SRI SIRANGI PRAHALAD RAO., MINING of BLACK GALAXY GRANITE OVER an EXTENT: 3.686 HA., Mine Address: Sy

FORM – I For ENVIRONMENTAL CLEARANCE

SRI SIRANGI PRAHALAD RAO., MINING OF BLACK GALAXY GRANITE OVER AN EXTENT: 3.686 HA., Mine Address: Sy. No.514/15 Illapavullur (V), Chimakurthy (M), Prakasam (Dt.), Andhra Pradesh PROPO Production Capacity: 10675.20 m3/Annum (Max)

Prepared & Submitted by

SV ENVIRO LABS & CONSULTANTS BLOCK-B, B-1, IDA, AUTONAGAR -12 VISAKHAPATNAM, ANDHRA PRADESH QCI No. 147

1 FORM- 1

(I) Basic Information

Sl.No. Item Details 1. Name of the project/s Sri Sirangi Prahalad Rao Mining of Black Galaxy Granite

2. S. No. in the schedule 1(a) 3. Proposed capacity/area/length/tonnage to Mining of Black Galaxy Granite in 3.686 Ha., be handled/command area/lease Maximum Production: 10675.20 m3/Annum area/number of wells to be drilled. 4. New/Expansion/Modernization New for EC 5. Existing Capacity/Area etc. 3.686 Ha.,

6. Category of Project i.e. ‘A’ or ‘B’ Category – B2 7. Does it attract the general condition? If No yes, please specify. 8. Does it attract the specific condition? If No yes, please specify. 9. Location Plot/Survey/Khasra No. Sy.No.514/15, Village Illapavullur Village, Tehsil Chimakurthy Mandal, District Prakasam District, State Andhra Pradesh. 10. Nearest railway station/airport along Ongole Railway Station at 27.0 kms with distance in kms. 11. Nearest Town, city, district Headquarters Chimakurthy at a distance of 4.60 kms along with distance in kms. 12. Village Panchayats, Zilla Parishad, Illapavullur Village, Municipal Corporation, Local body Chimakurthy Mandal, (complete postal addresses with Prakasam District, telephone nos. to be given) Andhra Pradesh. 13. Name of the lease applicant Sri Sirangi Prahalad Rao, Lessee 14. Registered Address Sri Sirangi Prahalad Rao Proprietor: Sri Sirangi Prahalad Rao

2 H.No.1-29-39/1, Bhavana Colony, Phase 3, Bowenpally, Secundrabad, Telangana 15. Address for correspondence: Sri Sirangi Prahalad Rao Name Sri Sirangi Prahalad Rao Designation (Owner/Partner/CEO) Lessee Pin code 500009 E-mail [email protected] Telephone No. 9849937712

Fax No. 16. Details of Alternative Sites examined, if NA any. Location of these sites should be shown on a topo sheet. 17. Interlinked Projects No Interlinked Projects 18. Whether separate application of NA interlinked project has been submitted? 19. If yes, date of submission NA 20. If no, reason NA 21. Whether the proposal involves approval/clearance under: if yes, details of the same and their status to be given. i. The Forest (Conservation) Act, 1980? NA ii. The Wildlife (Protection) Act, 1972? NA

iii. The C.R.Z. Notification, 1991? NA 22. Whether there is any Government The Department of Mines and Geology, Order/Policy relevant/relating to the site? Ibrahimpatnam recommendations the lease area vide Notice No: 8781/R3-2/2018 Dated: 10.10.2018 for Black Galaxy Granite over an extent of 3.686 Ha., in favour of Sri Sirangi Prahalad Rao for a period of 20 years and mining plan is approved vide Letter No: 4701/MP/BGG/OGL/2018 dated:09.11.2018

3 23. Forest land involved (hectares) No forest land is involved

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

(II) Activities 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 confirmation Details thereof (with approximate quantities /rates, wherever possible) Yes/ with source of information data No 1.1 Permanent or temporary change in land Yes Mining operations will be carried out use, land cover or topography including by developing benches. increase in intensity of land use (with There will be change in land cover due respect to local land use plan) to the proposed activity. Greenbelt will be developed all along the approach roads of mining lease area. 1.2 Clearance of existing land, vegetation No No vegetation is existing and no and buildings? structural AC buildings are existing at this site. 1.3 Creation of new land uses? Yes Present land use will be changed with commencement of mining activities. 1.4 Pre-construction investigations e.g. bore Yes Site survey was carried out. houses, soil testing? 1.5 Construction works? No No structures will be constructed. Only temporary sheds will be provided during the excavation works 4 for workmen resting. 1.6 Demolition works? No The mine does not contain any temporary / permanent structures. Therefore no demolition work will be carried. 1.7 Temporary sites used for construction No Not envisaged works Or housing of construction workers? 1.8 Above ground buildings, structures or Yes Opencast mining earthworks including linear structures, cut and fill or excavations 1.9 Underground works including mining or No Opencast method by developing tunneling? benches. Therefore, no underground mining or tunneling is envisaged. 1.10 Reclamation works? No No reclamation work

1.11 Dredging? No Not applicable

1.12 Offshore structures? No Not applicable

1.13 Production and manufacturing Yes The method of quarrying is in semi- processes? mechanized open cast method by using hydraulic excavators, tippers, jackhammer drills. The blocks will be cut in conventional Wire Saw cutter and will be split. The larger blocks will further be reduced to smaller handable sizes. 1.14 Facilities for storage of goods or Yes Stock yard and waste dump yard materials? facilities are identified for storage of goods and materials in the mine lease area. 1.15 Facilities for treatment or disposal of Yes About 178100.80 m3 of Granite waste solid waste or liquid effluents? & Overburden of 35872 m 3 will be generated for five years. It will be dumped temporarily in the SE & East

5 of the quarry lease applied area over an extent of 1.0 Ha. 80% of waste will be used for road development, building construction etc. 1.16 Facilities for long term housing of No Majority of manpower will be Operational workers? recruited from local people only. Therefore no housing scheme is proposed. 1.17 New road, rail or sea traffic during No The site is well connected to roadway. Construction or operation? 1.18 New road, rail, air waterborne or other NA Not Applicable. transport infrastructure including new or altered routes and stations, ports, airports etc? 1.19 Closure or diversion of existing transport NA Not Applicable. routes or infrastructure leading to changes in traffic movements? 1.20 New or diverted transmission lines or No No transmission & pipeline existing. pipelines? 1.21 Impoundment, damming, culverting, No Not applicable realignment or other changes to the hydrology of watercourses or aquifers? 1.22 Stream crossings? No No perennial streams in the mining area. 1.23 Abstraction or transfers of water form Yes Water will be supplied through water ground or surface waters? tankers for sprinkling and domestic purpose in the mine. 1.24 Changes in water bodies or the land No No drains or water bodies present. surface affecting drainage or run-off? 1.25 Transport of personnel or materials for Yes There is no construction work in the construction, operation or proposed site. decommissioning? During operation lorries, trucks, Proclain will be used. 1.26 Long-term dismantling or No No dismantling work will be carried in

6 decommissioning or restoration works? the project. 1.27 Ongoing activity during No No decommissioning activity decommissioning which could have an proposed. impact on the environment? 1.28 Influx of people to an area in either No No influx of people into this area Temporarily or permanently? either temporarily or permanently. Most of the employees will be from local area only. 1.29 Introduction of alien species? No -- 1.30 Loss of native species or genetic No -- diversity? 1.31 Any other actions? No --

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 confirmation Yes/No approximate quantities / rates, wherever possible) with source of information data 2.1 Land especially undeveloped or No The mine lease area is Government agricultural land (ha) land. No cultivation is being carried out in mine lease area. 2.2 Water (expected source & competing Yes Total water requirement of the users) unit: KLD mining operations is about 11.5 KLD. Dust suppression – 3.0 KLD Green belt – 2.5 KLD Domestic – 3.0 KLD Wire saw cutting – 3.0 KLD Source of Water: Water Tankers 2.3 Minerals (MT) No Not applicable 2.4 Construction material – stone, Yes Requirement of small quantities of aggregates, sand / soil (expected source - construction materials are sourced MT) from nearby areas for construction of office and rest shelter. 7 2.5 Forests and timber (source – MT) No No timber will be used. 2.6 Energy including electricity and fuels Yes This is open cast semi mechanized (source, competing users) Unit: fuel mining. 250 liters/day of diesel will (MT), energy (MW) be used for mining operations. 2.7 Any other natural resources (use No -- appropriate standard 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 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 No No hazardous material is used in hazardous (as per Blasting rules) to mining activities. human health or the environment (flora, fauna, and water supplies) 3.2 Changes in occurrence of disease or No -- affect disease vectors (e.g. insect or water borne diseases) 3.3 Affect the welfare of people e.g. by changing living conditions? 3.3 Affect the welfare of people e.g., by Yes The proposed activity will provide changing living conditions? employment to the local villagers thereby improving their living conditions. 3.4 Vulnerable groups of people who could No -- be affected by the project e.g. hospital patients, children, the elderly etc., 3.5 Any other causes? No --

