(See Paragraph – 6) FORM 1 Sl. No. Item
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APPENDIX I (See paragraph – 6) FORM 1 (I) Basic Information Sl. Item Details No. 1. Name of the project/s Gohiribadi Road Metal Quarry 2. S.No. in the schedule 1(a) 3. Proposed capacity/area/length/ tonnage to be Production of 2350 cu.m handled/command area/lease area/ number of wells to be from lease area 5.665Ha drilled 4. New/Expansion/Modernization New 5. Existing capacity/area etc., 2350 Cu.m 6. Category of Project i.e ‘A’ or ‘B’ B2 7. Does it attract the general condition? If yes, please specif y Yes, Manual 8. Does it attract the specific condition? If yes, please specify No .39. Location Toposheet No. 73D/08 Lat: 20 0 00’49.6” N to 20 000’ 54.6” N Long: 84 029’ 05.0” E to 84 029’ 24.2”E Plot/Survey/Khasra No. Khata No.304 Village Gohiribadi Tehsil Ghumusur (Bhanjanagar) District Ganjam State Odisha 10. Nearest railway station/airport along with distance in Kms Nearest Railway line is at Berhampur 88 Km in SE Bhubaneswar Airport 160Km in NE 11. Nearest Town, city, District Headquarters along with distance Nearest Town : Bhanjanar 13 Km in Kms District headquarters: Chatrapur at a distance of 95KM 12 Village Panchayats, Zilla Parishad, Municipal Corporation, Village – Gohiribadi Local body (complete postal addresses with telephone nos. to At- P.O- Gohiribadi be given) Dist: ganjam, Odisha 13 Name of the applicant Sri Kuna Pradhan 14 Registered Address Sri Kuna Pradhan At /Po – Mujagada Ps – Bhanjanagar 1 15 Address for correspondence: At /Po – Mujagada Ps – Bhanjanagar Dist: ganjam, Odisha Name Sri Kuna Pradhan Designation (Owner/Partner/CEO) Owner Address At /Po – Mujagada Ps – Bhanjanagar Dist: ganjam, Odisha Pin Code 761126 E-Mail Telephone No. Fax No. 16 Details of Alternative Sites examined, if any. Location of It is a site specific project these sites should be shown on a topo sheet 17 Interlinked Projects NIL 18 Whether separate application of interlinked projects has been Not Applicable submitted? 19 If yes, date of submission No t Applicable 20. If no, reason Not Applicable 21 Whether the proposal involves approval/clearance under: If Not Applicable 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 Not Applicable relevant/relating to the site? 23 Forest land involved (hectares) NIL 24 Whether there is any litigation pending against the project and/or land in which the project is propose to be set up? (a) Name of the Court Not Applicable (b) Case No. (c) Orders/directions of the Court, if any and its relevance with the proposed project. Expected Project Cost: 2 (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, wherever possible) with S.No. Information/Checklist confirmation Yes/No source of information data 1.1 Permanent or temporary change in land Yes The Topography of the core zone will be use, land cover or topography including changed due to the mining operation in the increase in intensity of land use (with form of mine pits, surface dumps, haulage respect to local land use plan) roads, infrastructural facilities, etc. 1.2 Clearance of existing land, vegetation and No The ML area comes under non forest land buildings? category. The small scrubs existing wit hin mining zone and dumping site will be cleaned for the mining activity. 1.3 Creation of new land uses? Yes It will be used in mining and related activities. 1.4 Pre -construction investigations e.g. bore Yes Pre mining investigation has been done with houses, soil testing? bore holes 1.5 Construction works? yes Temporary site services have been constructed as per Mines Act and Mines Rule. 1.6 Demolition works? No No demolition works are involved. 1.7 Temporary sites used for construction No Temporary site for temporary Office/rest works or hous ing of construction workers? shelter etc only. Local labour from nearby area will be employed. No housing will be required. 1.8 Above ground buildings, structures or Yes Site office and rest shelter. earthworks including linear structures, cut and fill or excavations 1.9 Underground works including mining or no Not Applicable. As this is Mining project by tunneling? opencast Semi mechanized method. 1.10 Reclamation works? yes Backfilling and afforestation 1.11 Dredging? No Not Applicable 1.12 Offshore structures? No Not Applicable 1.13 Production and manufacturing processes? Yes Open cast semi mechanized method. 