M/S. M.L.N.S.R.MINERALS

FORM – I For ENVIRONMENTAL CLEARANCE

M/s. M.L.N.S.R.MINERALS MINING OF QUARTZITE & GRAVEL OVER AN EXTENT: 18.80 HA., Mine Address: Sy.No.55 Ardhanapalem (V), Kothavalasa (M) Vizianagaram (Dt.), Andhra Pradesh

Prepared & Submitted by

SV ENVIRO LABS & CONSULTANTS BLOCK-B, B-1, IDA, AUTONAGAR -12 VISAKHAPATNAM, ANDHRA PRADESH QCI No. 147

1 FORM- 1

(I) Basic Information

Sl.No. Item Details 1. Name of the project/s M/s M.L.N.S.R.Minerals Mining of Quartzite & Gravel

2. S. No. in the schedule 1(a) 3. Proposed capacity/area/length/tonnage to Mining of Quartzite & Gravel in 18.80 Ha., be handled/command area/lease Maximum Production: area/number of wells to be drilled. Quartzite-499044 MTPA, Gravel-213876 MTPA 4. New/Expansion/Modernization New 5. Existing Capacity/Area etc. 18.80 Ha., 6. Category of Project i.e. ‘A’ or ‘B’ Category – B 7. Does it attract the general condition? If No yes, please specify. 8. Does it attract the specific condition? If No yes, please specify. 9. Location Plot/Survey/Khasra No. Sy.No.55 Village Ardhanapalem Village, Tehsil Kothavalasa Mandal, District Vizianagaram District, State Andhra Pradesh. 10. Nearest railway station/airport along Kantakapalle Railway Station at 3.48 kms with distance in kms. Visakhapatnam International Airport-21.46 kms 11. Nearest Town, city, district Headquarters Kothavalasa at a distance of 4.55 kms along with distance in kms. 12. Village Panchayats, Zilla Parishad, Ardhanapaelm Village, Municipal Corporation, Local body Kothavasas Mandal, (complete postal addresses with Vizianagaram District, telephone nos. to be given) Andhra Pradesh. 13. Name of the lease applicant Smt M.Naga Sarala

2 14. Registered Address M/s M.L.N.S.R. Minerals Mg.Ptr: Smt.M.Naga Sarala D.No.4-96-33/3, A-Zone, Bazar Road, Sujatha Nagar, Chinnamusidivada Pendurthy, Visakhapatnam District 15. Address for correspondence: M/s. M.L.N.S.R.Minerals Name Smt M.Naga Sarala Designation (Owner/Partner/CEO) Managing Partner, D.No.4-96-33/3, A-Zone, Bazar Road, Sujatha Nagar, Chinnamusidivada Pendurthy, Visakhapatnam District Pin code 531173 E-mail [email protected]

Telephone No. 9908558999 Fax No. -- 16. Details of Alternative Sites examined, if NA any. Location of these sites should be shown on a topo sheet. 17. Interlinked Projects No Interlinked Projects 18. Whether separate application of NA interlinked project has been submitted? 19. If yes, date of submission NA 20. If no, reason NA 21. Whether the proposal involves approval/clearance under: if yes, details of the same and their status to be given. i. The Forest (Conservation) Act, 1980? NA ii. The Wildlife (Protection) Act, 1972? NA

iii. The C.R.Z. Notification, 1991? NA 22. Whether there is any Government M/s M.L.N.S.R.Minerals, Mg.Ptr: Smt Order/Policy relevant/relating to the site? M.Naga Sarala has applied for quarry lease over an extent of 18.80 Ha., for Quartzite &

3 Gravel in Sy.No.55, Ardhanapalem Village, Kothavalasa Mandal, Vizianagaram District, Andhra Pradesh the Director of Mines & Geology, Ibrahimpatnam, Government of Andhra Pradesh has decided to grant the quarry lease over an extent of 18.80 Ha., for a period of 20 years and issued Notice No.24633/R1-2/2017 Dt.09.10.2018 in favour of M/s M.L.N.S.R. Minerals, Mg.Ptr:Smt M.Naga Sarala subject to submission of Approved Mining Plan.

23. Forest land involved (hectares) No forest land is involved 24. Whether there is any litigation pending No litigations or court cases pending against against the project and/or land in which the proposed project. the project is propose to be set up? a) Name of the Court b) Case No. c) Orders/directions of the Court, if any and its relevance with the proposed project.

4 (II) Activities 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.)

S.No. Information/Checklist confirmation Details thereof (with approximate quantities /rates, wherever possible) Yes/ with source of information data No 1.1 Permanent or temporary change in land Yes Mining operations will be carried out use, land cover or topography including by developing benches. increase in intensity of land use (with There will be change in land cover due respect to local land use plan) to the proposed activity. Greenbelt will be developed all along the approach roads of mining lease area. 1.2 Clearance of existing land, vegetation No The existing land is barren and and buildings? undeveloped land. No vegetation is existing. 1.3 Creation of new land uses? No No extra new land will be used. The facility having 18.80 ha of land. Within this land premises only the proposed activity will be taken up. 1.4 Pre-construction investigations e.g. bore Yes Site survey was carried out. houses, soil testing? 1.5 Construction works? No No structures will be constructed. Only temporary sheds will be provided during the excavation works for workmen resting.

1.6 Demolition works? No The mine does not contain any temporary / permanent structures. Therefore no demolition work will be carried. 1.7 Temporary sites used for construction No Not envisaged works Or housing of construction workers?

5 1.8 Above ground buildings, structures or No Opencast mining earthworks including linear structures, cut and fill or excavations 1.9 Underground works including mining or No Opencast method by developing tunneling? benches. Therefore, no underground mining or tunneling is envisaged. 1.10 Reclamation works? No No reclamation work

1.11 Dredging? No Not applicable

1.12 Offshore structures? No Not applicable

1.13 Production and manufacturing Yes The proposed method of working is by processes? semi mechanized method of opencast quarrying. The operations will involve drilling, controlled blasting, if necessary and excavation by excavators and directly loads into tippers/tractors. The excavation will be carried with bench height 6 meters and width 6 meters minimum. Haul roads gradient will be 1:16. 1.14 Facilities for storage of goods or Yes Stock yard and waste dump yard materials? facilities are identified for storage of goods and materials in the mine lease area. 1.15 Facilities for treatment or disposal of No 100% of produced Quartzite will be solid waste or liquid effluents? useful, hence no need of waste dump management. The top soil will be preserved within the lease area for using reclamation of the pit at the time of closure. The only waste water generation is from domestic usage i.e. 1.2 KLD. 1.16 Facilities for long term housing of No Majority of manpower will be Operational workers? recruited from local people only.

6 Therefore no housing scheme is proposed. 1.17 New road, rail or sea traffic during No The site is well connected to roadway. Construction or operation? 1.18 New road, rail, air waterborne or other No Not Applicable. transport infrastructure including new or altered routes and stations, ports, airports etc? 1.19 Closure or diversion of existing transport No Not Applicable. routes or infrastructure leading to changes in traffic movements? 1.20 New or diverted transmission lines or No No transmission & pipeline existing. pipelines? 1.21 Impoundment, damming, culverting, No Not applicable realignment or other changes to the hydrology of watercourses or aquifers? 1.22 Stream crossings? No No perennial streams in the mining area. 1.23 Abstraction or transfers of water form Yes Water will be supplied through water ground or surface waters? tankers for sprinkling and domestic purpose in the mine. 1.24 Changes in water bodies or the land No No drains or water bodies present in surface affecting drainage or run-off? the mine lease area. 1.25 Transport of personnel or materials for Yes There is no construction work in the construction, operation or proposed site. decommissioning? During operation lorries, trucks etc will be used. 1.26 Long-term dismantling or No No dismantling work will be carried in decommissioning or restoration works? the project. 1.27 Ongoing activity during No No decommissioning activity decommissioning which could have an proposed. impact on the environment? 1.28 Influx of people to an area in either No No influx of people into this area Temporarily or permanently? either temporarily or permanently.