8 4. Production of solid wastes during construction or operation or commissioning (MT/month)

S.No. Information/Checklist confirmation Yes/No Details thereof (with approximate quantities /rates, wherever possible) with source of information data 4.1 Spoil, overburden or mine wastes Yes About 178100.80 m3 of Granite waste & Overburden of 35872 m 3 will be generated for five years. It will be dumped temporarily in the SE & East of the quarry lease applied area over an extent of 1.0 Ha. 80% of waste will be used for road development, building construction etc. 4.2 Municipal waste (domestic and or No -- commercial wastes) 4.3 Hazardous wastes (as per Hazardous No -- Waste Management Rules) 4.4 Other industrial process wastes No No industrial process waste will be generated. 4.5 Surplus product No -- 4.6 Sewage sludge or other sludge from No -- effluent treatment 4.7 Construction or demolition wastes No -- 4.8 Redundant machinery or equipment No -- 4.9 Contaminated soils or other materials No No soil / material will be contaminated. 4.10 Agricultural wastes No No agricultural waste will be generated. 4.11 Other solid wastes No --

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

Details thereof (with approximate quantities /rates, wherever S.No. Information/Checklist confirmation Yes/No possible) with source of information data 5.1 Emissions from combustion of fossil Yes Emissions will be generated from fuels from stationary or mobile sources machinery used for mining activities and from trucks used for transportation activities. 5.2 Emissions from production processes Yes Fugitive dust will be generated from mining activities. Adequate control measures like water sprinkling will be taken and control devices will be used while drilling. 5.3 Emissions from materials handling Yes Emission of air borne dust is including storage or transport envisaged during transport of waste and movement of vehicles within the mine, and also during transport of waste from quarry to the waste dump. Water sprinklers will be provided for suppression of dust. 5.4 Emissions from construction activities No -- including mine and equipment 5.5 Dust or odours from handling of Yes Dust will generated during mining, materials including construction and transportation of materials. materials, sewage and waste However, odor is not envisaged. 5.6 Emissions from incineration of waste No -- 5.7 Emissions from burning of waste in open No -- air (e.g. slash materials, construction debris) 5.8 Emissions from any other sources No --

6. Generation of Noise and Vibration, and Emissions of Light and Heat: Details thereof (with approximate quantities /rates, wherever S.No. Information/Checklist confirmation Yes/No possible) with source of information data 6.1 From operation of equipment e.g. Yes Noise will be generated from engines, ventilation mine, crushers transport vehicles, machinery and drilling operations. 6.2 From industrial or similar processes No The work will be done from dawn to dusk. The operations will not cause more than 75 dB (A). Therefore no noise / vibrations disturbance occurs. 6.3 From construction or demolition No -- 6.4 From blasting or piling Yes Noise will be generated during operation, which will be instantaneous in nature. 6.5 From construction or operational traffic Yes Noise will be generated from the trucks deployed for transportation of mined material 6.6 From lighting or cooling systems No -- 6.7 From any other sources No --

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 approximate S.No. Information/Checklist confirmation Yes/No quantities /rates, wherever possible) with source of information data 7.1 From handling, storage, use or spillage No No hazardous materials will be of hazardous materials used. 7.2 From discharge of sewage or other No -- effluents to water or the land (expected mode and place of discharge)

11 7.3 By deposition of pollutants emitted to air No -- into the land or into water 7.4 From any other sources? No -- 7.5 Is there a risk of long term build up of No -- 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 S.No. Information/Checklist confirmation Yes/No quantities /rates, wherever possible) with source of information data 8.1 From explosions, spillages, fires etc. No Mining operations will be carried in from storage, handling, use or production a controlled manner. of hazardous substances 8.2 From any other causes No -- 8.3 Could the project be affected by natural No The area of project site will not be disasters causing environmental damage affected by natural disasters. (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 S.No. Information/Checklist confirmation Yes/No quantities /rates, wherever possible) with source of information data 9.1 Lead to development of supporting Yes Supporting and ancillary facilities, ancillary development or development will take place. development stimulated by the project which could have impact on the environment e.g.:

12 • 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 could Yes Greenbelt will be developed all along have an impact on the environment the mining lease area which will increase the aesthetic beauty of the site. 9.3 Set a precedent for later developments Yes Ancillary industries will be developed as a consequence. 9.4 Have cumulative effects due to Yes Dust accumulation on the roads. proximity to other existing or planned projects with similar effects

(III) Environmental Sensitivity

Name/ Aerial distance (within 15 km.) S.No Area Identity Proposed project location . boundary 1 Areas protected under international No None within 10 km Aerial distance conventions, national or local legislation from proposed mine site. for their ecological, landscape, cultural or other related value 2 Areas which are important or sensitive for Yes Water Bodies: ecological reasons - Wetlands, Sagar Canal – 0.63 kms watercourses or other water bodies, coastal Stream channel pasing to Nirudu zone, biospheres, mountains, forests vagu – 0.81 Kms Balancing Tank- 5.47 kms Gadipartivaripalem Cheruvu- 2.61 kms

13 Chinna Cheruvu – 3.36 Kms Nikunamabad Cheruvu – 4.16 Kms Pedda Cheruvu – 5.88 Kms Nirudu vagu – 6.27 Kms Dhenuvukonda Lake – 6.26 Kms Vayala vagu or Kalla Vagu – 6.64 Kms Chandrapadu Chruvu- 7.06 Kms Dornapu Vagu – 8.03 Kms Mudigundi vagu - 8.07 Kms Chilakaleru River – 9.00 Kms Rametharam Sagar – 8.53 Kms Gundlakamma Reservoir – 9.51 Kms Reserve Forest: Devarapalem Reserve Forest at a distance of 2.20 kms from the mine area. Errakonda Reserve Forest at a distance of 3.28 km from the mine area. Chappiditippa RF at 2.40Kms Sivapuram RF at 2.93 Kms Nagambhotlapalem RF at 6.66 Kms Chimakurthy RF at 8.05 Kms 3 Areas used by protected, important or No None within 15 km aerial distance sensitive species of flora or fauna for from proposed mine. breeding, nesting, foraging, resting, over wintering, migration 4 Inland, coastal, marine or underground No None within 15 km aerial distance waters from proposed mine. 5 State, National boundaries No None within 15 km aerial distance from proposed mine. 6 Routes or facilities used by the public for Yes Village roads are available to this site access to recreation or other tourist, at Pandurangapuram village to

14 pilgrim areas Illapavullur. 7 Defense installations No None within 15 km aerial distance from proposed mine. 8 Densely populated or built-up area Yes Nearest habitation is Pandurangapuram Village situated at 2.37 kms and densely populated area Chimakurthy Mandal at a distance of 4.60 kms . 9 Areas occupied by sensitive man-made Yes Hospitals, Schools, community land uses facilities are available at 2.5 kms (Hospitals, schools, places of worship, from the proposed mine area. community facilities) 10 Areas containing important, high quality or No -- scarce resources (Ground water resources, surface resources, forestry, agriculture, fisheries, tourism, minerals) 11 Areas already subjected to pollution or No None within 15 km aerial distance environmental damage. from proposed mine site. (Those where existing legal environmental standards are exceeded) 12 Areas susceptible to natural hazard which No -- could cause the project to present environmental problems (Earthquakes, subsidence, landslides, erosion, flooding for extreme or adverse climatic conditions )

16 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 Sirangi Prahalad Rao Lessee 2 Name of the organization/owner. Sri Sirangi Prahalad Rao, Lessee 3 Address for communication Sri Sirangi Prahalad Rao Lessee: Sri Sirangi Prahalad Rao H.No.1-29-39/1, Bhavana Colony, Phase 3, Bowenpally, Secundrabad, Telangana 4 Telephone numbers 9849937712 5 Email ID of the organization or contact [email protected] person 6 Location of the Proposed project or activity Sy. No. 514/15, IllapavullurVillage, Chimakurthy Mandal, Prakasam District, Andhra Pradesh.

