FORM 1

BASIC INFORMATION S.NO. Item Details 1 Name of the Project Sri. M.V.L.K Mohan Rao, Fire Clay Mine. 2 S.No. in the schedule 1(a) 3 Proposed capacity/ area/ length/ Proposed Capacity: 51,654 MT. tonnage to be handled/ command Area: 2.00 Ha. area/ lease area/ number of wells to be drilled 4 New/ expansion/ modernization Modernization 5 Existing capacity/ Area etc. Existing Area 6 Category of Project i.e. ‘A’ or ‘B’ “B” 7 Does it attract the general No condition? If yes please specify. 8 Does it attract the specific No condition? If yes please specify. 9 Location Plot/ Survey/ Khata No. Sy. No.408 Village Ankalampadu Tehsil Kamavarapukota District West Godavari. State . 10 Nearest Railway station/ airport Bhimadole RS – 20 km – SSE, along with distance in kms. (Rajamahendravaram) Airport– 75 km-ENE 11 Nearest town, city, district Bhimadole – 16 km - SSE, headquarters along with distance – 32 km - SSW in kms. 12 Village panchayaths, Zilla Ankalampadu, parishad, Municipal Corporation, West Godavari, Local body (Complete postal Andhra Pradesh. address with telephone no’s to be given) 13 Name of the applicant Sri. M.V.L.K Mohan Rao, 14 Registered address Ankalampadu Village & , , Andhra Pradesh. 15 Address for Correspondence Village & Mandal, West Godavari District, Andhra Pradesh. Name Sri. M.V.L.K Mohan Rao, Designation/Owner/Partner/CEO) Owner Address Sri.M.V.L.K Mohan Rao S/o Venkateswara Rao Dwaraka Tirumala Village & Mandal, West Godavari District, Andhra Pradesh. Ph No.9390431144. Pin code 534449 e-mail [email protected]

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Telephone no. 9390431144. Fax no. 16 Details of Alternative sites No Alternative sites are examined. examined, if any location of these sites should be shown on a Toposheet. 65 H /1 17 Interlinked projects None 18 Whether separate application of None interlinked project has been submitted? If yes, date of submission Not Applicable If no, reason Not Applicable 19 Whether the proposal involves approval/ clearance under: if yes, details of the same and their None status to be given. (a) The Forest (Conservation) Act, 1980 (b) The Wild Life (Protection) Act, 1972 (c) The CRZ Notification, 1991 20 Whether there is any Government None Order/ Policy relevant/ relating to the site? 21 Forest land involved (hectares) The Q.L mining lease does not comes under forest zone. 22 Whether there is any litigation pending against the project and / or land in which the project is propose to be set up? None (a) Name of the court (b) Case No. (c) Orders/ directions of the court, if any and its relevance with the proposed project.

(I) 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 Yes/No wherever possible) with source confirmation of information data 1.1 Permanent or temporary Yes Present land use is slightly change in land use, land elevated area. The leased area is cover or topography including gently sloping from NE to SW and

2 increase in intensity of land there is 13M relief. use (with respect to local land use plan) 1.2 Clearance of existing land, No The Q.L Area is Elevated and vegetation and buildings? covered with shrubs, bushes etc., Except for shrubs no major clearance is required. 1.3 Creation of new land uses? No 1.4 Pre-construction No Survey completed, Site service investigations e.g. bore building will be constructed. houses, soil testing? 1.5 Construction works? Yes Site service building will be constructed. 1.6 Demolition works? No No constructions exist. 1.7 Temporary sites used for No Local villagers shall be employed construction works or housing of construction workers? 1.8 Above ground buildings, Yes A site service building will be structures or earthworks constructed within the quarry including linear structures, lease area. No major construction cut and fill or excavations work is involved. 1.9 Underground works No Not Applicable including mining or tunneling? 1.10 Reclamation works? Yes Can be done after completion of Mining Activity.

1.11 Dredging? No Not Applicable

1.12 Offshore structures? No Not Applicable

1.13 Production and Yes Semi Machined open cast manufacturing processes? quarrying by Proclains.

1.14 Facilities for storage of goods Yes Land will be provided for storage or materials? within the Mine premises. 1.15 Facilities for treatment or Yes During the plan period Nil waste disposal of solid waste or will be generated. liquid effluents? 1.16 Facilities for long term No Not Required, local villagers shall housing of operational be employed. workers? 1.17 New road, rail or sea traffic No Existing roads are sufficient for during construction or the quarrying activities. No rail operation? line is required. Sea traffic is not applicable. 1.18 New road, rail, air waterborne No Existing roads are sufficient for or other transport the quarrying activities. No rail