7 Most of the employees will be from local area only. 1.29 Introduction of alien species? No -- 1.30 Loss of native species or genetic No -- diversity? 1.31 Any other actions? No --

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):

Details thereof (with S.No. Information/Checklist confirmation Yes/No approximate quantities / rates, wherever possible) with source of information data 2.1 Land especially undeveloped or No The mine lease area is Government agricultural land (ha) land. No cultivation is being carried out in mine lease area and will be used for mining operations only. 2.2 Water (expected source & competing Yes Total water requirement of the users) unit: KLD mining operations is about 22.5 KLD. Dust suppression – 8.0 KLD Green belt – 7.0 KLD Domestic activity – 1.5 KLD Wet drilling – 6.0 KLD Source of Water : Water Tankers 2.3 Minerals (MT) No Mining of Quartzite & Gravel: Maximum production per annum: Quartzite – 499044 MTPA Gravel – 213876 MTPA. 2.4 Construction material – stone, Yes Requirement of small quantities of aggregates, sand / soil (expected source - construction materials are sourced MT) from nearby areas for construction of office and rest shelter. 2.5 Forests and timber (source – MT) No No timber will be used. 2.6 Energy including electricity and fuels Yes Diesel will be used in vehicles 8 (source, competing users) Unit: fuel (trucks, lorries). (MT), energy (MW) 2.7 Any other natural resources (use No --- appropriate standard units)

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. Details thereof (with approximate S.No. Information/Checklist confirmation Yes/No quantities /rates, wherever possible) with source of information data 3.1 Use of substances or materials, which are Yes Only waste oil will be generated hazardous (as per MSIHC rules) to and will be used for lubricating the human health or the environment (flora, machinery. fauna, and water supplies) 3.2 Changes in occurrence of disease or No -- affect disease vectors (e.g. insect or water borne diseases) 3.3 Affect the welfare of people e.g. by changing living conditions? 3.3 Affect the welfare of people e.g., by Yes The proposed activity will provide changing living conditions? employment to the local villagers thereby improving their living conditions 3.4 Vulnerable groups of people who could No -- be affected by the project e.g. hospital patients, children, the elderly etc., 3.5 Any other causes? No ---

9 4. Production of solid wastes during construction or operation or commissioning (MT/month)

S.No. Information/Checklist confirmation Yes/No Details thereof (with approximate quantities /rates, wherever possible) with source of information data 4.1 Spoil, overburden or mine wastes Yes 100% of produced Quartzite will be useful, hence no need of waste dump management. The top soil will be preserved within the lease area for using reclamation of the pit at the time of closure. 4.2 Municipal waste (domestic and or No 1.2 KLD domestic wastewater will commercial wastes) be generated and dispose into septic tank followed by soak pit. 4.3 Hazardous wastes (as per Hazardous No -- Waste Management Rules) 4.4 Other industrial process wastes No No industrial process waste will be generated. 4.5 Surplus product No -- 4.6 Sewage sludge or other sludge from No -- effluent treatment 4.7 Construction or demolition wastes No -- 4.8 Redundant machinery or equipment No -- 4.9 Contaminated soils or other materials No No soil / material will be contaminated. 4.10 Agricultural wastes No No agricultural waste will be generated. 4.11 Other solid wastes No --

10 5. Release of pollutants or any hazardous, toxic or noxious substances to air (Kg/hr)

Details thereof (with approximate quantities /rates, wherever S.No. Information/Checklist confirmation Yes/No possible) with source of information data 5.1 Emissions from combustion of fossil No Emissions will be generated from fuels from stationary or mobile sources machinery used for mining activities and from trucks used for transportation activities. 5.2 Emissions from production processes Yes Fugitive dust will be generated from mining activities. Adequate control measures like water sprinkling will be taken and control devices will be used while drilling. 5.3 Emissions from materials handling Yes Emissions will be generated from including storage or transport transport and control measures like water sprinkling will be taken 5.4 Emissions from construction activities No -- including mine and equipment 5.5 Dust or odours from handling of Yes Dust will generated during mining, materials including construction and transportation of materials. materials, sewage and waste However, odor is not envisaged. 5.6 Emissions from incineration of waste No -- 5.7 Emissions from burning of waste in open No -- air (e.g. slash materials, construction debris) 5.8 Emissions from any other sources No --

11 6. Generation of Noise and Vibration, and Emissions of Light and Heat: Details thereof (with approximate quantities /rates, wherever S.No. Information/Checklist confirmation Yes/No possible) with source of information data 6.1 From operation of equipment e.g. Yes Noise will be generated from engines, ventilation mine, crushers transport vehicles, machinery and drilling operations. 6.2 From industrial or similar processes No The work will be done from dawn to dusk. The operations will not cause more than 75 dB (A). Therefore no noise / vibrations disturbance occurs. 6.3 From construction or demolition No -- 6.4 From blasting or piling Yes Noise will be generated during operation, which will be instantaneous in nature. 6.5 From construction or operational traffic Yes Noise will be generated from the trucks deployed for transportation of mined material 6.6 From lighting or cooling systems No -- 6.7 From any other sources No --

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:

Details thereof (with approximate S.No. Information/Checklist confirmation Yes/No quantities /rates, wherever possible) with source of information data 7.1 From handling, storage, use or spillage Yes Waste oil will be generated from of hazardous materials DG sets and will be used for lubricating the machinery. 7.2 From discharge of sewage or other No The domestic wastewater will be effluents to water or the land (expected disposed to septic tank followed by mode and place of discharge) soak pit.

12 7.3 By deposition of pollutants emitted to air No -- into the land or into water 7.4 From any other sources? No -- 7.5 Is there a risk of long term build up of No It is only mining site. The only pollutants in the environment from these emission is in the form of fugitive sources? dust during excavation and it will be suppressed by water sprinkling. No fuel burning will occur.

8. Risk of accidents during construction or operation of the Project, which could affect human health or the environment

Details thereof (with approximate S.No. Information/Checklist confirmation Yes/No quantities /rates, wherever possible) with source of information data 8.1 From explosions, spillages, fires etc. No Mining operations will be carried in from storage, handling, use or production a controlled manner. of hazardous substances 8.2 From any other causes No -- 8.3 Could the project be affected by natural No The area of project site will not be disasters causing environmental damage affected by natural disasters. (e.g. floods, earthquakes, landslides, cloudburst etc)?

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

Details thereof (with approximate S.No. Information/Checklist confirmation Yes/No quantities /rates, wherever possible) with source of information data 9.1 Lead to development of supporting Yes Supporting and ancillary facilities, ancillary development or development will take place.

13 development stimulated by the project which could have impact on the environment e.g.: • Supporting infrastructure (roads, power supply, Waste or waste water treatment, etc.) • Housing development • Extractive industries • Supply industries • Other 9.2 Lead to after-use of the site, which could Yes Greenbelt will be developed all along have an impact on the environment the mining lease area which will increase the aesthetic beauty of the site. 9.3 Set a precedent for later developments No No such cases. 9.4 Have cumulative effects due to No There will not be any circumstance proximity to other existing or planned impact on surrounding due to there projects with similar effects will not be any point sources for air pollution. Only truck movement and fugitive dust will be controlled through sprinklers.

(III) Environmental Sensitivity

Name/ Aerial distance (within 15 km.) S.No. Area Identity Proposed project location boundary 1 Areas protected under international No None within 15 km Aerial distance conventions, national or local legislation from proposed mine site. for their ecological, landscape, cultural or other related value 2 Areas which are important or sensitive Yes Water Bodies: for ecological reasons - Wetlands, Cheruvu-3.76 kms watercourses or other water bodies, Gosthani River-9.31 kms coastal zone, biospheres, mountains, Reserve Forests:

14 forests Adhvanapalem R.F – 1.00 km Muchcherla R.F-6.81 kms Pedda Chukka Konda R.F-8.99 kms Ellappi R.F-8.83 kms Areas used by protected, important or None within 15 km aerial distance 3 sensitive species of flora or fauna for No from proposed mine. breeding, nesting, foraging, resting, over wintering, migration 4 Inland, coastal, marine or underground No None within 15 km aerial distance waters from proposed mine. 5 State, National boundaries No None within 15 km aerial distance from proposed mine. 6 Routes or facilities used by the public for Yes Village roads are available to this access to recreation or other tourist, site from Araku –Vizianagaram pilgrim areas Road. 7 Defense installations No None within 15 km aerial distance from proposed mine. 8 Densely populated or built-up area Yes Nearest habitation is Pata Sankarapalem village situated at 1.00 km and densely populated area Kothavalasa Mandal at a distance of 4.55 kms. 9 Areas occupied by sensitive man-made Yes Hospitals, Schools, community land uses facilities are available at 1.0 kms (Hospitals, schools, places of worship, away from the mine area. community facilities) 10 Areas containing important, high quality No -- or scarce resources (Ground water resources, surface resources, forestry, agriculture, fisheries, tourism, minerals) 11 Areas already subjected to pollution or No None within 15 km aerial distance environmental damage. from proposed mine site.

15 (Those where existing legal environmental standards are exceeded) 12 Areas susceptible to natural hazard which No -- could cause the project to present environmental problems (Earthquakes, subsidence, landslides, erosion, flooding for extreme or adverse climatic conditions )

17 STANDARD TEMPLATE FOR EVALUATION OF ALL PROJECTS/ ACTIVITIES:-

S.No Information required Information to be furnished by the proponents 1 Name of the project or activity M/s. M.L.N.S.R.Minerals Mining of Quartzite & Gravel 2 Name of the organization/owner. Smt.M.Naga Sarala 3 Address for communication Mg.Ptr: Smt.M.Naga Sarala D.No.4-96-33/3, A-Zone, Bazar Road, Sujatha Nagar, Chinnamusidivada Pendurthy, Visakhapatnam District 4 Telephone numbers 9908558999 5 Email ID of the organization or contact [email protected]

person 6 Location of the Proposed project or activity Sy.No.55, Ardhanapalem Village, Kothavalasa Mandal, Vizianagaram District, Andhra Pradesh.

