APPENDIX VIII (See paragraph 6) FORM 1 M APPLICATION FOR MINING OF MINOR MINERALS UNDER CATEGORY ‘B2’ FOR LESS THAN AND EQUAL TO FIVE HECTARE (I) Basic Information 1 Name of the Mining Lease site G Prudvi Krishna, S/o G Sanjeevi Rao ROAD METAL & BUILDING STONE QUARRY The Lease area is Government Land Survey No.268, Village –Kothavalasa, Mandal – Salur District – Vizianagaram, State – Andhra Pradesh 2 Location/site (GPS Co-ordinates) Latitude 180 33’57.19” to 180 34’02.40” Longitude 830 10’26.57 to 830 10’ 32.35” BP NO Latitude Longitude BP-1 180 34’ 02.40’’ 830 10’ 30.30’’ BP-2 180 34’ 00.42’’ 830 10’ 29.63’’ BP-3 180 34’ 00.48’’ 830 10’ 31.75’’ BP-4 180 33’ 57.19’’ 830 10’ 32.35’’ BP-5 180 33’ 57.60’’ 830 10’ 26.57’’ BP-6 180 34’ 01.83’’ 830 10’ 26.85’’ 3 Size of the Mining Lease (Hectare) 2.000 Hectares 4 Capacity of Mining Lease 20083.00 Cubic Meters or 5,02,075.00 Metric Tons (TPA/CMPA) 5 Period of Mining Lease 10 Years 6 Expected cost of the Project 5.00 Lacs 7 Contact Information G Prudvi Krishna, S/o G Sanjeevi Rao, D. No. 28-388, Main Road, Near Chruch, Salur (V & M), District – Vizianagaram, State - Andhra Pradesh. Other information DGMS Rules & Regulations After attaining 6 Mts depth as per MMR act 1952 under section 3 Lessee has to strictly follow Regulations/Acts/Rules of MMR 1961, Mines Act 1952 & Mines Rules 1955 to operate Quarry Lease operations accordingly Environmental Rules & Lessee has to strictly follow Environmental Rules: Regulations with Environmental Environment Protection Act 1986 (May 1986), Legislations Environment Protection Rules 1986 (Nov 1986) & Amendments, Environment Impact Notification 2006; Gazette of India, 14th September, 2006, Environment Act 2008 & Environment Protection (Amendment) Act 2008 Environmental Legislations: Water (Prevention and Control of Pollution) Act, 1974,Water (Prevention and Control of Pollution) Cess Act, 1977 & Air (Prevention and Control of Pollution) Act, 1981, Public Liability Insurance Act, 1991 ENVIRONMENTAL SENSITIVITY Sl. Areas Distance in Kilometer / Details No. 1. Distance of project site from Railway Station Salur Railway Station is 5.29 nearest rail or road bridge Km. towards SE direction over the concerned River, River Bridge Road over bridge of Vegavati Rivulet, Nallah etc river is 6.85 Km. away near Salur NH-26 road in SE direction River Vagavati River is about 8.16 Kms near Chandrappavalasai towards SE direction 2. Distance from infrastructural Proposed Office – 1.00 Km. away towards Kottavalasa facilities Railway line Salur Railway Station is 5.29 Km. towards SE direction National Highway NH-26 (Bargarh - Koraput-Salur- Gajapatinagaram- Bondapalli-Gotlam-Vizianagaram - Visakhapatnam to Bheemunipatnam) is about 6.80 Km. away connects at Salur is towards SE State Highway SH-36 is near Ramabhadrapuram which is 13.24 kms towards SE direction Major District Road Vizianagaram is about 56.25 Km. towards SE Any Other Road Quarry Lease Janavarvalasa is in East direction about 0.700 Km. that is connected by road of Mamidipalli- Gurrapuvalasa-Karasuvalasa-Kondakarakavalasa- Bangarammapeta-Salur Electric transmission line pole 1.20 Km. away or tower Canal or check dam or Vengala Rao Sagar is 6.20 kms away towards NE reservoirs or lake or ponds direction In-take for drinking water Proposed Bore Well point is 1.08 Km. away pump house Intake for Irrigation canal Not Applicable pumps 3. Areas protected under Not Applicable international conventions, national or local legislation for their ecological, landscape, cultural or other related value 4. Areas which are important or Not Applicable sensitive for ecological reasons - Wetlands, SIGNATURE OF LESSEE watercourses or other water bodies, coastal zone, biospheres, mountains, forests 5. Areas used by protected, Not Applicable important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration 6. Inland, coastal, marine or Not Applicable underground waters 7. State, National boundaries Odisha State boundary within distance of 10.97 Km. in towards NW direction near Roddavalasa. 8. Routes or facilities used by Quarry Lease Janavarvalasa is in East direction about the public for access to 0.700 Km. that is connected by road of Mamidipalli- recreation or other tourist, Gurrapuvalasa-Karasuvalasa-Kondakarakavalasa- pilgrim areas Bangarammapeta-Salur. 9. Defense installations None Village Distance in Direction Km. 10. Densely populated or built-up Karasuvalasa 0.970 E area, distance from nearest Dagaravalasa 0.700 W human habitation 11. Areas occupied by sensitive Hospital Near Salur 6.90 Kms SE man-made land uses School Near Salur 7.00 Kms SE (hospitals, schools, places of Temple Near Salur 7.10 Kms SE worship, community facilities) Gram Panchayat Near Salur 6.80 Kms SE 12. Areas containing important, Groundwater Resources: The minimum depth of water high quality or scarce table is about more than 50 meters based on the resources (ground water observation from nearby tube wells and water bodies. resources, surface resources, The groundwater resources will not be affected due to forestry, agriculture, fisheries, small scale mining. tourism, minerals) Surface resources: Vengala Rao Sagar is 6.20 kms away towards NE direction Forestry, Agriculture, Fisheries, Tourism, minerals: All details are available in State Forest Census Reports 13. Areas already subjected to Presently no such area is air marked but after EIA pollution or environmental notification dated 14th September 2006 has been damage. (those where amended by Ministry of Environment, Forests and existing legal environmental Climate Change, New Delhi by S.O. 141(E) dated 15th standards are exceeded) January 2016 the norms of environmental standards will be monitored accordingly. 14. Areas susceptible to natural Not Applicable hazard which could cause the project to present environmental problems (earthquakes, subsidence, landslides, erosion, flooding or extreme or adverse climatic conditions) 15. Is proposed mining site Not Applicable located over or near fissure / fracture for ground water recharge SIGNATURE OF LESSEE 16. Whether the proposal involves Not Applicable approval or clearance under the following Regulations or Acts, namely:- (a) The Forest (Conservation) Not Applicable Act, 1980; (b) The Wildlife (Protection) Not Applicable Act, 1972; (c) The Coastal Regulation Not Applicable Zone Notification, 2011.If yes, details of the same and their status to be given. 17. Forest land involved Not Applicable (hectares) 18. 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. Not Applicable (c) Orders or directions of the Not Applicable Court, if any, and its relevance with the proposed project. (Signature of Project Proponent along with name and address) G Prudvi Krishna, S/o G Sanjeevi Rao, D. No. 28-388, Main Road, Near Chruch, Salur (V & M), District – Vizianagaram, State - Andhra Pradesh SIGNATURE OF LESSEE .