7 Appraisal Category (B2 or B1) Category ‘B’ (B 2) 8 Nearest habitation and distance from the Pandurangapuram village at a distance of project or activity 2.37 kms 9 Installed capacity / Production Capacities Mining of Black Galaxy granite in 3.686 Ha., Maximum Production: 10675.20 m3/Annum 10 Specify the Fuel (Coal / CNG / Diesel based machinery will be used biomass/Others) and quantity required during quarry operations. 250 liters of diesel will be used per day. 11 Details of Land use/Land Cover Enclosed in EMP 12 Occupancy, ownership of the land in which Government land the activity is proposed: (Government land / Private land / Forest land /Revenue land /Temple land /leased land/

17 land belongs to other Department) 13 If it is a Forest land, the following details No forest area cover under the proposed shall be furnished: site area (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. 70.0 Lakhs a. Funds allocated for EMP (capital cost and Rs. 7.0 Lakhs recurring cost per annum) 15 Brief description of the project with special The method of mining shall be opencast reference to specific pollution and its control basis. Excavators shall be carried out by measures. jack hammer drilling. Bench height and width will be maintained. During mining operations fugitive dust emissions will be generated. Control devices such as water sprinklers and covering drill with cloth will reduce the generation of dust. Noise levels will be increased during operations and these will be controlled with ears protection/use of latest noise controlled equipment. Vibrations level during mining operations and these will be minimized by using low explosives and low quantities. Greenbelt will be developed all along the mining lease area. 16 Compliance report on the following : i. Status of compliance of the conditions The mining plan was approved vide letter

18 and environmental safeguards stipulated No:4701/MP/BGG/OGL/2018 in the earlier clearance letters. dated:09.11.2018

ii. Details of the court cases, if any, No court case/Litigation is pending pending in any Court of Law against the against the proposed project. project as well as any directions passed by the Court relating to the project directly or indirectly.

iii. Details of the notices, if any, given to the Nil project under Section 5 of the Environmental (Protection) Act, 1986 and Section 18 of the Air (Prevention & Control of Pollution) Act, 1981. 17 Whether the project attracts the provisions No laid under the OM dt. 16.11.2012 issued by the MoE&F, GOI, w.r.t. violation of EIA Notification, 2006 and its amendments thereof? (Yes/No) Present stage and status of the project: Mine work not yet started 18 Name of the Consultant: SV Enviro Labs & Consultants, Visakhapatnam

21 FORM-2 APPLICATION FOR PRIOR ENVIRONMENTAL CLEARANCE 1 Details of Project a. Name of the Project (S) Sri Sirangi Prahalad Rao (Mining of Black Galaxy Granite) b. Name of the Company / Organization Sri Sirangi Prahalad Rao c. Registered Address Sy.No. 514/15 IllapavullurVillage, ChimakurthyMandal, Prakasam Dist Andhra Pradesh d. Legal Status of the Company Lessee e. Joint Venture (Yes/No) No If Yes (i) No. Of JV Partner (Multiple Entries Allowed) NA Address of Email ID Share of the JV Name of the JV Partner the JV of JV Mobile No. of JV Partner Partner Partner Partner

2 Address for the correspondence a. Name of the applicant Sri Sirangi Prahalad Rao b. Designation (Owner/Partner/CEO) Lessee H.No.1-29-39/1,Bhavana Colony, Phase 3, Bowenpally, Secundrabad, c. Address Telangana d. Pin Code 500011 [email protected] m e. e-mail 9849937712 f. Telephone No. g. Fax No - 3 Category of the Project / Activity as per Schedule of EIA Notification 2006

a. Project/ Activity 1 (a) (i).....8(b) 1(a)- Mining of Minerals

b. Category (A/B1/B2) B2 If B1 or B2 State Level-Our proposed mine area is 3.686 Ha., and one mine is present adjacent to our mine which is above 5.0 Ha. As per the MoEF Gazette S.O.141(E) Dt: Reason for application at Central Level / State Level (in case of B2 Projects) 15.01.2016 the mine comes under state level as adjacent more than 5.0 Ha. So we are applying at state level. If others c. Please Specify NA EAC concerned (for category A Projects only) (Coal mining / Non-coal Mining/ Thermal / River Valley& Hydro / Industry-I / Industry-II/ d. Infrastructure-I / Infrastructure-II / Nuclear & Defence /CRZ NA New New/ Expansion/ Modernization/ One time Capacity expansion (only for Coal Mining) / Expansion under Para 7(ii)/Modernization under Para 7(ii) c. Change of Product Mix under Para 7 (ii) 4 Location of the Project a. Plot / Survey / Khasra no. Sy.No. 514/15 b. Village Illapavullur Village c. Tehsil ChimakurthyMandal d. District Prakasam district e. State Andhra Pradesh f. Pin Code 523263 g. Bounded Latitudes (North) From 15° 40'15.86"N To 15° 40'10.77"N h. Bounded Longitudes (East) From 79°52'46.79"E To 79°52'47.98"E i. Survey of India Topo Sheet No. 57M14 j. Upload Topo Sheet No. Uploaded K. Maximum Elevation Above Means Sea level (AMSL) 136 m l. Upload (KML) File (Upload KML File only) Uploaded m Distance of nearest HFL from the project boundary within the study NA n. Seismic Zone (Zone: 1/2/3/4/5) Zone:III 5 Whether Project is executed in multiple states (Yes/No) No If YES a. Number of States in which Project will be Executed (e.g. 1,2,3,4,5,6) NA b. Main State of the project NA Other state (Multiple Entries Allowed) (If the project to be executed, does not belong to any state, then state c. category could be selected as 'Other') State District Tehsil NA NA NA

6 Details of Terms of Reference (ToR) a. Whether ToR is mandatory for submitting application (Yes/No) No If yes b. Date of Issue of ToR/Standard ToR NA c. MoEF&CC/SEIAA File No. NA d. Upload ToR Letter (PDF only) NA 7 Details of Public Consultation a. Whether the Project Exempted from Public Hearing (Yes/No)? NA If Yes Reason NA b. Supporting Document (Upload pdf only) NA c. Whether details of Public Hearing available (Yes/ no )? No If No Public hearing not applicable as the project is d. Reason thereof comes under B2 category Supporting Document (Upload pdf only) NA If yes e. Date of Advertisement of Public Hearing NA f. Copy of advertisement in English (Upload pdf only) :-- NA

Whether Public hearing was presided over by an officer of the rank of :-- g. Additional District magistrate or Above (Yes/No)? NA If Yes Designation of Presiding Officer (District Magistrate / District Collector / : h. Deputy Commissioner /other -please specify) -- NA Copy of duly signed Proceedings of Public hearing in English (Upload pdf : i. only) -- NA : j. Date of Public Hearing -- NA : k. Venue of Public Hearing -- NA : Village -- NA : Tehsil -- NA : District -- NA : State -- NA l. Distance of Public Hearing Venue from Project Proponent (Km) : m No. of people attended -- NA : n. If the multiple public hearing conducted -- NA : Pl give the details of each PH as per (e) to (o) above -- NA 8 Project Configuration / Product (Multiple Entries Allowed) a. Whether the project is New (Yes/ No )? : Yes If Yes b. Project Configuration - Plant/Equipment/facility Configuration Remarks If any Mining of Black Galaxy Granite 10675.20 m3/Annum --

c. Product Mode of Product/Activity (Capacity/Area) Quantity Unit Transport/Transmission of Product Mining of Black Galaxy Granite 10675.20 m3/Annum Trucks

- Unit:- (Tons per Annum (TPA), Mega Watt (MW), Hectares (Ha), kilo litre per Day Tons Crushed per Day (TCD), Cubic Meter per Day, Kilometers (Km), Million Liters per Day (MLD), Others) - Mode of Transport/Transmission of Product (Road, Rail, Conveyor Belt, Pipe Conveyor), Arial Ropeway, Combination of two or three modes, other)

If Expansion / Modernization/ One Time capacity expansion ( only for coal mining / Expansion under Clause 7 9 (ii) / Modernization under Clause 7 (ii) / Change of Product Mix under Clause 7(ii)))

a. Details of Environmental clearance granted earlier : NA (i) Date of issue of environmental clearance : NA (ii) MoFFCC / SEIAA File Number : NA (iii) Upload EC Letter : NA b. Details of certified report on compliance of earlier environmental clearance conditions Details of Regional Office of MoEFCC /Zonal Office of CPCB / SPCB / UTPCC from which : certified report on compliance of earlier (i) environmental clearance conditions obtained NA (ii) Letter No : NA (iii) Status of Compliance : NA

Certified report on compliance of earlier environmental clearance conditions (Including : (iv) Monitoring Report) (Upload pdf only) NA (v) Date of site Visit : NA c. Details of Consent to Operate (i) Whether Consent to operate obtained (Yes/No)? : NA If Yes

Upload Copies of all Consent to operate : (ii) obtained since inception (Upload pdf only) (iii) Date of issue : NA (iv) Valid up to : NA (v) File No : NA (vi) Application No : NA Upload Copy of Consent to operate valid as on : (vii) date (Upload Pdf only) NA d. Details of Capacity Expansion (Multiple Entries Allowed) Mode of Transport Product / Activity Quantity From Quantity To Unit / Transmission of (Capacity/Area) Product 1 NA NA NA NA NA

e. Details of Configuration (Multiple Entries Allowed) Plant/ propose Final Equip d configurati Existing Configuration Remarks if any ment/f Configur on after acility ation expansion NA NA NA

