FORM – 1 Riverbed Sand Mining Project

FORM – 1

Riverbed Sand Mining Project

At Gata No. 1/331,1/7 Village:Komar, Tehsil: Shohratgarh, District:Siddharthnagar, Uttar Pradesh.

Submitted by M/s Nishant Traders

Sh. Gaurav Jaiswal S/O Sh. Mohan Lal Jaiswal R/O: Village- Pandey Bazar, Mehdawal road, Akpangi Purani Basti District: Basti (U.P)

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Project: Riverbed Sand Mining Category: B2 Form - 1 Proponent: Sh. Gaurav Jaiswal S/o Sh. Mohan Lal Jaiswal Area: 6.78 Ha. Project Site: Village: Komar Gata No.: 1/331,1/7 Tehsil: Shohratgarh District: Siddharthnagar UttarPradesh

Form 1

Basic Information

S. No. Item Details

1. Name of the Project Mining of Minor Mineral (Sand)

2. S. No. in the Schedule 1(a)i Proposed Capacity/Area/Length/Tonnage Proposed Capacity: 1,22,000 m3 3. to be handled / command and area/lease Area: 6.78 Ha area/number of wells to be drilled. Project Duration: Five years 4. New / Expansion / Modernization New Applied Area – 6.78 Ha 5. Existing Capacity / Area etc. Forested Area – NIL Non-Forested land – 6.78 Ha 6. Category of Project i.e., ‘A’ or ‘B’ B2 Does it attract the general condition? If yes, 7. No please specify Does it attract the specific condition? If yes, 8. No please specify Komar /Shohratgarh/ Siddharthnagar/ 9. Location Uttar pradesh Plot / Survey / Khasra No. Gata No. 1/331,1/7 Village Komar Tehsil Shohratgarh District Siddharthnagar State Uttar Pradesh Nearest railway station / airport along with Shohratgarh Railway Station is located 10. distance in kms. 6.05 km from the site Nearest Town: Shohratgarh is located 6.05 km in South-East direction Nearest Town, City, District Headquarter 11. District Headquarter: Naugarh is located along with distance in Kms. 22.35 km in South-East direction from the site Village Panchayat, ZillaParishad, Gram Panchayat: Komar 12. Municipal Corporation, Local Body Zilla Panchayat: Siddharthnagar (Complete address with telephone no. to be Municipal Corporation: Not in Purview given) Sh. Gaurav Jaiswal S/O Sh. Mohan Lal 13. Name of the applicant (Lessee) Jaiswal Pandey Bazar, Mehdawal Society: road, Akpangi Puarani 14. Registered Address Tehsil: Basti District: Basti

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State: Uttar Pradesh Address for Correspondence Sh.Gaurav Jaiswal S/O Sh. Shiv Kumar Name Mishra Designation Authorized Signatory Pandey Bazar, Mehdawal Society: road, Akpangi Puarani Tehsil: Basti 15. District: Basti State: Uttar Pradesh Address Pin Code: 272002 E-Mail: None Telephone No. -- Fax No. None Details of alternative sites examined, if 16. any. Location of these sites should be Not Available shown on a toposheet. 17. Interlinked Project No Whether separate application of 18. Not Applicable interlinked project has been submitted? 19. If yes, mention the date of Submission Not Applicable

20. If no. specify the reason Not Applicable Whether the proposal involves approval / clearance from other departments: If yes, NA details of the same and their status to be 21. given. (a) The Forest (Conservation) Act, 1980 (b) The Wildlife (Protection) Act, 1972 -- (c) The C. R. Z. Notification, 1991 --

vide letter no. Issued vide letter no. Whether there is any Government Order 22. 532/ / 2017-18/ 27-02- / Policy relevant / relating to the site? खनन लिपिक दिन 車क 2018 Whether forest land involved? No 23. If yes (Specify the area in hectares) Not Applicable Whether there is any litigation pending against the project and / or land in which the project is proposed to be set up? No Litigation is pending or exist as off 24. (a) Name of the Court today against the project site or land (b) Case No. (c) Order(s) / directions of the Court, if

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any and its relevance with the proposed project.

Activity

1.0 Construction, Operation or decommissioning of the project involving actions, which will cause physical changes in the locality (topography, land use, change in water bodies, etc.)

