANCE

S. No.

Item

Details

Whether it is a violation case and application is being submitted under Notification No. S.O.804(E) dated 14.03.2017 ?	No
Details of Project:
(a)Name of the project(s)	Environmental Clearance for production of road metal of 5400Cum/Annum over Dubula Stone Quarry Mouza Dubula, PS- Tarabha, Dist- Subarnapur, Hold No- 251, Plot No:1370 over an area of 13.00 acres (5.2611 Ha) of Sri Narottam Mohanty, Plot no. 272, Kharvela Nagara, Unit-3, Dist- Khurda, Bhubaneswar
(b)Name of the Company / Organisation	NAROTTAM MOHANTY
(c)Registered Address	Plot No 272,Kharvel Nagar,,Khordha,Orissa-751001
(d)Legal Status of the Company	Private

Address for the correspondence:
(a)Name of the Applicant	Narottam Mohanty
(b)Designation (Owner/ Partner/ CEO)	Lessee
(c)Address	Plot No 272,Kharvel Nagar,,Bhubaneswar,Khordha,Orissa-751001
(d)Pin code	751001
(e)E-mail	ultralookventurespvtltd@gmail.com
(f)Telephone No.	0-
(g)Fax No.
(h)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

Category of the Project/Activity as per Schedule of EIA Notification,2006:
(a)Major Project/Activity	1(a) Mining of minerals
(b)Minor Project/Activity	NIL
(c)Category	B1
(d)Proposal Number	SIA/OR/MIN/72108/2020
(e)Master Proposal Number(Single Window)	SW/255755/2022
(f)EAC concerned (for category A Projects only)	Non-Coal Mining
(g)Project Type	Fresh EC

Location of the Project:
(a)Plot/Survey/Khasra No.	1377(AAA),Khata No251
(b)Pincode	767016
(c)Bounded Latitudes (North)
From
Degree	20
Minutes	38
Second	00
From
Degree	20
Minutes	38
Second	12
(d)Bounded Longitudes (East)
From
Degree	83
Minutes	40
Second	10
From
Degree	83
Minutes	40
Second	18
(e)Survey of India Topo Sheet No.	F44X10
(f)Uploaded Topo Sheet File	Copy of Topo Sheet File
(g)Maximum Elevation Above Means Sea Level(AMSL)	163
(h)Uploaded (kml) File	Copy of Kml File
(i)Distance of Nearest HFL from the project boundary within the study area	60
(j)Seismic Zone	2

(a)Number of States in which Project will be Executed	1
(b)Main State of the project	Orissa

Details of State(s) of the project
S. No.	State Name	District Name	Tehsil Name	Village Name
(1.)	Orissa	Sonapur	Tarbha	Dubula

Details of Terms of Reference (ToR):
(a)MoEF&CC / SEIAA File Number	SIA/OR/MIN/59078/2020
(b)Date of Apply of TOR	11 Dec 2020
(c)Date of Issue of TOR / Standard ToR	21 Jan 2021
(d)Previous TOR Letter	Copy of Previous TOR letter

Details of Public Consultation:
(a)Whether the Project Exempted from Public Hearing?	No
(b)Whether details of Public Hearing available?	Yes
(c)Whether Public hearing was presided over by an officer of the rank of Additional District Magistrate or above	Yes

7.1. Details of Public Hearing

S. No.

Details of Advertisement

Details of Public Hearing

Venue

Location Details

No. of People Attended

Issues Raised

Designation of Presiding Officer

Other Designation of Presiding Officer

(1.)

Date of Advertisement :	30 Jul 2021
Copy of advertisement :	Copy of Advertisement

Copy of Public Hearing :	Copy of Public Hearing
Date :	03 Sep 2021
Distance of Public Hearing Venue from the Proposed Project :	1

Dubula Village

State :	Orissa
District :	Sonapur
Tehsil :	Tarbha
Village :	DUBULA

Environmental pollution, Degradation of Agriculture land

Others

Additional District Magistrate

Details of Project Configuration/Product:

8.1. Project Configuration
S. No.	Plant/Equipment/Facility	Configuration	Remarks
(1.)	Rock Breaker	10T	2
(2.)	Excavator	0.9 Cum	1 nos
(3.)	Compressor	250cfm	1
(4.)	Tipper/Tractor	4/2.5cum	2 nos.
(5.)	jack Hammer	6kgf/cf2	2nos.