7 Appraisal Category (B2 or B1) Category ‘B’ (B 2) 8 Nearest habitation and distance from the Pata Sankarapalem village at a distance of project or activity 1.00 kms 9 Installed capacity / Production Capacities Mining of Quartzite & Gravel in 18.80 Ha., Maximum Production: Quartzite-499044 MTPA & Gravel-213876 MTPA 10 Specify the Fuel (Coal / CNG / Diesel based machinery will be used biomass/Others) and quantity required during quarry operations. 250 liters of diesel will be used per day. 11 Details of Land use/Land Cover Enclosed in EMP 12 Occupancy, ownership of the land in which Gov ernment l and the activity is proposed: (Government land / Private land / Forest land

18 /Revenue land /Temple land /leased land/ land belongs to other Department) 13 If it is a Forest land, the following details No forest area cover under the proposed shall be furnished: site area (Whether it is a Reserved forest / Protected forest/Demarcated forest/ National Parks/Sanctuaries/any land in possession of Forest Department.)

(The village map with Sy. No. indicating nearest forest boundary line from the site shall be enclosed) 14 Total investment of the project/activity. Rs. 200.0 Lakhs a. Funds allocated for EMP (capital cost and Rs. 22.0 Lakhs recurring cost per annum) 15 Brief description of the project with special The method of mining shall be opencast reference to specific pollution and its control basis. Excavators shall be carried out by measures. jack hammer drilling. Bench height and width will be maintained. During mining operations fugitive dust emissions will be generated. Control devices such as water sprinklers and covering drill with cloth will reduce the generation of dust. Noise levels will be increased during operations and these will be controlled with ears protection/use of latest noise controlled equipment. Vibrations level during mining operations and these will be minimized by using low explosives and low quantities. Greenbelt will be developed all along the mining lease area. 16 Compliance report on the following :

19 i. Status of compliance of the conditions The mining plan approved vide letter no. and environmental safeguards stipulated 3915/MP-VZM/2018 Dt: 05.11.2018 in the earlier clearance letters. ii. Details of the court cases, if any, No court case/Litigation is pending pending in any Court of Law against the against the proposed project. project as well as any directions passed by the Court relating to the project directly or indirectly. iii. Details of the notices, if any, given to the Nil project under Section 5 of the Environmental (Protection) Act, 1986 and Section 18 of the Air (Prevention & Control of Pollution) Act, 1981. 17 Whether the project attracts the provisions No laid under the OM dt. 16.11.2012 issued by the MoE&F, GOI, w.r.t. violation of EIA Notification, 2006 and its amendments thereof? (Yes/No) Present stage and status of the project: Mining work not yet started 18 Name of the Consultant: SV Enviro Labs & Consultants, Visakhapatnam

21 FORM-2 APPLICATION FOR PRIOR ENVIRONMENTAL CLEARANCE 1 Details of Project a. Name of the Project (s) M/s M.L.N.S.R.Minerals Mining of Quartzite & Gravel b. Name of the Company / Organization M/s M.L.N.S.R.Minerals Sy.No.55, Ardhanapalem Village, Kothavalasa Mandal, Vizianagaram District, Andhra Pradesh. c. Registered Address D.No – 4-96-33/3, A-Zone, Bazar Road, Sujatha Nagar,Chinnamusidivada, Pendurthy, Visakhapatnam District. d. Legal Status of the Company Managing Partner e. Joint Venture (Yes/No) Yes If Yes (i) No. of JV Partner (Multiple Entries Allowed ) Share of Name of the JV Address of the JV Email ID of JV Mobile No. of the JV Partner Partner Partner JV Partner Partner M.Ramachaitanya D.No – 4-96-33/3, Varma A-Zone, 15% M.Revanth Varma 15% Bazar Road, Sujatha Nagar,Chinnamusidi 9908558999 vada, Pendurthy, M.R.Sudhakar 10% mlnsrminerals@ Visakhapatnam gmail.com District.

2 Address for the correspondence a. Name of the applicant Smt.M.Naga Sarala b. Designation (Owner/Partner/CEO) Managing Partner c. Address D.No – 4-96-33/3, A-Zone, Bazar Road, Sujatha Nagar,Chinnamusidivada, Pendurthy, Visakhapatnam District. d. Pin Code 531173

e. e-mail [email protected] f. Telephone No. 9908558999 g. Fax No -- 3 Category of the Project / Activity as per Schedule of EIA Notification, 2006 a. 1(a) (i)- Mining of Minerals Project/ Activity 1 (a) (i).....8(b)

b. Category (A/B 1/B 2) B2

If B 1 or B 2 Reason for application at Central Level / State State Level-Our Proposed Mine area is

Level (in case of B 2 Projects) 18.80 Ha., which is above 5.0 Ha. So we are applying at state level. If Others -- c. Please Specify NA d. EAC concerned (for category A Projects only) NA (Coal mining / Non-coal Mining/ Thermal / River Valley & Hydro / Industry-I / Industry-II/ Infrastructure-I / Infrastructure-II / Nuclear & Defence / CRZ c. New/ Expansion/ Modernization/ One time New Mine Capacity expansion (only for Coal Mining) / Expansion under Para 7(ii)/Modernization under Para 7(ii) Change of Product Mix under Para 7 (ii)) 4 Location of the Project a. Plot / Survey / Khasra no. 55 b. Village Ardhanapalem Village c. Tehsil Kothavalasa Mandal d. District Vizianagaram District e. State Andhra Pradesh f. Pin Code 535183 g. Bounded Latitudes (North) From 17°55'20.35"N To 17°55'20.96"N h. Bounded Longitudes (East) From 83°13'43.57"E To 83°13'30.29"E i. Survey of India Topo Sheet No. 65 O/1 j. Upload Toposheet file( Upload pdf only ) Uploaded in website Maximum Elevation Above Means Sea level 154 m k. (AMSL) l. Upload (KML) File ( Upload KML File only ) Uploaded in website Distance of nearest HFL from the project NA m. boundary within the study n. Seismic Zone (Zone: 1/2/3/4/5) Seismic Zone-II Whether Project is executed in multiple states 5 (Yes/No)? No If yes a. Number of States in which Project will be NA Executed (e.g. 1,2,3,4,5,6) b. Main State of the project NA c. Other state (Multiple Entries Allowed) (If the project to be executed, does not belong to any state, then state category could be selected as 'Other') State District Tehsil Village NA NA NA NA

6 Details of Terms of Reference (ToR) a. Whether ToR is mandatory for submitting No application (Yes/No) If yes b. Date of Issue of ToR/Standard ToR NA c. MoEF&CC/SEIAA File No. NA d. Upload ToR Letter ( PDF only ) NA 7 Details of Public Consultation a. Whether the Project Exempted from Public NA Hearing (Yes/No)? If No, NA Reason thereof Public hearing not applicable as the project is comes under B2 category b. Supporting Document ( Upload pdf only ) NA c. Whether details of Public Hearing available (Yes/No)? NA If yes d. Reason thereof NA Supporting Document ( Upload pdf only) -- If yes e. Date of Advertisement of Public Hearing NA f. Copy of advertisement in English ( Upload Pdf only ) NA g. Whether Public hearing was presided over by an NA officer of the rank of Additional District magistrate or Above (Yes/No)? If Yes h. Designation of Presiding officer (District NA Magistrate / District Collector / Deputy Commissioner /other -please specify) i. Copy of duly signed Proceedings of Public NA hearing in English (Upload pdf only) j. Date of Public Hearing NA k. Venue of public Hearing NA Village NA Tehsil NA District NA State NA Distance of Public Hearing Venue from Project l. Proponent (Km) NA m No. of people attended NA n. If the multiple public hearing conducted NA Pl give the details of each PH as per (e) to (o) o. above NA 8 Project Configuration / Product (Multiple Entries Allowed) a. Whether the project is New (Yes/No)? Yes If yes It is a New Quarry, Waiting for approvals from concerned Authorities. b. Project Configuration - Plant/Equipment/facility Configuration Remarks If any Mining of Quartzite & Gravel Quartzite-499044 MTPA & Gravel- -- 213876 MTPA c. Product Mode of Product/Activity (Capacity/Area) Quantity Unit Transport/Transmissi on of Product Mining of Quartzite & Gravel Quartzite-499044 MTPA Trucks Gravel-213876 - Unit:- (Tons per Annum (TPA), Mega Watt (MW), Hectares (Ha), kilo litre per Day Tons Crushed per Day (TCD), Cubic Meter per Day, Kilometers (Km), Million Liters per Day (MLD), Others) - Mode of Transport/Transmission of Product (Road, Rail, Conveyor Belt, Pipe Conveyor), Arial Ropeway, Combination of two or three modes, other) 9 If Expansion / Modernization/ One Time capacity expansion ( only for coal mining / Expansion under Clause 7 (ii) / Modernization under Clause 7 (ii) / Change of Product Mix under Clause 7(ii)) Details of Environmental clearance granted a. earlier NA (i) Date of issue of environmental clearance NA (ii) MoFFCC / SEIAA File Number NA (iii) Upload EC Letter NA Details of certified report on compliance of b. earlier environmental clearance conditions NA (i) Details of Regional Office of MoEFCC /Zonal Office of CPCB / SPC3 / UTPCC from which certified report on compliance NA of earlier environmental clearance conditions obtained (ii) Letter No NA (iii) Status of Compliance NA (iv) Certified report on compliance of earlier NA environmental clearance conditions (Including Monitoring Report) (Upload pdf only) (v) Date of site Visit NA c. Details of Consent to Operate (i) Whether Consent to operate obtained NA (Yes/No)? If Yes NA (ii) Upload Copies of all Consent to operate NA obtained since inception (Upload pdf only) (iii) Date of issue NA (iv) Valid up to NA (v) File No NA (vi) Application No NA (vii) Upload Copy of Consent to operate valid NA as on date (Upload Pdf only) Details of Capacity Expansion (Multiple Entries Not Applicable d. Allowed) Product / Quantity From Quantity Unit Mode of Transport Activity To / Transmission of (Capacity/Are Product a) N.A NA NA NA NA