S. Information / Checklist Yes/No Details No. Confirmation  Proposed excavation site is rugged and non-forested and non-arable land which is currently not in use.  After the commissioning of the Permanent or temporary change in project, manual, open cast and Semi- land use, land cover or topography Mechanised with conventional hand 1.1 No including increase in intensity of land tools sand mining will be use (with respect to local land use plan) executedin a careful manner to avoid any violation of the recommendations of MoEF.  The topography of the site will remain unaffected. Clearance of existing land, vegetation 1.2 No Not Applicable and buildings?

1.3 Creation of new land uses? No Not Applicable Pre-construction investigations e.g., 1.4 No Not Applicable bore houses, soil testing?

1.5 Construction works? No Not Applicable

1.6 Demolition works? No Not Applicable Temporary sites used for construction Temporary shed on the site will be 1.7 works or housing of construction Yes provided for the workers workers? Above ground buildings, structures or 1.8 earthworks including linear structures, No Not Applicable cut and fill or excavations. Underground works including mining Open cast, manual and semi-machanized 1.9 No or tunneling? sand mining will be done.

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The Sand mining is required to avoid the deposition which otherwise pose Reclamation works? 1.10 Yes flooding threat to the nearby areas especially during rainy season.

1.11 Dredging? No Not Applicable

1.12 Offshore structures? No Not Applicable

Production and manufacturing The project does not involve any 1.13 No processes? production or manufacturing process. Facilities for storage of goods or 1.14 No Not Applicable materials? No or very little solid waste will be Facilities for treatment or disposal of generated depending upon the man 1.15 No power, since the entire work. The solid waste or liquid effluents? Environmental Management Plan is proposed. Facilities for long term housing of Laborers from nearby areas will be hired 1.16 No operational workers? hence no need of housing. New road rail or sea traffic during 1.17 No Approach road already exists. construction or operation? New road, rail, air, waterborne or other transport infrastructure including new 1.18 No Not required for the proposed project or altered routes and stations, ports, airports etc.? Closure or diversion of existing transport routes or infrastructure The project shall not affect the existing 1.19 No leading to changes in traffic traffic status. movements? New or diverted transmission lines or 1.20 No Not Applicable pipelines? Impoundment, damming, culverting, 1.21 realignment or other changes to the No Not Applicable hydrology of water courses or aquifers?

1.22 Stream crossings? No No stream is crossing through the site.

Abstraction or transfers of water form Water for drinking purpose shall be 1.23 No ground or surface waters? brought from nearby places.

Changes in water bodies or the land The mining site will not affect natural 1.24 No surface affecting drainage or run-off? drainage. Transport of personnel or materials for The extracted sand will be transported by roads. Responsibility of laborers 1.25 construction, operation or Yes employed at site will rest with the decommissioning? proponent only.

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Long-term dismantling or 1.26 No - decommissioning or restoration works? Ongoing activity during 1.27 decommissioning which could have an No - impact on the environment? Influx of people to an area in either Few people from nearby locality will be 1.28 No temporarily or permanently? temporarily employed.

1.29 Introduction of alien species? No -

Loss of native species or genetic Rugged land, non-forested and non- 1.30 No arable hence no concern lies for diversity? biodiversity loss. 1.31 Any other actions? No Not even anticipated.

2.0 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):

Details thereof (with S. Information / Checklist approximate quantities / rates, Yes/No No. Confirmation wherever possible) with source of information data Land especially undeveloped or Land is rugged and non-arable and 2.1 No agricultural land (ha) currently not in use. (Area: 6.78 Ha)

Dust suppression: 2.40 KLD Water (expected source & competing Irrigation: 0.60 KLD 2.2 users unit: KLD) Drinking: 1.00 KLD Total: 4.00 KLD

2.3 Minerals (MT) Yes Minor Mineral (Sand) 2,19,600 TPA

Construction material – stone, 2.4 aggregates, sand / soil (expected source No -- – MT)

2.5 Forests and timber (Source – MT) No Not Applicable Energy including electricity and fuels 2.6 (source, competing users) Unit: fuel No Not Applicable (MT), energy (MW) Any other natural resources (use 2.7 No Not Applicable appropriate standard units)

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3.0 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.