3 1.14 Facilities for storage of goods or Yes Road metal quarry will be mined and materials? transported. Temporary stack yards are provided within quarry lease area. 1.15 Facilities for treatment or disposal of solid No Not Applicable waste or liquid effluents? 1.16 Facilities for long term housing of Most of the workers w ill be employed from operational workers? No nearby villages. Hence long term housing facilities are not involved 1.17 New road, rail or sea traffic during No No new road, rail or sea traffic is required. construction or operation? Existing facilities for transportation of miner als will be utilized. Only temporary approach roads will be made which connects to existing tar road.. 1.18 New road, rail, air waterborne or other Existing Facilities are sufficient. transport infrastructure including new or No altered routes and stations, ports, airports etc? 1.19 Closure or diversion of existing transport The project does not involve any closure or routes or infrastructure leading to changes No diversion of existing transport routes or in traffic movements? infrastructure leading to changes in traffic movements. 1.20 New or diverted transmission lines or The project does not involve any new or pipelines? No diversion of transmission lines or pipeline. 1.21 Impoundment, damming, culverting, realignment or other changes to the Yes Not Applicable hydrol ogy of watercourses or aquifers? 1.22 Stream crossings? No Existing Facilities are sufficient. 1.23 Abstraction or transfers of water form Yes Accumulated water is proposed to be ground or surface waters? utilized for plantation & water sprinkling. 1.24 Changes in water bodies or the land No During mining no alteration or changes in surface affecting drainage or run-off? the passage/route of river 1.25 Transport of personnel or materials for No Ordinary Road metal will be transported construction, operation or through trucks by road to crusher. decommissio ning? Workers will come from nearby villages On their convenience. 1.26 Long -term dismantling or No No dismantling work will be carried in this decommissioning or restoration works? project. 1.27 Ongoing activity during decommissioning No No decommissioning activity is proposed. 4 which could have an impact on the environment? 1.28 Influx of people to an area in either yes For employment and for business temporarily or permanently? opportunities 1.29 Introduction of alien species? No Not Applicable 1.30 Loss of native species or genetic No Not Any diversity? 1.31 Any other actions? No Not Applicable 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 Non Forest Govt. land will be land (ha) converted to mining process. 2.2 Water (expected source & competing users) No Water requirement will be unit: KLD 5KLD. Water will be supplied from nearby areas. 2.3 Minerals (MT) Ordinary Road metal 2150 cu. m annual production 2.4 Construction material – Stone, aggregates, Stone No No construction activity is soil (expected source – MT) proposed. Only temporary office/rest shelter etc. will be provided. 2.5 Forests and timber (source – MT) No No forest and timber products will be used in the proposed project. 2.6 Energy including electricity and fuels (source, yes Transportation will be done competing users) Unit: fuel (MT), energy through dumpers or trucks (MW) operating on diesel. No storage for diesel is proposed. 2.7 Any other natural resources (use appropriate No No other natural resources will standard units) be used. 5 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 No Not Applicable (as per MSIHC rules) to human health or the environment (flora, fauna, and water supplies) 3.2 Changes in occurrence of disease or affect dise ase No If proper hygiene is not vectors (e.g. insect or water borne diseases) maintained insect and water borne diseases may occur. 3.3 Affect the welfare of people e.g. by changing living No Socio-economic condition conditions? will improve and will have positive impact due to increase earning sources of nearby peoples. 3.4 Vulnerable groups of people who could be affected by No No Vulnerable groups of the project e.g. hospital patients, children, the elderly people will be affected by etc., the project. 3.5 Any other causes No All precautions will be taken to prevent generation of dust by water sprinkling at its source. The mine worker will also be medically examined as per statutory provisions.