Mining of Blacktrap in 6.00.00 ha area at S. No.199 P, Village: Gopipura, Taluka: , Dist-Panchmahal, Form 1

FORM 1

Form 1 as per EIA Notification dated September 14, 2006 amended as on date.

(I) Basic Information:

S. No. Item Details

1. Name of Project Blacktrap Mining Project by Patel & Modi’s Company with area 6.00.00 ha. at S. No.199 P, Village: Gopipura, Taluka: Halol, Dist- Panchmahal

2. S. No. in the schedule 1 (a) Mining of Minerals

3. Proposed capacity/ area/ length/ Production Capacity 131578 TPA tonnage to be handled/ command area/ lease area/number of wells to Lease Area 6.00.00 ha be drilled.

4. New/ Expansion/ Modernization New (This is an existing mine of minor mineral).

5. Existing Capacity/Area Etc. -

6. Category of Project i.e. ‘A’ or ‘B’ B2

7. Does it attract the general No, it does not attract the General Condition. condition? If yes, please specify.

8. Does it attract the specific No, it does not attract the Specific Condition. condition? If yes, please specify.

9. Location:

Plot/Survey/Khasra No. Survey No. 199 (P)

Village Gopipura

Taluka Halol

District Panchmahal

State Gujarat

10. Nearest Railway station/ Airport Nearest Railway : Junction at a distance of along with distance in Km. Station around 34.75 km in SW direction

Nearest Airport : at a distance of around 30.30 km in SW direction

Patel & Modi’s Company 1 Mining of Blacktrap in 6.00.00 ha area at S. No.199 P, Village: Gopipura, Taluka: Halol, Dist-Panchmahal, Gujarat Form 1

S. No. Item Details

11. Nearest Town, City, District Nearest City : Halol City at a distance of around 4.5 km Headquarters along with distance in N direction. in Km. District : at a distance of around 37.2 km in Headquarter N direction.

12. Village Panchayats, Zila Parishad, Village Panchayat : Village: Gopipura, Taluka: Halol, Municipal Corporation, Local District: Panchmahal (Gujarat) body (complete postal addresses with telephone nos. to be given)

13. Name of the Applicant Shri Gopi Quarry Works

14. Registered Address At & Po: Gopipura. Taluka: Halol, District: Panchmahals

15. Address for correspondence: Project Proponent Environment Consultant

Name Sital B. Patel Mr. Sunil Dixit

Designation (Owner/Partner/CEO) Partner Authorized signatory

Address At & Po: Gopipura. J.M. Enviro Studies Pvt. Ltd., Taluka: Halol, E-71, First Floor, Sec 26 GIDC, District: Panchmahals Gandhinagar.

Pin Code 389 350 382026

E-mail - [email protected]

Telephone No. 99041 21766 079-23288394

Fax No. - -

16. Details of Alternative Sites No alternative site has been examined since it is a site specific

Examined, if any. Location of mining project based on viability of mineral potentiality in the these sites should be shown on a area. toposheet.

17. Interlinked Projects No Interlinked Projects

18. Whether separate application of Not Applicable interlinked project has been submitted?

19. If yes, date of submission Not Applicable

20. If no, reason Not Applicable

Patel & Modi’s Company 2 Mining of Blacktrap in 6.00.00 ha area at S. No.199 P, Village: Gopipura, Taluka: Halol, Dist-Panchmahal, Gujarat Form 1

S. No. Item Details

21. Whether the proposal involves Not Applicable approval/clearance under: If 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 No order/ Policy relevant/ relating to this site?

23. Forest Land involved (Hectares) Nil

24. Whether there is any litigation No pending against the project and/or land in which the project is proposed 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.

Patel & Modi’s Company 3 Mining of Blacktrap in 6.00.00 ha area at S. No.199 P, Village: Gopipura, Taluka: Halol, Dist-Panchmahal, Gujarat Form 1

(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.)

S. No. Information/ Checklist Yes/ Details thereof (with approximate quantities /rates, confirmation No wherever possible) with source of information data

1.1 Permanent or temporary change in Yes At the end of mining, mined out area will be converted land use, land cover or topography into water reservoir to store rain water. including increase in intensity of land use (with respect to local land use plan).