10 Project Cost a. Total Cost of the Project at current price level (in Lakhs) : 70 b. Funds Allocated for Environment Management (Capital) (in Lakhs) : 4.0 Lakhs Funds Allocated Towards ESC (Entrepreneur Social Responsibility) (in : c. Lakhs) Rs.0.6 Lakhs Funds Allocated for Environment Management Plan (EMP) (Recurring per : Rs.0.6 d. Annum) (in Lakhs) Lakhs/Annum Whether project attracts the General Condition specified in the Schedule of EIA Notification (Yes/No)? [provide name of WL/CPA/ESA/Inter-state boundary / 11 International boundary and distance from the project : No If Yes a. Protected Area Notified Under the Wild Life(Protection) Act.1972 : NA

Critically Polluted Areas as identified by the Central Pollution Control Board : b. from Time to Time NA c. Notified Eco-Sensitive Areas : NA d. Inter-State Boundaries and international Boundaries : NA

12 Whether projects attract the Specific Condition specified in the Schedule of EIA Notification (yes/No)? : No If Yes If any Industrial Estate / Complex / Export processing Zones / Special Economic Zones / Biotech Parks / Leather Complex with homogeneous type of industries such as items 4(d), 4(0, 5(e), 5(f), or those Industrial estates with pre-defined sot of activities (not necessarily homogeneous, obtains prior environmental clearance, individual industries including proposed industrial housing within such estates / complexes will not be required to take prior a. environmental : clearance, so long as the Terms and Conditions for the industrial estate/complex and are complied with (Such estates/complexes must have a clearly identified management with the legal responsibility of ensuring adherence to the Terms and Conditions of prior environmental clearance, who may be held responsible for violation of the same throughout the life of the complex/estate NA 13 Raw material / Fuel Requirement (Multiple Entries Allowed) a. Details of Raw Material / Fuel Requirement Raw material / Fuel Quantity Unit Source Mode of Distance of per (in case of Transport Source from Annum Import, Project Site (in please Kilo meters) specify (In case of country and import, distance Name of the from the port from port from which the raw material which Raw Material / Fuel is received)

NA NA NA NA NA NA In case of expansion proposal, total requirement of raw material / fuel shall be given: - Unit:- (Tons per Annum (TPA), Mega Watt (MW), Hectares (Ha), kilo litre per Day Tons Crushed per Day (TCD), Cubic Meter per Day, Kilometers (Km), Million Liters per Day (MLD), Others) - Mode of Transport/Transmission of Product (Road, Rail, Conveyor Belt, Pipe Conveyor), Arial Ropeway, Combination of two or three modes, other) Upload copy of Linkage / Fuel Supply Agreement / e-auction / Memorandum b. of Understanding / Letter of Allocation / Captive source / others. : Not applicable 14 Baseline Data (Air / Water / Noise / Soil / Ground water table/ Others) – a. Period of Base Line Data Collection : November 2018 From (DD/MM/YYYY) : 01.11.2018 To (DD/MM/YYYY) : 31.11.2018 b. Season (Summer / Pre-monsoon / Post-monsoon / Winter) : Post monsoon c. No. of Ambient Air Quality (AAQ) Monitoring Locations : 4 d. Details of AAQ Monitoring (Multiple Entries Allowed) : 98 Minimum Criteria Pollutants Unit Maximum Value Percentile Prescribed Standard Value Value PM10 (<10µ size) µg/m 3 50.6 41.8 --- 100 PM2.5 (<2.5 µ size) µg/m 3 22.9 18.7 --- 60 3 SO 2 µg/m 9.3 7.7 --- 80 NO (Oxides of X 10.2 9.1 --- 80 Nitrogen) µg/m 3 Criteria Pollutants: - (PM10, PM2.5, S02, NOx, Others parameters specific to sector) Unit: - (Micro Gram per Meter Cube, Nano Gram per Meter Cube, Mili Gram per Meter Cube, NA) e. No. of Ground Water Monitoring Locations (Multiple Entries Allowed) : 3 Details of Ground Water Monitoring: Three Locations Selected for Ground Water Quality around Proposed f. Mines: 98 Minimum Criteria Pollutants Unit Maximum Value Percentile Prescribed Standard Value Value pH - 7.4 7.3 --- 6.5-8.5 Turbidity NTU <0.5 <0.5 --- 1 Total Dissolved Solids mg/l 486 419 --- 500 Total Hardness as mg/l 234 218 --- 200 CaCO 3 Total Alkalinity as mg/l 346 302 --- - CaCO3 Chloride as Cl - mg/l 202 168 --- 250 Flouride as F 2+ mg/l 0.81 0.73 --- 1 Iron as Fe2+ mg/l 0.12 0.11 --- 0.3 Criteria Pollutants: - (pH, TSS, TDS, Total Hardness, Chlorides, Fluoride, Heavy Metals, other parameters specific to the sector) - Unit :- (mg/l, NA) g. No. of Surface Water Monitoring Locations : 2 Details of Surface Water Monitoring (Multiple Entries Allowed): Two Locations selected for Surface Water h. Quality around proposed Mines. 98 Minimum Criteria Pollutants Unit Maximum Value Percentile Prescribed Standard Value Value pH - 7.5 7.3 --- 5.5-9.0 Total Suspended Solids mg/l 37 31 --- 100 Dissolved Oxygen mg/l 6.8 6.6 --- - Biochemical Oxygen Demand (BOD) (3days mg/l 1.3 1.1 --- 30 at 27 0C) Chemical Oxygen mg/l 2.9 2.7 --- 250 Demand (COD) Flouride as F 2+ mg/l 0.74 0.7 --- 2 Parameter (pH, DO, BOD, COD, Others parameters specific to the sector) Unit: (mg/l, NA) i. No. of Ambient Noise Monitoring Locations : 4 j. Details of Noise Monitoring (Multiple Entries Allowed) 98 Paramete Maximum Minimum Unit Percentile Presently Standard r Value` value Value Leq (Day) dB(A) 49.8 40.3 --- Industrial75/ Residential 55 Leq 36.6 30.5 --- (Night) dB(A) Industrial70/ Residential 45 Parameter:- (Leq(Day), Leq(Night)) Unit : - (A -weighted decibels(dB(A)) k No. of Soil Monitoring Locations (Multiple Entries Allowed) : 2 Maximum Minimum Parameter Unit 98 Percentile Value Value pH - 6.9 6.7 --- Nitrogen as N Kg/ha 65.8 59.4 --- Phosphorus as P Kg/ha 34.1 33.2 --- Potassium as K Kg/ha 136.0 129.0 --- Electric Conductivity µs/cm 39.2 34.5 --- Parameter :- (pH, N(Nitrogen), P(Phosphorus), K(Potassium), Electric Conductivity Unit :- (Millisiemens per Centimeter, Milligram per Litre, Percent, Centimeter or Second, Miliiequivalents per 100 Gram, Milligram per Kilogram, Parts per million, Kilogram per hectare, Others) Ground Water Table Range of Water Table Pre-Monsoon Season (Meters Below Ground Level : i (m bgl) 5.4 to 6.1 From : 01.11.2018 To : 31.11.2018 Range of Water Table Post-Monsoon Season (Meters Below Ground Level ii (m bgl) : NA From : NA To : NA iii Whether Ground Water Intersection will be there (Yes / No)? : No If Yes : (I) Upload Copy of Central Ground Water Authority Letter (Upload pdf only) : NA (ii) Letter No. : NA (iii) Date of issue : NA 15 Details of Water requirement (During Operation) (Multiple Entries Allowed) a. Details Method of Distance Source Quantity in KLD water from Mode of Transport withdrawal Source Domestic 3.0 Road Greenbelt 2.5 Water Road Dust suppression 3.0 tankers Road Wire saw cutting 3.0 Road Source: Surface / Ground Water / Sea / Others Mode of Transportation: Pipeline / Canal / Others Method of water withdrawal: Barrage / Weir / Intake well / Jackwel: /Tube well /open well/others b Upload Copy of Permission from Competent Authority (Upload pdf only) NA c. Letter No. : NA d. Date of issue : NA e. Permitted quantity : NA f. Whether Desalination is proposed (Yes/ No) : NA If Yes (l) Desalination capacity (KLD) : NA (II) Quality of Brine (KLD) : NA

(iii) Mode of Disposal of brine : NA 16 Waste Water Management (During Operation) Quantity of Quantity of Treatment Waste Treated Quantity of Capacity Type / Water Mode of Water Used Discharged water (Kilo Source Generated Disposal in (Kilo Litre per Litre per (Kilo Litre Recycling / Day) Day) per Day) Reuse (Kilo Litre: per Day)

