Narsingbhai Mohanbhai Nayka 0.37.00Hec. Vi-Puniyavant, Ta-Chhota Udaipur, Dist-Chhota Udaipur.

FORM 1

I. Basic Information S. No Item Details 1 Name of the Project Narsingbhai Mohanbhai Nayka,Sand Quarry 2 S. No. in the schedule 113 (Private) 3 Proposed capacity/area/ length/tonnage Mining@ 400 MT per Annum / Sand. To handled/command area/lease 0.37.00 hectares area/number of wells to be drilled No forest land 4 New/expansion/modernization New 5 Existing capacity, area, etc. Area of mining 0.37.00 He. 6 Category of the project i.e. A or B B 7 Does it attract the general condition? No If yes, please specify 8 Does it attract the specific condition? No If yes, please specify 9 Location Sr. No. LATITUDE LONGITUDE 1 22° 19' 52.1971" N 73° 56' 47.0104" E 2 22° 19' 51.5497" N 73° 56' 49.0584" E 3 22° 19' 51.2495" N 73° 56' 49.6596" E 4 22° 19' 50.6147" N 73° 56' 49.4817" E 5 22° 19' 50.1150" N 73° 56' 47.3364" E 6 22° 19' 50.4011" N 73° 56' 46.4720" E

Plot/ Survey/ Khasra No. S. No.113 (Privet) Village Puniyavant Tehsil Chhota Udaipur District Chhota Udaipur State 10 Nearest railway station/airport along SH No. 11 Road–0.33KM With distance in kms. Airport: –75.00KM 11 Nearest town, city, district headquarters Chhota Udaipur – 7.18 KM along with distance in kms.

12 Village Panchayats, Zilla Parishad, Village Panchayat- Puniyavant, Municipal Corporation, Local body Tal- Chhota Udaipur, (Complete postal address with telephone Dist. - Chhota Udaipur, Gujarat State, numbers to be given) 13 Name of the applicant Narsingbhai Mohanbhai Nayka

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Narsingbhai Mohanbhai Nayka 0.37.00Hec. Vi-Puniyavant, Ta-Chhota Udaipur, Dist-Chhota Udaipur.

14 Registered address Puniyavant, Ta. Chhota Udaipur, Dist. Chhota Udaipur. - 391165. 15 Address for correspondence Narsingbhai Mohanbhai Nayka, Puniyavant, Ta. Chhota Udaipur, Dist. Chhota Udaipur. - 391165. Name Narsingbhai Mohanbhai Nayka Designation(Authorized Signatory) Narsingbhai Mohanbhai Nayka Address Sur. No. - 113 (Private), Vi.- Puniyavant Ta.- Chhota Udepur, Dist.- Chhota Udepur Chhota Udepur - 391165 Pin Code 391165 E-mail -- Telephone Number Mo. No. : - (90999 05040) Fax number -- 16 Details of alternative sites examined, if Sand Quarry lease has been sanctioned by any. Location of these sites should be the Government over shown on at toposheet. Specific area and hence no alternate sites will examine sit is a site specific project 17 Interlinked projects No 18 Whether separate application of interlinked No project has been submitted? 19 If yes, date of submission No 20 If no, reason NA 21 Whether the proposal involves No 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 Yes, the order form collector, Chhota order/Policy relevant/relating to the site? Udaipur at operates the Quarry. 23 Forestland involved(hectares) No

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Narsingbhai Mohanbhai Nayka 0.37.00Hec. Vi-Puniyavant, Ta-Chhota Udaipur, Dist-Chhota Udaipur.

24 Whether there is any litigation pending No against the project 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 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.) Sr. I nformation/Checklist Yes/no Details thereof (with approximate No. confirmation quantities/ rates, wherever possible) with source of information data 1.1 Permanent or temporary change in Yes There will be a change in land use Land use, land cover or topography And topography because of the mining. including increase Part of the land will be backfilled and In intensity of land use (with planted and rest will be used as water respect to local land use plan) reservoir after mining. 1.2 Clearance of existing land, No None. Vegetation and buildings? 1.3 Creation of new land uses? Yes Mining& its related activities 1.4 Pre-construction in visitations e.g. No None bore houses, soil testing? 1.5 Construction works? No None 1.6 Demolition works? No No demolition is proposed at mining site.

1.7 Temporarysitesusedforconstruction No None worksorhousingofconstructionwork ers? 1.8 Above ground buildings, structures No None or earthworks including linear structures, cut and fill or excavations 1.9 Underground works including No Only opencast mining will be done. mining or tunneling? 1.10 Reclamation works? Yes Part of excavated land will be backfilled with over burden & reclaimed by plantation of local species.