3 infrastructure including new line is required. or altered routes and stations, ports, airports etc? 1.19 Closure or diversion of No Not required existing transport routes or infrastructure leading to changes in traffic movements? 1.20 New or diverted transmission No Not required lines or pipelines? 1.21 Impoundment, damming, No Nil culverting, realignment or other changes to the hydrology of watercourses or aquifers? 1.22 Stream crossings? No None 1.23 Abstraction or transfers of No Water shall be drawn from the water form ground or surface local villages for the purpose of waters? drinking purpose. 1.24 Changes in water bodies or No The project no way affects the the land surface affecting existing drainage pattern/run off. drainage or run-off? Precautions should be taken for dump yard. 1.25 Transport of personnel or No Local people are working for this materials for construction, quarry. There is no need of operation or transportation for personal. decommissioning? 1.26 Long-term dismantling or No No decommissioning or restoration works? 1.27 Ongoing activity during Yes Increase in dust levels for short decommissioning which duration could have an impact on the environment? 1.28 Influx of people to an area in Yes Local people will be employed in either temporarily or mines. permanently? 1.29 Introduction of alien species? No No alien species will be introduced. 1.30 Loss of native species or No No native species or generic genetic diversity? diversity is lost. The proposed M.L area is slightly elevated and covered with shrubs, bushes and small trees. 1.31 Any other actions? No None

4 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 S.No. Information/Checklist approximate quantities /rates, confirmation Yes/No wherever possible) with source of information data 2.1 Land especially undeveloped Yes Present Land use is slightly or agricultural land (ha) elevated area. The leased area is gently sloping from NE to SW and there is 13M relief. 2.2 Water (expected source & Yes Water Requirement will be meet competing users) unit: KLD through tankers from the nearby villages. Requirement of water in the Mine is about 4 M3/day. 2.3 Minerals (MT) Yes 10,330 MT/Annum. 2.4 Construction material – Yes No major construction work is stone, aggregates, sand / soil involved. A site service building (expected source – MT) will be constructed. 2.5 Forests and timber (source – No No timber is used. MT) 2.6 Energy including electricity No Quarrying Day time only and fuels (source, competing users) Unit: fuel (MT), energy (MW) 2.7 Any other natural resources No No other natural resources will be (use appropriate standard used. 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 Information/Checklist approximate quantities /rates, S.No. confirmation Yes/No wherever possible) with source of information data 3.1 Use of substances or No There are no Hazardous materials, which are Substances or Material is to hazardous (as per MSIHC human Health or the rules) to human health or the Environment. environment (flora, fauna, and water supplies) 3.2 Changes in occurrence of No The Proposed project does not disease or affect disease cause any change to the vectors (e.g. insect or water prevailing factors. borne diseases) 3.3 Affect the welfare of people Yes The mining operations will bring e.g. by changing living improvement in the socio- conditions? economic levels in the study area. 3.4 Vulnerable groups of people No Mine workers are likely to get

5 who could be affected by the exposed to dust. Dust masks will project e.g. hospital patients, be provided to all the employees. children, the elderly etc., 3.5 Any other causes No None

4. Production of solid wastes during construction or operation or decommissioning (MT/month). Details thereof (with approximate quantities /rates, S.No. Information/Checklist Yes/No wherever possible) with source confirmation of information data 4.1 Spoil, overburden or mine Yes The Estimated waste generation wastes during lease period is Nil. 4.2 Municipal waste (domestic No No Municipal waste will be and or commercial Generated. wastes) 4.3 Hazardous wastes (as per No No Hazardous Waste is Hazardous Waste Anticipated. Management Rules) 4.4 Other industrial process No No Process Wastes are wastes anticipated. 4.5 Surplus product No No Surplus products are envisaged. 4.6 Sewage sludge or other No No Effluent Treatment is involved sludge from effluent in the Proposed Project. treatment 4.7 Construction or demolition No No Constructions Exist in the wastes proposed mine lease area. 4.8 Redundant machinery or No Machinery is Good working equipment condition will be employed. 4.9 Contaminated soils or other No Soil is almost un existing in the materials area and whatever soil that will be recovered will be stored separately for use in Afforestation. 4.10 Agricultural wastes No No Agricultural activity is involved.

