SELF ASSESMENT TEMPLATE FOR STAR RATING OF MINOR MINERAL LEASES/LICENSE/WORKER ORDER

Reporting Year RY

PART-A: GENERAL INFORMATION

Sl.No Particulars Detials
1 Unique lease ID alloted by the State Goverment for Lease:
2 Lease Boundary Coordinates (Lattitudes & Longitudes) Latitudes
Longitudes
3 Khasra/Survery Number
4 Taluka/tehsil
5 Village
6 District
7 State
8 Total Lease area
i. Forest Land (ha)
ii. Private Land (ha)
iii. Revenue Land (ha)
iv. Pasteur Land (ha)
v. Others, if any (Specify)(ha)
9 Minerals
10 Toral resouces Available in the Lease Area (Mineral wise) (tonnes)
11 Lease Period ( - To) From:
to:
LESSEE DETIALS
12 Name
(In case of Company or partnership firm, Please provide the name of the Company/partnerhsip firm along with name of Managing Director or Managing Partner, as the case may be /Name of the Preoprietor in case of preoprietary firm)
13 Type of Lesee
(Person/Company/parternship firm/Other)
14 Address
15 Mobile Number
16 Emaild Address
WORKING DETAILS
17 Method of Mining
(OpenCast/Underground/Opencast & Underground/Quarry)
Sl.No Particulars Detials
18 Status of the lease on date of filing (Working/Temporary/Discontinuance/Non-working/Under suspension)
19 No of Working days during Reporting Year
20 No. of days of temporary discontinuance during Reporitng Year
21 No. of days under suspension during Reporting Year
22 Name and contact details of the Agent/Manager reposinble to ensure filing for Star Rating Template(for the purpose owner may nomnate himself as a Agent/manager) Name :
Contact No:
APPROVALS/CONSENT OBTAINED FROM GOVT AGENCIES
23 Details of Approved Qy Valdity from : to:
Qunatity approved Per year(Financial year Wise )
Financial year
Approved Qty
24 Details of Ennvironment Clearanc Obtained Valdity from : to:
Qunatity approved Per year(Financial year Wise )
Financial year
Approved Qty
25 Detauks if SPCB Approvals recived (Air/Water) Valdity from : to:
Qunatity approved Per year(Financial year Wise )
Financial year
Approved Qty
26 Details of Forest Clearance obtained, if applicable valdiity up to :
27 Has obtains all NOC's/Certificates/Permits from Govt Department 1.DGMS
2. Blasting License
3. Others
CONTRIBUTION TO GOVT EXCHEQUER DURING REPORTING YEAR
28 Royalty Paid
29 Dead Rent Paid
30 Contribution to DMF

PART-B: SUSTAINBLE MINING

(TOTAL :100)

SL NO. Particulars Details(To be filled up by Lessee) Rating Applicable Max Scored
MODULE-I
SYSTAMTIC AND SUSTAINABLE MINING

(MAXMIUM :30)

1 Total Production Mineral wise dyuring Reporting Year (RY) Approved Qty
Actual Qty
5
2 Reject Dump Management (excluign topsoil) As per the Approved Quarry Plan 3
3 Formation of safe and stable benches (opne pit) or drives (underground) As per the approved quarry plan 2
4 Dust Supression measures Crusher Plant Courvered(Within or ajoining lease area) 20
Transportation of mineral in convered vehicles
Water Sprinkling
Wet drilling
< action="">
SL NO. Particulars Details(To be filled up by Lessee) Rating Points Applicable Max Points Scored Points
MODULE-II
PROTECTION OF ENVIRONMENT AND CONSERVATION OF WATER

(MAXIMUM :25)

5 Compliance reporting of environmental parameters(air, water, etc) As Per SPCB norms (To be submitted) 5
6 Complaince of reporting of environmental parameters (As per EC Condition) As per MOEF norms(To be submitted) 6
7 Total Plantation/compensatory aforestation done as per approved Document(EC/FC) during Reporting Year Approved Qty (No's)
Actual Qty (No's)
4
8 Survival rate of plants during reporting year during first year of their plantation No of Plants planted
Actual Qty (No's)
6
9 Use of recycled water for drinking, agriculture, mining, other activities, etc Details to provided
4
SL NO. Particulars Details(To be filled up by Lessee) Rating Points Applicable Max Points Scored Points
MODULE-III
HEALTH SAFETY AND WELFARE OF WORKERS

(MAXIMUM POINTS:15)

