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 Majhauli Ordinary Stone Quarry
(ii).Location / site (GPS Co-ordinate) A 82°22'37.60"E 23° 7'1.33"N B 82°22'40.51"E 23° 7'2.41"N C 82°22'42.74"E 23° 7'2.45"N D 82°22'42.29"E 23° 6'59.35"N E 82°22'38.52"E 23° 6'59.67"N
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)1.02 ha.
(iv).Capacity of the Mining Lease (TPA) 5224
(v).Period of Mining Lease 30
(vi).Expected cost of the Project 10
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.51/2015 
Name of Consultant/RQPSantosh Kumar
Address Bhilai, Chhattisgarh
Mobile No.9098142833
Landline No.000000
Email Idsan06nov@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.  8.0 km
2. (ii). Nearest Infrastructural along with distance in kms  1.0 km
(iii). Nearest Railway Line along with distance in kms  8.0 km
(iv). Nearest National Highway along with distance in kms  35 km
(v). Nearest State Highway along with distance in kms  0.4 km
(vi). Nearest Major District Road along with distance in kms 0.4 km
(vii). Nearest Any Other Road along with distance in kms  0.5 km
(viii). Nearest Electric transmission line pole or tower distance in kms  0.1 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  2.8 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 20km
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 Densely populated or have built-up area - Khadgawan at 2.00 km. Distance from nearest human habitation- 1.00km.
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) At Khadgawan 1.00 km distance
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/ModernizationNew
Proposal NumberDIA/CG/MIN/16017/2018
File NumberDEAC 3
Date of Apply EC26 Jun 2018
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)ChhattisgarhKoriyaNo Data
(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)
NameSHREE SAI GEOCONSULTANTS
DesignationRQP
Company SHREE SAI GEOCONSULTANTS
AddressSector 2, Bhilai, Chhattisgarh
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