Form-2
APPLICATION FOR PRIOR ENVIRONMENTAL CLEARANCE
S. No.Item Details
1.
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) Smt Kavita Parekh (Baldevpur Limestone Mine)
(b)Name of the Company / Organisation KAVITA PARIKH
(c)Registered Address Vill-Baldeopur, Teh- Khairagarh,Distt- Rajnandgaon,Chhattisgarh,Rajnandgaon,Chhattisgarh-491441
(d)Legal Status of the Company Others
2.
Address for the correspondence:
(a)Name of the Applicant Kavita Parikh
(b)Designation (Owner/ Partner/ CEO) Lessee
(c)Address Vill- Baldeopur, Teh- Khairagarh,Distt- Rajnandgaon,Chhattisgarh,Khairagarh,Rajnandgaon,Chhattisgarh-491441
(d)Pin code 491441
(e)E-mail rajusidak27@gmail.com
(f)Telephone No. 877-0059966
(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
3.
Category of the Project/Activity as per Schedule of EIA Notification,2006:
(a)Major Project/Activity1(a) Mining of minerals
(b)Minor Project/Activity8(a) Building and Construction projects
(c)Category B1
(d)Proposal Number SIA/CG/MIN/43871/2019
(e)Master Proposal Number(Single Window) SW/256621/2022
(f)EAC concerned (for category A Projects only) Non-Coal Mining
(g)Project Type Fresh EC
4.
Location of the Project:
(a)Plot/Survey/Khasra No. 907 and 909/1
(b)Pincode 491881
(c)Bounded Latitudes (North)
From
Degree 21
Minutes 20
Second 54.22
From
Degree 21
Minutes 20
Second 58.94
(d)Bounded Longitudes (East)
From
Degree 80
Minutes 57
Second 25.91
From
Degree 80
Minutes 57
Second 29.11
(e)Survey of India Topo Sheet No. 64C/15, 64G/3
(f)Uploaded Topo Sheet File Copy of Topo Sheet File
(g)Maximum Elevation Above Means Sea Level(AMSL) 335
(h)Uploaded (kml) File Copy of Kml File     
(i)Distance of Nearest HFL from the project boundary within the study area 10
(j)Seismic Zone 2
5.
(a)Number of States in which Project will be Executed 1
(b)Main State of the project Chhattisgarh
Details of State(s) of the project
S. No. State Name District Name Tehsil Name Village Name
(1.)ChhattisgarhRajnandgaonKhairagarhBaldeopur
6.
Details of Terms of Reference (ToR):
(a)MoEF&CC / SEIAA File Number Not Aplicable
(b)Date of Apply of TOR 28 Sep 2019
(c)Date of Issue of TOR / Standard ToR 28 Sep 2019
(d)Previous TOR Letter Copy of Previous TOR letter
7.
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 DetailsNo. of People AttendedIssues RaisedDesignation of Presiding OfficerOther Designation of Presiding Officer
(1.)
Date of Advertisement :09 Aug 2021
Copy of advertisement :Copy of Advertisement
Copy of Public Hearing :Copy of Public Hearing
Date :15 Sep 2021
Distance of Public Hearing Venue from the Proposed Project :2
Grampanchayat Bhawan Kalkasa
State :Chhattisgarh
District :Rajnandgaon
Tehsil :Khairagarh
Village :Kalkasa
78Employment, Air Pollution, and BlastingDistrict Magistrate
8.
Details of Project Configuration/Product:
     8.1.       Project Configuration
S. No.Plant/Equipment/FacilityConfigurationRemarks
(1.)Limestone14274.88Minor Mineral
     8.2.       Product
S. No.Product/Activity (Capacity/Area)QuantityUnitOther UnitMode of Transport / Transmission of ProductOther Mode of Transport / Transmission of Product
(1.)Limestone14274.88Tons per AnnumRoad
9.
