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 T.V.PALLI BARYTES MINES
(ii).Location / site (GPS Co-ordinate) 1 N14 20 20.2 E78 22 56.7 2 N14 20 20.0 E78 22 57.4 3 N14 20 17.3 E78 22 56.7 4 N14 20 18.0 E78 22 50.8 5 N14 20 18.5 E78 22 51.7
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)0.959 ha.
(iv).Capacity of the Mining Lease (TPA) 1400
(v).Period of Mining Lease 20
(vi).Expected cost of the Project 5
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.072/89/A 
Name of Consultant/RQPM RAMA SUBBA REDDY
Address 2-131-3, KRANTHINAGAR, YERRAGUNTLA,KADAPA
Mobile No.9000500968
Landline No.280555
Email Idslnmmrsr@gmail.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.  50 km
2. (ii). Nearest Infrastructural along with distance in kms  02 km
(iii). Nearest Railway Line along with distance in kms  50 km
(iv). Nearest National Highway along with distance in kms  80 km
(v). Nearest State Highway along with distance in kms  05 km
(vi). Nearest Major District Road along with distance in kms 05 km
(vii). Nearest Any Other Road along with distance in kms  0.05 km
(viii). Nearest Electric transmission line pole or tower distance in kms  0.50 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  3 km
(x). Nearest In-take for drinking water pump house distance in kms  02 km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  0 km
3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
NO
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests NO
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration YES
6. Inland, coastal, marine or underground waters NO
7. State, National boundaries MORE THAN 100KM
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas MORE THAN 100KM
9. Defence installations NO
10. Densely populated or built-up area, distance from nearest human habitation MORE THAN 2KM
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) MORE THAN 15KM
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) NO
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/AP/MIN/12171/2018
File NumberTo be assigned
Date of Apply EC09 Jan 2018
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)Andhra PradeshKadapaNo 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
NIL
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameKMOHANRAO
Designationowner
Company KMOHANRAO
Address3 120 t v palli
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