Post: Lokapur-587 122, Taluk: Mudhol, District: Bagalkot

APPENDIX I

(See paragraph – 6)

FORM 1

(I) Basic Information

Sl. Item Details No. 1. Name of the project/s Naganapur Limestone & Dolomite Mine, ML.No. 2425 2. S.No. in the schedule 3. Proposed capacity/area/length/ tonnage to be 40,000 tonnes/year , handled/command area/lease area/ number of wells to be 2.78 Ha., Patta Land drilled 4. New/Expansion/Modernization Expansion 5. Existing capacity/area etc., 15,000 tpa 6. Category of Project i.e ‘A’ or ‘B’ ‘B’ 7. Does it attract the general condition? If yes, please specify No 8. Does it attract the specific condition? If yes, please specify No 9. Location Naganapur Limestone & Dolomite Mine, ML.No. 2425 Plot/Survey/Khasra No. Sy.No.76/2 Village Naganapur Tehsil Mudhol District Bagalkot State Karnataka 10. Nearest railway station/airport along with distance in Kms Bagalkot 45.0kms 11. Nearest Town, city, District Headquarters along with Mudhol 20.0kms distance in Kms Bagalkot 45.0kms 12 Village Panchayats, Zilla Parishad, Municipal Corporation, Naganapur Village Panchayat Local body (complete postal addresses with telephone nos. Bagalkot Zilla Parishad to be given) 13 Name of the applicant Smt.Rajeshwari M.Viraktamath 14 Registered Address Post: Lokapur-587 122, Taluk: Mudhol, District: Bagalkot,

15 Address for correspondence: Name Smt.Rajeshwari M.Viraktamath Designation (Owner/Partner/CEO) Owner Address Post: Lokapur-587 122, Taluk: Mudhol, District: Bagalkot, Pin Code 587 122 E-Mail -- Telephone No. +91 94483 16697 Fax No. -- 16 Details of Alternative Sites examined, if any. Location of Village-District-State these sites should be shown on a topo sheet 1.Nil 2.Nil 3.Nil 17 Interlinked Projects Nil 18 Whether separate application of interlinked projects has been No submitted? 19 If yes, date of submission Nil 20. If no, reason 21 Whether the proposal involves approval/clearance under: If Nil yes, details of the same and their status to be given. (a) The Forest (Conservation) Act, 1980 ? (b) The Wildlife (Protection) Act, 1972 ? (c) The C.R.Z Notification, 1991 ? 22 Whether there is any Government Order/Policy Yes, Lease deed copy enclosed. relevant/relating to the site ? 23 Forest land involved (hectares) NIL. 24 Whether there is any litigation pending against the project No. and/or land in which 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.

(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 approximate quantities /rates, S.No. Information/Checklist confirmation Yes/No wherever possible) with source of information data 1.1 Permanent or temporary change in land use, Yes Excavation------2.272Ha. land cover or topography including increase in intensity of land use (with respect to local land use plan) 1.2 Clearance of existing land, vegetation and Yes The entire area is non agricultural buildings? barren land 1.3 Creation of new land uses? No --

1.4 Pre-construction investigations e.g. bore houses, No -- soil testing? 1.5 Construction works? No -- 1.6 Demolition works No -- 1.7 Temporary sites used for construction works or No -- housing of construction workers? 1.8 Above ground buildings, structures or No -- earthworks including linear structures, cut and fill or excavations 1.9 Underground works including mining or No -- tunneling? 1.10 Reclamation works? No --

1.11 Dredging? No -

1.12 Offshore structures? No -

1.13 Production and manufacturing processes? No -

1.14 Facilities for storage of goods or materials? No -

1.15 Facilities for treatment or disposal of solid No - waste or liquid effluents? 1.16 Facilities for long term housing of operational No - workers? 1.17 New road, rail or sea traffic during construction No - or operation?

1.18 New road, rail, air waterborne or other transport No - infrastructure including new or altered routes and stations, ports, airports etc?

1.19 Closure or diversion of existing transport routes No - or infrastructure leading to changes in traffic movements? 1.20 New or diverted transmission lines or No - pipelines?