8.2. Product
S. No.	Product/Activity (Capacity/Area)	Quantity	Unit	Other Unit	Mode of Transport / Transmission of Product	Other Mode of Transport / Transmission of Product
(1.)	Road Material	5400	Others	Cum/ Annum	Road

In case of Expansion / Modernisation / One Time Capacity Expansion (only for Coal Mining) / Expansion under Clause 7(ii) / Modernisation under Clause 7(ii) / Change of Product Mix under Clause 7(ii):
Details Not Applicable

9.1.

Details of Consent to Operate
(i)Whether Consent to operate obtained ?	NA
(ii)Copies of all Consent to operate obtained since inception	NA
(iii)Date of Issue	N/A
(iv)Valid Upto	N/A
(v)File No.	NA
(vi)Application No.	NA
(vii)Copy of Consent to operate valid as on date	NA

10.

Project Cost:
(a)Total Cost of the Project at current price level (in crores)	0.5
(b) Funds Allocated for Environment Management (Capital) (in crores)	0.2650
(c) Funds Allocated Towards ESC (Entrepreneur Social Responsibility) (in crores)	0.05
(d) Funds Allocated for Environment Management Plan (EMP) (Recurring per Annum) (in crores)	0.093
(e) Funds Allocated for Environment Management Capital(%)	53.00

11.

Whether project attracts the General Condition specified in the Schedule of EIA Notification ?

12.

Whether project attract the Specific Condition specified in the Schedule of EIA Notification ?

13.

Raw Material / Fuel Requirement:
(a)Proposed quantity of raw material/fuel	35000
(b)Existing quantity of raw material/fuel	N/A
(c)Total quantity of raw material/fuel	35000

13.1. Raw Material / Fuel Profile
S. No.	Raw Material / Fuel	Quantity	Unit	Other Unit	Source (incase of Import. please specify country and Name of the port from which Raw Material / Fuel is received )	Mode of Transport	Other Mode of Transport	Distance of Source from Project Site (in Kilometres) (In case of import, distance from the port from which the raw material / fuel is received)	Type of Linkage	Other Type of Linkage	Uploaded Copy of Linkage
(1.)	deisel Fuel machine hired basis	0.114	Kilo Litre per Day		local filling station	Road		25	Open Market		Copy of Linkage

14.

Baseline Data :
(a)Period of Base Line Data Collection	FROM 05 Oct 2020 To 24 Dec 2020
(b)Season	Post-Monsoon

14.1. No. of ambient Air Quality (AAQ) Monitoring Locations : 8
S. No.	Criteria Pollutants	Other Criteria Pollutants	Unit	Maximum Value	Minimum Value	98 Percentile Value	Prescribed Standard
(1.)	PM10		Micro Gram per Meter Cube	62.7	36.0	62.1	100
(2.)	PM2.5		Micro Gram per Meter Cube	24.8	8.4	23.5	60
(3.)	SO2		Micro Gram per Meter Cube	19.2	4.0	18.7	80
(4.)	NOx		Micro Gram per Meter Cube	19.4	8.2	19.3	80

14.2. No. of Ground Water Monitoring Locations : 5
S. No.	Criteria Pollutants	Other Criteria Pollutants	Heavy Metal	Unit	Other Unit	Maximum Value	Minimum Value	Desirable Limit	Maximum Permissible Limit
(1.)	pH			NA		7.62	6.78	6.5	8
(2.)	TDS			mg/l		193	162	500	2000
(3.)	Total Hardness			mg/l		96	76	300	600
(4.)	Chlorides			mg/l		7.2	5.6	250	1000
(5.)	TSS			mg/l		8	3	100	500
(6.)	Heavy Metals		Cu	mg/l		0	0	0.05	1
(7.)	Fluoride			mg/l		0.22	0.19	1	1.5