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) 0.10
(b) Funds Allocated for Environment Management (Capital) (in crores) 0.005
(c) Funds Allocated Towards ESC (Entrepreneur Social Responsibility) (in crores) 0.002
(d) Funds Allocated for Environment Management Plan (EMP) (Recurring per Annum) (in crores) 0.001
(e) Funds Allocated for Environment Management Capital(%) 5.00
11.
Whether project attracts the General Condition specified in the Schedule of EIA Notification ? No
12.
Whether project attract the Specific Condition specified in the Schedule of EIA Notification ? No
13.
Raw Material / Fuel Requirement:
(a)Proposed quantity of raw material/fuel 14274.88
(b)Existing quantity of raw material/fuel N/A
(c)Total quantity of raw material/fuel 14274.88
    13.1.        Raw Material / Fuel Profile
S. No.Raw Material / Fuel QuantityUnitOther UnitSource (incase of Import. please specify country and Name of the port from which Raw Material / Fuel is received )Mode of TransportOther Mode of TransportDistance 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.)Limestone14274.88Tons per AnnumMining siteRoad0 Open MarketCopy of Linkage
14.
Baseline Data :
(a)Period of Base Line Data Collection FROM 01 Oct 2020 To 31 Dec 2020
(b)Season Post-Monsoon
    14.1.     No. of ambient Air Quality (AAQ) Monitoring Locations : 11
S. No.Criteria Pollutants Other Criteria PollutantsUnitMaximum ValueMinimum Value98 Percentile ValuePrescribed Standard
(1.)PM2.5Micro Gram per Meter Cube47.7726.143.8760
(2.)NOxMicro Gram per Meter Cube20.3311.3319.9280
(3.)SO2Micro Gram per Meter Cube11.369.0311.1380
(4.)PM10Micro Gram per Meter Cube67.7747.2265.81100
    14.2.     No. of Ground Water Monitoring Locations : 10
S. No.Criteria Pollutants Other Criteria PollutantsHeavy MetalUnitOther UnitMaximum ValueMinimum ValueDesirable LimitMaximum Permissible Limit
(1.)Chloridesmg/l91692501000
(2.)Fluoridemg/l0.30.1711.5
(3.)TSSmg/l0000
(4.)Total Hardnessmg/l323.16212.33200600
(5.)Heavy MetalsLeadmg/l0000
(6.)pHNA7.316.86.58.5
(7.)TDSmg/l5544095002000
    14.3.     No. of Surface Water Monitoring Locations : 10
S. No.Criteria Pollutants Other Criteria PollutantsUnitOther UnitMaximum ValueMinimum ValueClassification of inland water body
(1.)DOmg/l8.87.3A
(2.)BODmg/l5.43.8A
(3.)CODmg/l28.422.2A
(4.)OthersSulphatemg/l143.3112.2A
(5.)pHNA7.677.109A
    14.4.     No. of Ambient Noise Monitoring Locations : 11
S. No.Parameter UnitMaximum ValueMinimum ValuePrescribed Standard
(1.)Leq(Day)A-weighted decibels(dB(A))46.2132.155
(2.)Leq(Night)A-weighted decibels(dB(A))54.8747.8965
    14.5.     No. of Soil Sample Monitored Locations : 6
S. No.Parameter UnitOther UnitMaximum ValueMinimum Value
(1.)pH7.536.80
(2.)P(Phosphorus)Milligram per Kilogram33.2325.45
(3.)N(Nitrogen)Percent0.0850.067
(4.)Electric ConductivityMillisiemens per Centimetre421312
(5.)K(Potassium)Milligram per Kilogram128108
14.6.