1.2 Clearance of existing land, No There is no building & structure which need to be vegetation and buildings? demolished/ removed from mining lease area except some vegetations existing on the lease area which will be cleared when required.

1.3 Creation of new land uses? Yes The mined out area will be converted into water reservoir to store rain water.

1.4 Pre-construction investigations e.g. No Not Applicable bore houses, soil testing?

1.5 Construction works? No No construction work will be done in lease area.

1.6 Demolition works? No There will be no demolition work.

1.7 Temporary sites used for No Not Applicable construction works or housing of construction workers?

1.8 Above ground buildings, structures Yes Only excavations related to mining operations will be or earthworks including linear carried out. structures, cut and fill or excavations

1.9 Underground works including No No underground work will be done. mining or tunneling?

1.10 Reclamation works? Yes The mined out area will be converted into water reservoir to store rain water. Greenbelt will be developed outside the mine lease area on area equal to 33% of the Mine lease area.

Patel & Modi’s Company 4 Mining of Blacktrap in 6.00.00 ha area at S. No.199 P, Village: Gopipura, Taluka: Halol, Dist-Panchmahal, Gujarat Form 1

S. No. Information/ Checklist Yes/ Details thereof (with approximate quantities /rates, confirmation No wherever possible) with source of information data

1.11 Dredging? No No dredging is involved.

1.12 Offshore structures? No No offshore structures.

1.13 Production and manufacturing Yes The mining will be done by semi mechanized method. processes?

1.14 Facilities for storage of goods or No No storage is required as the excavated mineral will be materials? directly loaded and transported from mine site to stone crushing unit. 1.15 Facilities for treatment or disposal No 32890 Tons mineral waste to be generated in five years of solid waste or liquid effluents? from the mining activity will be dumped outside around statutory boundary.

1.16 Facilities for long term housing of No No housing facilities will be required as all the workers will operational workers? be sourced from nearby areas

1.17 New road, rail or sea traffic during Yes There will be slight increase in existing road traffic during construction or operation? operation of the project.

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

1.19 Closure or diversion of existing No There is no proposal for closure or diversion of existing transport routes or infrastructure transport route etc. leading to changes in traffic movements?

1.20 New or diverted transmission lines No No new or diverted transmission lines or pipelines are or pipelines? proposed.

1.21 Impoundment, damming, No There are no impoundment, damming, culverting, culverting, realignment or other realignment or other changes to the hydrology of changes to the hydrology of watercourses or aquifers. watercourses or aquifers?

1.22 Stream crossings? No No stream is passing through the lease area.

1.23 Abstraction or transfers of water Yes Water for the mine workers will be provided through the form ground or surface waters? water tankers.

1.24 Changes in water bodies or the No The drainage pattern will not be affected due to the

Patel & Modi’s Company 5 Mining of Blacktrap in 6.00.00 ha area at S. No.199 P, Village: Gopipura, Taluka: Halol, Dist-Panchmahal, Gujarat Form 1

S. No. Information/ Checklist Yes/ Details thereof (with approximate quantities /rates, confirmation No wherever possible) with source of information data land surface affecting drainage or proposed mining project. run-off?

1.25 Transport of personnel or materials Yes Mine workers will be employed from nearby villages so for construction, operation or they can commute through local transport facilities. decommissioning? Materials will be transported through hired trucks.

1.26 Long-term dismantling or Yes At the end of five year of mining, mined out area will be decommissioning or restoration converted into water reservoir to store rain water. works? Greenbelt will be developed outside the mine lease area on area equal to 33% of the Mine lease area.

1.27 Ongoing activity during de- No Not applicable, as no such activities are involved. commissioning which could have an impact on the environment?

1.28 Influx of people to an area in either No Manpower required will be engaged from nearby areas, temporarily or permanently? thus influx of people is not anticipated in the area.

1.29 Introduction of alien species? No Only local/ indigenous species will be planted.

1.30 Loss of native species or genetic No Not envisaged, except small bushes, no major vegetation diversity? cover/valuable flora is found within the mining lease area.

