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 Kosamdih Limestone (Low Grade) Quarry (ii). Location / site (GPS Co-ordinate) A 82°17'19.92"E 21°59'56.82"N B 82°17'21.66"E 21°59'56.94"N C 82°17'24.99"E 21°59'54.71"N D 82°17'24.51"E 21°59'53.75"N E 82°17'27.33"E 21°59'51.54"N F 82°17'27.12"E 21°59'51.19"N G 82°17'24.80" Annexure-GPS file       (iii). Type of Lease Indivisual Area Size of the Mining Lease (in ha.) 1.656 ha. (iv). Capacity of the Mining Lease (TPA) 19500 (v). Period of Mining Lease 30 (vi). Expected cost of the Project 15 (vii). Have you hired Consultant/Registered Qualified Person(RQP) for preparing document? Yes Accreditation No. 51/2015  Name of Consultant/RQP Santosh Kumar Address Bhilai Chhattisgarh Mobile No. 9098142833 Landline No. 000000 Email Id san06nov@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.  4.0 km 2. (ii). Nearest Infrastructural along with distance in kms  1.5 km (iii). Nearest Railway Line along with distance in kms  4.0 km (iv). Nearest National Highway along with distance in kms  3.0 km (v). Nearest State Highway along with distance in kms  1.0 km (vi). Nearest Major District Road along with distance in kms  3.0 km (vii). Nearest Any Other Road along with distance in kms  0.06 km (viii). Nearest Electric transmission line pole or tower distance in kms  0.3 km (ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  1.5 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 No nearby areas within radius of 10 Km from the subject area protected under international convention, 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 No such areas are located within 10 km aerial distance from the lease area. 5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration No such area is located within 10 km aerial distance from the lease area. 6. Inland, coastal, marine or underground waters Areas like Inland, coastal, marine are not present within the 5km radius of the mine area. 7. State, National boundaries More than 50km 8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas Local peoples celebrate festivals in villages, which are connected by tar roads 9. Defence installations The area is not located close to any of the defense installation. 10. Densely populated or built-up area, distance from nearest human habitation Kosamdih is a small thinly populated village, Which is present at a distance of about 500m in eastern side of the lease area. 11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) The primary health center is near Kosamdih village at 500m, school, places of worship, community facilities) is near Kosamdih Village is about 900 m. 12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) No such important areas are located within the lease area except ground water resources. 13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) Negligible, because this is small quarry 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/Modernization New Proposal Number DIA/CG/MIN/12422/2018 File Number DEIAA/12422/2018 Date of Apply EC 21 Jan 2018

Details of State of the project
S.No.	State Name	District Name	Tehsil Name
(1.)	Chhattisgarh	Bilaspur	Masturi

(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 SHREE SAI GEOCONSULTANTS Designation RQP Company SHREE SAI GEOCONSULTANTS Address Sector 2, Bhilai, Chhattisgarh