Details thereof (with S. Information / Checklist approximate quantities / rates, Yes/No No. Confirmation wherever possible) with source of information data Use of substances or materials, which are hazardous (as per MSIHC rules) to No 3.1 Not Applicable human health or the environment (flora, fauna, and water supplies) Changes in occurrence of disease or 3.2 affect disease vectors (e.g., insect or No No such impacts are anticipated water borne diseases) Affect the welfare of people e.g., by Short termed employment will be 3.3 Yes changing living conditions? available to the local people Vulnerable groups of people who could No any vulnerable group of people 3.4 be affected by the project e.g., hospital No will be affected by the project. patients, children, the elderly etc.

3.5 Any other causes No Not Anticipated

4.0 Production of solid wastes during construction or operation or decommissioning (MT/months)

Details thereof (with S. Information / Checklist approximate quantities / rates, Yes/No No. Confirmation wherever possible) with source of information data Progressive mine closure plan is 4.1 Spoil, overburden or mine wastes No proposed. Since no temporary or permanent residence facility will be provided Municipal waste (domestic and or and 8 hrs. working does not 4.2 No commercial wastes) anticipate any significant generation of Municipal Waste on the extraction site. Hazardous wastes (as per Hazardous 4.3 No Not Applicable Waste Management Rules)

4.4 Other industrial process wastes No Not Applicable

4.5 Surplus product No Not Applicable

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Sewage sludge or other sludge from 4.6 No Not Applicable effluent treatment

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 Anticipated

5.0 Release of pollutants or any hazardous, toxic or noxious substances to air (kg/hr)

Details thereof (with S. Information / Checklist approximate quantities / rates, Yes/No No. Confirmation wherever possible) with source of information data There are only mobile sources of fossil fuel consumption i.e., in tippers and water tankers. Since maintained vehicles will be used and continuous maintenance of the Emissions from combustion of fossil vehicles is being ensured by the 5.1 Yes proponent however; the emission of fuels from stationary or mobile sources obnoxious gasses cannot be ruled out completely. To control such emissions to the threshold limits proper green belt designing has been planned around the mining site and around the haulage roads. Particulate matter (Fugitive dust emission) will arise as a result of 5.2 Emissions from production processes Yes mining process further; it is being ensured that water sprinkling will be used as dust suppressor. Trucks and trolleys will be used for Emissions from materials handling transporting extracted sand covered 5.3 Yes including storage or transport with tarpaulin to minimize the fugitive dust emission. Emissions from construction activities 5.4 No Not Applicable including plant and equipment Dust or odors from handling of No 5.5 materials including construction Not Applicable

materials, sewage and waste

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5.6 Emissions from incineration of waste No Not Applicable Emissions from burning of waste in 5.7 open air (e.g., slash materials, No Not Applicable construction debris)

5.8 Emissions from any other sources No Not Applicable

6.0 Generation of Noise and Vibration and Emissions of Light and Heat

Details thereof (with S. Information / Checklist approximate quantities / rates, Yes/No No. Confirmation wherever possible) with source of information data From operation of equipment e.g., 6.1 No Not Applicable engines, ventilation plant, crushers

6.2 From industrial or similar processes No Not Applicable

6.3 From construction or demolition No Not Applicable No blasting or piling will be used in 6.4 From blasting or piling No the current excavation project From construction or operational 6.5 Yes Not Applicable traffic

6.6 From lighting or cooling systems No Not Applicable

6.7 From any other sources No Not Applicable

7.0 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:

Details thereof (with S. Information / Checklist approximate quantities / rates, Yes/No No. Confirmation wherever possible) with source of information data From handling, storage, use or spillage 7.1 No Not Applicable of hazardous materials From discharge of sewage or other 7.2 effluents to water or the land (expected No Not Applicable mode and place of discharge) By deposition of pollutants emitted to 7.3 No Not Applicable air into the land or into water

7.4 From any other sources No Not Applicable

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Is there a risk of long term buildup of 7.5 pollutants in the environment from No Not Applicable these sources?

8.0 Risk of accidents during construction or operation of the project, which could affect human health or the environment

Details thereof (with S. Information / Checklist approximate quantities / rates, Yes/No No. Confirmation wherever possible) with source of information data From explosions, spillage, fires etc. 8.1 from storage, handling, use or No Not Applicable production of hazardous substances

8.2 From any other causes No Not Applicable

Could the project be affected by Mining site is in safe zone and no natural disasters causing likely environmental damage is 8.3 No environmental damage (e.g., floods, anticipated because of any natural earthquakes, landslides, cloudburst etc.)? disaster.

9.0 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.

