APPENDIX I
(See Paragraph-6)
FORM 1M
Note : If space provided against any parameter is inadequate,Kindly upload supporting document under 'Additional Attachments if any'  at the last part of the Form 1M. Please note that all such Annexures must be part of single pdf document.
(I)Basic Informations
S.No.Item Details
(i).Name of the Mining Lease site PRAGYESH TIWARI LIMESTONE MINE
(ii).Location / site (GPS Co-ordinate) 22 18 05.0 TO 22 18 08.7 81 29 31.7 TO 81 29 34.6
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)0.809 ha.
(iv).Capacity of the Mining Lease (TPA) 23000
(v).Period of Mining Lease 10
(vi).Expected cost of the Project 35
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.13 
Name of Consultant/RQPNAVEEN KUMAR TAMRAKAR
Address HIG 21 HUDCO COLONY AMDI NAGAR BHILAI DIST DURG CHHATTISGARH
Mobile No.9407779998
Landline No.2242913
Email Idgeosolution@rediffmail.com
(II) Environmental Sensitivity
S.No Areas Distance in kilometer / Details
1. (i).  Nearest rail or road bridge over the concerned river,rivulet,nallah etc. in kms.  3.28 km
2. (ii). Nearest Infrastructural along with distance in kms  1.2 km
(iii). Nearest Railway Line along with distance in kms  53.2 km
(iv). Nearest National Highway along with distance in kms  31 km
(v). Nearest State Highway along with distance in kms  8.1 km
(vi). Nearest Major District Road along with distance in kms 8.1 km
(vii). Nearest Any Other Road along with distance in kms  0.175 km
(viii). Nearest Electric transmission line pole or tower distance in kms  0.07 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  1.1 km
(x). Nearest In-take for drinking water pump house distance in kms  0.64 km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  4.17 km
3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
 DO NOT LIE WITHIN THE STUDY AREA
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Agar river lies at a distance of about 3.0 km
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration DO NOT LIE WITHIN THE STUDY AREA
6. Inland, coastal, marine or underground waters DO NOT LIE WITHIN THE STUDY AREA
7. State, National boundaries DO NOT LIE WITHIN THE STUDY AREA
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas DO NOT LIE WITHIN THE STUDY AREA
9. Defence installations DO NOT LIE WITHIN THE STUDY AREA
10. Densely populated or built-up area, distance from nearest human habitation Pandaria lies at a distance of about 11.6 Km
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) School lies at a distance of about 1.25 km at Udka and Hospital lies at a distance of about 4.24 km at Dullapur.
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) Lalpur P.F. lies at a distance of 0.22 km (220 meter) from the lease area.
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) NO
14. Areas susceptible to natural hazard which could cause the project to present environmental problems (earthquakes, subsidence, landslides, erosion, flooding or extreme or adverse climatic conditions) NO
15.
Is proposed mining site located over or near fissure/fracture for ground water recharge?No
16.
Whether the proposal involves approval or clearance under the following Regulations or Acts namely?
(a).
The Forest (Conservation) Act,1980?No
(b).
The Wildlife (Protection) Act,1972?No
(c).
The Coastal Regulation Zone (C.R.Z) notification,2011?No
17.
Is forest land involved (ha)?No
18.
Whether there is any litigation pending against the project and/or land in which the project is proposed to be set up?No
19.
New/Expansion/ModernizationNew
Proposal NumberDIA/CG/MIN/686/2016
File NumberDEIAA_kdm_2016_005
Date of Apply EC24 Aug 2016
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)ChhattisgarhKabirdhamNo Data
(III) EC Attachments
1 Uploaded PFR (Pre Feasibility Report) File Annexure-PFR file
2 Uploaded Approved Mining Plan File Annexure-Approved Mining Plan file
3 Uploaded District survey report Annexure-District Survey Report
4 Uploaded Cover Letter Annexure-Cover Letter
Uploaded Additional attachments, if any
S.No. Attached File Date of Submission
(1.)Form 1 M24 Aug 2016
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NamePRAGYESH TIWARI NARSINGHPUR LIMESTONE MINE
DesignationINDIVIDUAL
Company PRAGYESH TIWARI NARSINGHPUR LIMESTONE MINE
AddressVILLEGE- DULLAPUR BAZAR, TEHSIL- PANDARIYA, DISTRIC-KABIRDHAM CHHATTISGARH
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