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 VIKAS CHAHAL (ii). Location / site (GPS Co-ordinate) Latitude longitude 17°50'3.00"N 82°43'38.30"E 17°50'1.04"N 82°43'39.09"E 17°49'59.80"N 82°43'39.50"E 17°50'3.85"N 82°43'44.65"E 17"50'6.36"N 82°43'46.88"E 17"50'7.06"N 82°43'42.71"E 1 Annexure-GPS file       (iii). Type of Lease Indivisual Area Size of the Mining Lease (in ha.) 2.881 ha. (iv). Capacity of the Mining Lease (TPA) 8487.60 (v). Period of Mining Lease 20 (vi). Expected cost of the Project 30 (vii). Have you hired Consultant/Registered Qualified Person(RQP) for preparing document? Yes Accreditation No. 143  Name of Consultant/RQP V.T Chander Address Mahalaxmi ganapathi complex, Mobile No. 9701403219 Landline No. 40138229 Email Id ccgeoengineer@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.  00 km 2. (ii). Nearest Infrastructural along with distance in kms  00 km (iii). Nearest Railway Line along with distance in kms  33.90 km (iv). Nearest National Highway along with distance in kms  30.0 km (v). Nearest State Highway along with distance in kms  00 km (vi). Nearest Major District Road along with distance in kms  33.90 km (vii). Nearest Any Other Road along with distance in kms  0.5 km (viii). Nearest Electric transmission line pole or tower distance in kms  00 km (ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  8.0 km (x). Nearest In-take for drinking water pump house distance in kms  00 km (xi). Nearest In-take for Irrigation canal pumps distance in kms  00 km 3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value not applicable 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 not applicable 6. Inland, coastal, marine or underground waters not applicable 7. State, National boundaries not applicable 8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas none 9. Defence installations none 10. Densely populated or built-up area, distance from nearest human habitation Anakapalli 30km SE 11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Anakapalli 30km SE 12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) none 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) none 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/Modernization New Proposal Number DIA/AP/MIN/15520/2018 File Number 6.3/deiaa/ap/vsp/18-19 Date of Apply EC 30 May 2018

Details of State of the project
S.No.	State Name	District Name	Tehsil Name
(1.)	Andhra Pradesh	Visakhapatnam	Ravikamatham

(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)

Name SRI VIKAS CHAHAL Designation partner Company SRI VIKAS CHAHAL Address Sy. 1/10 (carved from Sy. No 1/1) ravikamatham Village, Visakhapatnam District, A.P