14.3. No. of Surface Water Monitoring Locations : 5
S. No.	Criteria Pollutants	Other Criteria Pollutants	Unit	Other Unit	Maximum Value	Minimum Value	Classification of inland water body
(1.)	COD		mg/l		16	13	C
(2.)	pH		NA		7.32	7.1	B
(3.)	DO		mg/l		14	5.9	B
(4.)	BOD		mg/l		2.1	0	B

14.4. No. of Ambient Noise Monitoring Locations : 8
S. No.	Parameter	Unit	Maximum Value	Minimum Value	Prescribed Standard
(1.)	Leq(Day)	A-weighted decibels(dB(A))	48.6	43.6	55
(2.)	Leq(Night)	A-weighted decibels(dB(A))	39.2	36.4	45

14.5. No. of Soil Sample Monitored Locations : 5
S. No.	Parameter	Unit	Other Unit	Maximum Value	Minimum Value
(1.)	N(Nitrogen)	Percent		0.082	0.062
(2.)	P(Phosphorus)	Percent		0.026	0.020
(3.)	pH			6.74	6.28
(4.)	K(Potassium)	Percent		0.09	0.06
(5.)	Electric Conductivity	Millisiemens per Centimetre		432	30

14.6.

Details of Ground Water Table:
(a)Range of Water Table Pre-Monsoon Season (Meters Below Ground Level (m bgl))	From 0.73 To 8.55
(b)Range of Water Table Post-Monsoon Season (Meters Below Ground Level (m bgl))	From 0.5 To 4.81
(c)Whether Ground Water Intersection will be there ?	No

15. Details of Water Requirement (During Operation)
S. No.	Source	Source Other	Required Quantity	Distance from Source	Copy of Permission from Competent Authority	Mode of Transport	Other Mode of Transport	Method of Water Withdrawal	Other Method of Water Withdrawal	Letter No.	Date of Issue	Permitted Quantity
(1.)	Others	Governmnet Water Supply	7	1.5	Copy of Permission Letter	modeOthers	Mobile Water Tanker	Others	Mobile Water Tanker	00	08 Feb 2022	8

15.1.

(a)Whether Desalination is proposed

16. Waste Water Management(During Operation)
S. No.	Type/Source	Quantity of Waste Water Generated (Kilolitre per Day)	Treatment Capacity (Kilolitre per Day)	Treatment Method	Mode of Disposal	Other Mode of Disposal	Quantity of Treated Water Used in Recycling/Reuse (Kilolitre per Day)	Quantity of Discharged Water (Kilolitre per Day)
(1.)	domestic	0.01	1	Soak Pit	Discharge into Surface Water Body			0.01

16.1.

(a)Total Waste Water Generation	0.01
(b)Total Discharged Water	0.01
(c)Total Reused Water	0

17. Solid Waste Generation/Management
S. No.	Name of Waste	Item	Other Item	Quantity per Annum	Unit	Distance from Site(KM)	Mode of Transport	Other Mode of Transport	Mode of Disposal	Other Mode of Disposal
(1.)	Over Burden	Others	Over Burden	600	Tons	0	Road		Others	stored and reuse

18.

18.1. Air Quality Impact Prediction
S. No.	Criteria Pollutants	Other Criteria Pollutants	Unit	Baseline Concentration	Distance GLC	Incremental Concentration	Total GLC	Prescribed Standard
(1.)	SO2		Microgram per Meter Cube	19.2	3.5	0.001	19.201	80
(2.)	NOx		Microgram per Meter Cube	19.4	3.5	0	19.4	80
(3.)	PM2.5		Microgram per Meter Cube	24.8	3.5	0.02	24.82	60
(4.)	PM10		Microgram per Meter Cube	62.7	1	2	64.7	100

18.2. Stack Details
S. No.	Source	Fuel	Stack Height(m)	Stack Diameter(m)	Pollutants	Other Pollutants	Emission (GLS)
(1.)	Dgset	Disel	15	0.2	PM10

19.

