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 Brick Earth Mine of Chandrakant Singh Painkara, Amatoli
(ii).Location / site (GPS Co-ordinate) BP1 N 22° 27' 34.9" E 083° 44' 59.5" BP2 N 22° 27' 29.6" E 083° 44' 59.3" BP3 N 22° 27' 28.8" E 083° 44' 57.6" BP4 N 22° 27' 35.0" E 083° 44' 58.1"
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)0.879 ha.
(iv).Capacity of the Mining Lease (TPA) 1200
(v).Period of Mining Lease 10
(vi).Expected cost of the Project 15
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?No
Reason for not hiring the Consultant/RQP Not Required due to small Project
(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.  0.220 km
2. (ii). Nearest Infrastructural along with distance in kms  4 km
(iii). Nearest Railway Line along with distance in kms  73 km
(iv). Nearest National Highway along with distance in kms  17.7 km
(v). Nearest State Highway along with distance in kms  2.8 km
(vi). Nearest Major District Road along with distance in kms 0.390 km
(vii). Nearest Any Other Road along with distance in kms  0.010 km
(viii). Nearest Electric transmission line pole or tower distance in kms  0.060 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  0.100 km
(x). Nearest In-take for drinking water pump house distance in kms  0.4 km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  3 km
3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
No area protected under international conventions, national or local legislation for their ecological, landscape, cultural or other related value is located in the close vicinity.
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests No such areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests are located in the close vicinity.
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration No protected or important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration are located in the close vicinity.
6. Inland, coastal, marine or underground waters No Inland, coastal, marine or underground waters are located nearby.
7. State, National boundaries No State, National boundaries crosses nearby. Jharkhand and Odisha state boundary at 17.50 km distance.
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas No such routes or facilities used by the public for access to recreation or other tourist, pilgrim areas are situated in the close vicinity.
9. Defence installations No such installations are situated in nearby area.
10. Densely populated or built-up area, distance from nearest human habitation Not in the vicinity.
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Schools, hospitals, temples are absent within 200m distance.
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) No such areas containing important, high quality or scarce are located.
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) No such area is located.
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 such are which is susceptible to natural hazard are located.
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/10516/2017
File NumberDIA/CG/MIN/10516/2017
Date of Apply EC04 Nov 2017
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)ChhattisgarhJashpurPathalgaon
(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.)Annexure Form 104 Nov 2017
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameCHANDRAKANT SINGH AMATOLI BRICK EARTH MINE
DesignationProponent
Company CHANDRAKANT SINGH AMATOLI BRICK EARTH MINE
AddressVillage-Amatoli,Tehsil-Pathalgaon,District-Jashpur,C.G.
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