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Narsingbhai Mohanbhai Nayka 0.37.00Hec. Vi-Puniyavant, Ta-Chhota Udaipur, Dist-Chhota Udaipur.

1.11 Dredging? No No there is no dredging in evolved in this lease area. 1.12 Off shore structures? No NA 1.13 Production and manufacturing Yes The capacity of Quarry will be 400 MT processes? per month. Mining of Sand in the area shall be accomplished by conventional open cast, semi- mechanized method of working. 1.14 Facilities for storage of good so Yes Temporary storage of mine out material materials? is done at mines site, which will be transported by trucks in future. 1.15 Facilities for treatment or disposal Yes Solid Waste - Soil waste generated will of solid waste or liquid effluents? be initially dumped and then will be backfilled in excavated and exhausted pit. Liquid Waste – The waste water will be domestic and in small amount. The domestic waste will be treated in septic tanks and soak pits whereas the seepage water from mines has been drain out by pumping in nearby nala. 1.16 Facilities for long term housing of No None operational workers? 1.17 New road, rail or sea traffic during No None construction or operation 1.18 New road, rail, air waterborne or No New facilities are sufficient. other transport infrastructure including new or altered routes and stations, ports, airports etc? 1.19 Closure or diversion of existing No There will be no such change caused due transport routes or infrastructure to the proposed project. leading to changes in traffic movements? 1.20 New or diverted transmission lines No There is no proposal for new or pipelines? construction or diversion of any transmission lines or pipelines. 1.21 Impoundment, damming, culver No There is no water course falling in this ting, realignment or other changes lease area. to the hydrology of water courses or aquifers? 1.22 Stream crossings? No There is no stream (perennial or seasonal) within the lease area.

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Narsingbhai Mohanbhai Nayka 0.37.00Hec. Vi-Puniyavant, Ta-Chhota Udaipur, Dist-Chhota Udaipur.

1.23 Abstraction or transfers of water Yes Water required for Drinking and form ground or surface waters? sprinkling on haulage road is 6 KLD. Mines seepage water will be used for sprinkling and tube well for drinking water will be used. 1.24 Changes in water bodies or the land No As there is absence of any river or Nala surface affecting drainage or run- in the lease area, mining process will not off? affect the natural drainage in the nearby area. 1.25 Transport of personnel or materials No Sand from mine site will be transport to for construction, operation or end user by dumpers. decommissioning? 1.26 Long-term dismantling or No Part of the restored area will be used as decommissioning or restoration water reservoir and rest of the area will works? be reclaimed by backfilling and a forestation. 1.27 Ongoing activity during No No activity of commissioning or decommissioning which could decommissioning is proposed in this have an impact on the mine area except as stated above -1.26 environment? 1.28 Influx of people to an area in either Yes Partial influx on temporary basis as most temporarily or permanently? of the workers will be from nearby village. 1.29 Introduction of alien species? No Local species would be preferred. 1.30 Loss of native species or genetic No No loss of native species is anticipated. diversity? 1.31 Any other actions? No No other actions are proposed.

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) Sr. I nformation/Checklist Yes/No Details thereof (with approximate No. confirmation quantities/ rates, wherever possible) with source of information data 2.1 Land especially undeveloped or Yes The total land will be developed during agricultural land (ha) conceptual plan period. There is absence of any agriculture land within the quarry lease area.

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Narsingbhai Mohanbhai Nayka 0.37.00Hec. Vi-Puniyavant, Ta-Chhota Udaipur, Dist-Chhota Udaipur.

2.2 Water (expected source & Yes Water required for Drinking and competing users) unit: KLD sprinkling on haulage road is 6 KLD which will be taken from nearby tubewell sources. 2.3 Minerals(MT) No No mineral will be used for this project.

2.4 Construction material – stone, No No construction is proposed at the aggregates, sand / soil (expected quarry site. source – MT) 2.5 Forests and timber (source – MT) No No timber will be required 2.6 Energy including electricity and Yes Fuel is required for excavator and fuels (source, competing users) dumpers for transportation. This will be Unit: fuel (MT), energy (MW) taken from nearby petrol pumps. 2.7 Any other natural resources (use No No other natural recourses will be appropriate standard units) required.

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. Sr. I nformation/Checklist Yes/No? Details thereof (with approximate No. confirmation quantities/ rates, wherever possible) with source of information data 3.1 Use of substances or materials, No No hazardous substance is 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 If hygienic conditions are not or affect disease vectors (e.g. maintained, diseases may occur. insect or water borne diseases) 3.3 Affect the welfare of people e.g. Yes Living conditions will change for better by changing living conditions? as beneficial aspects would be there due to employment generation. 3.4 Vulnerable groups of people who No This type impacts are not expected as could be affected by the project quarry site is far away from settlements e.g. hospital patients, children, the and no unauthorized person will be elderly etc., allowed to enter quarrying area. 3.5 Any other causes No Not applicable.