Power Requirement:
(a)Quantity (Kilo Volt Amps (kVA))	100
(b)Source	State Grid
(c)Uploaded Copy of Agreement	Copy of Agreement
(d)Standby Arrangement (Details of DG Sets)	125 KVA
(e)Stack Height (in m)	15

20.

Land Ownership Pattern:
(a)Forest Land	0
(b)Private Land	0
(c)Government Land	5.2611
(d)Revenue Land	0
(e)Other Land	0
Total Land	5.2611

21.

Present Land Use Breakup of the Study Area in Ha:
(a)Agriculture Area	6119.13
(b)Waste/Barren Land	0
(c)Grazing/ Community Land	666.36
(d)Surface Water Bodies	383.33
(e)Settlements	193.50
(f)Industrial	1.54
(g)Forest	783.23
(h)Mangroves	5.01
(i)Marine Area	0
(j)Others : Railway, Road,Quarry,embankment	197.8
Total	8349.9

22. Land Requirement for Various Activities
S. No.	Description of Activity / Facility / Plant / Others	Others	Land Requirement	Remarks
(1.)	Green belt		0.825
(2.)	Quarry Area		0.545
(3.)	OB Dump Area		0.300
(4.)	Built Up Area		0.020
(5.)	Others	unutilized area, Mineral stack, Road	3.571
(6.)	Township		0
(7.)	Main Plant		0
(8.)	Ash Pond		0
(9.)	Safety Zone		0
(10.)	Tailing Pond		0
(11.)	LandFill		0
(12.)	Water Reservoir		0
(13.)	Desalination Plant		0

Total

5.261

23.

Ecological and Environmental Sensitivity (Within 10 Km):- WLS-Wild Life Species; NPA-Notified Protected Area; ESAs-Eco Sensitive Areas; ESZs-Eco Sensitive Zones :

23.1. Details of Ecological Sensitivity :
S. No.	Details of Ecological Sensitivity	Name	Distance from the Project (Km)	Remarks
(1.)	WLS	NIL	100	NO WLS AREA WITHIN 10 KM
(2.)	ESZs	NILL	100	NO ESZ WITHIN 10 KM
(3.)	ESAs	NILL	100	NO ESA WITHIN 10 KM
(4.)	Critically Polluted Area	NIL	100	NO CRTICALLY POLLUTED AREA WITHIN 10 KM
(5.)	NPA	NILL	100	NO NPA WITHIN 10 KM
(6.)	Corridors	NILL	100	NO CORRIDOR WITHIN 10 KM
(7.)	Wildlife Corridors	NILL	100	NO CORRIDOR WITHIN 10 KM

23.2. Details of Environmental Sensitivity :
S. No.	Details of Environmental Sensitivity	Other Details of Environmental Sensitivity	Name	Distance from the Project (Km)	Remarks
(1.)	Forest		NILL	100	NO FOREST LAND WITHIN 10KM RADIUS
(2.)	Defence Installations		NILL	100	NO DEFENCE INSTALLTION WITHIN 10KM RADIUS
(3.)	Archaeological Sites		NILL	100	NO ARCHAEOLOGICAL SITE WITHIN 10KM RADIUS

23.3.

(a)Whether Noc / Permission from the competent authority is required?	No
(b)Whether NBWL recommendation is required?	No

24.

Forest Land:
Whether any Forest Land involved?	No

25.

Tree Cutting:
(a)No. of Trees Cut for the Project (if Forest Land not Involved)	0
(b)Details of Tree Cutting and Planting of Trees	Copy of Details of Tree Cutting and Planting of Trees

26.

Land Acquisition Status:
(a)Acquired Land(Ha)	5.261
(b)Land yet to be acquired(Ha)	0
(c)Status of Land acquisition if not acquired	NA

27.

