APPENDIX I (See paragraph – 6) FORM I (I) Basic Information S. Item Details No 1. Name of the project/s Banjara Tola Crusher Stone Quarry (7.7 0 Ha) 2. S. No. in the schedule 1(a) mining of mineral 3. Proposed capacity /area /length 80,000 Cubic Met er/ Year, Quarry Lease Area -7.7 0 Ha /tonnage to be handled/command area/lease area/number of wells to be drilled 4. New/Expansion/Modernization New (Fresh Application for Environmental Clearance) 5. Existing Capacity/Area etc. Not Applicable 6. Category of Project i.e. ‘A’ or ‘B’ Category ‘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 Latitude Longitude 22o33’7.31 ” N 80 o13’28.48 ” E Plot/Survey/Khasra No. 147 Part Village Banjara Tola Tehsil Nainpur District Mandla (M.P.) State Madhya Pradesh 10. Nearest railway station/airport Mandla Railway Station (Narrow Gauge) approx -21. 5 along with distance in km. Km (Road Dist) NE Direction. Jabalpur Railway Station approx-111.0 Km (Road Dist) NW Direction.(Broad Gauge), Jabalpur Airport approx-115.0 Km(Road Dist)NW Direction i 11. Nearest Town, city, District Nearest Village: Khursipar approx -790 mt (Aerial Dist) Headquarters along with distance NE Direction in kms. Nearest Town: Nainpur approx-22.6 Kms (Road Dist) SW Direction Nearest City : Mandla approx-25.2 Km(Road Dist)NE Direction Village Panchayats, Zilla Parishad, Village Panchayats –Khursipar 12 . Municipal Corporation, Local body (complete postal addresses with telephone nos. to be given) 13. Name of applicant Shri Arun Agrawal, S/o Shri Shyam Sundar Agrawal 14. Registered Address Bamhani Banjar Mandla, Teh sil & District - Mandla(M.P.)481661 15. Address for correspondenc e Name Shri Arun Agrawal, S/o Shri Shyam Sundar Agrawal Designation lessee (Owner/Partner/CEO) Address Bamhani Banjar Mandla, Thesil & District - Mandla(M.P.)481661 Pin Code 481661 E-mail [email protected] Telephone No. OR Mobile No. +91 - 8269245456 Fax No. - 16. Details of Alternative Sites Village District State examined, if any. Location of these Not Examined Not Examined Not Examined sites should be shown on a Not Examined Not Examined Not Examined toposheet Not Examined Not Examined Not Examined. 17. Interlinked Projects Not Applicable Not Applicable 18. Whether separate application of Not Applicable interlinked project has been submitted? 19. If yes date of submission Not Applicable 20. If no , reason Not Applicable ii 21. Whether the proposal involves Not Applicable approval/clearance under: if yes, details of the same and their status to be given. (a) the Forest (Conservation) Act, 1980 ? (b) The Wildlife (Protection) Act, 1972 ? (c) the C.R.Z. Notification, 1991 ? 22. Whether there is any Government Quarry Lease area sanctioned by Govt. of Madhya Order/policy relevant/relating to Pradesh the site? 23. Forest land involved (Hectares) Not Applicable 24. Whether there is any litigation Not Applicable pending against the project and/or land in which the project is propose to be set up? (a) name of the Court (b) Case No. (c) Orders/direction of the Court, if any and its relevance with the proposed project. (II) Activity 1. Construction, operation or decommissioning of the Project involving actions, which will cause physical changes in the locality (topography, land use, changes in water bodies, etc.) S. Information/Checklist Yes Details there of (with approximate No. confirmation /No quantities /rates, wherever possible) with source of information data 1.1 Permanent or temporary change in Yes Land Use - As per revenue record the kind of land is Govt. Land land use, land cover or topography Land Cover- The mining activity will have including increase in intensity of localized impact and create physical change in the existing environment due to the change in land use (with respect to local land the existing land use. use plan) Topography- The topography of the area is generally slopping and rocky. 1.2 Clearance of existing land, No The mining lease area is Govt. Land. Mining lease area generally rocky and has poor vegetation and buildings? vegetation and no buildings in the area. So no clearance will be required for existing land, vegetation, and building. 1.3 Creation of new land uses? Yes Creation of land in the form of pits and dumps due to mining activity. Stabilization of the dump will be done by growing vegetation over it. 1.4 Pre -construction investigations e.g. No Prop osed project is for mining of "Stone minor minerals" already present in the undulating iii bore houses, soil testing? topography. 1.5 Construction works? No The Semi -mechanized opencast working in the Undulating does not involve any construction work 1.6 Demolition works? No No 1.7 Temporary sites used for No No . construction works or housing of construction workers? 