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) For the grant of EC of Bichhakhandi Black Stone quarry No-16(Cluster Serial No-4C/12), (Khata No-389, Plot No-1815) over an area of 2.00 acres or 0.809 hacters in village Bichhakhandi under Dharmasala Tahasil of Jajpur District, Odisha
(b)Name of the Company / Organisation LAXMIPRIYA PRUSTY
(c)Registered Address At. Patala, Dist. Dhenkanal,,Dhenkanal,Orissa-759019
(d)Legal Status of the Company Individual
2.
Address for the correspondence:
(a)Name of the Applicant Sukumar Nanda
(b)Designation (Owner/ Partner/ CEO)
(c)Address At. Patala, Dist. Dhenkanal,,,Dhenkanal,Orissa-759019
(d)Pin code 759019
(e)E-mail laxmipprusty11@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
3.
Category of the Project/Activity as per Schedule of EIA Notification,2006:
(a)Major Project/Activity1(a) Mining of minerals
(b)Minor Project/ActivityNIL
(c)Category B1
(d)Proposal Number SIA/OR/MIN/74883/2022
(e)Master Proposal Number(Single Window) SW/266639/2022
(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. 389, 1815(p)
(b)Pincode 755008
(c)Bounded Latitudes (North)
From
Degree 20
Minutes 44
Second 53.92
From
Degree 20
Minutes 45
Second 12.94
(d)Bounded Longitudes (East)
From
Degree 86
Minutes 05
Second 53.93
From
Degree 86
Minutes 06
Second 10.46
(e)Survey of India Topo Sheet No. F45T13
(f)Uploaded Topo Sheet File Copy of Topo Sheet File
(g)Maximum Elevation Above Means Sea Level(AMSL) 55
(h)Uploaded (kml) File Copy of Kml File     
(i)Distance of Nearest HFL from the project boundary within the study area 1.41
(j)Seismic Zone 3
5.
(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.)OrissaJajpurDharmasalaBichhakhandi
6.
Details of Terms of Reference (ToR):
(a)MoEF&CC / SEIAA File Number NA
(b)Date of Apply of TOR 02 Mar 2022
(c)Date of Issue of TOR / Standard ToR 01 Apr 2022
(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? No
(c)Reason PH has been already conducted for the said cluster.
(d)Supporting Document Copy of Supporting Document
8.
Details of Project Configuration/Product:
     8.1.       Project Configuration
S. No.Plant/Equipment/FacilityConfigurationRemarks
(1.)Excavator0.9/1.5 m3
(2.)jack hammer & accessories33mm
(3.)Blast hole drill150mm
(4.)tipper/dumper25T
(5.)Water Tanker3000 KL
(6.)Loader1.9/2.3 m3
     8.2.       Product
S. No.Product/Activity (Capacity/Area)QuantityUnitOther UnitMode of Transport / Transmission of ProductOther Mode of Transport / Transmission of Product
(1.)Black Stone2040Otherscum/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) 0.15
(b) Funds Allocated for Environment Management (Capital) (in crores) 0.055
(c) Funds Allocated Towards ESC (Entrepreneur Social Responsibility) (in crores) 0.0003
(d) Funds Allocated for Environment Management Plan (EMP) (Recurring per Annum) (in crores) 0.01
(e) Funds Allocated for Environment Management Capital(%) 36.67
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 0
(b)Existing quantity of raw material/fuel N/A
(c)Total quantity of raw material/fuel 0
    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.)No raw material will be required0Tons per AnnumNARoad0 OthersNACopy of Linkage
14.
