Form-2
APPLICATION FOR PRIOR ENVIRONMENTAL CLEARANCE
S. No.Item Details
1.
Details of Project:
(a)Name of the project(s) Rehti Flag Stone Quarry
(b)Name of the Company / Organisation SHRI KULDEEP DUBEY
(c)Registered Address D.H.-59, Dindayal Nagar, District- Gwalior, Madhya Pradesh,Gwalior,Madhya Pradesh-466446
(d)Legal Status of the Company Others
2.
Address for the correspondence:
(a)Name of the Applicant Kuldeep Dubey
(b)Designation (Owner/ Partner/ CEO) Owner
(c)Address D.H.-59, Dindayal Nagar, District- Gwalior, Madhya Pradesh,,Gwalior,Gwalior,Madhya Pradesh-466446
(d)Pin code 466446
(e)E-mail sandmines201.9@gmail.com
(f)Telephone No. 4541117
(g)Fax No.
(h)Copy of documents in support of the competence/authority of the person making this application to make application on behalf of the User Agency . Annexure-Uploaded Copy of documents in support of the competence/authority
3.
Category of the Project/Activity as per Schedule of EIA Notification,2006:
(a)Major Project/Activity1(a) Mining of minerals
(b)Minor Project/ActivityNIL
(c)Category B2
(d)Proposal Number SIA/MP/MIN/34748/2019
(e)Master Proposal Number(Single Window) SW/102284/2019
(f)EAC concerned (for category A Projects only) Non-Coal Mining
(g)Project Type Fresh EC
4.
Location of the Project:
(a)Plot/Survey/Khasra No. 116, 121, 122, 124
(b)Pincode 466446
(c)Bounded Latitudes (North) FROM 25 To 77
(d)Bounded Longitudes (East) FROM 25 To 77
(e)Survey of India Topo Sheet No. 557
(f)Uploaded Topo Sheet File Copy of Topo Sheet File
(g)Maximum Elevation Above Means Sea Level(AMSL) 346
(h)Uploaded (kml) File Copy of Kml File     
(i)Distance of Nearest HFL from the project boundary within the study area 0
(j)Seismic Zone 2
5.
(a)Number of States in which Project will be Executed 1
(b)Main State of the project Madhya Pradesh
Details of State(s) of the project
S. No. State Name District Name Tehsil Name Village Name
(1.)Madhya PradeshGwaliorGwaliorRehti
6.
Details of Terms of Reference (ToR):
(a)MoEF&CC / SEIAA File Number Rehti NOT For TOR applicable case
(b)Date of Apply of TOR 01 Apr 2019
(c)Date of Issue of TOR / Standard ToR 01 Apr 2019
(d)Previous TOR Letter Copy of Previous TOR letter
7.
Details of Public Consultation:
(a)Whether the Project Exempted from Public Hearing?No
(b)Whether details of Public Hearing available? No
(c)Reason Not Applicable
(d)Supporting Document Copy of Supporting Document
8.
Details of Project Configuration/Product:
     8.1.       Project Configuration
S. No.Plant/Equipment/FacilityConfigurationRemarks
(1.)NANANA
     8.2.       Product
S. No.Product/Activity (Capacity/Area)QuantityUnitOther UnitMode of Transport / Transmission of ProductOther Mode of Transport / Transmission of Product
(1.)1.0006000HectaresRoad
9.
In case of Expansion / Modernisation / One Time Capacity Expansion (only for Coal Mining) / Expansion under Clause 7(ii) / Modernisation under Clause 7(ii) / Change of Product Mix under Clause 7(ii):
Details Not Applicable
9.1.
Details of Consent to Operate
(i)Whether Consent to operate obtained ? NA
(ii)Copies of all Consent to operate obtained since inception NA
(iii)Date of Issue 01 Apr 2019
(iv)Valid Upto 01 Apr 2019
(v)File No. not applicable
(vi)Application No. Not applicable
(vii)Copy of Consent to operate valid as on date Copy of Consent to Operate
10.
Project Cost:
(a)Total Cost of the Project at current price level (in crores) 0.1800000
(b) Funds Allocated for Environment Management (Capital) (in crores) 0.0500000
(c) Funds Allocated Towards ESC (Entrepreneur Social Responsibility) (in crores) 0.0300000
(d) Funds Allocated for Environment Management Plan (EMP) (Recurring per Annum) (in crores) 0.1000000
(e) Funds Allocated for Environment Management Capital(%) NaN
11.
