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 Shankar Pinjani Berlakala Clay Mine
(ii).Location / site (GPS Co-ordinate) Latitude 21 20 12.88 N to 21 20 19.37 N Longitude 81 34 13.06 E to 81 34 23.6 E
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)3.03 ha.
(iv).Capacity of the Mining Lease (TPA) 5500000
(v).Period of Mining Lease 10
(vi).Expected cost of the Project 35
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.08 
Name of Consultant/RQPAmit Kumar Kashyap
Address Village & Post Selud Tehsil Patan and District Durg Chhattisgarh 491107
Mobile No.8878437678
Landline No.07888878
Email Idakashyap250@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.  2.26 km
2. (ii). Nearest Infrastructural along with distance in kms  0.37 km
(iii). Nearest Railway Line along with distance in kms  9.0 km
(iv). Nearest National Highway along with distance in kms  7.3 km
(v). Nearest State Highway along with distance in kms  12.2 km
(vi). Nearest Major District Road along with distance in kms 7.3 km
(vii). Nearest Any Other Road along with distance in kms  0.025 km
(viii). Nearest Electric transmission line pole or tower distance in kms  0.47 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  1.08 km
(x). Nearest In-take for drinking water pump house distance in kms  0.37 km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  0.52 km
3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
None within the radius of 10 km
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests River Kharun lies at a distance of about 0.22 km (220 meter) Seasonal Nala – 0.2 km (200 meter)
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration None within the radius of 10 km
6. Inland, coastal, marine or underground waters None within the radius of 10 km
7. State, National boundaries No State and National boundary lie within the radius of 10 km
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas None within the radius of 10 km
9. Defence installations None within the radius of 10 km
10. Densely populated or built-up area, distance from nearest human habitation Raipur lies at a distance of about 9.0 Km.
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) School lies at a distance of about 0.43 km (430 meter) at Berlakala and hospital (Primary Medical) lies at a distance of about 0.41 km at Berlakala.
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) None within the radius of 10 km
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/CG/MIN/12057/2018
File Number44
Date of Apply EC02 Jan 2018
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)ChhattisgarhBemetaraBerla
(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.)FORM 1M02 Jan 2018
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameSHANKAR PINJANI
DesignationINDIVIDUAL
Company SHANKAR PINJANI
AddressVILLAGE BERLAKALA TEHSIL BERLA DISTRICT BEMETARA CHHATTISGARH
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