Rehabilitation and Resettlement (R&R):
(a)No. of Villages	0
(b)No. of Households	0
(c)No. of PDFs (Project Displaced Families)	0
(d)No. of PAFs (Project Affected Families)	0
(e)Funds Allocated for R&R(in Rs)	0
(f)Status of R&R	Yet To Start

28.

Details of Presence of Schedule-I Species:
(a)Whether there is Presence of Schedule-I Species ?	No
(b)Whether conservation plan for Schedule-I Species has been prepared ?	No
(c)Whether conservation plan for Schedule-I Species has been approved by competent authority ?	No

29.

Details of Presence of Water Bodies in Core Area:
(a)Whether there is Presence of Water Bodies in Core Area ?	No
(b)Whether there is Diversion Required ?	No
(c)Whether permission has been obtained from competent authority ?	No

30.

Details of Presence of Water Bodies in Buffer Area:
(a)Whether there is Presence of Water Bodies in Buffer Area ?	Yes
(i)Details of Water Bodies in Buffer Area	TelRiver
(ii)Direction of Water Bodies in Buffer Area	East
(iii)Distance of Water Bodies in Buffer Area	4.37

31.

Manpower Requirement:
(a)Permanent Employment-During Construction	2
(b)Permanent Employment-During Operation	1
(c)Temporary Employment- During Construction	12
(d)Temporary Employment- During Operation	6
(e)No. of working days	300
(f)Total Manpower	21

32.

Green Belt in Ha:
(a)Total Area of Green Belt (in hectare)	1.80
(b)Percentage of Total Project Area	34.21
(c)No. of Plants to be Planted	4800
(d)Funds Allocated for Plantation	7.50
(e)Uploaded Green Belt plan	Copy of Green Belt Plan

33. Project Benefits
S. No.	Type of Project Benefits	Details of Project Benefits
(1.)	Environmental	The impact of project on environment will not be significant, however the plantation activity done by project will have positive impact on local environment
(2.)	Social	Company will undertake awareness program and community activities like health, camps, meaids, family welfare camps, AIDS awareness program etc. Periodic medical checkups as per MAct/ Rules
(3.)	Financial	The project wills beneficiate financial to the proponent and Government. There will be revenue generation for the government in form of Royalty, taxes and DMF. The proponent will get financial benefi

34. CRZ Specific Details : Not Applicable

35. Sector Specific Details For Non-Coal Mining

S. No.

Item

Details

1. No. of Mineral(s) to be Mined : 1
S. No.	Mineral(s) to be Mined	Major or Minor Mineral
(1.)	ROAD MATERIAL	Minor

Mine Capacity in ROM (Run of Mine)

6000

Uploaded 500 meters Cluster Certificate from State Mines and Geology in case of minor minerals

Copy of 500 meters Cluster Certificate from State Mines and Geology

Mining Plan:
(a)Approval Letter No.	127/BZ
(b)Date of Approval	30 May 2020
(c)Approved Letter	Copy of Approved Letter
(d)Approved By State Mining and Geology Department	State
(e)Approved Mining Lease Area	5.261
(f)Approved Capacity	5400

Technical Details:
(a)Total Geological Reserves (Million Ton)	1.4
(b)Mineable Reserves (Million Ton)	1.0
(c)Extractable Reserves(Million Ton)	0.06
(d)Percent(%) of Extraction	6
(e)Grade of Coal /Ore /Mineral	56
(f)Stripping Ratio	9 : 1
(g)Category of Gaseousness (Only for Coal Mining, Others may Write NA)	NA
(h)Average Gradient(Degree)	45
(i)Mining Method	Opencast
(j)Life of Mine (Years)	87

Details of Beneficiations:
(a)Whether it is proposed to install beneficiation plant/Coal washery within the mining lease area	No
(b)Whether it is proposed to install crusher within the mining lease area	No