Whether project attracts the General Condition specified in the Schedule of EIA Notification ? No
12.
Whether project attract the Specific Condition specified in the Schedule of EIA Notification ? No
13.
Raw Material / Fuel Requirement:
(a)Proposed quantity of raw material/fuel 6000
(b)Existing quantity of raw material/fuel N/A
(c)Total quantity of raw material/fuel 6000
    13.1.        Raw Material / Fuel Profile
S. No.Raw Material / Fuel QuantityUnitOther UnitSource (incase of Import. please specify country and Name of the port from which Raw Material / Fuel is received )Mode of TransportOther Mode of TransportDistance of Source from Project Site (in Kilometres) (In case of import, distance from the port from which the raw material / fuel is received)Type of Linkage Other Type of Linkage Uploaded Copy of Linkage
(1.)flag stone6000Hectares0Road0 Open MarketCopy of Linkage
14.
Baseline Data :
(a)Period of Base Line Data Collection FROM 01 Apr 2019 To 01 Apr 2019
(b)Season Summer
    14.1.     No. of ambient Air Quality (AAQ) Monitoring Locations : 0
S. No.Criteria Pollutants Other Criteria PollutantsUnitMaximum ValueMinimum Value98 Percentile ValuePrescribed Standard
(1.)SO2Micro Gram per Meter Cube0000
(2.)NOxMicro Gram per Meter Cube0000
(3.)PM10Micro Gram per Meter Cube0000
(4.)PM2.5Micro Gram per Meter Cube0000
    14.2.     No. of Ground Water Monitoring Locations : 0
S. No.Criteria Pollutants Other Criteria PollutantsHeavy MetalUnitOther UnitMaximum ValueMinimum ValueDesirable LimitMaximum Permissible Limit
(1.)pHmg/l0000
(2.)TSSmg/l0000
(3.)Fluoridemg/l0000
(4.)Heavy Metals0mg/l0000
(5.)TDSmg/l0000
(6.)Chloridesmg/l0000
(7.)Total Hardnessmg/l0000
    14.3.     No. of Surface Water Monitoring Locations : 0
S. No.Criteria Pollutants Other Criteria PollutantsUnitOther UnitMaximum ValueMinimum ValueClassification of inland water body
(1.)pHmg/l00A
(2.)CODmg/l00A
(3.)DOmg/l00A
(4.)BODmg/l00A
    14.4.     No. of Ambient Noise Monitoring Locations : 0
S. No.Parameter UnitMaximum ValueMinimum ValuePrescribed Standard
(1.)Leq(Day)A-weighted decibels(dB(A))000
(2.)Leq(Night)A-weighted decibels(dB(A))000
    14.5.     No. of Soil Sample Monitored Locations : 0
S. No.Parameter UnitOther UnitMaximum ValueMinimum Value
(1.)N(Nitrogen)00
(2.)Electric Conductivity00
(3.)K(Potassium)00
(4.)pH00
(5.)P(Phosphorus)00
14.6.
Details of Ground Water Table:
(a)Range of Water Table Pre-Monsoon Season (Meters Below Ground Level (m bgl)) From 0 To 0
(b)Range of Water Table Post-Monsoon Season (Meters Below Ground Level (m bgl)) From 0 To 0
(c)Whether Ground Water Intersection will be there ? NA
     15.      Details of Water Requirement (During Operation)
S. No.Source Source Other Required QuantityDistance from SourceCopy of Permission from Competent Authority Mode of TransportOther Mode of TransportMethod of Water WithdrawalOther Method of Water WithdrawalLetter No.Date of IssuePermitted Quantity
(1.)GroundWater2.70Copy of Permission LetterPipelineTube WellQL-21/2016/107516 Aug 20162.7
15.1.
(a)Whether Desalination is proposed No
    16.       Waste Water Management(During Operation)
S. No.Type/Source Quantity of Waste Water Generated (Kilolitre per Day)Treatment Capacity (Kilolitre per Day) Treatment MethodMode of DisposalOther Mode of DisposalQuantity of Treated Water Used in Recycling/Reuse (Kilolitre per Day)Quantity of Discharged Water (Kilolitre per Day)
(1.)0000Discharge into Surface Water Body0
16.1.
(a)Total Waste Water Generation 0
(b)Total Discharged Water 0
(c)Total Reused Water 0
    17.       Solid Waste Generation/Management
S. No.Name of Waste Item Other ItemQuantity per AnnumUnitDistance from Site(KM)Mode of TransportOther Mode of TransportMode of DisposalOther Mode of Disposal
(1.)0Industrial Waste0Tons0RoadCo-Processing
18.