1.31 Any other actions? No Nil

Patel & Modi’s Company 6 Mining of Blacktrap in 6.00.00 ha area at S. No.199 P, Village: Gopipura, Taluka: Halol, Dist-Panchmahal, Gujarat Form 1

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): S. No. Information/checklist Yes/ Details thereof (with approximate quantities /rates, confirmation No wherever possible) with source of information data

2.1 Land especially undeveloped or Yes The total ML area of 6.00.00 ha comprises of government agricultural land (ha) wasteland. There is no agricultural land in site area.

2.2 Water (expected source & Yes Total water requirement estimated is about 5 KLD for competing users) unit: KLD mining activities and plantation which will be sourced from nearby villages. Water for the mine workers will be provided through the water tankers.

2.3 Minerals (MT) No Not required

2.4 Construction material – stone, No Not required aggregates, sand / soil (expected source – MT)

2.5 Forests and timber (source – MT) No Not required

2.6 Energy including electricity and Yes Fuel : About 100 L/day diesel will be fuels (source, competing users) required for operating machines. Unit: fuel (MT), energy (MW) Energy : 5 hp power will be supplied by Madhya Gujarat Vij Company Ltd.(two connection of 100 KW– combined with crushing unit)

2.7 Any other natural resources No No use of any other natural resource except that mentioned (Use appropriate standard units) above.

Patel & Modi’s Company 7 Mining of Blacktrap in 6.00.00 ha area at S. No.199 P, Village: Gopipura, Taluka: Halol, Dist-Panchmahal, Gujarat Form 1

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. S. No. Information/Checklist Yes/ Details thereof (with approximate quantities/ rates, confirmation No wherever possible) with source of information data

3.1 Use of substances or materials, No No hazardous substance will be used which are hazardous (as per MSIHC rules) to human health or the environment (flora, fauna, and water supplies)

3.2 Changes in occurrence of disease No No disease has been noticed & there is no affect on disease or affect disease vectors (e.g. vectors in the area. insect or water borne diseases)

3.3 Affect the welfare of people e.g. Yes The project will improve living conditions due to by changing living conditions? increased employment opportunities, both direct and indirect.

3.4 Vulnerable groups of people who No No effect envisaged. could be affected by the project e.g. hospital patients, children, the elderly etc.,

3.5 Any other causes No No other causes except that mentioned above.

Patel & Modi’s Company 8 Mining of Blacktrap in 6.00.00 ha area at S. No.199 P, Village: Gopipura, Taluka: Halol, Dist-Panchmahal, Gujarat Form 1

4. Production of solid wastes during construction or operation or decommissioning (MT/month) S. No. Information/Checklist Yes/ Details thereof (with approximate quantities/ rates, confirmation No wherever possible) with source of information data

4.1 Spoil, overburden or mine wastes Yes 52630 MT of mineral rejects and 60839 MT of overburden will be generated.

4.2 Municipal waste (domestic and or Yes Sewage will be generated from the rest shelter, which will commercial wastes) be disposed in soak pit via septic tank.

4.3 Hazardous wastes (as per Yes Used oil as hazardous waste will be handled as per Hazardous Waste Management Hazardous Waste Management Rules and disposed off to Rules) authorized dealers.

4.4 Other industrial process wastes No No industrial process waste will be generated.

4.5 Surplus product No There will be no surplus product generated during mining operations.

4.6 Sewage sludge or other sludge No There will not be any effluent, thus Sewage sludge or from effluent treatment other sludge generation from the mine is not anticipated.

4.7 Construction or demolition wastes No No construction or demolition waste is envisaged.

4.8 Redundant machinery or No There will be no redundant machinery or equipment. equipment

4.9 Contaminated soils or other No There will not be any contamination of soils or other materials materials.

4.10 Agricultural wastes No Not applicable as this is a mining project

4.11 Other solid wastes No None.

Patel & Modi’s Company 9 Mining of Blacktrap in 6.00.00 ha area at S. No.199 P, Village: Gopipura, Taluka: Halol, Dist-Panchmahal, Gujarat Form 1

5. Release of pollutants or any hazardous, toxic or noxious substances to air (Kg/hr) S. No. Information/ Checklist Yes/ Details thereof (with approximate quantities/ rates, confirmation No wherever possible) with source of information data

5.1 Emissions from combustion of Yes Emission of SO2 & NO2 will be there due to use of diesel fossil fuels from stationary or operated machinery. Vehicular emission will be kept under mobile sources control by proper maintenance. Every effort will be made to minimize these emissions.