- Unit:- (Tons per Annum (TPA), Mega Watt (MW), Hectares (Ha), kilo litre per Day Tons Crushed per Day (TCD), Cubic Meter per Day, Kilometers (Km), Million Liters per Day (MLD), Others) - Mode of Transport/Transmission of Product (Road, Rail, Conveyor Belt, Pipe Conveyor), Arial Ropeway, Combination of two or three modes, other) e. Details of Configuration ( Multiple Entries Allowed ) proposed Plant/Equipment Existing Final configuration Remarks if Configuration /facility Configuration after expansion any

NA NA NA NA 10 Project Cost Total Cost of the Project at current price level (in Rs.200.0 Lakhs a. Lakhs) Funds Allocated for Environment Management Rs. 13.5 Lakhs b. (Capital) (in lakhs) Funds Allocated Towards ESC (Entrepreneur Rs.1.0 Lakh c. Social Responsibility) (in Lakhs) Funds Allocated for Environment Management Rs.1.7 Lakhs/Annum d. Plan (EMP) (Recurring per Annum) (in Lakhs) 11 Whether project attracts the General Condition specified in the Schedule of EIA Notification (Yes/No)? [provide name of WL/CPA/ESA/Inter-state boundary / International boundary and distance from the project : No If Yes NA Protected Area Notified Under the Wild NA a. Life(Protection) Act.1972 Critically Polluted Areas as identified by the Central Pollution Control Board from Time to NA b. Time c. Notified Eco-Sensitive Areas NA Inter-State Boundaries and international NA d. Boundaries Whether projects attract the Specific Condition specified in the Schedule of EIA 12 Notification (Yes/No)?: No If Yes NA a. If any Industrial Estate / Complex / Export NA processing Zones / Special Economic Zones / Biotech Parks / Leather Complex with homogeneous type of industries such as items 4(d), 4(0, 5(e), 5(0, or those Industrial estates with pre-defined sot of activities (not necessarily homogeneous, obtains prior environmental clearance, individual industries including proposed industrial housing within such estates / complexes will not be required to take prior environmental clearance, so long as the Terms and Conditions for the industrial estate/complex and are complied with (Such estates/complexes must have a clearly identified management with the legal responsibility of ensuring adherence to the Terms and Conditions of prior environmental clearance, who may be held responsible for violation of the same throughout the life of the complex/estate 13 Raw material / Fuel Requirement (Multiple Entries Allowed) : a. Details of Raw Material / Fuel Requirement

Raw Quantity Unit Source (in case Mode of Distance of Type of Linkage Material/Fuel per of Import, please Transport Source from (Linkage Fuel Annum specify country in Supply and Name of the Kilometers) Agreement/e- port from which (In case of auction/MoU/ Raw import, LOA/Captive/Op Material/Fuel is distance en market/Others) received) from the port from which the raw material/fue l is received

In case of expansion proposal, total requirement of raw material / fuel shall be given: - Unit:- (Tons per Annum (TPA), Mega Watt (MW), Hectares (Ha), kilo litre per Day Tons Crushed per Day (TCD), Cubic Meter per Day, Kilometers (Km), Million Liters per Day (MLD), Others) - Mode of Transport/Transmission of Product (Road, Rail, Conveyor Belt, Pipe Conveyor), Arial Ropeway, Combination of two or three modes, other) b. Upload copy of Linkage / Fuel Supply Agreement Company has not done any MOU to / e-auction / Memorandum of Understanding / purchase the fuel from local supplier as per Letter of Allocation /Captive source / others. requirement. 14 Baseline Data (Air / Water / Noise / Soil / Ground water table/ Others) a. Period of Base Line Data Collection From (DD/MM/YYYY) 01.10.2018 To (DD/MM/YYYY) 31.10.2018 Season (Summer / Pre-monsoon / Post-monsoon / Post-monsoon b. Winter) No. Of Ambient Air Quality (AAQ) Monitoring 4 c. Locations Details of AAQ Monitoring ( Multiple Entries Allowed ) : 1 Core Zone and 3 Buffer zone d. Locations 98 Criteria Maximum Prescribed Unit Minimum Value Percentile Pollutants Value Standard Value

PM 10 3 µg/m 66.0 41.0 --- 100 (<10µ size) PM 2.5 µg/m 3 34.1 19.8 --- 60 (<2.5 µ size) 3 SO 2 µg/m 15.9 12.1 --- 80 NO (Oxides of X µg/m 3 17.4 12.9 --- 80 Nitrogen) Criteria Pollutants: - (PM10, PM2.5, S02, NOx, Others parameters specific to sector) Unit: - (Micro Gram per Meter Cube, Nano Gram per Meter Cube, Mill Gram per Meter Cube, NA) e. No. of Ground Water Monitoring Locations 3 (Multiple Entries Allowed) Details of Ground Water Monitoring: Three locations selected for Ground water Quality f. around proposed Mines. Criteria Maximum Minimu Prescribed Unit 98 Percentile Value Pollutants Value m Value Standard pH - 7.2 6.9 --- 6.5-8.5

Turbidity NTU <0.5 <0.5 --- 1 Total Dissolved mg/l 734 697 --- 500 Solids Total Hardness as mg/l 249 189 --- 200 CaCO 3 Total Alkalinity as mg/l 172 115 --- - CaCO 3

Chloride as Cl - mg/l 148 112 --- 250

Flouride as F 2+ mg/l 0.69 0.55 --- 1

Iron as Fe2+ mg/l 0.13 0.11 --- 0.3

Criteria Pollutants: - (pH, TSS, TDS, Total Hardness, Chlorides, Fluoride, Heavy Metals, other parameters specific to the sector) - Unit :- (mg/l, NA) g. No. of Surface Water Monitoring Locations 2 Details of Surface Water Monitoring (Multiple Two locations selected for surface water h. Entries Allowed) Quality around proposed mines. Maximum Minimu 98 Percentile Prescribed Criteria Pollutants Unit Value m Value Value Standard pH - 7.3 7.2 --- 5.5-9.0

Total Suspended Solids mg/l 19 16 --- 100

Dissolved Oxygen mg/l 7.1 6.8 --- -

Biochemical Oxygen Demand mg/l 2.1 1.9 --- 30 (BOD) (3days at 27 0C) Chemical Oxygen Demand mg/l 5.6 4.9 --- 250 (COD)