    18.1.     Air Quality Impact Prediction
S. No.Criteria Pollutants Other Criteria PollutantsUnitBaseline ConcentrationDistance GLCIncremental ConcentrationTotal GLCPrescribed Standard
(1.)SO2Microgram per Meter Cube00000
(2.)PM10Microgram per Meter Cube00000
(3.)NOxMicrogram per Meter Cube00000
(4.)PM2.5Microgram per Meter Cube00000
    18.2.     Stack Details
S. No.Source FuelStack Height(m)Stack Diameter(m)PollutantsOther PollutantsEmission (GLS)
(1.)0000PM100
19.
Power Requirement:
(a)Quantity (Kilo Volt Amps (kVA)) 200
(b)Source MPEB
(c)Uploaded Copy of Agreement Copy of Agreement
(d)Standby Arrangement (Details of DG Sets) 0
(e)Stack Height (in m) 0
20.
Land Ownership Pattern:
(a)Forest Land 0
(b)Private Land 1.000
(c)Government Land 0
(d)Revenue Land 0
(e)Other Land 0
    Total Land 1.000
21.
Present Land Use Breakup of the Study Area in Ha:
(a)Agriculture Area 0
(b)Waste/Barren Land 0
(c)Grazing/ Community Land 0
(d)Surface Water Bodies 0
(e)Settlements 0
(f)Industrial 0
(g)Forest 0
(h)Mangroves 0
(i)Marine Area 0
(j)Others : 1.000 1.000
    Total 1
    22.     Land Requirement for Various Activities
S. No.Description of Activity / Facility / Plant / Others OthersLand RequirementRemarks
(1.)Main Plant00
Total 0
23.
Ecological and Environmental Sensitivity (Within 10 Km):- WLS-Wild Life Species; NPA-Notified Protected Area; ESAs-Eco Sensitive Areas; ESZs-Eco Sensitive Zones :
    23.1.     Details of Ecological Sensitivity :
S. No.Details of Ecological Sensitivity NameDistance from the Project (Km)Remarks
(1.)NPA00no such area falls under 10 km radius of the project site
(2.)ESAs00no such area falls under 10 km radius of the project site
(3.)Critically Polluted Area00no such area falls under 10 km radius of the project site
(4.)Wildlife Corridors00no such area falls under 10 km radius of the project site
(5.)ESZs00no such area falls under 10 km radius of the project site
(6.)Corridors00no such area falls under 10 km radius of the project site
(7.)WLS00no such area falls under 10 km radius of the project site
    23.2.     Details of Environmental Sensitivity :
S. No.Details of Environmental Sensitivity Other Details of Environmental Sensitivity NameDistance from the Project (Km)Remarks
(1.)Defence Installations00no such area falls under 10 km radius of the project site
(2.)Archaeological Sites00no such area falls under 10 km radius of the project site
(3.)Forest00no such area falls under 10 km radius of the project site
23.3.
(a)Whether Noc / Permission from the competent authority is required? No
(b)Whether NBWL recommendation is required? No
24.
Forest Land:
Whether any Forest Land involved? No
25.
Tree Cutting:
(a)No. of Trees Cut for the Project (if Forest Land not Involved) 0
(b)Details of Tree Cutting and Planting of Trees Copy of Details of Tree Cutting and Planting of Trees
26.
Land Acquisition Status:
(a)Acquired Land(Ha) 0
(b)Land yet to be acquired(Ha) 0
(c)Status of Land acquisition if not acquired 0
27.
Rehabilitation and Resettlement (R&R):
(a)No. of Villages 0
(b)No. of Households 0
(c)No. of PDFs (Project Displaced Families) 0
(d)No. of PAFs (Project Affected Families) 0
(e)Funds Allocated for R&R(in Rs) 0
(f)Status of R&R In-Progress
28.
Details of Presence of Schedule-I Species:
(a)Whether there is Presence of Schedule-I Species ? No
(b)Whether conservation plan for Schedule-I Species has been prepared ? No
(c)Whether conservation plan for Schedule-I Species has been approved by competent authority ? No
29.
Details of Presence of Water Bodies in Core Area:
(a)Whether there is Presence of Water Bodies in Core Area ? No
(b)Whether there is Diversion Required ? No
(c)Whether permission has been obtained from competent authority ? No
30.