Details of Ground Water Table:
(a)Range of Water Table Pre-Monsoon Season (Meters Below Ground Level (m bgl)) From 35 To 40
(b)Range of Water Table Post-Monsoon Season (Meters Below Ground Level (m bgl)) From 30 To 35
(c)Whether Ground Water Intersection will be there ? No
     15.      Details of Water Requirement (During Operation)
S. No.Source Source Other Required QuantityDistance from SourceCopy of Permission from Competent Authority Mode of TransportOther Mode of TransportMethod of Water WithdrawalOther Method of Water WithdrawalLetter No.Date of IssuePermitted Quantity
(1.)GroundWater80Copy of Permission LetterPipelineTube WellNot available08 Feb 20229
15.1.
(a)Whether Desalination is proposed No
    16.       Waste Water Management(During Operation)
S. No.Type/Source Quantity of Waste Water Generated (Kilolitre per Day)Treatment Capacity (Kilolitre per Day) Treatment MethodMode of DisposalOther Mode of DisposalQuantity of Treated Water Used in Recycling/Reuse (Kilolitre per Day)Quantity of Discharged Water (Kilolitre per Day)
(1.)Domestic Waste0.10.1Septic tank followed by soak pitGreen Belt Renewal Plant0.1
16.1.
(a)Total Waste Water Generation 0.1
(b)Total Discharged Water 0
(c)Total Reused Water 0.1
    17.       Solid Waste Generation/Management
S. No.Name of Waste Item Other ItemQuantity per AnnumUnitDistance from Site(KM)Mode of TransportOther Mode of TransportMode of DisposalOther Mode of Disposal
(1.)Domestic wasteMunicipal Solid Waste0.5Tons0RoadOthersSoak pit
18.
    18.1.     Air Quality Impact Prediction
S. No.Criteria Pollutants Other Criteria PollutantsUnitBaseline ConcentrationDistance GLCIncremental ConcentrationTotal GLCPrescribed Standard
(1.)PM2.5Microgram per Meter Cube00000
(2.)SO2Microgram per Meter Cube00000
(3.)PM10Microgram per Meter Cube67.15030.097.15100
(4.)NOxMicrogram per Meter Cube00000
    18.2.     Stack Details
S. No.Source FuelStack Height(m)Stack Diameter(m)PollutantsOther PollutantsEmission (GLS)
(1.)Not Available000PM100
19.
Power Requirement:
(a)Quantity (Kilo Volt Amps (kVA)) 5
(b)Source CSPDCL
(c)Uploaded Copy of Agreement Copy of Agreement
(d)Standby Arrangement (Details of DG Sets) 0
(e)Stack Height (in m) 0
20.
Land Ownership Pattern:
(a)Forest Land 0
(b)Private Land 0.667
(c)Government Land 0
(d)Revenue Land 0
(e)Other Land 0
    Total Land 0.667
21.
Present Land Use Breakup of the Study Area in Ha:
(a)Agriculture Area 0
(b)Waste/Barren Land 0.667
(c)Grazing/ Community Land 0
(d)Surface Water Bodies 0
(e)Settlements 0
(f)Industrial 0
(g)Forest 0
(h)Mangroves 0
(i)Marine Area 0
(j)Others : NA 0
    Total 0.667
    22.     Land Requirement for Various Activities
S. No.Description of Activity / Facility / Plant / Others OthersLand RequirementRemarks
(1.)Quarry Area0.3500NA
(2.)Green belt0.3000NA
(3.)OthersUnused area0.0170NA
Total 0.667
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 NameDistance from the Project (Km)Remarks
(1.)NPANA50No NPA within 10 km radius study area
(2.)ESAsNA50No ESAs within 10 km radius study area
(3.)Wildlife CorridorsNA50No WLC within 10 km radius study area
(4.)Critically Polluted AreaNA50No CPA within 10 km radius study area
(5.)WLSNA20No WLS within 10 km radius study area
(6.)ESZsNA50No ESZs within 10 km radius study area
(7.)CorridorsNA50No Corridores within 10 km radius study area
    23.2.     Details of Environmental Sensitivity :
S. No.Details of Environmental Sensitivity Other Details of Environmental Sensitivity NameDistance from the Project (Km)Remarks
(1.)Archaeological SitesDongargarh15No any Archaeological sites present in this area.