Flouride as F 2+ mg/l 0.51 0.44 --- 2

Parameter (pH, DO, BOD, COD, Others parameters specific to the sector) Unit: (mg/l, NA) i. No. of Ambient Noise Monitoring Locations 4 Details of Noise Monitoring ( Multiple Entries j. Allowed ) Maximum Minimum 98 Percentile Prescribed Parameter Unit Value value Value Standard Industrial75/ Leq (Day) dB(A) 55.6 39.2 --- Residential 55 Industrial70/ Leq (Night) dB(A) 51.2 33.5 --- Residential 45 -Parameter:- (Leq(Day), Leq(Night)) -Unit :- (A-weighted decibels(dB(A)) k. No. of Soil Monitoring Locations (Multiple Entries Allowed): 2 98 Percentile Parameter Unit Maximum Value Minimum Value Value

pH - 7.1 6.9 --- Nitrogen as N Kg/ha 84.2 75.1 ---

Phosphorus as P Kg/ha 45.6 39.4 ---

Potassium as K Kg/ha 169.0 151.0 ---

Electric Conductivity µs/cm 57.0 51.0 ---

Parameter :- (pH, N(Nitrogen), P(Phosphorus), K(Potassium), Electric Conductivity Unit :- (Millisiemens per Centimeter, Milligram per Litre, Percent, Centimeter or Second, Miliiequivalents per 100 Gram, Milligram per Kilogram, Parts per million, Kilogram per hectare, Others) l Ground Water Table i. Range of Water Table Pre-Monsoon Season (Meters 8.7 to 9.6 Below Ground Level (m bgl) From 01.10.2018 To 31.10.2018 ii Range of Water Table Post-Monsoon Season NA (Meters Below Ground Level (m bgl) From NA To NA iii Whether Ground Water Intersection will be there (Yes / No)? No If Yes NA (i) Upload Copy of Central Ground Water Authority NA Letter (Upload pdf only) (ii) Letter No. NA (iii) Date of issue NA 15 Details of Water requirement (During Operation) (Multiple Entries Allowed) a. Details Method of Mode of Source Quantity in KLD water Distance from Source Transport withdrawal Domestic 1.5 Water Road Green Belt 7.0 Tankers Road Dust Suppression 8.0 Road Wet Drilling 6.0 Road Source: Surface / Ground Water / Sea / Others Mode of Transportation: Pipeline / Canal / Others Method of water withdrawal: Barrage / Weir / Intake well / Jackwel: /Tube well /open well/others Upload Copy of Permission from Competent NA b. Authority (Upload pdf only)

c. Letter No. NA

d. Date of issue NA

e. Permitted quantity NA

f. Whether Desalination is proposed (Yes/ No) NA

If Yes NA

(i) Desalination capacity (KLD) NA

(ii) Quality of Brine (KLD) NA

(iii) Mode of Disposal of brine NA 16 Waste Water Management (During Operation) Quantity of Quantity of Treatment Treated Quantity of Waste Capacity Water Used Discharged Type / Water (Kilo Mode of in Recycling / Water (Kilo Source Generated Litre per Disposal Reuse (Kilo Litre per (Kilo Litre Day) Litre: per Day) per Day) Treatment Method Day) Domestic 1.2 Septic Tank -- followed by Soak Pit a. Total Waste Water Generation 1.2 KLD b. Total Discharged Water Not Applicable c. Total Reused Water Not Applicable 17 Solid Waste Generation Management (Multiple Entries Allowed): Not Applicable Item Quantity per Annum Unit Distance Mode of Transport NIL

Item:- (Industrial waste, Municipal Solid waste, Fly ash, Bottom Ash, Hazardous Waste (as per Hazardous and Other Waste Management Rules 2016), E Waste, Bio-Medical waste, Construction & Demolition waste, Plastic Waste, Others) Unit:- (Tons, Kiloliter) Mode of Disposal:- (Treatment, Storage and Disposal Facility (TSDF), Authorized Recyclers, Landfills, Sanitary Landfills, Others) 18 Air Quality Impact Prediction (Multiple Entries Allowed) – Not Applicable Criteria Baseline Minimu incremental Total Prescribed pollutants Unit Concentration m Value concentration GLC Standard NA NA NA NA NA NA NA

Parameter:-(PM 10 , PM, SO 2, NOx, Others parameters specific to the sector) - Unit (Microgram per Meter Cube, NA) Not Required as the mining will be done 19 Power Requirement: during day time only a. Quantity (Kilo Volt Amps (KVA)) NA b. Source NA c. Upload Copy of Agreement ( Upload pdf only ) NA d. Standby Arrangement (Details of DG Sets) NA e. Stack Height (in m) NA 20 Land Ownership Pattern (Prior to the project proposal) in Ha a. Forest land NA b. Private Land NA c. Government Land 18.80 Ha., d. Revenue Land NA e. Other Land NA Total 18.80 Ha., 21 Present Land Use breakup in Ha a. Agriculture Area NA b. Waste/Barren Area 18.80 Ha., c. Grazing / Community Area NA d. Surface Water bodies NA e. Settlements NA f. Industrial NA

g. Forest NA

h. Mangroves NA

i. Marine area NA

j. others (Specify) NA Total 18.80 Ha., 22 Land requirement for various activities (Multiple entries allowed): Description of Activity / Facility / Plant / Others Land requirement in Ha., Remarks Area under mining 9.485 Waste Dump Site 1.118 Mineral Storage 0.122 Infrastructure-Workshop etc., 0.030 Roads 0.15 Others(to spectify) 2.794 Future use 5.101 Total 18.80 Ha., - Activity/Facility/Plant/ other include: Main Plant, Township, Green belt, Ash pond, Quality area, OB dump Area, Safety zone, Tailing pond, Land fill, Salination Plant, Area for solid waste management, built-up area, others 23 Ecological and Environmental Sensitivity (Within 10 Km):- WLS-Wild Life Sanctuaries, Notified Protected areas; ESAs-Eco Sensitive Areas; ESZs-Eco Sensitive Zones) a. Details of Ecological Sensitivity - Not Applicable Details of Ecological Name Distance from the Remarks Sensitivity Project (Km) NA NA NA NA -Details of Ecological Sensitivity: - (Criticany Polluted Area, WLS, NPA, SAs, ESZs, Corridors, Wildlife Corridors) Whether NBWL recommendation is required b. (Yes/No)? No If Yes -- Upload NBWL recommendation in PDF NA c. Details of Environmental Sensitivity NA Details of Name Distance from the Project Environmental Sensitivity (Kms) Water Bodies Cheruvu 3.76 Water Bodies Gosthani River 9.31 Reserve Forest Adhvanapalem 1.00 Reserve Forest Muchecherla 6.81 Reserve Forests Pedda Chukka Konda 8.99 Reserve Forests Ellappi R.F 8.83 Details of Environmental Sensitivity:- (Forest, Archaeological sites, Defense Installations, Others) d. Whether NoC / Permission from the competent No authority is required (Yes/No)? If Yes -- Upload NoC / Permission from the competent Not Applicable authority in PDF 24 Forest Land Whether any Forest Land involved (Yes/No)? No If Yes a. Forests Clearance Status (In-Principle(Stage-I) Not Applicable Approval Obtained / Final (Stage-II) Approval Obtained / Forest Clearance Under Process (Stage-I) / Forest Clearance under Process (Stage-II) / Application for Forest Clearance yet to be Submitted) If In-Principle (Stage-I) Approval Obtained, NA (i) MoEF&CC file number NA (ii) Date of In Principle (Stage-I) approval NA (iii) Area diverted NA (iv) Upload FC Letter (Upload pdf only and NA attach it as Annexure-FC Letter) Final (Stage-II) Approval obtained, NA (i) MoEFFCC file number NA (ii) Date of Final Approval NA (iii) Date of In-Principle Approval NA (iv) Area diverted NA (v) Upload FC Letter (Upload pdf only and Quack it as Annexure-FC Letter) NA If Forest Clearance under process (Stage-I), NA (i) MoEFCC file number NA (ii) Area applied NA If Forest Clearance under process (Stage-II), NA (i) MoEFCC file number NA (ii) Area applied NA Legal Status of Forest Land (Reserved, Protected, b. Private, village, other NA If Others NA Please Specify others NA 25 Tree Cutting, if any NA No. of Trees Cut for the Project (if Forestland not 80 a. involved) Details of Tree Cutting and Planting of Trees b. (Upload pdf Only) -- 26 Land Acquisition Status NA

a. Acquired Land NA

b. Land yet to be acquired NA

c. Status of Land acquisition if not acquired NA 27 Rehabilitation and Resettlement (R&R) NA

a. No. of Villages NA

b. No. of Households NA

c. No. of PDFs (Project Displaced Families) NA

d. No. of PAFs (Project Affected Families) NA

e. Funds Allocated for R&R NA Status of R&R (Completed / In-progress / Yet to NA f. start) Whether there is Presence of Scheduled-I Species 28 (Yes/No)? No if yes, a. Details of Schedule-I Species NA Whether conservation plan for Schedule-I NA b. Species has been prepared (Yes/ No)

If Yes NA

(i) Upload conservation plan (Upload only PDF) NA

(ii) Fund Provision made NA

(iii) Period of implementation NA c. Whether conservation plan for Schedule-I NA Species has been approved by competent authority (Yes/ No)?