Details thereof (with S. Information / Checklist approximate quantities / rates, Yes/No No. Confirmation wherever possible) with source of information data Leads to development of supporting utilities, ancillary development or development stimulated by the project No Not Anticipated which could have impact on the environment e.g.: Total of 53 man power working 8  Supporting infrastructure (roads, hrs. on daily basis will require temporary toilets, one or two 9.1 power supply, waste or waste water No temporary shelters. No permanent treatment etc.) development of any supporting infrastructure is proposed.  Housing development No Not Applicable  Extractive industries No Not Applicable  Supply industries No Not Applicable  Other No Not Applicable Lead to after-use of the site, which 9.2 could have an impact on the No Not Anticipated environment.

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9.3 Set a precedent for later development No No Have cumulative effects due to No any other project is existing in 9.4 proximity to other existing or planned No the near area projects with similar effects.

Environmental Sensitivity Aerial distance (within 15 S. No. Area Name/Identity km.) Proposed project location boundary Areas protected under international conventions, 1. national or local legislation for No - their ecological, landscape, cultural or other related value. Areas which are important or sensitive for ecological reasons – Flowing towards North direction 2. Wetlands, watercourses or other Banganga River of the site water bodies, coastal zone, biospheres, mountains, forests. Areas used by protected, important or sensitive species of 3. flora or fauna for breeding, No None nesting, foraging, resting, over wintering, migration. Inland, coastal, marine or 4. No None underground waters. At 14.20km towards north 5. State, National boundaries. No direction Routes or facilities used by the 6. No Not Applicable public

7. Defense installations No Not Applicable

Densely populated or built-up 8. Shohratgarh 6.05km in South-East direction area

Hospital PHC at Shohratgarh , 6.05 Km towards South-East direction Education Areas occupied by sensitive man- Facility Primary School: at Shohratgarh made land uses (hospitals, schools, 9. 6.05 Km towards South-East places of worship, community Places of Temple at Parsohiya, 2.25km facilities). Worship towards East direction Community Facilities None

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The land proposed for sand Areas containing important, high mining is a waste land of alluvial quality or scare resources. & it is free from forest land at 10. (ground water resources, surface No 5.0 km from any inhabited place resources, forestry, agriculture, and does not belong to any fisheries, tourism, minerals) significant human activity at project site. Areas already subjected to pollution or environmental damage. 11. No None (those where existing legal environmental standards are exceeded) Areas susceptible to natural hazard which could cause the project to present environmental The area under study falls in problems. Zone-IV i.e. moderate intensity 12. No zone according to the Indian (earthquakes, subsidence, Standard Seismic Zoning. landslides, erosion, flooding or extreme or adverse climatic conditions)

Not applicable (IV) Proposed Terms of Reference for EIA studies

UNDERTAKING

I hereby given undertaking that the data and information given in the application and enclosures are true to the best of my knowledge and belief and I am aware that if any part of the data and information submitted is found to be false or misleading at any stage, the project will be rejected and clearance give, if any to the project will be revoked at our risk and cost.

Date …………………. Signature of Applicant

Sh.Gaurav Jaiswal S/O Sh. Mohan Lal Jaiswal (Authorized Signatory) Resident of: Society: Pandey Bazar, Mehdawal road, Akpangi Purani Basti Tehsil: Basti District: Basti State: Uttar Pradesh

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Note:

1. The projects involving clearance under coastal Regulation zone Notification, 1991 shall submit with the application a C.R.Z map duly demarcated by one of the authorized agencies, showing the project activities, w.r.t. C.R.Z (at the stage of TOR) and the recommendations of the State coastal zone Management Authority (at the stage of EC). Simultaneous action shall also be taken to obtain the requisite clearance under the provisions of the C.R.Z. Notification, 1991 for the activities to be located in the CRZ. 2. The projects to be located within 10 km of the National parks, sanctuaries, Biosphere Reserves, Migratory corridors of wild Animals, the project proponent shall submit the map duly authenticated by chief wildlife Warden showing these features vis-a-vis the project location and the recommendations or comments of the Chief Wildlife Warden thereon (at the stage of EC). 3. All correspondence with the Ministry of Environment & Forests including submission of application for TOR/Environmental Clearance, subsequent clarifications, as may be required from time to time, participation in the EAC Meeting on behalf of the project proponent shall be made by the authorized signatory only. The authorized signatory should also submit a document in support of his claim of being an authorized signatory for the specific project.

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