10 % of total employees/workers to whom DMGS Approved Personnel Protection Equipment (PPE) i.e.,Helmets, Shoes, gloves & dust mask, etc has been provided Avg. total employment
% of total employment whom PPE provided
2
11 % of total employment whome Periodical Medical Examination (PME) has been done as per Mine Rules 1955 Avg Total empployment
% of total employment whome PME done as per rules
2
12 Provision of drinking water & sanitation facilities to all workers Details to provided 2
13 Provision of basic amenities to women employees i.e. Creche, Toilet & Restrooms Details to provided 2
14 Case of Silicosis or other occupational disease detected amongst mine workers during the RY Details to provided 2
15 Welfare measeures undertaken by the lessee for mine workers/ in nearby areas as part of CSR Details to provided 2
16 Provision to tackle mine hazards/resuce operation Details to provided 2
17 Training Programmer for Workers/Labours/Machine Operatore etc (In every Six Months) Details to provided 2
SL NO. Particulars Details(To be filled up by Lessee) Rating Points Applicable Max Points Scored Points
MODULE-IV
STATUTORY COMPLAINCE

(MAXIMUM POINTS:30)

18 Submission of All returns and last sasessment Details to be proivded 10
19 Rectification of All the violations pointed out by any Govt Agencies i.e., DMGS, MRD, SPCB Detials to be provided 5
20 Appointment of Competent persons as per statute (QUARRY PLAN) i.e., MinesManager, Foreman, Mining Mate, Blaster Names to be provided(Appointed letter)



8
21 Authenticate lease Sketch with Boundar Co-ordinates Lease sketch along with Boundary co-ordinates to be provided 2
22 Erection of DGPS Boundary Pillars in the lease are as per rule Details to be provided and photograph 2
Summary of Points obtained Applicable Maximum points Points Scored
100
OVERALL PERFORMANCE & STAR RATING
Module Name Sum of Applicable Maximum Points in all Modules (a) Sum of Points Scored in all Modules (b) Percentge (b/a)*100
Module 1 SYSTAMATIC AND SUSTAINABLE MINING 30
Module 2 PRTOTECTION OF ENVIRONMENT AND CONSERVATION OF WATER 25
Module 3 HEALTH SAFETY AND WELGARE OF WORKERS 15
Module 4 STATUROTY COMPLAINCE 30
total 100
%Obtained
STAR RATING Rating

CERTIFICATE

i S/o,D/o Desingation am authorized to fill document on behalf of lessee. It is furhter certified that all the above furnished informatin is true to the best of my Knowledger and based on records.

Date :

Place :



Agent/Manager

Last modified at 04/01/2019 18:09 by dmguser

ಇಲ್ಲಿನ ವಿಷಯಗಳ ಸ್ವತ್ತು ಮತ್ತು ನಿರ್ವಹಣೆ : ಗಣಿ ಮತ್ತು ಭೂವಿಜ್ಞಾನ ಇಲಾಖೆ , ಕರ್ನಾಟಕ ಸರ್ಕಾರ

ಹಕ್ಕುತ್ಯಾಗ : ಈ ಪುಟವು ಸರ್ಕಾರಿ ಸಚಿವಾಲಯ/ ಇಲಾಖೆ/ ಸಂಸ್ಥೆಗಳಿಗೂ ಲಿಂಕುಗಳನ್ನು ಕಲ್ಪಿಸುತ್ತದೆ ಎಂಬುದನ್ನು ದಯವಿಟ್ಟು ಗಮನಿಸಿ. ಈ ವೆಬ್ ಸೈಟುಗಳ ವಿಷಯಗಳು ಆಯಾ ಸಂಸ್ಥೆಗಳ ಸ್ವತ್ತೇ ಆಗಿದ್ದು, ಯಾವುದೇ ಹೆಚ್ಚಿನ ಮಾಹಿತಿ ಅಥವಾ ಸಲಹೆಗಾಗಿ ಅವರನ್ನೇ ಸಂಪರ್ಕಿಸುವುದು.

ವಿನ್ಯಾಸ ಮತ್ತು ಅಭಿವೃದ್ಧಿ : ಇ-ಆಡಳಿತ ಕೇಂದ್ರ, ಕರ್ನಾಟಕ ಸರ್ಕಾರ

(C) 2016, ಎಲ್ಲಾ ಹಕ್ಕುಗಳೂ ಕಾಯ್ದಿರಿಸಿವೆ

Top