Septic tank followed by Domestic 2.4 KLD soak pit

a. Total Waste Water Generation : 2.4 KLD b. Total Discharged Water : NA c. Total Reused Water : NA 17 Solid Waste Generation Management (Multiple Entries Allowed) Quantity per Unit Distance Mode of Transport Item Annum M3/Annum Within the Overburden 42794.56 By truck (Avg) lease area

Item:- (Industrial waste, Municipal Solid waste, Fly ash, Bottom Ash, Hazardous Waste (as per Hazardous and Other Waste Management Rules 2016), E Waste, Bio-Medical waste, Construction & Demolition waste, Plastic Waste, Others) Unit:- (Tons, Kiloliter) Mode of Disposal:- (Treatment, Storage and Disposal Facility (TSDF), Authorized Recyclers, Landfills, Sanitary Landfills, Others) 18 Air Quality Impact Prediction (Multiple Entries Allowed) - Minimum incremental Prescribed Criteria pollutants Unit Baseline Concentration Value concentration Total GLC Standard NA NA NA NA NA NA NA

Parameter:- (PM10, PM, SO2, NOx, Others parameters specific to the sector) - Unit (Microgram per Meter Cube, NA) 19 Power Requirement Not required as the mining will be done during day a. Quantity (Kilo Volt Amps (KVA)) time only b. Source NA c. Upload Copy of Agreement (Upload pdf only) NA d. Standby Arrangement (Details of DG Sets) NA e. Stack Height (in m) NA 20 Land Ownership Pattern (Prior to the project proposal) in Ha a. Forest land NA b. Private Land NA c. Government Land 3.686 Ha d. Revenue Land NA e. Other Land NA Total 3.686 Ha 21 Present Land Use breakup in Ha a. Agriculture Area :-- NA b. Waste/Barren Area :-- 3.686 Ha c. Grazing / Community Area :-- NA d. Surface Water bodies :-- NA e. Settlements :-- NA f. Industrial : NA g. Forest :-- NA h. Mangroves :-- NA i. Marine area :-- NA j. others (Specify) :-- NA Total : 3.686 Ha 22 Land requirement for various activities (Multiple entries allowed) in Ha Land Description of Activity / Facility / Plant / Others requirement Other Mine area 1.794 Ha -- Stock yard 0.149 Ha -- 7.5 m wide safety zone/Greenbelt 0.563 Ha -- Waste dump 1.0 Ha Future area 0.18 Ha - Activity/Facility/Plant/ other include: Main Plant, Township, Green belt, Ash pond, Quality area, OB dump Area, Safety zone, Tailing pond, Land fill, Salination Plant, Area for solid waste management, built-up area, others Ecological and Environmental Sensitivity (Within 10 Km):- WLS-Wild Life Sanctuaries, Notified Protected 23 areas; ESAs-Eco Sensitive Areas; ESZs-Eco Sensitive Zones) a. Details of Ecological Sensitivity - None within 10km radius

Details of Ecological Distance from the Sensitivity Name Project (Km) Remarks NA NA NA NA

- Details of Ecological Sensitivity: - (Criticany Polluted Area, WLS, NPA, SAs, ESZs, Corridors, Wildlife Corridors) b. Whether NBWL recommendation is required (Yes/No)? : No If Yes Upload NBWL recommendation in PDF NA c. Details of Environmental Sensitivity Details of Distance from Environmental Sensitivity Name the Project (Km) Remarks Water Bodies Sagar Canal 0.63 kms Stream channel Water Bodies pasing to Nirudu vagu 0.81 Kms Water Bodies Balancing Tank 5.47 kms Water Bodies Gadipartivaripalem 2.61 kms Cheruvu

Water Bodies Chinna Cheruvu 3.36 Kms Nikunamabad Water Bodies Cheruvu 4.16 Kms Water Bodies Pedda Cheruvu 5.88 Kms Water Bodies Nirudu vagu 6.27 Kms Water Bodies Dhenuvukonda Lake 6.26 Kms

Water Bodies Vayala vagu or Kalla 6.64 Kms Vagu Water Bodies Chandrapadu Chruvu 7.06 Kms

Water Bodies Dornapu Vagu 8.03 Kms

Water Bodies Mudigundi vagu 8.07 Kms

Water Bodies Chilakaleru River 9.00 Kms

Water Bodies Rametharam Sagar 8.53 Kms

Water Bodies Gundlakamma 9.51 Kms Reservoir Reserve Forest Devarapalem Reserve 2.20 kms Forest Reserve Forest Errakonda Reserve 3.28 km Forest Reserve Forest Chappiditippa RF 2.40Kms

Reserve Forest Sivapuram RF 2.93 Kms

Reserve Forest Nagambhotlapalem 6.66 Kms

Reserve Forest Chimakurthy RF 8.05 Kms

Details of Environmental Sensitivity:- (Forest, Archaeological sites, Defence Installations, Others) Whether NoC / Permission from the competent authority is required d. (Yes/No)? : No If Yes Upload NoC / Permission from the competent authority in PDF 24 Forest Land Whether any Forest Land involved (Yes/No)? : No If Yes Forests Clearance Status (In-Principle(Stage-I) Approval Obtained / Final (Stage-II) Approval Obtained / Forest Clearance Under Process (Stage-I) / : Forest Clearance under Process (Stage-II) / Application for Forest Clearance a. yet to be Submitted) NA If In -Principle (Stage -I) Approval Obtained, NA (i) MoEF&CC file number : NA (ii) Date of In Principle (Stage-I) approval : NA (iii) Area diverted : NA (iv) Upload FC Letter (Upload pdf only and attach it as Annexure-FC Letter) : NA Final (Stage-II) Approval obtained, NA (i) MoEFFCC file number : NA (ii) Date of Final Approval : NA (iii) Date of In-Principle Approval : NA (iv) Area diverted : NA (v) Upload FC Letter (Upload pdf only and Quack it as Annexure-FC Letter) : NA If Forest Clearance under process (Stage-I), NA (i) MoEFCC file number : NA (ii) Area applied : NA If Forest Clearance under process (Stage-II), (i) MoEFCC file number : NA (ii) Area applied : NA b. Legal Status of Forest Land (Reserved, Protected, Private, village, other If Others : NA Please Specify others : NA 25 Tree Cutting, if any a. No. of Trees Cut for the Project (if Forestland not involved) : 65 b. Details of Tree Cutting and Planting of Trees (Upload pdf Only) : -- 26 Land Acquisition Status a. Acquired Land : NA b. Land yet to be acquired : NA c. Status of Land acquisition if not acquired : NA 27 Rehabilitation and Resettlement (R&R) Not Applicable a. No. of Villages : NA b. No. of Households : NA c. No. of PDFs (Project Displaced Families) : NA d. No. of PAFs (Project Affected Families) : NA e. Funds Allocated for R&R NA f. Status of R&R (Completed / In-progress / Yet to start) NA 28 Whether there is Presence of Scheduled-I Species (Yes/No)? No if yes, a. Details of Schedule -I Species : NA Whether conservation plan for Schedule-I Species has been prepared (Yes/ b. No) : NA If Yes (i) Upload conservation plan (Upload only PDF) : NA (ii) Fund Provision made : NA (iii) Period of implementation : NA Whether conservation plan for Schedule-I Species has been approved by c. competent authority (Yes/ No)? : NA (i) Upload copy of approval (Upload PDF Only) : (ii) Letter No. : NA (iii) Date of issue : NA (iv) Recommendations if any : NA 29 Whether there is presence of Water Bodies in Core Area (Yes/No)? No If Yes NA a. Details of Water Bodies in Core area NA b. Whether there is Diversion required (Yes/No)? NA If Yes NA c. Details of diversion required NA d. Details of study conducted NA e. Whether permission has been obtained from competent authority (Yes/No)? NA (i) Upload copy of permission (Upload PDF Only) NA (ii) Letter No. NA (iii) Date of issue NA (iv) Recommendations if any NA 30 Whether there is Presence of Water Bodies in Buffer Area (Yes/No)? No If Yes S. No Details of Water Bodies in Buffer area Distance (kms) Direction 1. Sagar Canal 0.63 NE 2. Stream channel pasing to Nirudu vagu 0.81 SE 3. Balancing Tank 5.47 NW 4. Chinna Cheruvu 3.36 SE 5. Nekunamabad Cheruvu 4.16 SE 6 Pedamatinaidupalem 5.88 SW 7. Nirudu vagu 6.27 SE 8. Dhenuvukonda Lake 6.26 NE 9. Vayala vagu or Kalla Vagu 6.64 NW 10. Chinna Cheruvu 3.36 SE 11. Gadipartivaripalem Cheruvu 2.61 NE 12. Gundlakamma Reservoir 9.51 NE 13. Ramathertam Sagar 8.53 NW 14. Chilakaleru River 9.00 NE 15. Mudigundi vagu 8.07 SE 16. Dornapu Vagu 8.03