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Narsingbhai Mohanbhai Nayka 0.37.00Hec. Vi-Puniyavant, Ta-Chhota Udaipur, Dist-Chhota Udaipur.

4. Production of solid wastes during construction or operation or decommissioning (MT/month) Sr. Informa tion/Checklist Yes/No? Details thereof (with approximate No. confirmation quantities/ rates, wherever possible) with source of information data 4.1 Spoil, overburden or mine wastes Yes 1,565 (In situ O. Bin MT)

4.2 Municipal waste (domestic and or No Very insignificant. Soak Pits and septic commercial wastes) tank are used for the treatment of liquid waste. 4.3 Hazardous wastes (as per Yes Used or spent oil is generated from the Hazardous Waste Management heavy earth moving machineries. Rules) 4.4 Other industrial process wastes No As rock beneficiation will not be done for the proposed project hence there will be absence of any industrial process waste. 4.5 Surplus product No The generated Sand is directly sent to the crusher plant.

4.6 Sewage sludge or other sludge Yes Domestic waste water will be sent to from effluent treatment septic tank followed by soak pits. 4.7 Construction or demolition wastes No No construction or demolition activity will be done in proposed area.

4.8 Redundant machinery or equipment No There are no redundant machineries or equipment in proposed area.

4.9 Contaminated soils or other No Very insignificant. materials 4.10 Agricultural wastes No No agriculture waste will be generated.

4.11 Other solid wastes No No other solid waste will be produced other than specified in 1.15

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Narsingbhai Mohanbhai Nayka 0.37.00Hec. Vi-Puniyavant, Ta-Chhota Udaipur, Dist-Chhota Udaipur.

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

Sr. Information/Checklist Yes/No? Details thereof (with approximate No. confirmation quantities/ rates, wherever possible) with source of information data 5.1 Emissions from combustion of Yes There will be emission from fossil fuels from stationary or transportation, handling of over burden mobile sources etc. It is managed by the following methods :- . Proper dump stack height and maintenance of engine will be required. Proper maintenance of vehicles with effective loading.

Effective water sprinkling on haul road will be done to compact haul road dust emission.

5.2 Emissions from production Yes Dust is the main pollutant which will processes be generated from vehicle movement. The dust particles shall be small enough to suspended or carried by wind. Deposited dust particles of different sizes that are greater than about 10 to 20 microns settle out of the air. Suspended particulate matter remains suspended in the air for several minutes. Dust suppression is managed by the following methods: - Watering hauls roads. Water spray where required.

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Narsingbhai Mohanbhai Nayka 0.37.00Hec. Vi-Puniyavant, Ta-Chhota Udaipur, Dist-Chhota Udaipur.

5.3 Emissions from materials handling Yes There will be fugitive emission including storage or transport generated during material handling, transportation etc. Dust will be generated while handling material by excavators, transportation by dumpers on hauls roads and unloading at mineral stack and waste dumps. Regular water sprinkling on haul road will suppress the dust particles and prevent them from getting air- born. Transportation movement of vehicles like dumpers trucks, tankers etc. will also generate dust from the agitation of unpaved surface. Haul road / Overburden handling. These operations will produce dust emissions during loading, unloading and transportation of the material from the pit.

5.4 Emissions from construction No None. activities including plant and equipment

5.5 Dust or odors from handling of No Emission of dust due to movement of materials including construction vehicles, loading, unloading will materials, sewage and waste produce impact on air. 5.6 Emissions from incineration of No No incineration activity will be at waste proposed project. 5.7 Emissions from burning of waste in No No such activity is proposed. open air (e.g. slash materials, construction debris) 5.8 Emissions from any other sources No None.

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Narsingbhai Mohanbhai Nayka 0.37.00Hec. Vi-Puniyavant, Ta-Chhota Udaipur, Dist-Chhota Udaipur.

6. Generation of Noise and Vibration, and Emissions of Light and Heat Sr. Informa tion/Checklist Yes/No? Details thereof (with approximate No. confirmation quantities/ rates, wherever possible) with source of information data 6.1 From operation of equipment e.g. Yes Noise will be generated from operation engines, ventilation plant, crushers of machineries.

6.2 From industrial or similar No No other process is proposed in the processes quarry lease area. 6.3 From construction or demolition No Construction or demolition will not be carried out for the proposed project. 6.4 From blasting or piling No None.

6.5 From construction or operational Yes Due to vehicular traffic and material traffic transportation within lease area, noise will be generated. 6.6 From lighting or cooling systems No Lighting will be required in the quarry for illumination. No cooling system will be proposed at project site. 6.7 From any other sources No No other sources of noise & vibration are there.

