FORM - C
Form for seeking prior approval under section 2 of the proposals by the State Governments and other authorities for Prospecting of Minerals in Forest Land
PART - I
A. General Details
  A-1. Project Details
  (i).   Proposal No. : FP/CG/MRL/2/2017 (iii).   Name of Block in which prospecting is proposed to be undertaken : Baghmara Gold Block   (iv).   State : Chhattisgarh   (v).   Category of the Proposal : Mining   (vi).    Estimated cost of the Project (Rupees in lacs) : 1200   (vii).   Area of forest land required for prospecting (in ha.): 414.415   (viii).  Total area of block required for prospecting (in ha.): 474.3   (ix).   Total period for which the forest land is proposed to be utilized for prospecting (in years): 3
  A-1.1 Mineral commodity
Mineral commodity
S.no. Mineral Mineral commodity to be explored
1GoldGold
  A-2. Details of User Agency
  (i).    Name : VEDANTA LIMITED   (ii).    Address : Sesa Ghor, 20 EDC Complex, Patto, Panjim, Goa- 403001   (iii).    State: Goa   (iv).    District: North Goa   (v).    Pin: 403001   (vi).    Landmark: NIL   (vii).   Email Address: krishna.kulkarni@vedanta.co.in   (viii).   Landline Telephone No: 2460600   (ix).    Fax No.: NIL   (x).    Mobile No.: 9765392259   (xi).    Website: www.vedantalimited.co.in
  (xi)Details of Proposals seeking prior approval of Central Government under the Act for diversion of forest land submitted by the User Agency in the past  
List of proposal submitted in Past
S.no Proposal Status. Proposal No. Moef File No. Area Proposed for Diversion(ha.) Area Diverted(ha.) Date of In-Principle Approval Date of Final Approval
NIL
  (xii). Legal status of User Agency : Private
  A-3. Details of Person Making Application
  (i).    First Name: Shuvrendu   (ii).    Last Name: RoyChoudhury   (iii).    Gender: Male   (iv).    Designation: AGM Mines   (v).    Address 1: Quarter E6/6   (vi).    Address 2: Vedanta Colony   (vii).   State: Orissa   (viii).   District: Kalahandi   (ix).    Tehsil: Lanjigarh   (x).    Pin: 766027   (xi).    Landmark: NIL   (xii).    Email Address: shuvrendu.choudhury@vedanta.co.in   (xiii).   Landline Telephone No.: 671183   (xiv).    Fax No.: 06645671169   (xv).    Mobile No.: 9777452680
  A-4. Details of Mineral Concessions
  (i).   Whether the forest land is aquired under Coal Bearing Areas Act: No   (ii).   Reference number of Letter of Intent for grant of prospecting lease(approval letter of the State Mines and Geology Department): 3-11/16/12 dt 17 Mar 2017   (iii).    Date of issue of the Letter of Intent (LOI) for grant of prospecting lease: 28 Apr 2016   (iv).   Copy the Letter of Intent (LOI):   (v).    Total area of the prospecting lease (in ha.): 474.3   (vi).    Area of forest land located in the prospecting lease(in ha.): 414.415   (xvi).   Copy of Survey of India Topo-sheet (s):   (xvii).   Copy of map of the outer boundary of prospecting lease area:     View File
B. Details of Land required for the Project
  B-1. Details of proposal seeking prior approval of Central Government under the Act for diversion of forest land for the Project already submitted in the past
  (i).   Whether any proposal seeking prior approval of Central Government under the Act for diversion of forest land required for the project has been submitted in the past?. : Yes   (ii).   Details of proposal seeking prior approval of Central Government under the Act for diversion of forest land for the Project already submitted in the past.
List of proposal submitted in Past
S.no Proposal Status. Proposal No. Moef File No. Area Proposed for Diversion(ha.) Area Diverted(ha.) Date of In-Principle Approval Date of Final Approval
NIL
B-2.Details of forest land proposed to be diverted
B-2.1 Details of Divisions involved
Details of Divisions involved
S.no Division Name Forest Land(ha.) Non-Forest Land(ha.)
1.Baloda Bazar414.41559.885
Total414.41559.885
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Balodabazar414.41559.885
Total414.41559.885
C-1. Justification for undertaking prospecting in forest land
  (i).   Justification for undertaking prospecting in forest land:   (ii).   Copy of map indicating location of alternatives examined:
C-2. Whether the forest land identified for propecting is located in Scheduled Area
  (i). Whether the forest land identified for propecting is located in Scheduled Areas(Yes/No): No
C-3. Details of activities proposed to be undertaken in forest land
  (i).   Details of surface sampling
Details of surface sampling
S.no Surface sampling Area(in ha.)
1Channel sampling.0005
2Grab sampling0.0008
3Chip sampling0.0025
  (ii).   Details of Pitting or trenching
Details of Pitting or trenching
S.no Number of Pits Width of Pits (in km.)Depth of Pits (in km.) Length of Pits (in km.)Total volume of excavation Surface area (in ha.)