31 Man Power Requirement a. Permanent employment during construction : NA b. Permanent employment during operation : 63 c. Temporary employment during construction : NA d. Temporary employment during operation : NA e. No. of working days : NA f. Total manpower : 63 32 Green Belt Area a. In case of new projects : i Total Area of Green Belt : 0.515 Ha ii Percentage of Total Project Area : 14% iii No of Plants to be planted : 50 iv Area allocated for plantation : 0.515 Ha v Upload Green belt Plan (Upload pdf only) : Uploaded b. In case of Expansion / Modernization / change in Product mix etc. : i. Description Existing Proposed Total Total Area of Green Bet NA NA NA Percentage of Total of Project Area NA NA NA No. Of Plants NA NA NA Funds Allocated NA NA NA ii. Upload Green belt Plan (Upload pdf only) 33 Project Benefit (Multiple entry allowed) Type of Project Benefits Details of Project Benefit Social Benefits: The proposed project activities will have positive beneficial effect on the local population, economic output and other related facilities viz employment ,development Social of business, transportation etc.

(Project benefits shall include environmental, social and others) 34 Whether the Project / Activity attracts the provisions of CRZ (Yes/No)? : No If Yes 1 Project Details a CRZ Classification: (CRZ I (A), CRZ I (B), CRZ II, CRZ III. CRZ . IV, CRZ IV(B)) : NA b Location type: (Non-Eroding Coast, Low and Medium Eroding Coast, . High Eroding Coast) : NA c . Details of Mangroves Land Involved. If Any : NA d . Area of Mangroves Land (hectare) : NA e . EIA (Terrestrial) Studies: (Carried Out, Not Carried Out) : NA If carried out, NA 1) Summary Details of EIA (Terrestrial) Studies NA 2) Upload Recommendation made in EIAs (Upload pdf only) NA 3) Period of Study from (EIA Terrestrial) NA 4) Period of Study to (EIA Terrestrial) NA If Not Carried out Give Reason : NA f . EIA (Marine) Studies: (Carried Out, Not Carried Out) : NA If carried out, 1) Summary Details of EIA (Marine) Studies : NA 2) Upload Recommendation made in EIAs : NA 3) Period of Study from (EIA Marine) : NA 4) Period of Study to (EIA Marine) : NA If Not Carried out Give Reason g Disaster Management Plan/National Oil Spill Disaster Contingency Plan . (if Applicable) : NA 2 Description of Project Under Consideration Type of Project: (Resort/Buildings/civic amenities, Coastal Roads, roads on Stilt, pipelines from Thermal power Blow Down, Marine Disposal of Treated Effluent, Facility for Storage of Goods/Chemicals, a Offshore structures, Desalination Plant, Mining of Rare Earth/Atomic Minerals, Sewage Treatment . Plants. Lighthouse, Wind Mills, Others) If Resort/Buildings/civic amenities, 1) Agency name for Preparing CRZ Maps : NA 2) Total Area/Built -up Area (hectare) : NA 3) Height of Structure : NA 4) FSI Ratio : NA 5) The governing Town Planning Rules/Regulations : NA 6) Details of Provision of Car Parking Area : NA if Coastal Roads/Roads on stilt 1) Agency Name for Preparing CRZ Maps : NA 2) Area of Land Reclamation : NA

3) Estimated Quantity of Muck/Earth for Reclamation : NA 4) Carrying Capacity of Traffic : NA If Pipelines from Thermal Power Blow Down, 1) Agency Name for Preparing CRZ Mans : NA 2) Length of Pipeline : NA 3) Length Traversing CRZ Area : NA 4) Depth of Excavation : NA 5) Width of Excavation : NA 6) Length of Pipeline from Seashore to Deep Sea : NA 7) Depth of Outfall Point from Surface of Sea Water : NA 8) Temperature of effluent above Ambient at Disposal Point : NA If Marine Disposal of Treated Effluent 1) Agency Name for Preparing CRZ Maps : NA 2) Location of Intake/Outfall : NA 3) Depth of Out fall point : NA 4) Length of Pipeline : NA 5) Length Traversing CRZ Area : NA 6) Depth of Excavation : NA 7) Width of Excavation : NA

8) Length of Pipeline from Seashore to Deep Sea/Creek : NA

9) Depth of Outfall Point from Surface of Sea Water : NA 10) Depth of Water at Disposal Point : NA 11) Type of Disposal : NA If Facility for Storage of goods/Chemicals 1) Agency Name for Preparing CRZ Maps : NA 2) Name and Type of Chemical : NA 3) End use of the Chemical : NA 4) No. of Tanks for Storage : NA 5) Capacity of tanks : NA If offshore structures, 1) Agency Name for Preparing CRZ Maps : NA 2) Exploration or Development : NA 3) Depth of Sea Bed : NA 4) No. of Rigs/Platform : NA 5) Details of Group Gathering Stations : NA If Desalination Plant, 1) Agency Name for Preparing CRZ Maps : NA 2) Capacity of Desalination : NA 3) Total Brine Generation : NA

4) Temperature of Effluent above Ambient at Disposal Point : NA 5) Ambient Salinity : NA 6) Disposal Point : NA If Mining of Rare Earth/Atomic Minerals, 1) Agency Name for Preparing CRZ Maps : NA 2) Capacity of Mining : NA 3) Volume/Area to be mined : NA 4) Type of Mineral to be Extracted : NA 5) End use of the Mineral : NA If Sewage Treatment Plants, 1) Agency Name for Preparing CRZ Maps : NA Capacity 2) : NA 3) Total Area of Construction : NA Compliance of effluent parameters as laid down by 4) CPCB/SPCB/other authorized agency : NA 5) Whether discharge is in sea water/creek? : NA If yes. Distance of Marine Outfall Point from Shore/from the tidal river bank : NA Depth of Outfall Point from Sea Water Surface : NA Depth of Sea at Outfall Point : NA If Lighthouse, 1) Agency Name for Preparing CRZ Maps : NA 2) Total Area of Construction : NA 3) Height of the Structure : NA If Wind mills 1) Agency Name for Preparing CRZ Maps : NA 2) Capacity (MW) : NA 3) Transmission Lines: (Overhead, Underground) : NA 4) Diameter of Windmill : NA 5) Length of Blade : NA 6) Speed of Rotation : NA 7) Height of the Structure : NA If others 1) Agency Name for Preparing CRZ Maps : NA 2) Please Specify with salient features : NA 3) Upload relevant Document (Upload pdf only) : NA 3 Distance of projects (In meters) from LTL/HTL to be Stated a Clause of CRZ Notification Under which the Project is a . Permissible/Regulated Activity : NA b Whether CRZ Map indicating HTL, LTL Demarcation in 1:4000 Scales . Prepared? (Yes/No) : NA If Yes : NA 1) Distance of Project (in meters) front HTL to be Stated NA 2) Upload Maps(Kml File) NA 3) Distance of Project(in meters) from LTL to be Stated NA 4) Upload Maps (Kml File) NA c Whether Project Layout Superimposed on CRZ Map 1:4000 Scales? . (Yes/No) : NA If Yes 1) Upload Maps (kml File) NA d Whether CRZ Map 1:25000 Covering 7 km Radius Around Project Site . Prepared (Yes/No) : NA If Yes, NA 1) Upload Maps (kml File) NA

e Whether CRZ Map Indicating CRZ-I, II, III and IV Including Other . Notified ESAs Prepared? (Yes/No) : NA If Yes, 1) Upload Maps (kml File) NA f NA . NOC from State Pollution Control Boards Obtained: (Yes/No) : If Yes, 1) Upload Copy of NOC (Upload Pdf only) NA g NA . Details of Rain Water Harvesting System : 4 Recommendation of State Coastal Zone Management Authority : a NA . Upload Copy of CZMA ( Upload pc/, Only) : b NA . State the Conditions Imposed : Social and Environmental issues and Mitigations Measures suggested NA c Including but not Limited to R&R, Water, Air, Hazardous Wastes. . Ecological aspects, etc. (Brief Details to be Provided) : 35 Sector Specific Details Whether the proposal is mining or minerals (coal /non-coal) project Yes, Non coal I (Yes/No)? : mining project If Yes 1 No. Of Mineral to be Mined (Multiple Entries Allowed) Minerals To be Mined Major or Minor Minerals Black Galaxu Granite Minor mineral 2 Mine Capacity in ROM (Run of Mine) : -- Upload 500 meters Cluster Certificate from State Mines and Geology 3 in case of minor minerals (Upload pdf Only) : Uploaded 4 Mining Plan 4701/MP/BGG/OG a. Approval Letter No. : L/2018 b. Date of Approval : 09.11.2018 c. Upload Approved Letter (Upload pdf only) : Uploaded