Details of Presence of Water Bodies in Buffer Area:
(a)Whether there is Presence of Water Bodies in Buffer Area ? No
31.
Manpower Requirement:
(a)Permanent Employment-During Construction 2
(b)Permanent Employment-During Operation 1
(c)Temporary Employment- During Construction 1
(d)Temporary Employment- During Operation 1
(e)No. of working days 300
(f)Total Manpower 5
32.
Green Belt in Ha:
(a)Total Area of Green Belt (in hectare) 0
(b)Percentage of Total Project Area 0.00
(c)No. of Plants to be Planted 0
(d)Funds Allocated for Plantation 0
(e)Uploaded Green Belt plan Copy of Green Belt Plan
    33.         Project Benefits
S. No.Type of Project Benefits Details of Project Benefits
(1.)SocialGenerate Employment
   34.   CRZ Specific Details : Not Applicable
   35.   Sector Specific Details For Non-Coal Mining
S. No.Item Details
     1.       No. of Mineral(s) to be Mined : 1
S. No.Mineral(s) to be Mined Major or Minor Mineral
(1.)Flag StoneMinor
2.
Mine Capacity in ROM (Run of Mine) 6000
3.
Uploaded 500 meters Cluster Certificate from State Mines and Geology in case of minor minerals Copy of 500 meters Cluster Certificate from State Mines and Geology
4.
Mining Plan:
(a)Approval Letter No. 1173/Mining Plan Sel/File No/2013
(b)Date of Approval 11 Aug 2016
(c)Approved Letter Copy of Approved Letter
(d)Approved By State Mining and Geology Department Directorate
(e)Approved Mining Lease Area 1.000
(f)Approved Capacity 6000
5.
Technical Details:
(a)Total Geological Reserves (Million Ton) 0
(b)Mineable Reserves (Million Ton) 0
(c)Extractable Reserves(Million Ton) 0
(d)Percent(%) of Extraction 0
(e)Grade of Coal /Ore /Mineral 0
(f)Stripping Ratio 0 : 0
(g)Category of Gaseousness (Only for Coal Mining, Others may Write NA) 0
(h)Average Gradient(Degree) 0
(i)Mining Method Opencast
(j)Life of Mine (Years) 0
6.
Details of Beneficiations:
(a)Whether it is proposed to install beneficiation plant/Coal washery within the mining lease area No
(b)Whether it is proposed to install crusher within the mining lease area No
7.
Details of Seams:
(a)Whether details of seam applicable No
8.
Details of Mining Lease:
(a)Mining Lease Area (in Hectare) 1.000
(b)Whether obtained Letter of Intent (LOI) from the state government ? No
(i)Reason thereof NA
(c)Whether Lease Deed Executed ? No
(i)Reason thereof NA
(d)Whether Lease Deed Renewed ? No
(i)Reason thereof NA
9.
OB (Over Burden) Management:
(a) Details of External Dumps:
(i)No. of OB Dumps 0
(ii)Total Area (in Hectare) 0
(iii)Height (in meter) 0
(iv)Quantity (in Million Cubic meter) 0
(v)No. of year back fill up 0
(b) Details of Internal Dumps:
(i)No. of Internal Dumps 0
(ii)Total Area (in Hectare) 0
(iii)Height (in meter) 0
(iv)Quantity (in Million Cubic meter) 0
10.
Details of Topsoil Management:
(a)Quantity of Topsoil excavated during the entire life of the mine (in Million Cubic metre) 0
(b)Quantity of Topsoil proposed for utilization for reclamation during the entire life of the mine (in Million Cubic metre) 0
(c)Quantity of Topsoil proposed for utilization for other activities during the entire life of the mine (in Million Cubic metre) 0
11.
Details of Final Mine Void:
(a)Area (in Hectare) 0
(b)Depth (in meter) 0
(c)Volume (in Million Cubic meter) 0
12.
Details of Quarry:
(a)Final Void of 0 (hectare) at a Depth of 0 meter which is Proposed to be Converted into a Water Body.
(b)Total Quarry Area (ha) 0
13.