111.0005.00051.10.0000030250.00605
  (iii).   Details of Drilling of Boreholes
Details of Drilling of Borehole
S.no Number of Drills Diameter (in Inch)
1513.8
Details of Drilling of Borehole
S.no Depth of boreholes (in meter) Area of forest land likely to be experience temporary change in land used at each borehole site(in ha.) Area of forest land likely to be experience permanent change of land used due to drilling or boreholes(in ha.) Total meterage of boreholes (in meter)
110001.53026000
  (iv).   Construction of roads or paths involving temporary change in land use
Details of construction of roads or paths involving temporary change in land
S.no Length (in km.) width (in km.) Area of forest land(in ha.)
140.0041.6
  (v).   Construction of roads or paths involving permanent change in land use
Details of Construction of roads or paths involving permanent change in land use
S.no Length (in km.) width (in km.) Area of forest land(in ha.)
1000
  (vi).   Any other activity involving temporary change in land use
Details of Any other activity involving temporary change in land use
S.no Whether any other activity involving temporary change in land use in proposed to be undertaken ? Area involved(in ha.) Please specify
1Yes0.1Water pond for drilling purpose
  (vii).   Any other activity involving permanent change in land use
Details of Any other activity involving permanent change in land use
S.no Whether any other activity involving permanent change in land use in proposed to be undertaken ? Area involved(in ha.) Please specify
1No0
C-4. Area of forest land likely to experience temporary change in land use
  (i). Surface sampling: 0.0038   (ii). Pitting or trenching: 0.00605   (iii). Drilling of bore holes (in ha.): 1.53   (iv). Construction of roads or paths: 1.6   (v). Other activity(pl. Specify): 0.1   (vi). Total : 3.23985
C-5. Area of forest land likely to experience Permanent change in land use
  (i). Drilling of bore holes (in ha.): NIL   (ii). Construction of roads/paths: NIL   (iii). Other activity(pl. Specify): NIL   (iv). Total : NIL
C-6. Details of machinery or equipments to be deployed for prospecting
Details of machinery or equipments to be deployed for prospecting
S.no Name of equipment or machinery Mode of traction Size Estimated deployment(machine hours) Maximum noise level(decibel)
1CD 120 Dynatech or equivalentCrawler mounted - chain driven37.21680
2Water TankerVehicle with Trailer201670
3Drilling accessoriesSmall Vehicle201670
D-1. Details of existing paths/roads in the proposed to be utilized for transport of the equipment or machines in the forest land
  (iv). Details of existing paths/roads in the proposed to be utilized for transport of the equipment or machines in the forest land :
D-2. Number and duration of stay in the forest land of the persons proposed to be deployed for prospecting
Details of Number and duration of stay in the forest land of the persons proposed to be deployed for prospecting
S.no Number of person Duration
12016
22016
32016
42016
52016
D-3. Summary of the estimated quantity of ore and other samples proposed to be collected during the prospecting
Details of Summary of the estimated quantity of ore and other samples proposed to be collected during the prospecting
S.no Details of sample Qty. proposed to be collected
1Rock Chip1.5
2Grab0.48
3Channel0.3
4Trench3.25
5Drill Core17.5
D-4. Estimated accuracy and confidence level for mineral reserve assessment
  (i). Estimated accuracy level for mineral reserve assessment : 75   (ii). Estimated confidence level for mineral reserve assessment : 75
D-5. Estimated accuracy and confidence level in case number of bore holes proposed to be drilled are reduced by
Details of Estimated accuracy and confidence level in case number of bore holes proposed to be drilled are reduced by
S.no Accuracy(10%) Confidence level(10%) Accuracy(20%) Confidence level(20%) Accuracy(30%) Confidence level(30%) Accuracy(40%) Confidence level(40%) Accuracy(50%) Confidence level(50%)
185858080757560605050
D-6. In case the proposal is for extension of the period of the permission granted for propecting, or for drilling of additional boreholes, please provide following additional information
  (i). Details of approval accorded under the Forest(Conservation) Act, 1980 in the past
Details of approval accorded under the Forest(Conservation) Act, 1980 in the past
S.no Number of the approval accorded Area of forst land permitted for prospecting(in ha.) Validity (From) period of approvalValidity (To) period of approval
NIL
  (ii). Report on status of compliance to the conditions stipulated in the approval accorded in the past
Report on status of compliance to the conditions stipulated in the approval accorded in the past
S.no Condition stipulatedStatus of compliance
NIL
  (iii). Details of violation(s), if any committed: NA   (iv). Justification for extension of permission accorded for prospecting:   (v). Copy of note containing details of prospecting activities undertaken and sample collected, so far:
  Additional Information (if any.)
Documents
S.No Documents
Remarks
1Baghmara Gold Block Letter of Intent and area revision Order
2Letter of Authorisation
3Baghmara Gold Block Boundary and Prospecting Scheme on Topo sheets and Forest Cover Maps
4Baghmara Gold Block Prospecting Map on Grid
5Baghmara Gold Block Prospecting Justifications
6Baghmara Gold Block Prospecting Scheme and Project Cost
7Baghmara Gold Block Prospecting Alternatives Examined
8Baghmara Gold Block existing tracks & paths and proposed tracks
9Baghmara Gold Block DGPS Survey Report
10Declaration of minimum use of Baghmara Block Forest land during prospecting
11Letter of undertaking for payment for compensation of Forest Land
12Vedanta Address Declaration
13Baghmara Gold Block Forest Clearance Proposal Registration Request
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