4.11 Other solid wastes No No Other Solid Wastes are Anticipated.

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

Details thereof (with S.No. Information/Checklist approximate quantities/rates, confirmation Yes/No wherever possible) with source of information data 5.1 Emissions from combustion Yes Emissions from the IC engines of of fossil fuels from stationary mining. or mobile sources 5.2 Emissions from production Yes Dust Emissions are the Major processes Pollutant from Mining Activities. 5.3 Emissions from materials Yes Dust Emissions are Anticipated handling including storage During Transportation, Loading or transport and Unloading of material. 5.4 Emissions from construction No No Major Construction activity is activities including plant and involved except for site service equipment Building. 5.5 Dust or odours from handling Yes Mine workers are likely to get of materials including exposed to dust. Dust masks will construction materials, be provided to all the employees. sewage and waste 5.6 Emissions from incineration No Not applicable of waste 5.7 Emissions from burning of No Not applicable waste in open air (e.g. slash materials, construction debris) 5.8 Emissions from any other No None sources

6. Generation of Noise and Vibration, and Emissions of Light and Heat:

Details thereof (with Information/Checklist Yes/No approximate quantities/rates, S.No. confirmation wherever possible) with source of information data with source of information data 6.1 From operation of equipment Yes Expected noise from Vehicular e.g. engines, ventilation movement. plant, crushers 6.2 From industrial or similar No Not applicable processes. 6.3 From construction or No Not applicable demolition 6.4 From blasting or piling No No need for blasting or piling 6.5 From construction or Yes During the operation due to operational traffic vehicular movement (Tippers) noise will be generated.

7 6.6 From lighting or cooling No Not applicable systems 6.7 From any other sources No None

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 Information/Checklist approximate quantities/rates, S.No. confirmation Yes/No wherever possible) with source of information data 7.1 From handling, storage, use No Not Applicable. or spillage of hazardous materials

7.2 From discharge of sewage or No Not Applicable. other effluents to water or the land (expected mode and place of discharge) 7.3 By deposition of pollutants Yes Air Quality will be maintained emitted to air into the land or with in permissible limits by into water adopting dust suppression on haul roads with sprinkling of water. The dust generated during the drilling will be suppressed by covering the drill rods by gunny cloth and Dust Extractors will be Deployed. 7.4 From any other sources No None 7.5 Is there a risk of long term No Not Applicable. build up of pollutants in 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 quantities/rates, S.No. Information/Checklist Yes/No wherever possible) with source confirmation of information data

8.1 From explosions, spillages, No None fires etc from storage, handling, use or production of hazardous substances 8.2 From any other causes No None

8 8.3 Could the project be affected No None by natural disasters 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 quantities/rates, S. Information/Checklist Yes/No wherever possible) with source No. confirmation of information data 9.1 Lead to development of Yes supporting utilities, ancillary development or development

stimulated by the project which could have impact on The Proposed Mining Project will the environment e.g.: Develop the Area Directly or Indirectly by Providing the • Supporting infrastructure Employment Opportunities. (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, No After Mining, Quarry will be re which could have an impact used for Agriculture Purpose. on the environment 9.3 Set a precedent for later No -- developments 9.4 Have cumulative effects due No None to proximity to other existing or planned projects with similar effects

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(III) Environmental Sensitivity

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

1 Areas protected under international None None conventions, national or local legislation for their ecological, landscape, cultural or other related value 2 Areas which are important or None None sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests 3 Areas used by protected, important None None or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration 4 Inland, coastal, marine or None None underground waters

5 State, National boundaries Yes

6 Routes or facilities used by the public None None for access to recreation or other tourist, pilgrim areas

7 Defence installations None None

8 Densely populated or built-up area Yes Kamavarapukota - 2.0 Km – NE 9 Areas occupied by sensitive man- Yes The health facilities are made land uses (hospitals, schools, occurred nearby the places of worship, community Kamavarapukota Village facilities) is near emergency conditions, Bhimadole and Eluru Town is well placed for Doctors, Nursing Homes & Hospitals. 10 Areas containing important, high None None quality or scarce resources (ground water resources, surface resources, forestry, agriculture, fisheries, tourism, minerals)

10 11 Areas already subjected to pollution None None or environmental damage. (those where existing legal environmental standards are exceeded) 12 Areas susceptible to natural hazard None None which could cause the project to present environmental problems (earthquakes, subsidence, landslides, erosion, flooding or extreme or adverse climatic conditions)

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 given, if any to the project will be revoked at out risk and cost.

Date: 08-09-2018. Place: West Godavari.

Signature of the Applicant Sri. M.V.L.K Mohan Rao, (Project proponent/ Authorized signatory) Name Sri. M.V.L.K Mohan Rao, Designation Owner Address Sri.M.V.L.K Mohan Rao S/o Venkateswara Rao Dwaraka Tirumala Village & Mandal, West Godavari District, Andhra Pradesh. Ph No.9390431144.

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