Details of Transportation:
(a)In Pit/Underground to Surface 0
(b)Surface to Siding/Loading 0
(c)Transportation / Conveyor Details 0
     14.      Details of Land Usage (Pre-Mining)
S. No.LAND USE Other LAND USEWITHIN ML AREA (Hectare)OUTSIDE ML AREA (Hectare)TOTAL (Hectare)
(1.)WASTE LAND000
(2.)GRAZING LAND000
(3.)FOREST LAND000
(4.)AGRICULTURE LAND000
(5.)SURFACE WATER BODIES000
(6.)SETTLEMENTS000
TOTAL000
     15.      Details of Land Usage (Post-Mining)
S. No.LAND USE Other LAND USEPlantation (ha)Water Body (ha)Public Use (ha)Undisturbed (ha)Total
(1.)EXCAVATION/QUARRY0000
(2.)EXTERNAL OB DUMPS0000
(3.)BUILT UP AREA (COLONY/OFFICE)0000
(4.)INTERNAL OB DUMPS0000
(5.)VIRGIN AREA0000
(6.)GREEN BELT0000
(7.)ROADS0000
(8.)TOP SOIL STORAGE0000
TOTAL00000
16.
Details of Reclamation:
Total Afforestation Plan shall be Implemented Covering of Mining.
This will Include:
(a)External OB Dump(in hectare) 0
(b)Internal Dump(in hectare) 0
(c)Quarry(in hectare) 0
(d)Safety Zone(in hectare) 0
(e)Final Void of 0 (hectare) at a Depth of 0 meter
    which is Proposed to be Converted into a Water Body.
(f)Density of Tree Plantation per ha (in no.) 0
(g)Others in ha (such as Excavation Area along ML Boundary, along Roads and Infrastructure, Embankment Area and in Township Located Outside the Lease etc) 0
(h)Total afforestation plant (in hectare) 0
17.
Status of progressive Mining Closure Plan:
Details Not Applicable
     18.      Details of Actual Coal/ ORE Production vis-a-vis Sanctioned Capacity since the Inception:
S. No.Financial Year Sanctioned Capacity as per EC (MTPA)Sanctioned Capacity as per CTOSanctioned Capacity as per approved mining planActual Production Excess Production Beyond the EC / CTO/ Mining Plan Sanctioned Capacity (MTPA)
(1.)000000
S. No.Item Details
36.
Details of Court Cases:
(a)Whether there is any Court Cases pending against the project and/or land in which the project is proposed to be set up ? No
37.
Details of Direction Issued under Environment (Protection) Act / Air (Prevention & Control of Pollution)) Act / Water (Prevention & Control of Pollution) Act:
(a)Whether any Direction issued under EPA Act/Air Act/Water Act ? No
38.
Details of EIA Consultant:
(a)Have you hired Consultant for preparing document? No
(i)Reason for not Hiring the Consultant Miner Minerals
39.
Documents to be Attached:
(a)Upload Copy of EIA/EMP(Text) Copy of EIA/EMP(Text)
(b)Upload Copy of EIA/EMP(Annexures) Report Copy of EIA/EMP(Annexures)
(c)Upload Copy of EIA/EMP(Maps/Plans/Figures only) Copy of EIA/EMP(Maps/Plans/Figures only)
(b)Uploaded Copy of Risk Assessment Report Copy of Risk Assessment
(c)Uploaded Copy of Feasibility Report/ Detailed Project Report(DPR) /Detailed Engineering Report /Detailed Conceptual Plan /Approved Mining Plan Copy of Feasibility Report/ Detailed Project Report(DPR) /Detailed Engineering Report /Detailed Conceptual Plan /Approved Mining Plan
(d)Uploaded Copy of Final Layout Plan Copy of Final Layout Plan
(e)Uploaded Cover Letter Copy of Cover Letter
(f)Uploaded Copy of documents in support of the competence/authority of the person making this application to make application on behalf of the User Agency Copy of documents in support of the competence/authority of the person making this application to make application on behalf of the User Agency
(g)Uploaded Copy of District Survey Report NA
(h)Uploaded Copy of Replenishment Study Report & Baseline Survey Data NA
(i)Uploaded Additional File Copy of Additional File
(f)Uploaded Updated Form1 Copy of Updated Form1
Undertaking
I hereby give undertaking that the data and information given in the application and enclosures are true to be best of my knowledge and belief. And I am aware that if any part of the data and information 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 our risk and cost. In addition to above, I hereby give undertaking that no activity/ construction/ expansion has since been taken up.
Name of ApplicantKuldeep Dubey
DesignationOwner
Name of Company (Applicant Name should not be given here)SHRI KULDEEP DUBEY
AddressD.H.-59, Dindayal Nagar, District- Gwalior, Madhya Pradesh
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