LIST OF DOCUMENTS ATTACHED FOR THE ENVIRONMENTAL CLEARANCE OF MINING ACTIVITY S. Description Page No. No. 1 FORM 1 Basic Information (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.) 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): 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. 4. Production of solid wastes during construction or operation or decommissioning (MT/month) 5. Release of pollutants or any hazardous, toxic or noxious substances to air (Kg/hr) 6. Generation of Noise and Vibration, and Emissions of Light and Heat: 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: 8. Risk of accidents during construction or operation of the Project, which could affect human health or the environment 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 Environmental Sensitivity 2 PRE-FEASIBILITY PROJECT REPORT Chapter-1 INTRODUCTION Chapter – 2 PROJECT PROFILE Chapter – 3 ENVIRONMENTAL IMPACTS PREDICTION Chapter – 4 ENVIRONMENTAL MANAGEMENT PLAN 3 MINING PLAN 4 UNDERTAKING 1 5 UNDERTAKING 2 6 UNDERTAKING 3 7 Copy of Certificate of Approval 8 Mining Site 1 9 Copy of Lease Agreement 10 Copy of Revenue Record 11 Copy of Latha 12 Mining Site 2 13 Copy of Lease Agreement 14 Copy of Revenue Record 15 Copy of Latha 1 16 Pictures of Site PRIOR ENVIRONMENTAL CLEARANCE OF ORDINARY MINING PROJECT ORDINARY EARTH MINING SITE ( 0.65 HECTARES) LOCATED AT VILLAGE : PAHARPUR, TEHSIL : PATIALA DISTRICT : PATIALA STATE : PUNJAB SUBMITTED BY :- NAME OF CONTRACTOR SH.JASBIR SINGH S/O RAGBIR SINGH R/o. H.No. 1, STREET NO. 2, KHALSA NAGAR-A, SIDHUWAL. ,DISTRICT PATIALA SUBMITTED BY :- NAME OF FIRM : SH.JASBIR SINGH S/O RAGBIR SINGH R/o. H.No. 1, STREET NO. 2, KHALSA NAGAR-A, SIDHUWAL. ,DISTRICT PATIALA 2 APPENDIX VIII Form 1 M APPLICATION FOR MINING OF MINOR MINERALS UNDER CATEGORY ‘B2’ FORLESS THAN AND EQUAL TO FIVE HECTARE (I) Basic Information S.No. Particulates Details 1 Name of the Mining Lease site VILLAGE Paharpur 2 Location/ site (GPS Co-ordinates) Latitude : 30°.25' 79" N, Longitude: 76°.24'87" E 3 Size of the Mining Lease (Hectare) 0.65 Ha 4 Capacity of Mining Lease (TPA) 3757 TPA(ROM) 5 Period of Mining Lease 05/06/2018 TO 31/03/2019 6 Expected cost of the project Rs 3 Lacs 7 Contact Information SH.JASBIR SINGH S/O RAGBIR SINGH R/O. H.NO. 1, STREET NO. 2, KHALSA NAGAR-A, SIDHUWAL. ,DISTRICT PATIALA (II) Environmental Sensitivity Sr Areas Distance in kilometer/ Details No. 1 Distance of project site from nearest rail 1.50 KM or road bridge over the concerned River, Rivulet, Nallah etc. 2 Distance from infrastructural facilities:- Railway line NA National Highway NH-10 State Highway NH-10, 1.50KM Major District Road 1.60 km Any Other Road Samana Road 1.50 Mtr 3 Electric transmission line pole or Tower No Canal or check dam or reservoirs or lake Approx 1.50 KM or ponds In-take for drinking water pump house NA Intake for Irrigation canal pumps Not applicable 3 Areas protected under international No such area is located within the 01 conventions, national or legislation KM radius of the mining lease for their ecological, landcaps, cultural area. or other related value. 4 Areas which are important or sensitive Wetland NA for ecological reasons- Wetlands, Forest NA watercourses or other water bodies, Mountains NA coastal zone,biospheres, mountains, forests. 5 Areas used by protected, important or None sensitive species of flora or fauna for breeding, nesting, foraging, over wintering, migration. 6 Inland, coastal, marine or underground No such area is located within the 1 waters KM radius of the Mining lease area. 7 State, National boundaries - 14 KM (Haryana ) 8 Routes or facilities used by the public for None access to recreation or other tourist, pilgrim areas 9 Defense installations None 10 Densely populated or built- up area, 01 KMs 4 distance from nearest human habitation 11 Areas occupied by sensitive manmade Hospital 03 KM lands uses (hospitals, schools, Schools 1 KM places of worship, community Worship Place 1 KM facilities) Community facilities 1 KM 12 Areas containing important, high quality Same as item No 4 or scarce resources (ground water resources, surface resources, forestry, agriculture, fisheries, tourism, minerals) 13 Areas already subjected to pollution or The area is not subjected to the environmental damage.