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 Baldidih Sand Mine
(ii).Location / site (GPS Co-ordinate) A21°17'39.73"N 82°39'24.43"E B21°17'39.49"N 82°39'26.68"E C21°17'31.41"N 82°39'25.30"E D21°17'21.67"N 82°39'16.45"E E21°17'23.42"N 82°39'14.10"E F21°17'28.77"N 82°39'19.89"E G21°17'34.16"N 82°39
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)5 ha.
(iv).Capacity of the Mining Lease (TPA) 50000
(v).Period of Mining Lease 2
(vi).Expected cost of the Project 4
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?No
Reason for not hiring the Consultant/RQP not required
(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.  .47 km
2. (ii). Nearest Infrastructural along with distance in kms  1.4 km
(iii). Nearest Railway Line along with distance in kms  55 km
(iv). Nearest National Highway along with distance in kms  0.8 km
(v). Nearest State Highway along with distance in kms  15 km
(vi). Nearest Major District Road along with distance in kms 1.5 km
(vii). Nearest Any Other Road along with distance in kms  1.20 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  2.5 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
Data not available regarding Area Protected under international conventions, national or local legislation for their ecological, landscape, cultural or other related value .
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Data not available regarding this.
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration Data is not available Regarding sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration.
6. Inland, coastal, marine or underground waters Area like Inland, coastal, marine are not present within the 5km radius of the lease area and Ground water table depth in lease area is approx 5 to 10 m.
7. State, National boundaries State boundary of Orisa is situated at about 15km from the lease area.
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas Routes or facilities used by the public for access to recreation or other tourist, pilgrim areas are not present
9. Defence installations Not nearby the area
10. Densely populated or built-up area, distance from nearest human habitation Baldidih is thinly populated village at the distance of 1.5 km from the lease area.
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Primary school in village Baldidih at the distance of 2 km. Hospital in village Sankara at the Distance of 1.4 km.
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) Details not available regarding this.
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) No notification available about pollution or environmental damage in this area.
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) earthquakes, subsidence, landslides, erosion, flooding or extreme or adverse climatic conditions are recorded near the lease area.
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/11404/2017
File Number143/EC/MSD/2017
Date of Apply EC29 Nov 2017
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)ChhattisgarhMahasamundMahasamund
(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)
NameGRAM PANCHAYAT BALDIDIH
DesignationSarpanch
Company GRAM PANCHAYAT BALDIDIH
AddressSarpanch Gram Panchayat Baldidih Tehsil Pithoura Distt Mahasamund
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