(i) Upload copy of approval (Upload PDF Only) NA

(ii) Letter No. NA

(iii) Date of issue NA

(iv) Recommendations if any NA Whether there is presence of Water Bodies in Core No 29 Area (Yes/No)? If Yes a. Details of Water Bodies in Core area NA

b. Whether there is Diversion required (Yes/No)? NA

If Yes NA

c. Details of diversion required NA

d. Details of study conducted NA Whether permission has been obtained from NA e. competent authority (Yes/No)? (i) Upload copy of permission (Upload PDF NA Only) (ii) Letter No. NA

(iii) Date of issue NA

(iv) Recommendations if any NA Whether there is Presence of Water Bodies in 30 Buffer Area (Yes/No)? Yes If Yes a. Details of Water Bodies in Buffer area Cheruvu Gosthani River b. Direction of water bodies in buffer Area (North / Cheruvu - SW South / East / West / North East/ North West/ Gosthani River-NE South East/ South West) c. Distance of Water Bodies in Buffer Area (Kilo Cheruvu - 3.76 kms Meter) Gosthani River-9.31 kms 31 Man Power Requirement a. Permanent employment during construction -- b. Permanent employment during operation 30 c. Temporary employment during construction -- d. Temporary employment during operation -- e. No. of working days -- f. Total manpower 30 32 Green Belt Area a. In case of new projects i Total Area of Green Belt 1.5 Ha., ii Percentage of Total Project Area 8% iii No of Plants to be planted 200 iv Area allocated for plantation 1.5 Ha., v Upload Green belt Plan ( Upload pdf only ) Uploaded b. In case of Expansion / Modernization / change in Product mix etc. i. Description Existing Proposed Total Total Area of Green Bet NA NA NA Percentage of Total of Project Area NA NA NA No. Of Plants NA NA NA Funds Allocated NA NA NA ii. Upload Green belt Plan (Upload pdf only) 33 Project Benefit ( Multiple entry allowed ) Type of Project Benefits Details of Project Benefits Social The proposed project activities will have positive beneficial effect on the local population, economic output and other related facilities viz employment ,development of business, transportation etc. (Project benefits shall include environmental, social and others) 34 Whether the Project / Activity attracts the provisions of CRZ (Yes/No)?: No If Yes 1 Project Details a. CRZ Classification: (CRZ I (A), CRZ I (B), NA CRZ II, CRZ III. CRZ IV, CRZ IV(B)) b. Location type: (Non-Eroding Coast, Low and NA Medium Eroding Coast, High Eroding Coast)

c. Details of Mangroves Land Involved. If Any NA

d. Area of Mangroves Land (hectare) NA e. EIA (Terrestrial) Studies: (Carried Out, Not NA Carried Out)

If carried out, NA Summary Details of EIA (Terrestrial) NA 1) Studies Upload Recommendation made in EIAs NA 2) (Upload pdf only)

3) Period of Study from (EIA Terrestrial) NA 4) Period of Study to (EIA Terrestrial) NA If Not Carried out NA

Give Reason NA EIA (Marine) Studies: (Carried Out, Not NA f. Carried Out)

If carried out, NA Summary Details of EIA (Marine) NA 1) Studies

2) Upload Recommendation made in EIAs NA

3) Period of Study from (EIA Marine) NA

4) Not Applicable NA

If Not Carried out NA

Give Reason NA g. Disaster Management Plan/National Oil Spill NA Disaster Contingency Plan (if Applicable) 2 Description of Project Under Consideration ; Not Applicable a. Type of Project: (Resort/Buildings/civic amenities, Coastal Roads, roads on Stilt, pipelines from Thermal power Blow Down, Marine Disposal of Treated Effluent, Facility for Storage of Goods/Chemicals, Offshore structures, Desalination Plant, Mining of Rare Earth/Atomic Minerals, Sewage Treatment Plants. Lighthouse, Wind Mills, Others) If Resort/Buildings/civic amenities, NA Agency name for Preparing CRZ NA 1) Maps

2) Total Area/Built-up Area (hectare) NA

3) Height of Structure NA

4) FSI Ratio NA The governing Town Planning NA 5) Rules/Regulations Details of Provision of Car Parking NA 6) Area if Coastal of Provision of Car Parking Area NA Agency Name for Preparing CRZ NA 1) Maps

2) Area of Land Reclamation NA Estimated Quantity of Muck/Earth for NA 3) Reclamation

4) Carrying Capacity of Traffic NA If Pipelines from Thermal Power Blow Down, NA Agency Name for Preparing CRZ NA 1) Mans

2) Length of Pipeline NA

3) Length Traversing CRZ Area NA

4) Depth of Excavation NA

5) Width of Excavation NA Length of Pipeline from Seashore to NA 6) Deep Sea Depth of Outfall Point from Surface NA 7) of Sea Water Temperature of effluent above NA 8) Ambient at Disposal Point If Marine Disposal of Treated Effluent NA Agency Name for Preparing CRZ NA 1) Maps

2) Location of Intake/Outfall NA

3) Depth of Out fall point NA

4) Length of Pipeline NA

5) Length Traversing CRY Area NA

6) Depth of Excavation NA

7) Width of Excavation NA 8) Length of Pipeline from Seashore to NA Deep Sea/Creek 9) Depth of Outfall Point from Surface NA of Sea Water

10) Depth of Water at Disposal Point NA

11) Type of Disposal NA If Facility for Storage of goods/Chemicals NA 1) Agency Name for Preparing CRZ NA Maps

2) Name and Type of Chemical NA

3) End use of the Chemical NA

4) No. of Tanks for Storage NA

5) Capacity of tanks NA If offshore structures, NA 1) Agency Name for Preparing CRZ NA Maps

2) Exploration or Development NA

3) Depth of Sea Bed NA

4) No. of Rigs/Platform NA

5) Details of Group Gathering Stations NA If Desalination Plant, NA 1) Agency Name for Preparing CRZ NA Maps

2) Capacity of Desalination NA

3) Total Brine Generation NA 4) Temperature of Effluent above NA Ambient at Disposal Point

5) Ambient Salinity NA

6) Disposal Point NA If Mining of Rare Earth/Atomic Minerals, NA

1) Not Applicable NA

2) Capacity of Mining NA

3) Volume/Area to be mined NA

4) Type of Mineral to be Extracted NA

5) End use of the Mineral NA If Sewage Treatment Plants, NA 1) Agency Name for Preparing CRZ NA

Maps 2) Capacity NA

3) Total Area of Construction NA 4) Compliance of effluent parameters as NA laid down by CPCB/SPCB/other authorized agency 5) Whether discharge is in sea NA water/creek?

If yes. NA Distance of Marine Outfall Point from NA Shore/from the tidal river bank Depth of Outfall Point from Sea NA Water Surface

Depth of Sea at Outfall Point NA If Lighthouse, NA 1) Agency Name for Preparing CRZ NA Maps

2) Total Area of Construction NA

3) Height of the Structure NA If Wind mills NA 1) Agency Name for Preparing CRZ NA Maps 2) Capacity (MW) NA 3) Transmission Lines: (Overhead, NA Underground)

4) Diameter of Windmill NA

5) Length of Blade NA

6) Speed of Rotation NA

7) Height of the Structure NA If others NA 1) Agency Name for Preparing CRZ NA Maps

2) Please Specify with salient features NA 3) Upload relevant Document ( Upload NA pdf only) 3 Distance of projects (In meters) from LTL/HTL to be Stated Clause of CRZ Notification Under which the NA Project is a a. Permissible/Regulated Activity Whether CRZ Map indicating HTL, LTL NA b Demarcation in 1:4000Scale Prepared? . (Yes/No)

If Yes NA

1) NA NA

2) Upload Maps (Kml File) NA Distance of Project(in meters) from LTL to NA 3) be Stated

4) Upload Maps (Kml File) NA c. Whether Project Layout Superimposed on CRZ NA Map 1:4000 Scales? (Yes/No)

If Yes NA

1) Upload Maps (kml File) NA d Whether CRZ Map 1:25000 Covering 7 km NA . Radius Around Project Site Prepared (Yes/No)

If Yes, NA

1) Upload Maps (kml File) NA e. Whether CRZ Map Indicating CRZ-I, II, III and NA IV Including Other Notified ESAs Prepared? (Yes/No)

If Yes, NA

1) Upload Maps (kml File) NA NOC from State Pollution Control Boards NA f. Obtained: (Yes/No)