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 Sr. Information/Checkli Yes/No? Details thereof (with approximate No. st confirmation quantities/ rates, wherever possible) with source of information data 7.1 From handling, storage, use or No Not Applicable. spillage of hazardous materials

7.2 From discharge of sewage or other No Treated water from domestic sewer effluents to water or the land will be used for land plantation. (expected mode and place of discharge) 7.3 By deposition of pollutants emitted No No such pollutants will be released to air into the land or into water from mining operation. 7.4 From any other sources No No other sources are there. 7.5 Is there a risk of long term buildup No No other risks are anticipated from of pollutants in the environment the proposed project. from these sources?

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Narsingbhai Mohanbhai Nayka 0.37.00Hec. Vi-Puniyavant, Ta-Chhota Udaipur, Dist-Chhota Udaipur.

8. Risk of accidents during construction or operation of the Project, which could affect human health or the environment Sr. Information/Checklist Yes/No? Details thereof (with approximate No. confirmation quantities/ rates, wherever possible) with source of information data 8.1 From explosions, spillages, fires etc. No Not Applicable. from storage, handling, use or production of hazardous substances. 8.2 From any other causes No No other sources are there. 8.3 Could the project be affected by No Proposed project is at seismic natural disasters causing zone-III. 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

Sr. Information/Checklist Yes/No? Details thereof (with approximate No. confirmation quantities/ rates, wherever possible) with source of information data 9.1 Lead to development of supporting. Yes Improve socio- economic status of Utilities, ancillary development or villages around mine area. Benefit

development stimulated by the local people due to employment. project which could have impact on Provision of Health facilities

the environment e.g. Improvement in educational facilities. • Supporting infrastructure (roads, Yes power supply, waste or waste water The Sand from this project get

treatment, etc.) utilized in the construction activist.

• housing development No

• extractive industries No

• supply industries No

• other No

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Narsingbhai Mohanbhai Nayka 0.37.00Hec. Vi-Puniyavant, Ta-Chhota Udaipur, Dist-Chhota Udaipur.

9.2 Lead to after-use of the site, which Yes The backfilled area would be could have an impact on the reclaimed by plantation and water environment will get filled in remaining pit area which will serve as reservoir. 9.3 Set a precedent for later No Not required. developments 9.4 Have cumulative effects due to No As it is an independent project proximity to other existing or cumulative effects will not be planned projects with similar effects anticipated.

10 Environmental Sensitivity

Sr. Areas Name/ Aerial distance (within 10 Km.) No. Identity Proposed project location boundary 1. Areas protected under international No No such areas found within the conventions, national or local radius of 10 KM from the proposed legislation for their ecological, site. landscape, cultural or other related value 2. Areas which are important or No No such areas found within the sensitive for ecological reasons - radius of 10 KM from the proposed Wetlands, watercourses or other site. water bodies, coastal zone, biospheres, mountains, forests 3. Areas used by protected, important No There is no such areas fall under or sensitive species of flora or the radius of 10 KM. fauna for breeding, nesting, foraging, resting, over wintering, migration 4. Inland, coastal, marine or No No such area falls within the radius underground waters of 10 KM from proposed project site. 5. State, National boundaries No No such place is there in 10 KM radius. 6. Routes or facilities used by the No No such place is there in 10 KM public for access to recreation or radius. other tourist, pilgrim areas 7. Defense installations No No such place is there in 10KM radius.

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Narsingbhai Mohanbhai Nayka 0.37.00Hec. Vi-Puniyavant, Ta-Chhota Udaipur, Dist-Chhota Udaipur.

8. Densely populated or built-up area Village- Village Puniyavant is about 1.70 Puniyavant KM from project site.

9. Areas occupied by sensitive man- School School at village Puniyavantfall made land uses (hospitals, schools, Puniyavant Within the 1.56 KM from places of worship, community Proposed site. facilities) 10. Areas containing important, high No NonewithinPremises. quality or scarce resources (ground water resources, surface resources, forestry, agriculture, fisheries, tourism, minerals) 11. Areas already subjected to No No such place is there in 10 KM pollution or environmental damage. radius. (those where existing legal environmental standards are exceeded) 12. Areas susceptible to natural hazard Yes The proposed project site fall in which could cause the project to seismic zone III. present environmental problems (earthquakes, subsidence, landslides, erosion, flooding or extreme or adverse climatic conditions)

I hereby give an undertaking that the data and information given in the application closures 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 age, the project will be rejected and clearance will be revoked.

Place: Chhota Udaipur

Signature of the applicant M/s Narsingbhai Mohanbhai Nayka

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