1.21 Impoundment, damming, culverting, No - realignment or other changes to the hydrology of watercourses or aquifers? 1.22 Stream crossings? No -

1.23 Abstraction or transfers of water form ground or Yes The natural drainage system will surface waters? be maintained by creation of garland drains. 1.24 Changes in water bodies or the land surface No - affecting drainage or run-off?

1.25 Transport of personnel or materials for No - construction, operation or decommissioning?

1.26 Long-term dismantling or decommissioning or No - restoration works?

1.27 Ongoing activity during decommissioning No - which could have an impact on the environment?

1.28 Influx of people to an area in either temporarily No - or permanently?

1.29 Introduction of alien species? No -

1.30 Loss of native species or genetic diversity? No -

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 approximate quantities /rates, S.No. Information/checklist confirmation Yes/No wherever possible) with source of information data 2.1 Land especially undeveloped or agricultural Yes The entire area is non agricultural land (ha) barren land 2.2 Water (expected source & competing users) Yes Bore wells. unit: KLD 2.3 Minerals (MT) No -

2.4 Construction material – stone, aggregates, sand / No - soil (expected source – MT) 2.5 Forests and timber (source – MT) No - 2.6 Energy including electricity and fuels (source, No - competing users) Unit: fuel (MT), energy (MW) 2.7 Any other natural resources (use appropriate No - 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 hazardous Yes Explosives will be used as (as per MSIHC rules) to human health or the per norms. environment (flora, fauna, and water supplies) 3.2 Changes in occurrence of disease or affect disease No -- vectors (e.g. insect or water borne diseases)

3.3 Affect the welfare of people e.g. by changing living No -- conditions? 3.4 Vulnerable groups of people who could be affected by No -- the project e.g. hospital patients, children, the elderly etc., 3.5 Any other causes No --

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

Details thereof (with approximate S.No. Information/Checklist confirmation Yes/No quantities/rates, wherever possible) with source of information data 4.1 Spoil, overburden or mine wastes yes 10,525 tonnes/annum waste will be produced. 4.2 Municipal waste (domestic and or commercial No -- wastes) 4.3 Hazardous wastes (as per Hazardous Waste No -- Management Rules)

4.4 Other industrial process wastes No --

4.5 Surplus product No --

4.6 Sewage sludge or other sludge from effluent No -- treatment 4.7 Construction or demolition wastes No --

4.8 Redundant machinery or equipment No --

4.9 Contaminated soils or other materials No -- 4.10 Agricultural wastes No -- 4.11 Other solid wastes No --

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

Details thereof (with approximate S. No. Information/Checklist confirmation Yes/No quantities/rates, wherever possible) with source of information data 5.1 Emissions from combustion of fossil fuels from No -- stationary or mobile sources 5.2 Emissions from production processes No --

5.3 Emissions from materials handling including No -- storage or transport 5.4 Emissions from construction activities including No -- plant and equipment 5.5 Dust or odours from handling of materials Yes Air born dust will be including construction materials, sewage and generated in small quantity. waste This will be suppressed by water sprinkling on mine workings & haulage roads. 5.6 Emissions from incineration of waste No -- 5.7 Emissions from burning of waste in open air (e.g. No -- slash materials, construction debris) 5.8 Emissions from any other sources No --

6. Generation of Noise and Vibration, and Emissions of Light and Heat: Yes/No Details thereof (with approximate quantities/rates, wherever possible) with source S. No. Information/Checklist confirmation of information data with source of information data 6.1 From operation of equipment e.g. engines, Yes Noise is produced from drilling, ventilation plant, crushers compressor,dumpers. Will be within the permissible limit. 6.2 From industrial or similar processes No --

6.3 From construction or demolition No -- 6.4 From blasting or piling Yes Noise is controlled by Delay detonators & controlled blasting and holes will be muffled by sand/mud bags. 6.5 From construction or operational traffic No -- 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 of No -- hazardous materials 7.2 From discharge of sewage or other effluents to No -- water or the land (expected mode and place of discharge 7.3 By deposition of pollutants emitted to air into the No -- land or into water