5.2 Emissions from production Yes Dust will be generated from mining activities and will be processes suppressed by adequate measures.

5.3 Emissions from materials handling Yes From the handling & transport of the mineral, fugitive including storage or transport dust will be generated, which will be controlled by water sprinkling on haul roads, and dusty areas.

5.4 Emissions from construction No There will be no construction activities. activities including plant and equipment

5.5 Dust or odor from handling of Yes Dust will be generated during mining operations. This materials including construction will be minimized by taking precautionary measures materials, sewage and waste. regular water sprinkling on haul roads.

5.6 Emissions from incineration of No Not applicable, as no incineration will be involved. waste.

5.7 Emissions from burning of waste No Not applicable, as there will be no burning of waste in open in open air (e.g. slash materials, air. construction debris)

5.8 Emissions from any other sources No There will be no other source of emission except the mentioned above.

Patel & Modi’s Company 10 Mining of Blacktrap in 6.00.00 ha area at S. No.199 P, Village: Gopipura, Taluka: Halol, Dist-Panchmahal, Gujarat Form 1

6. Generation of Noise and Vibration, and Emissions of Light and Heat: S. No. Information/Checklist Yes/ Details thereof (with approximate quantities/ rates, confirmation No wherever possible) with source of information data

6.1 From operation of equipment e.g. Yes Noise will be generated due to mining activities during engines, ventilation plant, crushers excavation, blasting, drilling, loading, and unloading and transportation activity. Proper selection of machines and their maintenance leads to less noise generation. 6.2 From industrial or similar No Not applicable, as no other industrial process is involved in processes this mining project.

6.3 From construction or demolition No Not applicable, as no construction or demolition is proposed. 6.4 From blasting or piling Yes Controlled blasting will be done on job work basis

6.5 From construction or operational Yes During operation stage, the plying of dumpers/trucks traffic will produce noise. In very less magnitude, this will not cause any impact. 6.6 From lighting or cooling systems No No lighting or cooling system will be involved in mining. The mining operation will be carried out during day time only. 6.7 From any other sources No There will be no other source except mentioned above.

Patel & Modi’s Company 11 Mining of Blacktrap in 6.00.00 ha area at S. No.199 P, Village: Gopipura, Taluka: Halol, Dist-Panchmahal, Gujarat Form 1

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: S. No. Information/Checklist Yes/ Details thereof (with approximate quantities/ rates, confirmation No wherever possible) with source of information data

7.1 From handling, storage, use or No Not applicable, as no hazardous material will be used spillage of hazardous materials

7.2 From discharge of sewage or other No Sewage generated will be disposed in soak pit via. Septic effluents to water or the land tank. (expected mode and place of discharge)

7.3 By deposition of pollutants Yes Dust shall be generated while handling and transportation emitted to air into the land or into but it shall be in negligible amount. water

7.4 From any other sources No Not applicable, as no other sources are involved except the mentioned above. 7.5 Is there a risk of long term build No There is no risk of long term build up of pollutants in the up of pollutants in the environment from these sources as proper mitigation environment from these sources? measures will be taken regularly.

Patel & Modi’s Company 12 Mining of Blacktrap in 6.00.00 ha area at S. No.199 P, Village: Gopipura, Taluka: Halol, Dist-Panchmahal, Gujarat Form 1

8. Risk of accidents during construction or operation of the Project, which could affect human health or the environment S. No. Information/ Checklist Yes/ Details thereof (with approximate quantities/ rates, confirmation No wherever possible) with source of information data

8.1 From explosions, spillages, fires No Proper maintenance, operation and leakage proof etc from storage, handling, use or condition of machinery eliminates possibilities of fire.

production of hazardous substances

8.2 From any other causes No Not applicable, as no other causes are involved.

8.3 Could the project be affected by No No likelihood. natural disasters causing environmental damage (e.g. floods, earthquakes, landslides, cloudburst etc)?