(2.)Defence InstallationsAmbagarhchowki40No any Defense Installation in this area.
(3.)ForestDongargarh20Long Distance
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) 0.667
(b)Land yet to be acquired(Ha) 0
(c)Status of Land acquisition if not acquired Acquired
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 Completed
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 ? No
31.
Manpower Requirement:
(a)Permanent Employment-During Construction 2
(b)Permanent Employment-During Operation 2
(c)Temporary Employment- During Construction 3
(d)Temporary Employment- During Operation 3
(e)No. of working days 240
(f)Total Manpower 10
32.
Green Belt in Ha:
(a)Total Area of Green Belt (in hectare) 0.300
(b)Percentage of Total Project Area 44.98
(c)No. of Plants to be Planted 500
(d)Funds Allocated for Plantation 100000
(e)Uploaded Green Belt plan Copy of Green Belt Plan
    33.         Project Benefits
S. No.Type of Project Benefits Details of Project Benefits
(1.)SocialEmployment generation and infrastructure development
   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.)LimestoneMinor
2.
Mine Capacity in ROM (Run of Mine) 250125
3.
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
4.
Mining Plan:
(a)Approval Letter No. 3261/khani. 02/M. P. Anumodan/No. kramank 05/ 201
(b)Date of Approval 13 Jun 2022
(c)Approved Letter Copy of Approved Letter
(d)Approved By State Mining and Geology Department State
(e)Approved Mining Lease Area 0.667
(f)Approved Capacity 14274.88
5.
Technical Details:
(a)Total Geological Reserves (Million Ton) 0.250125
(b)Mineable Reserves (Million Ton) 0.072277
(c)Extractable Reserves(Million Ton) 0.072277
(d)Percent(%) of Extraction 100
(e)Grade of Coal /Ore /Mineral 1
(f)Stripping Ratio 1 : 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) 5
6.
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
7.
Details of Seams:
(a)Whether details of seam applicable No
8.
Details of Mining Lease:
(a)Mining Lease Area (in Hectare) 0.667
(b)Whether obtained Letter of Intent (LOI) from the state government ? No
(i)Reason thereof Agreement done
(c)Whether Lease Deed Executed ? Yes
(i)Copy of Executed Lease deed valid as on Date Copy of Executed Lease deed
(ii)Provide area in Hectare as per executed lease deed (initial) document 0.667
(iii)Validity of the lease deed From : 28 Apr 2007 To : 27 Apr 2037
(iv)Date of Execution of Mining Lese 28 Apr 2007
(v)Reference Number 6141
(d)Whether Lease Deed Renewed ? Yes
     8.1.    Earlier Renewals:
S. No.Lease Details Date of Renewal Period Copy of Earlier Lease Letter No.Area Remarks
(1.)Renewal 28 Apr 2012 From : 28 Apr 2012 To : 27 Apr 2017 Copy of Earlier Lease6141 0.667 The lease period to be extended up to 50 years (i.e. 27.14.2007 to 28.04.2037) w.e.f. 29.11.1996 under Rule 38A(3) of Chhattisgarh Minor Mineral Rules, 2015.
(2.)Initial 01 Jan 1900 From : 28 Apr 2007 To : 28 Apr 2017 Copy of Earlier Lease6141 0.667 The lease period to be extended up to 50 years (i.e. 27.04.2007 to 28.04.2037) w.e.f. 29.11.1996 under Rule 38A(3) of Chhattisgarh Minor Mineral Rules, 2015.
9.