7.4 From any other source No --

7.5 Is there a risk of long term build up of pollutants in No -- the environment from these sources?

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 from storage, yes All precautions will be taken handling, use or production of hazardous to use, storage & substances transportation of Explosives as per DGMS norms. 8.2 From any other causes No -- 8.3 Could the project be affected by natural disasters No -- causing environmental damage (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. lities, ancillary development or 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.) No

• housing development No

• extractive industries No

• supply industries No

• other No 9.2 Lead to after-use of the site, which could have an Yes After completion of mining impact on the environment activities the land can be converted into agriculture pond/fish pond or pond for ground water recharge. 9.3 Set a precedent for later developments No --

9.4 Have cumulative effects due to proximity to other No -- existing or planned projects with similar effects

(III) Environmental Sensitivity

Aerial distance (within 15 S. No. Areas Name/ km.) Identity Proposed project location boundary 1 Areas protected under international conventions, No -- national or local legislation for their ecological, landscape, cultural or other related value 2 Areas which are important or sensitive for No -- ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests 3 Areas used by protected, important or sensitive No -- species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration 4 Inland, coastal, marine or underground waters No --

5 State, National boundaries No --

6 Routes or facilities used by the public for access No -- to recreation or other tourist, pilgrim areas

7 Defense installations No --

8 Densely populated or built-up area Yes Lokapur-3.0

9 Areas occupied by sensitive man-made land uses Yes Lokapur-3.0 (hospitals, schools, places of worship, community facilities)

10 Areas containing important, high quality or scarce No -- resources (ground water resources, surface resources, forestry, agriculture, fisheries, tourism, minerals)

11 Areas already subjected to pollution or No -- environmental damage. (those where existing legal environmental standards are exceeded) 12 Areas susceptible to natural hazard which could No -- cause the project to present environmental problems (earthquakes, subsidence, landslides, erosion, flooding or extreme or adverse climatic conditions)

(IV). Proposed Terms of Reference for EIA studies

The following Terms of Reference shall be followed for preparing REIA &EMP. Not applicable

Note : As proposed Mining project falls under ‘B2’ category under Stage: 1- Screening, (Please refer EIA Guidelines Manual under -1.2 para) as per the E.I. Notification S.O.1533(E) dt 14th September 2006 amended in 2009. hence this project does not required EIA studies.

“I hereby given undertaking that the data and information given in the application and enclosures and 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: ______Place: Lokapur Signature of the applicant

Smt. Rajeshwari M.Viraktamath Lessee

From Date: 26-10-2015 Smt. Rajeshwari M.Viraktamath Post: Lokapur-587 122, Taluk: Mudhol, District: Bagalkot,

To, The Member Secretary, SEIAA, Dept. of Forest, Ecology & Environment MS. Building, 7th Floor, Bangalore – 560 001

Dear Sir Sub:Grant of “Environmental Clearance” for expansion of Limestone & Dolomite production of Naganapur Limestone & Dolomite Mine, M.L. No. 2425 over an extent of 2.78Ha., in Sy.No. 76/2, at Naganapur Village, Mudhol Taluk, Bagalkot District.

This has reference to the subject matter captioned pertaining to grant of “EC Clearance” in respect of Naganapur Limestone & Dolomite Mine, M.L. No. 2425 over an extent of 2.78Ha., in Sy.No. 76/2, at Naganapur Village, Mudhol Taluk, Bagalkot District. for the expansion of of Limestone & Dolomite production. I am herewith furnishing the requisite documents viz., application Form-I in the prescribed format, Pre-feasibility Report, EMP with Test Report, Mining Plan approved by IBM and Topo Map of 10.0 kms radius etc., I, also, hereby undertake to work the Mining Lease area of 2.78 Ha in accordance with the approved Mining Scheme. There will not be deployment of Mining machinery as per the approved Mining Scheme and no deep hole drilling & blasting operations and mining is proposed for the production 40,000 tonnes/annum.

I request your good self to kindly do the needful and grant us the Environmental Clearance for the proposed Mining.

Thanking you, Your’s Faithfully

Smt. Rajeshwari M.Viraktamath Lessee