Baseline Data :
(a)Period of Base Line Data Collection FROM 02 Apr 2022 To 03 Apr 2022
(b)Season Summer
    14.1.     No. of ambient Air Quality (AAQ) Monitoring Locations : 0
S. No.Criteria Pollutants Other Criteria PollutantsUnitMaximum ValueMinimum Value98 Percentile ValuePrescribed Standard
(1.)PM2.5Micro Gram per Meter Cube0000
(2.)NOxMicro Gram per Meter Cube0000
(3.)PM10Micro Gram per Meter Cube0000
(4.)SO2Micro Gram per Meter Cube0000
    14.2.     No. of Ground Water Monitoring Locations : 0
S. No.Criteria Pollutants Other Criteria PollutantsHeavy MetalUnitOther UnitMaximum ValueMinimum ValueDesirable LimitMaximum Permissible Limit
(1.)Total Hardnessmg/l0000
(2.)Chloridesmg/l0000
(3.)Fluoridemg/l0000
(4.)Heavy MetalsFemg/l0000
(5.)TSSmg/l0000
(6.)TDSmg/l0000
(7.)pHmg/l0000
    14.3.     No. of Surface Water Monitoring Locations : 0
S. No.Criteria Pollutants Other Criteria PollutantsUnitOther UnitMaximum ValueMinimum ValueClassification of inland water body
(1.)DOmg/l00C
(2.)BODmg/l00C
(3.)CODmg/l00C
(4.)pHmg/l00A
    14.4.     No. of Ambient Noise Monitoring Locations : 0
S. No.Parameter UnitMaximum ValueMinimum ValuePrescribed Standard
(1.)Leq(Night)A-weighted decibels(dB(A))000
(2.)Leq(Day)A-weighted decibels(dB(A))000
    14.5.     No. of Soil Sample Monitored Locations : 0
S. No.Parameter UnitOther UnitMaximum ValueMinimum Value
(1.)pH00
(2.)P(Phosphorus)Milligram per Kilogram00
(3.)N(Nitrogen)Parts per Million00
(4.)K(Potassium)Milligram per Kilogram00
(5.)Electric ConductivityMillisiemens per Centimetre00
14.6.
Details of Ground Water Table:
(a)Range of Water Table Pre-Monsoon Season (Meters Below Ground Level (m bgl)) From 8 To 10
(b)Range of Water Table Post-Monsoon Season (Meters Below Ground Level (m bgl)) From 6 To 5
(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.)Otherswater tankers30 Not Appliacble modeOtherswater tankersOtherswater tankers007 Apr 20220
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.)NA00othersOthersNA00
16.1.
(a)Total Waste Water Generation 0
(b)Total Discharged Water 0
(c)Total Reused Water 0
    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.)OB & IBOthersmining waste14160Tons0RoadOthersas utilized for construction haul road, ramp
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.)NOxNA00000
(3.)PM10Microgram per Meter Cube00000
(4.)SO2NA00000
    18.2.     Stack Details
S. No.Source FuelStack Height(m)Stack Diameter(m)PollutantsOther PollutantsEmission (GLS)
(1.)NANA00PM10,SO2,NOx0
19.
Power Requirement:
(a)Quantity (Kilo Volt Amps (kVA)) 0
(b)Source 0
(c)Uploaded Copy of Agreement Copy of Agreement
(d)Standby Arrangement (Details of DG Sets) 350
(e)Stack Height (in m) 0
20.
Land Ownership Pattern:
(a)Forest Land 0
(b)Private Land 0
(c)Government Land 0
(d)Revenue Land 0.809
(e)Other Land 0
    Total Land 0.809
21.
Present Land Use Breakup of the Study Area in Ha:
(a)Agriculture Area 0
(b)Waste/Barren Land 0
(c)Grazing/ Community Land 0
(d)Surface Water Bodies 0
(e)Settlements 0
(f)Industrial 0.809
(g)Forest 0
(h)Mangroves 0
(i)Marine Area 0
(j)Others : NA 0
    Total 0.809
    22.     Land Requirement for Various Activities
S. No.Description of Activity / Facility / Plant / Others OthersLand RequirementRemarks
(1.)Quarry Area0.175
(2.)OB Dump Area0.007
(3.)Safety Zone0.603
(4.)Othersinfrastructure0.024infrastructure
Total 0.809
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.)WLSNA0Not found
(2.)NPANA0Not found
(3.)ESAsNA0Not found
(4.)ESZsNA0Not found
(5.)CorridorsNA0Not found
(6.)Critically Polluted AreaNA0Not found
(7.)Wildlife CorridorsNA0Not found
    23.2.     Details of Environmental Sensitivity :
S. No.Details of Environmental Sensitivity Other Details of Environmental Sensitivity NameDistance from the Project (Km)Remarks
(1.)ForestKapilas23Reserve Forest
(2.)Archaeological SitesLangudi hill25.4Archaeological Site
(3.)Defence InstallationsCharbatia34Defence
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 Not Applicable
26.
Land Acquisition Status:
(a)Acquired Land(Ha) 0.809
(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 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 Brahmani River
(ii)Direction of Water Bodies in Buffer Area North
(iii)Distance of Water Bodies in Buffer Area 4.2
31.
Manpower Requirement:
(a)Permanent Employment-During Construction 0
(b)Permanent Employment-During Operation 8
(c)Temporary Employment- During Construction 0
(d)Temporary Employment- During Operation 0
(e)No. of working days 300
(f)Total Manpower 8
32.
