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 Sri.M.Dhanunjaya Reddy, Road Metal& Building Stone – 4.23 Ha.
(ii).Location / site (GPS Co-ordinate) a1 18°45'23.71"N 84°10'23.20"E B 18°45'23.94"N 84°10'21.50"E C 18°45'23.42"N 84°10'20.08"E D 18°45'24.45"N 84°10'15.08"E E 18°45'30.49"N 84°10'20.27"E F 18°45'28.86"N 84°10'24.82"E a3 18°45'24.7
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)4.23 ha.
(iv).Capacity of the Mining Lease (TPA) 150000
(v).Period of Mining Lease 10
(vi).Expected cost of the Project 20
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?No
Reason for not hiring the Consultant/RQP Due to non availability of Consultants
(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.  40 km
2. (ii). Nearest Infrastructural along with distance in kms  1.6 km
(iii). Nearest Railway Line along with distance in kms  40 km
(iv). Nearest National Highway along with distance in kms  16 km
(v). Nearest State Highway along with distance in kms  16 km
(vi). Nearest Major District Road along with distance in kms 16 km
(vii). Nearest Any Other Road along with distance in kms  0.3 km
(viii). Nearest Electric transmission line pole or tower distance in kms  0 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  0 km
(x). Nearest In-take for drinking water pump house distance in kms  0 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
Neither ecological landscape nor any cultural Related activity is present near by the Quarry Lease area.
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Not Applicable
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration There are no such important sensitive locations are present in the nearby the Quarry Lease area.
6. Inland, coastal, marine or underground waters There are no such important features are present in the nearby the Quarry Lease area.
7. State, National boundaries There is no State/ National Boundaries are near By the Quarry Lease area.
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas Not Applicable
9. Defence installations The Applied area is not located close to any of the defense installation.
10. Densely populated or built-up area, distance from nearest human habitation The nearest densely populated area is Peddapadmapuram Village (1963) as 2011 Census Meliaputi Mandal, it is about to 2.4 km.
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) The health facilities are occurred nearby the Meliaputi is near emergency conditions, Srikakulam Town is well placed for Doctors, Nursing Homes & Hospitals.
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) No River/ Nala is flowing through the Lease. Hence no impact is anticipated.
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) None
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) Seismic Zone –III, (Moderate)
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/14754/2018
File NumberTo be assigned
Date of Apply EC24 Apr 2018
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)Andhra PradeshSrikakulamMeliaputtu
(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)
NameSRI.M.DHANUNJAYA REDDY
DesignationIndividual
Company SRI.M.DHANUNJAYA REDDY
AddressSy.No.413, Peddapadmapuram Village, Meliaputti Mandal
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