SRI B. SRINIVASA RAO House No. 15-13-292, Bank Colony, Near Thummala Camp Office, Khammam District Mobile No. +91 93999 99000 To The Member Secretary, State Level Environmental Impact Assessment Authority (SEIAA), TS O/o. Telangana State Pollution Control Board, A-3, Industrial Estate, Sanath Nagar, Hyderabad – 500 018. Respected Sir, Sub: Submission of Form-I, Form-2, Standard Template, PFR, Environment Management Plan and Approved Mining Plan as part of Environmental Clearance documentation for proposed Colour Granite quarry by Sri B. Srinivasa Rao – reg. Refer to the above mentioned subject; we here with submitting Form-I, Form-2, Standard Template, PFR, Environment Management Plan and Approved Mining Plan for the proposed Colour Granite quarry in an area of 2.0 ha located in Survey No. 58, Jamalapuram Village, Yerrupalem Mandal, Khammam District, Telangana State. We request you to kindly process our application for grant of Environmental clearance at the earliest and acknowledge the receipt of the same. Thanking you, Yours Sincerely, Sri B. Srinivasa Rao 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 Sri B. Srinivasa Rao – Colour granite Quarry 2 Name of the organization/owner. Sri B. Srinivasa Rao 3 Address for communication House No. 15-13-292, Bank Colony, Near Thummala Camp Office, Khammam District. 4 Telephone numbers Mobile No. +91 93999 99000. 5 Email ID of the organization or contact person 6 Location of the Proposed project or activity Survey No. 58, Jamalapuram Village, Yerrupalem Mandal, Khammam District, Telangana State. 7 Appraisal Category (B2 or B1) B2 8 Nearest habitation and distance from the Satyanarayanapuram located at a project or activity distance of 1.9 km from the QL area in SE direction 9 Installed capacity / Production Capacities Opencast fully mechanized method for Colour granite production of 68364 m3/annum. QL area is 2.0 ha. 10 Specify the Fuel (Coal / CNG / NA biomass/Others) and quantity required 11 Details of Land use/Land Cover The Q.L area consists of barren hill with topo relief in NE direction trending mound gently sloping on both sides, rising 12m AGL 12 Occupancy, ownership of the land in which Govt. Land, In principle of the activity is proposed: application for grant of quarry lease (Government land / Private land / Forest land notice issued by The Department of /Revenue land /Temple land /leased land/ Mines and Geology, Govt. of land belongs to other Department) Telangana State vide notice no. 1578/R1-2/2018 dated 03.04.2018 for a period of 20 years. Quarry plan is scrutinized by the Deputy Director of Mines and Geology, Government of Telangana vide Letter No. 3269/QP1/KMM/2018 dated 03.07.2018. 13 If it is a Forest land, the following details shall NA be furnished: (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. 30 Lakhs a. Funds allocated for EMP (capital cost and Capital Cost - Rs. 7.97 Lakhs recurring cost per annum) Recurring cost - Rs. 4.03 Lakhs/year 15 Brief description of the project with special Fully mechanized opencast mining reference to specific pollution and its control with help of jackhammer, drilling measures. and wire saw cutting. 16 Compliance report on the following : Status of compliance of the conditions and NA. QL area is 2.0 ha, applying for environmental safeguards stipulated in the environmental clearance as per earlier clearance letters. Hon’ble supreme court order and MoE&F office memorandum. Details of the court cases, if any, pending in No court case is pending. any Court of Law against the project as well as any directions passed by the Court relating to the project directly or indirectly. Details of the notices, if any, given to the There is no notice received (QL area project under Section 5 of the Environmental is 2.0 Ha). (Protection) Act, 1986 and Section 18 of the Air (Prevention & Control of Pollution) Act, 1981. 17 Whether the project attracts the provisions No. (QL Area: 2.0 Ha ) laid under the OM dt. 16.11.2010 issued by the MoE&F, GOI, w.r.t. violation of EIA Notification, 2006 and its amendments there of? (Yes / No) Present stage and status of the Project: New Quarry 18 Name of the Consultant: M/s. Team Labs and Consultants, B115,116,117 & 509, Aditya Enclave, Ameerpet, Hyderabad - 500 038 DECLARATION a) I Sri B. Srinivasa Rao residing at House No. 15-13-292, Bank Colony, Near Thummala Camp Office, Khammam District hereby declare that I/We/ our organization does not /do not have conflict of interest with the Chairman and members of SEAC and SEIAA, Telangana. b) I hereby declare that I (Sri B. Srinivasa Rao) am the authorized signatory of our company is authorized to submit the application and to do all necessary correspondence for obtaining environmental clearance from State Level Environment Impact Assessment Authority (SEIAA) and to attend the meeting (s) of State level Expert Appraisal Committee (SEAC) to present our case and to clarify the points raised by the Members of SEAC and SEIAA, Telangana State. c) I/We hereby declare that M/s. Team Labs and Consultants, B-115 & 509, Annapurna Block, Aditya Enclave, Ameerpet, Hyderabad -500038 is/are authorized to assist all matters relating to the environmental matters. d) I/we hereby declare that the information furnished above is true to best of my/our knowledge and I/we shall hold personal liability for any deliberate misrepresentation and or concealment of factual information. If the information furnished is found to be false, the EC issued to our organization can be withdrawn and I/we are liable for action as per rules applicable. Date Place Signature of the Applicant/ project proponent (Name and address of the Applicant) Sri B. Srinivasa Rao House No. 15-13-292, Bank Colony, Near Thummala Camp Office, Khammam District. Mobile No. +91 93999 99000. SRI B. SRINIVASA RAO House No. 15-13-292, Bank Colony, Near Thummala Camp Office, Khammam District. Mobile No. +91 93999 99000 To The Member Secretary, State Level Environmental Impact Assessment Authority (SEIAA), Telangana State. O/o. Telangana State Pollution Control Board, Sanath Nagar, Hyderabad Sir, Sub: Intimation of the Authorised Signatory- Reg. Ref: Amendments to EIA-2006 notification issued vide S.O.3067 (E) dt. 01.12.2009 by MoE&F, GOI. With reference to above, it is to inform that I (Sri B. Srinivasa Rao) am the authorized signatory to make all necessary correspondence with the SEAC & SEIAA, Telangana for obtaining the Environmental Clearance for the proposed Colour Granite quarry in an area of 2.00 ha located in Survey No. 58, Jamalapuram Village, Yerrupalem Mandal, Khammam District, Telangana State. Yours faithfully, Sri B. Srinivasa Rao.