1.8 Above ground buildings, structures No No. or earthworks including linear structures, cut and fill or excavations 1.9 Underground works including No No . mining or tunneling? 1.10 Reclamation works? No No . 1.11 Dredging? Yes During lease Period 3.4464 Ha area will be excavated 1.12 Offshore structures? No As it is a Stone mining and these are not required for this project. 1.13 Production and manufacturing Yes Semi Mechanized method of mining will be adopted for open cast mining processes? 1.14 Facilities for storage of goods or No Stone will be loaded directly into trucks, dumpers then it directly transport to crusher materials? unit, and hence no storage facility at the mine site will be required. 1.15 Facilities for treatment or disposal No During propos ed period 21,050 cubic meter of solid waste or liquid effluents? waste will be generated. Generated Quantity of waste and soil will be used in Plantation and the mine road maintenance, hence no waste dumps are available at the end Mining plan period 1.16 Facilities for long term housing of No The mine workers will be from nearby villages so no long term housing facility is required. operational workers? 1.17 New road, rail or sea traffic during No There is no need to construct new road, as existing facilities are sufficient during construction or operation operation of mine site. Existing Kachha road will be maintain for Material transport. iv 1.18 New road, rail, air waterborne or No No additional infrastructure facilities are . other transport infrastructure required including new or altered routes and stations, ports, airports etc? 1.19 Closure or diversion of existing No No closure/ diversion of existing transport transport routes or infrastructure routes or infrastructure is required.. leading to changes in traffic movements? 1.20 New or diverted transmission lines No As there will be no electricity or large scale or pipelines? water requirement for the project, therefore no transmission lines or pipelines are involved 1.21 Impoundment, damming, culver No In view of neither any Impoundment through ting, realignment or other changes damming or realignment of the stream/river is envisaged in the mine area, there will not be to the hydrology of watercourses any changed in surface hydrology. Mining will or aquifers? be done above ground water table. Water table will not intersect during mining. 1.22 Stream crossings? No Neither any surface drain nor any water course (minor) passes through the mine area 1.23 Abstraction or transfers of water No No abstraction of natural flow of water in the from ground or surface waters? form of ground or surface water in the lease area and working will be done above water table. 1.24 Changes in water bodies or the No No change in water bodies, drainage or runoff land surface affecting drainage or is anticipated. run-off? 1.25 Transport of personnel or Yes Road transportation for person nel will be materials for construction, arranged by lessee's vehicles and material will operation or decommissioning? be transported by Tippers/dumpers. 1.26 Long -term dismantling or No Long -term dismantling or decommissioning or decommissioning or restoration restoration works are not involved. works? 1.27 Ongoing activity during No Not Applicable decommissioning which could have an impact on the v environment? 1.28 Influx of people to an area in either No The work will be carried out during day time by deploying local labour, which will come to temporarily or permanently? the work in the lease area and return to their home. 1.29 Introduction of alien species? No No such introduction of alien species is foreseen 1.30 Loss of native species or genetic No No loss of native species or genetic diversity is diversity? expected. 1.31 Any other actions? No Not Applicable 2. Use of Natural resources for construction or operation of the Project (such as land, water, materials or energy, especially any resources which are non-renewable or in short supply): S.No. Information/checklist Yes Details thereof (with approximate confirmation /No quantities /rates, wherever possible) with source of information data 2.1 Land especially undeveloped or Yes No agricultural land is involved agricultural land (ha) 2.2 Water (expected source & Yes About 1.0 KLD of water will be required for domestic use and 58.0 KLD for dust competing users) unit: KLD suppression and 1.0 KLD for plantations. This water will be supplied from the nearby tube wells through tankers, with proper permission. 2.3 Minerals (MT) No As this is Stone along with associated minor mineral mining project, so no other minerals are used in it. 2.4 Construction material – stone, No No construction material is required for this project. Only temporary office, rest shelters aggregates, sand / soil (expected will be provided.