OB (Over Burden) Management:
(a) Details of External Dumps:
(i)No. of OB Dumps 0
(ii)Total Area (in Hectare) 0
(iii)Height (in meter) 0
(iv)Quantity (in Million Cubic meter) 0
(v)No. of year back fill up 0
(b) Details of Internal Dumps:
(i)No. of Internal Dumps 0
(ii)Total Area (in Hectare) 0
(iii)Height (in meter) 0
(iv)Quantity (in Million Cubic meter) 0
10.
Details of Topsoil Management:
(a)Quantity of Topsoil excavated during the entire life of the mine (in Million Cubic metre) 1500
(b)Quantity of Topsoil proposed for utilization for reclamation during the entire life of the mine (in Million Cubic metre) 0
(c)Quantity of Topsoil proposed for utilization for other activities during the entire life of the mine (in Million Cubic metre) 0
11.
Details of Final Mine Void:
(a)Area (in Hectare) 0.667
(b)Depth (in meter) 15
(c)Volume (in Million Cubic meter) 0.0100050
12.
Details of Quarry:
(a)Final Void of 0.3500 (hectare) at a Depth of 15 meter which is Proposed to be Converted into a Water Body.
(b)Total Quarry Area (ha) 0.667
13.
Details of Transportation:
(a)In Pit/Underground to Surface By Ramp
(b)Surface to Siding/Loading Raod
(c)Transportation / Conveyor Details Tipper
     14.      Details of Land Usage (Pre-Mining)
S. No.LAND USE Other LAND USEWITHIN ML AREA (Hectare)OUTSIDE ML AREA (Hectare)TOTAL (Hectare)
(1.)AGRICULTURE LAND000
(2.)FOREST LAND000
(3.)WASTE LAND0.66700.667
(4.)OTHERS(Specify)NA000
(5.)GRAZING LAND000
(6.)SURFACE WATER BODIES000
(7.)SETTLEMENTS000
TOTAL0.66700.667
     15.      Details of Land Usage (Post-Mining)
S. No.LAND USE Other LAND USEPlantation (ha)Water Body (ha)Public Use (ha)Undisturbed (ha)Total
(1.)EXCAVATION/QUARRY00.350000.35
(2.)TOP SOIL STORAGE0000
(3.)EXTERNAL OB DUMPS0000
(4.)BUILT UP AREA (COLONY/OFFICE)0000
(5.)GREEN BELT0.300000.3
(6.)VIRGIN AREA0.0170000.017
(7.)INTERNAL OB DUMPS0000
(8.)ROADS0000
(9.)OtherNA0000
TOTAL0.3170.35000.667
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
(c)Quarry(in hectare) 0.3500
(d)Safety Zone(in hectare) 0.317
(e)Final Void of 0.667 (hectare) at a Depth of 15 meter
    which is Proposed to be Converted into a Water Body.
(f)Density of Tree Plantation per ha (in no.) 1000
(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
(h)Total afforestation plant (in hectare) 0.317
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 CTOSanctioned Capacity as per approved mining planActual Production Excess Production Beyond the EC / CTO/ Mining Plan Sanctioned Capacity (MTPA)
(1.)202214274.8814274.8814274.8814274.880
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/IA0053
(ii)Name of the EIA Consultant P & M Solution
(iii)Address First Floor C-88 Sector - 65, Noida, UP, Pin code 201301
(iv)Mobile No. 9617160900
(v)Landline No. 4070754
(vi)Email Id jagmohan11@gmail.com
(vii)Category of Accreditation A
(viii)Sector of Accreditation Non-Coal Mining
(ix)Validity of Accreditation 10 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/SEIAA/SEAC meeting) NA
(k)Uploaded Updated Form1 NA
           Essential Details Sought
S. No.EDS Sought DateEDS SoughtLetter
NO Record
           Addtional Details Sought
S. No.ADS Sought DateADS SoughtLetter
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 ApplicantKavita Parikh
DesignationLessee
Name of Company (Applicant Name should not be given here)KAVITA PARIKH
AddressVill-Baldeopur, Teh- Khairagarh,Distt- Rajnandgaon
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