Patel & Modi’s Company 13 Mining of Blacktrap in 6.00.00 ha area at S. No.199 P, Village: Gopipura, Taluka: Halol, Dist-Panchmahal, Gujarat Form 1

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 S. No. Information/ Checklist Yes/ Details thereof (with approximate quantities/ rates, confirmation No wherever possible) with source of information data

9.1 Lead to development of No It is not anticipated to develop the supporting facilities or supporting, facilities, ancillary ancillary development of such extent to impart any adverse development or development effect/ impact on the environment. 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 Yes The mined out pit will be used for storage of rainwater could have an impact on the environment 9.3 Set a precedent for later No Not envisaged developments

9.4 Have cumulative effects due to No There are only small mines present around the proposed proximity to other existing or site. Thus there is likelihood of cumulative effect due to the planned projects with similar transportation of mineral. There will be no sizable adverse effects effect on air and noise environment of the surrounded area.

Patel & Modi’s Company 14 Mining of Blacktrap in 6.00.00 ha area at S. No.199 P, Village: Gopipura, Taluka: Halol, Dist-Panchmahal, Gujarat Form 1

(III) Environmental Sensitivity:

S. No. Areas Name/Identity Aerial distance (within 15 km.) Proposed project location boundary

1. Areas protected under UNESCO - Archaeological Park at about international conventions, World Heritage 6 kms in NE direction. national or local legislation for their ecological, landscape, cultural or other related value. 2. Areas which are important or Reserved forest 700 m in E, sensitive for ecological Reserved forest 9 kms in E direction, reasons - Wetlands, Reserve Gutal Reserved forest 8 kms in NE direction, watercourses or other water Forests, Water Dev Nadi 8.4 kms in E direction. bodies, coastal zone, bodies

biospheres, mountains, forests.

3. Areas used by protected, None No such area is located within the 15 km radius of important or sensitive species the mining lease area. of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration 4. Inland, coastal, marine or Yes Dudhiya Talav – 4 kms in NE Direction, underground waters Teliya Talav – 5.4 kms in NE Direction, Mendi tank - 6 kms in NE direction, Narmada canal – 4.5 kms in W direction.

5. State, National boundaries None No such area is located within the 15 km radius of the mining lease area.

6. Routes or facilities used by the State Highway SH-5, Halol State Highway- 3.7 kms in N direction , public for access to recreation SH 87 – 4.2 kms in N direction, or other tourist, pilgrim areas SH175 – 4.2 kms in N direction.

7. Defence installations None No such area is located within the 15 km radius of the mining lease area.

8. Densely populated or built-up Halol Halol City at a distance of around 4.5 km in NW area direction.

Patel & Modi’s Company 15 Mining of Blacktrap in 6.00.00 ha area at S. No.199 P, Village: Gopipura, Taluka: Halol, Dist-Panchmahal, Gujarat Form 1

S. No. Areas Name/Identity Aerial distance (within 15 km.) Proposed project location boundary

9. Areas occupied by sensitive Yes Man made land Distance Direction man-made land uses uses (hospitals, schools, places of worship, community facilities)

Palace of worship Champaner group 6.1 km NE of Jain Temples

Mahakali Temple 4.46 km NE Education Nutan High 4.85 km N School V.M.Shah School 6 km N Hospitals Ankur Hospital, 5.2 km N Halol

10. Areas containing important, Yes Mineral Resources, Forest Resources, Agricultural high quality or scarce Resources resources (ground water resources, surface resources, forestry, agriculture, fisheries, tourism, minerals)

11. Areas already subjected to No The area is not subjected to the pollution or pollution or environmental environmental damage. damage. (those where existing legal environmental standards are exceeded)

12. Areas susceptible to natural No No likelihood. hazard which could cause the project to present environmental problems (earthquakes, subsidence, landslides, erosion, flooding or extreme or adverse climatic conditions)

Patel & Modi’s Company 16 Mining of Blacktrap in 6.00.00 ha area at S. No.199 P, Village: Gopipura, Taluka: Halol, Dist-Panchmahal, Gujarat Form 1

(IV) Proposed terms of Reference: As, our projects falls under B2 category, terms of reference are not proposed.

(V) Undertaking "I hereby give 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: 06/07/2017 Place: Panchmahal

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 specifics project".

Patel & Modi’s Company 17