If Yes, NA

1) NA NA g Details of Rain Water Harvesting System NA . Recommendation of State Coastal Zone NA 4 Management Authority

a. Upload Copy of CZMA ( Upload pc/, Only) NA

b. State the Conditions Imposed NA c. Social and Environmental issues and NA Mitigations Measures suggested Including but not Limited to R&R, Water, Air, Hazardous Wastes. Ecological aspects, etc. (Brief Details to be Provided) 35 Sector Specific Details Whether the proposal is mining of minerals (coal Yes , Non-Coal Mining Project I /non-coal) project (Yes/No)? If Yes 1 No. Of Mineral to be Mined (Multiple Entries Allowed): 2 Minerals To be Mined Major or Minor Minerals Mining of Quartzite & Gravel Minor Mineral 2 Mine Capacity in ROM (Run of Mine) 3 Upload 500 meters Cluster Certificate from Uploaded in Website State Mines and Geology in case of minor minerals ( Upload pdf Only ) 4 Mining Plan a. Approval Letter No. 3915/MP-VZM/2018 b. Date of Approval 05.11.2018 c. Upload Approved Letter (Upload pdf Uploaded only) d. Approved by State Mines & Geology Govt. of AP Dept of Mines & Geology Department / Indian Bureau of Mines / Ministry of Coal / Ministry of Mines / State Government / Atomic Mineral Directorate / Others) e. If others NA Please specify NA f. Approved mining Lease area 18.80 Ha., g. Approved Capacity Quartzite-499044 MTPA, Gravel-213876 MTPA 5 Technical Details a. Total Geological Reserves (Million Ton) 7834691 m 3 b. Mineable reserves (Million Ton) 7188000 m 3 c. Extractable Reserves (Million Ton) NA d. Percent of Extraction (%) 100 % e. Grade of Coal /Ore /Mineral NA f. Stripping Ratio -- g. Category of Gaseousness (Only for Coal NA Mining, Others may write Not applicable)

h. Average Gradient(Degree) NA i. Maximum Thickness of Seams(meters) NA (Only for Coal Mining, others may write Not applicable ) j. Mining Method (Opencast / Underground Open Cast Method / Mixed (Opencast Underground) / Adit k. Life of Mine (Years) 20 years 6 Details of beneficiation (including crushing / screening/others) a. Whether it is proposed to install crusher within the mining lease area (Yes/No)? No If Yes -- b. No. of crushers Not Applicable c. Details of crusher (Multiple entries allowed) Not Applicable Crusher ID Capacity (in TPH) Remarks N.A N.A N.A d. Whether it is proposed to install beneficiation plant / Coal washery within the mining, lease area (Yes/No)? No If Yes, --

e. Beneficiation / washing Technology NA

f. Capacity NA 7 Details of Seams if applicable

a. No. of seams NA

b. Thickness of seams to be worked on NA c. Maximum Thickness of Searns (meters) NA (if not Applicable, may Write NA) 8 Details of Mining Lease a. Details of mining Lease Mining of Quartzite & Gravel– 18.80 Ha., b. Upload Letter of Intent (Upload pdf only) Uploaded in Website c. Date of Execution of Mining Lease with In Principle of application of quarry lease Reference Number notice issued by ADM&G Vizianagarm & DM&G Ibrahimpatnam Vide Notice No. 24633/R1-2/2017 dated:09.10.2018 d. Validity of Mining Lease 20 Years e. Upload Copy of Executed Lease deed NA valid as on Date (upload pdf only) f. Earlier Renewals (Multiple Entries NA Allowed) Upload Copy of Earlier Lease Date of Renewal

NA NA 9 OB (Over Burden) management (Only if mining method: Open Cast) a. Details of External Dumps : i) No. of OB Dumps NA

ii) Total Area (in Hectare) NA

iii) Height (in meter) NA

iv) Quantity (in Million Cubic meter) NA

v) No. of year back fill up NA

b. Details of Internal Dump : i) No. of Internal Dumps 1 ii) Total Area (in Hectare) 1.118 Ha., iii) Height (in meter) 40 m iv) Quantity (in Million Cubic meter) -- 10 Details or Topsoil Management a. Quantity of Topsoil excavated during the -- entire life of the mine (in Million Cubic meter) b. Quantity of Topsoil proposed for NA utilization for reclamation during the entire life of the mine (in Million Cubic meter) c. Quantity of Topsoil proposed for utilization for other activities during the entire life of the mine (in Million Cubic meter) NA 11 Detail of Final Mine Void (Only if Mining Method: Opencast) a. Area (in Hectare) NA

b. Depth (in meter) NA

c. Volume (in Million Cubic meter) NA Details of Quarry (Only if Mining Method: 12 Opencast)

a. Final Void of (hectare) NA b. At a Depth of (meter which is proposed to NA be converted into a Water Body.)

c. NA NA 13 Details of Transportation a. In Pit/Underground to Surface Truck b. Surface to Siding/Loading Truck

c. Transportation / Conveyor Details NA 14 Details of Land Usage (Pre-Mining) Land Use Within ML Area Outside ML Total (Ha) Area (Ha) Agriculture Land ------

Forest Land ------Waste Land 18.80 Ha., -- 18.80 Ha., Grazing Land ------Surface Water Bodies ------Settlements ------others Specify ------others ------17 Details of land Usage (post-Mining) Land Use Plantation Water Body Public Use Others Excavation/Quarry ------Top Soil Storage ------External OB dumps ------Internal OB dumps ------Roads ------

Built up Area ------(Colony/office) Green Belt ------Virgin Area ------

Other ------

Total ------18 Details of Reclamation (Only if mining Method: Open cast) Total Afforestation Plan shall be Implemented covering of Mining. This will include:

a. External OB Dump (in hectare) NA

b. Internal Dump (in hectare) 1.118 c. Quarry (in hectare) 18.80 d. Safety Zone (in hectare) --

e. Final Void of (hectare) -- f. At a Depth of (meter which is proposed to -- be converted into a Water Body.)

g. Density of Tree Plantation per ha (in no.) 100 h. Others in ha (Such as Excavation Area NA along ML Boundary, along Roads and Infrastructure, Embankment Area and in Township Located outside the Lease etc.) i. Total afforestation Plant (in Hectare) 1.5 Ha Status of Progressive Mining Closure Plan ( NA 19 For Expansion Projects only) a. Implementation of Various Activities as per NA Approved Progressive Mine Closure Plan (in Bar Chart) (pdf) (Upload pdf only)

b. Any Deviation from the Approved NA Progressive Mine Closure plan

c. Total Area Excavated (in hectare) NA d. Total Area Backfilled after Excavation (in NA hectare)

e. Total Area reclaimed (in hectare) NA Actual Coal/Ore Production vis-a-vis sanctioned capacity Since inception 20 (Multiple Entries Allowed) ; Not Applicable Financial Sanctioned Sanctioned Sanctioned Actual Excess Year capacity as capacity as capacity as Production Production per EC per CTO per Beyond the (MTPA) approved EC/CTO/Mining Mining Plan Plan Sanctioned

Capacity

(MTPA)

II Whether proposal is for Thermal Project (including captive power plant and Waste Heat Recovery Plant) (Yes/No)? No

If Yes NA

1 Specifications of the Plant NA a. Technology proposed (Supercritical, Sub- NA Critical, CFBC, AFBC, PFBC, IGCC, and Incineration. Pyrolysis, Gasification, Bio- methanation, others)

b. Plant Load Factor (%) NA

c. Station Heat Rate (Kcal/Kwh) NA

d. Steam Rate/Flow Rate NA

e. Boiler Temperature NA

f. Boiler Pressure NA g. Type of Stack (Single flue / Bi-flue / Tri- NA Flue) h. No. of Stacks NA Exit velocity Stack of stack gas Exit temperature Stack ID Stack height (m) Diameter at (m/s) of stack gas (m/s) exist (m)

2 Details of fuel linkage (please specify if multiple linkages are involved) a. Type of linkage (Linkage / Fuel Supply NA Agreement / e-auction / MoU / LOA / Captive / Open market / Others)

b. Quantity of linkage granted NA

c. Date of Linkage NA

d. Duration of Linkage NA 3 Details of Transportation of fuel Details / Mode Distance (km) Quantity (TPA)

Rail NA NA Road NA NA Pipeline NA NA Conveyor NA NA other mode (Please specify) NA NA

4 Details of Fuel Characteristics NA

a. Gross Calorific Value (Kcal/Kg) NA

b. Ash content (%) NA

c Sulphur Content (%) NA

d Moisture (%) NA

e. Mercury (mg/kg) NA

f Fixed Carbon (%) NA

g. Volatile Matter (%) NA 5 Details of Cooling systems NA a. Type of cooling system: Air cooled/Water NA cooled

b. Type of draft Natural draft/Forced draft NA c. Type of air circulation: Parallel flow/ Counter NA flow

d. Cycles of Cooling (COC): NA

e. Water requirement for cooling (m3/day): NA

f. Boiler blow down temperature: NA III Whether proposal is for River Valley & Hydroelectric Project (Yes/No)?: No If Yes NA 1 Sub Sector: (Multipurpose Project / Hydroelectric NA Project / Irrigation project) 2 Name of the River NA 3 Whether Cumulative Impact Assessment and NA Carrying Capacity Study of River Basin Carried Out? (Yes/No)

if Yes NA a. Status of Cumulative Impact Assessment and NA Carrying Capacity Study of River Basin: (Recommended / Not Recommended,) If Recommended NA b. Details of Cumulative Impact Assessment NA and Carrying Capacity Study of River Basin c. Upload Relevant Document (Upload pd/ NA only) Type or Project: (Construction of Dam Barrage / NA 4 Run of the River / lift irrigation Scheme) 5 Dam Height (meter) if applicable NA