(those where pollution or environmental existing legal environmental damage standards are exceeded) 14 Areas susceptible to natural hazard Seismic Zone -II which could cause the project to present environmental standards problems (earthquakes, subsidence, landslides, erosion, flooding or extreme or adverse climatic conditions) 15 Is proposed mining site located cover or No near fissure / fracture for ground water recharge 16 Whether the proposal involves approval All three are not applicable or clearance under the following Regulation or Acts, namely:- (a) The Forest (Conservation)Act, 1980; (b) The Wildlife (Protection)Act,1972; (c) The Coastal Regulation Zone 5 Notification, 2011. If yes, details of the same and their status to be given. 17 Forest land involved (hectares) Nil 18 Whether there is any litigation pending No litigation pending against the against the project and/or land in project. which the project is propose to be set up? (a) Name of the Court (b) Case No. (c) Orders or directions of the Court, if any, and its relevance with the proposed project. (Signature of Project Proponent Along with name and address) FORM 1 (I) Basic Information S. No. Item Details 1. Name Of the Project VILLAGE PAHARPUR 2. S. No. in the Schedule 1(a) 3. Proposed capacity/area/length/tonnage Mining of Ordinary earth in area to be handled/command area/lease of 0.65 hectares of land 6 area/ number of well to be drilled 4. New/Expansion/Modernization New Project New mining activity in an area of 5. Existing capacity/ Area etc. 0.65 hectares of land 6. Category of Project i.e. `A’ or `B’ B2 Expected Cost of Project 3 Lac Does it attract the general Condition? If 7. Yes yes, please specify Does it attract the specific condition? If 8. No yes, please specify Location VILLAGE Paharpur HADBAST NO 23 1) KHATONI NO 76 KHEWAT NO 40/40 Plot/ Survey/ Khasra No. KHASRA NO 163 (6-5) 9. Total 6 Bigha 5 Biswa ( 0.65 Hectare) Village Paharpur Tehsil Patiala District Patiala State Punjab 10 Nearest Railway Station/ Airport along Railway Station – No . with distance in Kms. Airport chandigarh—No Nearest Town, City, District Nearest Town- Samana (14 kms) 11 Headquarter along with distance in Nearest city-Samana (14 Kms) . Kms. Distt. Headquarter-Patiala Village Panchayats, Zila Parishad, 12 Municipal Corporation, Local Body Village Panchayat Paharpur . (Complete Postal Addresses with Telephone nos. to be given) 13 Name of the Applicant Jasbir Singh . 14 Registered Address Village Paharpur . Address for correspondence: As above Name Jasbir Singh Designation (Owner/ Partner/ CEO) contractor 15 Address As above . Pin Code 147101 E-mail - Telephone No. Fax No. - Details of alternate sites examined, if 16 any. Location of these sites should be N.A . shown on a topo sheet. 17 Interlinked Projects No . 18 Whether separate application of No 7 . interlinked project has been submitted? 19 If yes, date of submission N.A. 20 If no, reason N.A. Whether the proposal involves approval/ clearance under: if yes, details of the same and their status to be given. (a) The Forest (Conservation) Act, 21. No 1980? (b) The Wildlife (protection) Act, 1972? (c) The C.R.Z. Notification, 1991? Whether there is any Government 22 Order/ Policy Relevent? Relating to the No . site? 23 Forest Land Involved (Hectares) N.A. Whether there is any litigation pending against the project and/or land in which the project is proposed to be set up? 24 (a) Name of the Court No litigation is pending against . (b) Case No. the project (c) Orders/ directions of the court, if any and its relevance with the proposed project. (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.) Details thereof (with Information/Checklist Yes/ approximate quantities S.No . confirmation No /rates, wherever possible) with source of information data Permanent or temporary change No The site is used for in land use, land cover or agricultural purposes. The owner of the land is giving 1.1 topography including increase in intensity of land use (with respect land on lease for excavation of ordinary earth for leveling of to local land use plan) land as per surrounding area. Clearance of existing land, No There would not be any 1.2 vegetation and Buildings? clearance of land, vegetation and buildings. Creation of new land uses? No The land would be used for 1.3 agricultural purposes only. 1.4 Pre-construction investigations No No deep foundations for the e.g. bore houses, soil testing? project are required. So, bore holes and soil testing is not 8 required. Construction works? No After getting the clearance from DEIAA, the promoters 1.5 would start excavation of Ordinary earth up to 1.5 feet depth only Demolition works? No There would not be any 1.6 demolition works.