Green Belt in Ha:
(a)Total Area of Green Belt (in hectare) 0.603
(b)Percentage of Total Project Area 74.54
(c)No. of Plants to be Planted 95
(d)Funds Allocated for Plantation 14250
(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
(2.)EnvironmentalGreen Belt
   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.)Black StoneMinor
2.
Mine Capacity in ROM (Run of Mine) 2550
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. GXVII(i)-173/21-670
(b)Date of Approval 01 Feb 2022
(c)Approved Letter Copy of Approved Letter
(d)Approved By State Mining and Geology Department Directorate of Geology
(e)Approved Mining Lease Area 0.809
(f)Approved Capacity 2019
5.
Technical Details:
(a)Total Geological Reserves (Million Ton) 0.65
(b)Mineable Reserves (Million Ton) 0.202
(c)Extractable Reserves(Million Ton) 0.202
(d)Percent(%) of Extraction 80
(e)Grade of Coal /Ore /Mineral 0
(f)Stripping Ratio 0 : 0
(g)Category of Gaseousness (Only for Coal Mining, Others may Write NA) 0
(h)Average Gradient(Degree) 0
(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) 0.809
(b)Whether obtained Letter of Intent (LOI) from the state government ? No
(i)Reason thereof NA
(c)Whether Lease Deed Executed ? No
(i)Reason thereof NA
(d)Whether Lease Deed Renewed ? No
(i)Reason thereof NA
9.
OB (Over Burden) Management:
(a) Details of External Dumps:
(i)No. of OB Dumps 1
(ii)Total Area (in Hectare) 0.007
(iii)Height (in meter) 5
(iv)Quantity (in Million Cubic meter) 2150
(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) 0
(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) 0.171
(b)Depth (in meter) 18
(c)Volume (in Million Cubic meter) 12850
12.
Details of Quarry:
(a)Final Void of 0.171 (hectare) at a Depth of 50 meter which is Proposed to be Converted into a Water Body.
(b)Total Quarry Area (ha) 0.171
13.
Details of Transportation:
(a)In Pit/Underground to Surface 0
(b)Surface to Siding/Loading 0
(c)Transportation / Conveyor Details 102850 cum
     14.      Details of Land Usage (Pre-Mining)
S. No.LAND USE Other LAND USEWITHIN ML AREA (Hectare)OUTSIDE ML AREA (Hectare)TOTAL (Hectare)
(1.)WASTE LAND0.80900.809
(2.)FOREST LAND000
(3.)SURFACE WATER BODIES000
(4.)GRAZING LAND000
(5.)AGRICULTURE LAND000
(6.)SETTLEMENTS000
TOTAL0.80900.809
     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.)TOP SOIL STORAGE0000
(2.)VIRGIN AREA0000
(3.)GREEN BELT0000
(4.)OtherNA0000
(5.)EXCAVATION/QUARRY0000
(6.)BUILT UP AREA (COLONY/OFFICE)0000
(7.)INTERNAL OB DUMPS0000
(8.)ROADS0000
(9.)EXTERNAL OB DUMPS0000
TOTAL00000
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
(d)Safety Zone(in hectare) 0
(e)Final Void of 0 (hectare) at a Depth of 0 meter
    which is Proposed to be Converted into a Water Body.
(f)Density of Tree Plantation per ha (in no.) 0
(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
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.)000000
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? No
(i)Reason for not Hiring the Consultant B2 category project and EC obtained for Cluster. Hence, converted to B1 category
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
(1.)07/05/2022The project proponent ask to submit the proposal with attaching required documents as per our letter no. 2329/SEIAA dt. 31.08.2021. Submit DSR copy, Final EIA and EMP report under cluster approach, D.L.C., 500 google earth map of proposed quarry, village sheet, Google earth map showing the nearest ESZ, cluster certificate as per checklist encloser.
(2.)07/05/2022The project proponent ask to submit the proposal with attaching required documents as per our letter no. 2329/SEIAA dt. 31.08.2021. Submit DSR copy, Final EIA and EMP report under cluster approach, D.L.C., 500 google earth map of proposed quarry, village sheet, Google earth map showing the nearest ESZ, cluster certificate as per checklist encloser.
(3.)11/05/2022The correction have been made as per the instruction received
           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 ApplicantSukumar Nanda
Designation
Name of Company (Applicant Name should not be given here)LAXMIPRIYA PRUSTY
AddressAt. Patala, Dist. Dhenkanal
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