6 Dam Length (meter) if applicable NA

7 Total Submergence Area (hectare) NA 8 Details of Gross Command Area (GCA) (hectare) NA 9 Details of irrigable Command Area (ICA) NA (hectare) 10 Details of Culturable Command Area (CCA) NA (hectare)

11 Total Command Area (hectare) NA 12 Powerhouse installed Capacity NA Type of Powerhouse: (Underground / a. Surface) NA

b. Capacity (megawatts) NA

c. No. of Tunnels NA

d No. of Units NA

e. Bank of River (Left /Right / Both) NA 13 Generation of Electricity Annually a. Quantity of Generation of Electricity Not Applicable Annually (in Gift (GWh) b. Water availability at various percentages Not Applicable Water Dependable Percentage availability Remarks year (Cusecs) At 50% NA NA At 75% NA NA At 90% NA NA c. Machine Availability (%) Not Applicable

d. Cost of Electricity Generation (in INR) NA

e. Internal Rate of Return (%) NA Year of achievement of Internal Rate of NA f. Return

14 Catchment Area Treatment Plan NA

15 Muck Management Plan NA a. Upload Muck Management Plan in PDF NA

b. Total Excavation Muck (Cubic Meter) NA

c. Utilized for Construction (Cubic Meter) NA

d. No. of Muck Disposal sites NA

e. Total Muck Disposal Area (Ha) NA 16. Fishery Development and Management Plan a. Upload Fishery Development and NA Management Plan in PDF

b. No. of Fingerlings NA

c. No. of Fish Species NA d. Name of the umbrella Fish Species (Scientific NA Name) 17 Status of Environmental Flow NA Average Inflow (in Season Percent of flow Million Cubic meter) Lean NA NA Non-Lean NA NA Monsoon NA NA Non-Monsoon NA NA

18 Free Flow Stretch (km) NA

19 Approval of Central Water Commission NA

a. Approval Reference No. NA

b. Date of Approval NA

c. Upload Copy of Approval (Upload pal only) NA

a. Approval of Reference No. NA 20 Approval of Central Electricity Authority NA

a. Approval Reference No. NA

b. Date of Approval NA

c. Upload Copy of Approval (Upload pdf only) NA 21 Details of Coffer Dam(Upstream) if applicable NA a. Quantity of the meter NA

b. Length of the dam (m) NA

c. Quantity of muck to be used (m3) NA d. Quantity of borrow material to be used NA (m3)

e. Decommissioning plan (upload in PDF) NA Details of Coffer Dam (down stream) if 22 applicable NA

a. Quantity of the material (m 3) NA

b. Length of the darn (m) NA

c. Quantity of muck to be used (m 3) NA

d. Quantity of borrow material to be used (m 3) NA

e. Decommissioning plan (upload in PDF) NA Whether the proposal is infrastructure projects IV (Yes/No) No If yes? 1. Details of Building Construction NA

a. Maximum Height of the Building (Meters) NA

b. Total No. of Flats to be Build NA

c. No. of Buildings NA

d. Total plot area (sqm) NA

e. Total built up area (sqm) NA 2. Forest Facilities And/or Marine Disposal a. Whether Project Involves Foreshore Activities No and/or marine Disposal (Yes /No)? If Yes NA

b. Upload Shoreline Study (Upload pdf only) NA

c. Type of Cargo NA d. Quantity of Cargo NA

e. Control Measures of Cargo NA

f. Dust Control Measures NA

g. Quantum NA

h. Quantity of Dredging (Cubic meter per day) NA

i. Type of Dredging (Capital, Maintenance) NA

j. Disposal of Dredge Material NA

k. Details outfall NA

l. No. of Dilution Expected NA m. Distance at which the outlet will Reach NA Ambient Parameters

n. Details of Monitoring at outfall NA p. Copy of NoC from PCB in case of Marine NA Disposal (Upload pdf only) 3 Rain Water Harvesting

a. No. of Storage NA NA b. Capacity

c. No. of Recharge Pits NA

d. Capacity NA 4 Parking a. Details of 4-Wheeler/ 2-Wheeler Parking NA 5 Energy Saving Measures a. Source/Mode NA

b. Percentage NA

c. Quantity NA 6 Other Details a. Details of impact on Water Bodies and NA Drainage patters of catchment area, if any b. Details of Traffic Density Impact Assessment NA and Modeling Study (Upload pdf only) c. In case of Underground Tunnel projects NA below the Forest Land —Subsidence impact Study report (Upload pdf only) 7 Type of Industries to be established with Industrial Estate as per their Category A/B SI. No Type of Industry No. Units Category A/B NA NA NA NA

8 Length of the alignment incase of highway projects 9 Details Bridges/ROB/Inter changes, flyovers, Vehicle Underpass and Pedestrain Underpass(in case of Highway Projects)

a Total No. of Bridges NA

b Total No. of ROB NA

c Total No. of Interchanges NA

d Total No. of Flyovers NA

e Total No. of Vehicle Underpass NA

f Total No of Pedestrian Underpass NA g Details of other utilities rail and road NA corridors 36 Details of Court cases if any a Whether there is any Court Cases pending against No the project and/or land in which the project is proposed to be set up (Yes/No)? If yes b Details of Court (Districts Court / High Court / NA NGT / Tribunals / Supreme court of India Name of court: (Districts Court, High Court, NGT, NA Tribunals)

c Name of the Sub-court NA

d Case No. NA e Orders / Directions of the court, if any and its NA relevance with the proposed project

f Case Details NA

g Upload Court Order if any ( Upload pdf Only ) NA 37 Details of Direction issued under Environment (Protection) Act/Air (Prevention & Control of Pollution) Act/Water (Prevention & Control of Pollution) Act (Yes/No)? No a Whether any direction issued under Environment No (Protection) Act / Air (Prevention & Control of Pollution)) Act / Water (Prevention and Control of Pollution) Act (Yes/No)? If yes b Whether any direction issued under Environment No (Protection) Act / Air (Prevention & Control of Pollution)) Act / Water (Prevention and Control of Pollution) Act (Yes/No)? c Upload copy of directions issued under NA Environment (Protection) Act Air (Prevention & Control of Pollution)) Act / Water (Prevention & Control of Pollution) Act d Compliance status of the directions NA 38 Details of EIA Consultant Have you hired Consultant for preparing document a. (Yes/No)? Yes If No (i) Reason for not engaging the Consultant -- If Yes (1) Accreditation No. 147 (ii) Name of the EIA Consultant SV Enviro Labs & Consultants (iii) Address Enviro House, Block-B, IDA, B1, Auto Nagar, Visakhapatnam (iv) Mobile No. 9440338628 (v) Landline No. 0891-2755528 (vi) E-mail Id [email protected] (vii) Category of Accreditation (Eligible for Category-A Category A / Eligible for Category B) (viii) Sector of Accreditation 1(a) (ix) Validity of Accreditation 15.04.2020 (x) Upload Certificate of Accreditation certified by Enclosed QCl/NABET (Upload Only) 39 Documents to be attached I If Project Type is New / Expansion / Modernization / one-time capacity expansion for coal mining a. Upload Copy of EIA/EMP Report NA b. Upload Copy of Risk Assessment Report NA c. Upload Copy of Feasibility Report/ Detailed NA Project Report(DPR) /Detailed Engineering Report /Detailed Conceptual Plan/Approved Mining Plan (in case of Mining proposals) (Upload pdf only) d. Upload Copy of Final Layout Plan (Upload pdf NA only) e. Upload Cover Letter (Upload pdf only and attach it NA as Annexure-document of (Cover letter) f. Upload a copy of documents in support of the NA competence/authority of the person making this application to make application on behalf of the Agency (Upload pdf only and attach it as Annexure-authorization) g. Upload copy of District Survey Report (for mining NA of minor minerals only) h. Upload coy of Replenishment Study Report & Not Applicable Baseline Survey data (for river sand mining proposals only)

i. Upload Additional File, if any (Upload pdf only) NA II If Project Type is other than New/Expansion/Modernization/one-time capacity expansion for coal mining: a. Upload Copy of Feasibility Report / Detailed NA Project Report(DPR) /Detailed engineering Report /Detailed Conceptual Plan (Upload pdf only) b. Upload Copy of Final Layout Plan (Upload pdf NA only) c. Upload Cover Letter (Upload pdf only and attach it NA as Annexure-document Cover letter) d. Upload a copy of documents in support of the NA competence/authority of the person making this application to make application on behalf of the User Agency (Upload pdf only and attach it as Annexure-authorization) e. Upload Additional File, if any (Upload pdf only) NA f. Upload Updated Form-1 (Upload pdf only) NA