Details of Seams:
(a)Whether details of seam applicable	No

Details of Mining Lease:
(a)Mining Lease Area (in Hectare)	5.261
(b)Whether obtained Letter of Intent (LOI) from the state government ?	Yes
(i)Copy of Letter of Intent	Copy of Letter of Intent
(ii)Date of issue of LOI	02 Jul 2020
(iii)Validity of LOI	5
(iv)Reference No. of LOI	1880
(c)Whether Lease Deed Executed ?	No
(i)Reason thereof	AFTER OBTAING EC ,LEASE WILLBE EXECUTED
(d)Whether Lease Deed Renewed ?	No
(i)Reason thereof	NA

OB (Over Burden) Management:
(a) Details of External Dumps:
(i)No. of OB Dumps	1
(ii)Total Area (in Hectare)	0.3
(iii)Height (in meter)	1.08
(iv)Quantity (in Million Cubic meter)	3240
(v)No. of year back fill up	5
(b) Details of Internal Dumps:
(i)No. of Internal Dumps	1
(ii)Total Area (in Hectare)	0.3
(iii)Height (in meter)	1.08
(iv)Quantity (in Million Cubic meter)	3240

10.

Details of Topsoil Management:
(a)Quantity of Topsoil excavated during the entire life of the mine (in Million Cubic metre)	0.000545
(b)Quantity of Topsoil proposed for utilization for reclamation during the entire life of the mine (in Million Cubic metre)	0.000545
(c)Quantity of Topsoil proposed for utilization for other activities during the entire life of the mine (in Million Cubic metre)	0.000545

11.

Details of Final Mine Void:
(a)Area (in Hectare)	0.545
(b)Depth (in meter)	6
(c)Volume (in Million Cubic meter)	0.327

12.

Details of Quarry:
(a)Final Void of 0.545 (hectare) at a Depth of 6 meter which is Proposed to be Converted into a Water Body.
(b)Total Quarry Area (ha)	0.327

13.

Details of Transportation:
(a)In Pit/Underground to Surface	25
(b)Surface to Siding/Loading	50
(c)Transportation / Conveyor Details	Trucks/Tripper

14. Details of Land Usage (Pre-Mining)
S. No.	LAND USE	Other LAND USE	WITHIN ML AREA (Hectare)	OUTSIDE ML AREA (Hectare)	TOTAL (Hectare)
(1.)	GRAZING LAND		0	0	0
(2.)	WASTE LAND		5.261	0	5.261
(3.)	SETTLEMENTS		0	0	0
(4.)	SURFACE WATER BODIES		0	0	0
(5.)	FOREST LAND		0	0	0
(6.)	AGRICULTURE LAND		0	0	0
TOTAL			5.261	0	5.261

15. Details of Land Usage (Post-Mining)
S. No.	LAND USE	Other LAND USE	Plantation (ha)	Water Body (ha)	Public Use (ha)	Undisturbed (ha)	Total
(1.)	GREEN BELT		0.825	0	0		0.825
(2.)	Other	Mineral Stack	0.020	0	0		0.02
(3.)	EXTERNAL OB DUMPS		0	0	0		0
(4.)	TOP SOIL STORAGE		0	0	0		0
(5.)	BUILT UP AREA (COLONY/OFFICE)		0.020	0	0		0.02
(6.)	INTERNAL OB DUMPS		0.300	0	0		0.3
(7.)	EXCAVATION/QUARRY		0.545	0	0		0.545
(8.)	ROADS		0	0	0.050		0.05
(9.)	VIRGIN AREA		3.501	0	0		3.501
TOTAL			5.211	0	0.05	0	5.261

16.

Details of Reclamation:
Total Afforestation Plan shall be Implemented Covering of Mining. This will Include:
(a)External OB Dump(in hectare)	0
(b)Internal Dump(in hectare)	0.300
(c)Quarry(in hectare)	0.545
(d)Safety Zone(in hectare)	0.825
(e)Final Void of 0.545 (hectare) at a Depth of 6 meter which is Proposed to be Converted into a Water Body.
(f)Density of Tree Plantation per ha (in no.)	2667
(g)Others in ha (such as Excavation Area along ML Boundary, along Roads and Infrastructure, Embankment Area and in Township Located Outside the Lease etc)	0.90
(h)Total afforestation plant (in hectare)	1.8

17.