Approved by State Mines & Geology Department / Indian Government of Bureau of Mines / Ministry of Coal / Ministry of Mines / Andhra Pradesh, State Government / Department of d. Atomic Mineral Directorate / Others) : Mines & Geology e. If others : NA Please specify : NA f. Approved mining Lease area : 3.686 Ha 10675.20 g. Approved Capacity : m3/annum 5 Technical Capacity a. Total Geological Reserves (Million Ton) : 1338485.00 M 3 b. Mineable reserves (Million Ton) : 1136457.00 M 3 c. Extractable Reserves (Million Ton) : -- d. Percent of Extraction (%) : e. Grade of Coal /Ore /Mineral : -- f. Stripping Ratio : -- Category of Gaseousness (Only for Coal Mining, Others may g. write Not applicable) : NA h. Average Gradient(Degree) : NA Maximum Thickness of Seams(meters) (Only for Coal i. Mining, others may write Not applicable) : NA Mining Method (Opencast / Underground / Mixed (Opencast j. +Underground) / Adit : Opencast Mining k. Life of Mine (Years) : 26 years 6 Details of beneficiation (including crushing / screening/others) Whether it is proposed to install crusher within the mining a. lease area (Yes/No)? : No If Yes : NA b. No. of crushers : NA c. Details of crusher (Multiple entries allowed) : NA Crusher ID Capacity (in TPH) Remarks NA NA NA Whether it is proposed to install beneficiation plant / Coal d. washery within the mining, lease area (Yes/No)? : NA If Yes, : NA e. Beneficiation / washing Technology : NA f. Capacity : NA 7 Details of Seams if applicable a. No. of seams : NA b. Thickness of seams to be worked on : NA Maximum Thickness of Seams(meters) (if not Applicable, c. may Write NA) : NA 8 Details of Mining Lease Black Galaxy Granite, a. Details of mining Lease : 3.686 Ha b. Upload Letter of Intent (Upload pdf only) : Uploaded

c. Date of Execution of Mining Lease with Reference Number : NA d. Validity of Mining Lease : 20 years Upload Copy of Executed Lease deed valid as on Date e. (upload pdf only) : NA f. Earlier Renewals (Multiple Entries Allowed) : NA

Uploaded Copy of Earlier Lease Date of Renewal

NA NA 9 OB (Over Burden) management (Only if mining method: Open Cast) a. Details of External Dumps : i) No. of OB Dumps : NA ii) Total Area (in Hectare) : NA iii) Height (in meter) : NA iv) Quantity (in Million Cubic meter) : NA v) No. of year back fill up : NA b. Details of Internal Dump : i) No. of Internal Dumps : 1 ii) Total Area (in Hectare) : 1.0 Ha iii) Height (in meter) : 30 iv) Quantity (in Million Cubic meter) : 1 0 Details or Topsoil Management Quantity of Topsoil excavated during the entire life of the a. mine (in Million Cubic meter) : -- Quantity of Topsoil proposed for utilization for reclamation b. during the entire life of the mine (in Million Cubic meter) : -- Quantity of Topsoil proposed for utilization for other activities during the entire life of the mine (in Million Cubic c. meter) : -- 1 1 Detail of Final Mine Void (Only if Mining Method: Opencast) a. Area (in Hectare) : -- b. Depth (in meter) : -- c. Volume (in Million Cubic meter) : -- 1 2 Details of Quarry (Only if Mining Method: Opencast) a. Final Void of (hectare) : NA At a Depth of (meter which is proposed to be converted into a Water b. Body.) : NA c. Total Quarry Area (ha) : NA 1 3 Details of Transportation a. In Pit/Underground to Surface : Truck b. Surface to Siding/Loading : Truck c. Transportation / Conveyor Details : NA 1 4 Details of Land Usage (Pre-Mining) Outside Within ML Area Land Use ML Area Total (Ha) (Ha) Agriculture Land 0

Forest Land 0

Waste Land 3.686 3.686

Grazing Land 0

Surface Water Bodies 0

Settlements 0

others Specify 0

others 0

1 7 Details of land Usage (post-Mining) Plantatio Water Land Use n Body Public Use Excavation/Quarry ------

Top Soil Storage ------

External OB dumps ------

Internal OB dumps ------

Roads ------

Built up Area (Colony/office) ------

Green Belt ------

Virgin Area ------

Other ------

Total ------

1 Details of Reclamation (Only if mining Method: Open cast) Total Afforestation Plan shall be 8 Implemented covering of Mining. This will include: a. External OB Dump (in hectare) : NA b. Internal Dump (in hectare) : 1.0 c. Quarry (in hectare) : 3.686 d. Safety Zone (in hectare) : - e. Final Void of (hectare) : -- At a Depth of (meter which is proposed to be converted into a f. Water Body.) : -- g. Density of Tree Plantation per ha (in no.) : Others in ha (Such as Excavation Area along ML Boundary, along Roads and Infrastructure, Embankment Area and in h. Township Located outside the Lease etc.) : NA i. Total afforestation Plant (in Hectare) : 1 Status of Progressive Mining Closure Plan ( For Expansion Projects only) 9 Implementation of Various Activities as per Approved Progressive Mine Closure Plan (in Bar Chart) (pdf) (Upload a. pdf only) : NA Any Deviation from the Approved Progressive Mine Closure b. plan : NA c. Total Area Excavated (in hectare) : NA d. Total Area Backfilled after Excavation (in hectare) : NA e. Total Area reclaimed (in hectare) : NA 2 Actual Coal/Ore Production vis-a-vis sanctioned capacity Since inception 0 (Multiple Entries Allowed) Exc ess Sanctioned Pro Sanctioned Sanctioned capacity as capacity as per Actual duct Financial Year capacity as per EC (MTPA) approved Production ion per CTO Mining Plan Bey ond. ...

Whether proposal is for Thermal Project (including captive power plant and Waste Heat Recovery II Plant) (Yes/No)? No If Yes NA 1 Specifications of the Plant NA Technology proposed (Supercritical, Sub-Critical, CFBC, AFBC, PFBC, IGCC, and Incineration. Pyrolysis, a. Gasification, Bio-methanation, others) NA b. Plant Load Factor (%) NA c. Station Heat Rate (Kcal/Kwh) NA d. Steam Rate/Flow Rate NA e. Boiler Temperature NA f. Boiler Pressure NA g. Type of Stack (Single flue / Bi-flue / Tri-Flue) NA h. No. of Stacks NA Stack Diamete Exit velocity Exit temperature of stack Stack ID Stack height (m) r at of stack gas gas (m/s) exist (m/s) (m)

2 Details of fuel linkage (please specify if multiple linkages are involved)

Type of linkage (Linkage / Fuel Supply Agreement / e- a. auction / MoU / LOA / Captive / Open market / Others) : NA b. Quantity of linkage granted : NA c. Date of Linkage : NA d. Duration of Linkage : NA 3 Details of Transportation of fuel Details / Mode Distance (km) Quantity (TPA) Rail NA NA Road NA NA Pipeline NA NA Conveyor NA NA other mode (Please specify) NA NA 4 Details of Fuel Characteristics a. Gross Calorific Value (Kcal/Kg) : NA b. Ash content (%) : NA c Sulphur Content (%) : NA d Moisture (%) : NA e. Mercury (mg/kg) : NA f Fixed Carbon (%) : NA g. Volatile Matter (%) : NA 5 Details of Cooling systems

a. Type of cooling system: Air cooled/Water cooled : NA b. Type of draft Natural draft/Forced draft : NA

c. Type of air circulation: Parallel flow/ Counter flow : NA d. Cycles of Cooling (COC): : NA e. Water requirement for cooling (m 3/day): : NA f. Boiler blow down temperature: : NA III Whether proposal is for River Valley & Hydroelectric Project (Yes/No)? : If Yes Sub Sector: (Multipurpose Project / Hydroelectric Project / 1 Irrigation project) : NA 2 Name of the River : NA Whether Cumulative Impact Assessment and Carrying 3 Capacity Study of River Basin Carried Out? (Yes/No) : NA if Yes NA Status of Cumulative Impact Assessment and Carrying Capacity Study of River Basin: (Recommended / Not a. Recommended,) NA If Recommended NA Details of Cumulative Impact Assessment and Carrying b. Capacity Study of River Basin NA c. Upload Relevant Document (Upload pd/ only) NA Type or Project: (Construction of Dam Barrage / Run of the 4 River / lift irrigation Scheme) : NA 5 Dam Height (meter) if applicable : NA 6 Dam Length (meter) if applicable : NA 7 Total Submergence Area (hectare) : NA 8 Details of Gross Command Area (GCA) (hectare) : NA 9 Details of irrigable Command Area (ICA) (hectare) : NA 10 Details of Culturable Command Area (CCA) (hectare) : NA 11 Total Command Area (hectare) : NA 12 Powerhouse installed Capacity : NA a. Type of Powerhouse: (Underground / Surface) NA b. Capacity (megawatts) NA c. No. of Tunnels NA d No. of Units NA e. Bank of River (Left /Right / Both) NA 13 Generation of Electricity Annually

