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 Padramtola Quartz Quarry M/s SHREE MINERALS Prop.- Kamlesh Kumar Singh
(ii).Location / site (GPS Co-ordinate) latitude of 20 58’ 21.8”N to 20 58’ 26.6” N & longitude 80 35’ 45.2”E to 80 36’ 00.6” E
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)5.0 ha.
(iv).Capacity of the Mining Lease (TPA) 12985
(v).Period of Mining Lease 50
(vi).Expected cost of the Project 50
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.RQP/DGMCG/26/2015 
Name of Consultant/RQPDr. Manoj Kumar
Address House No.-150, Ward No.-13, Nandini Nagar, District- Durg (C.G.) Pin-490036
Mobile No.9827968279
Landline No.4015510
Email Idgeomanojkumar@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.  28 km
2. (ii). Nearest Infrastructural along with distance in kms  0.250 km
(iii). Nearest Railway Line along with distance in kms  28 km
(iv). Nearest National Highway along with distance in kms  12 km
(v). Nearest State Highway along with distance in kms  0.800 km
(vi). Nearest Major District Road along with distance in kms 0.800 km
(vii). Nearest Any Other Road along with distance in kms  0.050 km
(viii). Nearest Electric transmission line pole or tower distance in kms  1 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  0.120 km
(x). Nearest In-take for drinking water pump house distance in kms  0.250 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 Chhuriya Reserve Forest is about 550 m from the subject area.
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration Chhuriya Reserve Forest is about 550 m from the subject area.
6. Inland, coastal, marine or underground waters No nearby areas within radius of 10 Km from the subject area Inland, coastal, marine or underground waters.
7. State, National boundaries State boundaries is about 8 km, near Murmadi village (M.H.) from the subject area.
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas Such Routes of facilities used by the public for access to recreation or other tourist, pilgrim areas is about 28 km from the quarry site at Dongargarh for visit to Maa Bamleshwari Temple.
9. Defence installations No such installation within 10 Km radius of subject area.
10. Densely populated or built-up area, distance from nearest human habitation Densely populated or built-up land is Padramtoala village and it is about 250m from the quarry area.
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) The primary health center is near Padramtola village at 250m, school, places of worship, community facilities is near Padramtola Village is about 250m.
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) The Areas containing important, high quality or scarce resources such as : Groundwater Resources:The minimum depth of water table is about 25m to 35m as per based the Groundwater brochure of Rajnandgaon district 2012-13 by CGWB. The minimum depth of working will be 6m and maximum working depth will be about 25m to 30m from the below ground level.The groundwater resources will be not affected due to mining. Surface resources: The nearest nala is about 80 m distance from the quarrying lease are
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) The ten or fifteen mine running in thisregion, when the quarrying operation will commence some amount of dust due to movement of trucks / tipper, loading & unloading of ore will be generated. This can be lessened by sprinkling water wherever necessary such as haulage roads, dumping yards etc., since the mines are of small scale and no anticipated danger to air quality, because the pollution is within permissible limit and to minimize this pollution, the green belt will be created all around the
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) The entire subject district never affected by such susceptible to natural hazard.
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/14956/2018
File Number185/EC/RJN/2018
Date of Apply EC05 May 2018
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)ChhattisgarhRajnandgaonRajnandgaon
(2.)ChhattisgarhRajnandgaonRajnandgaon
(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 1M05 May 2018
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameMANOJ KUMAR PRASAD
DesignationGeologist
Company MANOJ KUMAR PRASAD
AddressHouse no.-150, Ward no.-13, Nandini Nagar, Durg, Chhattisgarh
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