Status of progressive Mining Closure Plan:
Details Not Applicable

18. Details of Actual Coal/ ORE Production vis-a-vis Sanctioned Capacity since the Inception:
S. No.	Financial Year	Sanctioned Capacity as per EC (MTPA)	Sanctioned Capacity as per CTO	Sanctioned Capacity as per approved mining plan	Actual Production	Excess Production Beyond the EC / CTO/ Mining Plan Sanctioned Capacity (MTPA)
(1.)	20212	0	0	0	0	0

S. No.

Item

Details

36.

Details of Court Cases:
(a)Whether there is any Court Cases pending against the project and/or land in which the project is proposed to be set up ?	No

37.

Details of Direction Issued under Environment (Protection) Act / Air (Prevention & Control of Pollution)) Act / Water (Prevention & Control of Pollution) Act:
(a)Whether any Direction issued under EPA Act/Air Act/Water Act ?	No

38.

Details of EIA Consultant:
(a)Have you hired Consultant for preparing document?	Yes
(i)Accreditation No.	NABET/EIA/1922/IA0055
(ii)Name of the EIA Consultant	ardra consulting services pvt ltd
(iii)Address	A/79 SAHEED NAGAR
(iv)Mobile No.	9439100999
(v)Landline No.	0674254634
(vi)Email Id	ardraconsulting09@gmail.com
(vii)Category of Accreditation	B
(viii)Sector of Accreditation	Non-Coal Mining
(ix)Validity of Accreditation	29 Dec 2022
(x)Uploaded Certificate of Accreditation certified by QCI/NABET	Copy of Certificate of Accreditation

39.

Documents to be Attached:
(a.I)Upload Copy of EIA/EMP(Text)	Copy of EIA/EMP(Text)
(a.II)Upload Copy of EIA/EMP(Annexures) Report	Copy of EIA/EMP(Annexures)
(a.III)Upload Copy of EIA/EMP(Maps/Plans/Figures only)	Copy of EIA/EMP(Maps/Plans/Figures only)
(b)Uploaded Copy of Risk Assessment Report	Copy of Risk Assessment
(c)Uploaded Copy of Feasibility Report/ Detailed Project Report(DPR) /Detailed Engineering Report /Detailed Conceptual Plan /Approved Mining Plan	Copy of Feasibility Report/ Detailed Project Report(DPR) /Detailed Engineering Report /Detailed Conceptual Plan /Approved Mining Plan
(d)Uploaded Copy of Final Layout Plan	Copy of Final Layout Plan
(e)Uploaded Cover Letter	Copy of Cover Letter
(f)Uploaded Copy of documents in support of the competence/authority of the person making this application to make application on behalf of the User Agency	Copy of documents in support of the competence/authority of the person making this application to make application on behalf of the User Agency
(g)Uploaded Copy of District Survey Report	NA
(h)Uploaded Copy of Replenishment Study Report & Baseline Survey Data	NA
(i)Uploaded Additional File	Copy of Additional File
(j)Uploaded Proposal Presentation (To be given in EAC meeting)	Copy of Uploaded Proposal Presentation
(k)Uploaded Updated Form1	NA

Essential Details Sought
S. No.	EDS Sought Date	EDS Sought	Letter
NO Record

Addtional Details Sought
S. No.	ADS Sought Date	ADS Sought	Letter
NO Record

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. In addition to above, I hereby give undertaking that no activity/ construction/ expansion has since been taken up.

Name of Applicant	Narottam Mohanty
Designation	Lessee
Name of Company (Applicant Name should not be given here)	NAROTTAM MOHANTY
Address	Plot No 272,Kharvel Nagar