a. Quantity of Generation of Electricity Annually (in Gift (GWh) NA b. Water availability at various percentages NA Water Dependable Percentage availability Remarks year (Cusecs) At 50% NA NA NA At 75% NA NA NA At 90% NA NA NA c. Machine Availability (%) : NA d. Cost of Electricity Generation (in INR) : NA e. Internal Rate of Return (%) : NA f. Year of achievement of Internal Rate of Return : NA 14 Catchment Area Treatment Plan (Upload PDF) NA 15 Muck Management Plan a. Upload Muck Management Plan in PDF : NA b. Total Excavation Muck (Cubic Meter) : NA c. Utilized for Construction (Cubic Meter) : NA d. No. of Muck Disposal sites : NA e. Total Muck Disposal Area (Ha) : NA 16 Fishery Development and Management Plan

a. Upload Fishery Development and Management Plan in PDF : NA b. No. of Fingerlings : NA c. No. of Fish Species : NA

d. Name of the umbrella Fish Species (Scientific Name) : NA 17 Status of Environmental Flow

Season Average Inflow (in Million Cubic meter) Percent of Flow

Lean NA NA NA Non-Lean NA NA NA Monsoon NA NA NA Non-Monsoon NA NA NA 18 Free Flow Stretch (km) : NA 19 Approval of Central Water Commission : NA a. Approval Reference No. : NA b. Date of Approval : NA c. Upload Copy of Approval (Upload pal only) : NA 20 Approval of Central Electricity Authority a. Approval of Reference No. : NA b. Date of Approval : NA c. Upload Copy of Approval (Upload pdf only) : NA 21 Details of Coffer Dam (upstream) if applicable a. Quantity of the material (m3) b. Length of the dam (m) : NA c. Quantity of muck to be used (m3) : NA d. Quantity of borrow material to be used (m3) : NA e. Decommissioning plan (upload in PDF) : NA 22 Details of Coffer Dam (downstream) if applicable a. Quantity of the material (m3) : NA b. Length of the darn (m) : NA c. Quantity of muck to be used (m3) : NA d. Quantity of borrow material to be used (m3) : NA e. Decommissioning plan (upload in PDF) : NA IV Whether the proposal is infrastructure projects (Yes/No) : No If yes 1 Details of Building construction a. Maximum Height of the Building (Meters) : NA b. Total No. of Flats to be Build : NA c. No. of Buildings : NA d. Total plot area (sqm) : NA e. Total built up area (sqm) : NA 2 Foreshore Facilities And/or Marine Disposal

Whether Project Involves Foreshore Activities and/or marine Disposal a. Yes /No)? : NA If Yes : NA b. Upload Shoreline Study (Upload pdf only) : NA c. Type of Cargo : NA d. Quantity of Cargo : NA e. Control Measures of Cargo : NA f. Dust Control Measures : NA g. Quantum : NA h. Quantity of Dredging (Cubic meter per day) : NA i. Type of Dredging (Capital, Maintenance) : NA j. Disposal of Dredge Material : NA k. Details outfall : NA l. No. of Dilution Expected : NA

m Distance at which the outlet will Reach Ambient Parameters : NA n. Details of Monitoring at outfall : NA

p. Copy of NoC from PCB in case of Marine Disposal (Upload pdf only) : NA 3 Rain Water Harvesting a No. of Storage : NA b. Capacity : NA c No. of Recharge Pits : NA d Capacity : NA 4 Parking a Details of 4-Wheeler/ 2-Wheeler Parking : NA 5 Energy Saving Measures a Source/Mode : NA b. Percentage : NA c. Quantity : NA 6 Other Details Details of impact on Water Bodies and Drainage patters of catchment a area, if any : NA Details of Traffic Density Impact Assessment and Modeling Study b. (Upload pdf only) : NA

In case of Underground Tunnel projects below the Forest Land — c. Subsidence impact Study report (Upload pdf only) : NA 7 Type of Industries to be established with Industrial estate as per their Category A/B Category SI. No Type of Industry No. Units A/B NA NA NA NA

8 Length of the alignment in case of highway project Details of Bridges/ROB/Interchanges, Flyovers, Vehicles, Underpass and Pedestrian 9 Underpass (in case of Highway Projects) a Total No. of Bridges : NA b Total No. of ROB : NA c Total No. of Interchanges : NA d Total No. of Flyovers : NA e Total No. of Vehicle Underpass : NA f Total No of Pedestrian Underpass : NA g Details of other utilities rail and road corridors : NA 36 Details of Court cases if any No Whether there is any Court Cases pending against the project and/or land in which a the project is proposed to be set up (Yes/No)? : NA If Yes Details of Court (Districts Court / High Court / NGT / Tribunals / Supreme court of b India : NA Name of court: (Districts Court, High Court, NGT, Tribunals) : NA c Name of the Sub-court : NA d Case No. : NA Orders / Directions of the court, if any and its relevance with the proposed e project : NA f Case Details : NA g Upload Court Order if any (Upload pdf Only) : NA Details of direction issued under Environment (Protection) Act / Air (Prevention & Control of 37 pollution)) Act/Water (Prevention & Control of Pollution) Act Whether any direction issued under Environment (Protection) Act / Air (Prevention & Control of Pollution)) Act / Water (Prevention and Control of Pollution) Act a (Yes/No)? : No If Yes Whether any direction issued under Environment (Protection) Act / Air (Prevention & Control of Pollution)) Act / Water (Prevention and Control of Pollution) Act b (Yes/No)? : No Upload copy of directions issued under Environment (Protection) Act Air (Prevention & Control of Pollution)) Act / Water (Prevention & Control of c Pollution) Act : NA d Compliance status of the directions : NA 38 Details of EIA Consultant a Have you hired Consultant for preparing document (Yes/No)? : Yes If No (i) Reason for not engaging the Consultant : If Yes (1) Accreditation No. 147 SV Enviro Labs & (ii) Name of the EIA Consultant Consultants Enviro House, Block –B, B-1, IDA, Autonagar, Visakhapatn (iii) Address am -12 (iv) Mobile No. 9440338628 0891- (v) Landline No. 2755528 svenviro_la [email protected]

(vi) E -mail Id o.in

(vii) Category of Accreditation (Eligible for Category A / Eligible for Category B) Category A (viii) Sector of Accreditation 1(a) (ix) Validity of Accreditation 15.04.2020

(x) Upload Certificate of Accreditation certified by QCl/NABET (Upload Only) Enclosed 39 Documents to be attached If Project Type is New / Expansion / Modernization / one-time capacity expansion for coal I mining NA a Upload Copy of EIA/EMP Report : NA b Upload Copy of Risk Assessment Report : NA Upload Copy of Feasibility Report/ Detailed Project Report(DPR) /Detailed Engineering Report /Detailed Conceptual Plan / Approved Mining Plan (in case c of Mining proposals) (Upload pdf only) : NA d Upload Copy of Final Layout Plan (Upload pdf only) : NA Upload Cover Letter (Upload pdf only and attach it as Annexure-document of e (Cover letter) : NA Upload a copy of documents in support of the competence/authority of the person making this application to make application on behalf of the Agency (Upload pdf f only and attach it as Annexure-authorization) : NA g Upload copy of District Survey Report (for mining of minor minerals only) : NA Upload copy of Replenishment Study Report & Baseline Survey data (for river sand h mining proposals only) : NA i. Upload Additional File, if any (Upload pdf only) : NA If Prefect Type is other than New/Expansion /Modernization /one-time capacity II expansion for coal mining:- : Upload Copy of Feasibility Report / Detailed Project Report(DPR) /Detailed a engineering Report /Detailed Conceptual Plan (Upload pdf only) : NA b Upload Copy of Final Layout Plan (Upload pdf only) : NA Upload Cover Letter (Upload pdf only and attach it as Annexure-document Cover c. letter) : NA Upload a copy of documents in support of the competence/authority of the person making this application to make application on behalf of the User Agency (Upload d pdf only and attach it as Annexure-authorization) : NA e Upload Additional File, if any (Upload pdf only) : NA f Upload Updated Form-1 (Upload pdf only) : NA