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 Pandri Ordinary Stone MIne (ii). Location / site (GPS Co-ordinate) 23°49'47.57"N 83°02'33.46"E 23°49'50.34"N 83°02'33.22"E 23°49'49.12"N 83°02'26.98"E 23°49'47.40"N 83°02'26.03"E 23°49'47.67"N 83°02'20.99"E 23°49'46.79"N 83°02'20.84"E 23°49'46.32"N Annexure-GPS file       (iii). Type of Lease Indivisual Area Size of the Mining Lease (in ha.) 3.69 ha. (iv). Capacity of the Mining Lease (TPA) 14747.16 (v). Period of Mining Lease 30 (vi). Expected cost of the Project 20 (vii). Have you hired Consultant/Registered Qualified Person(RQP) for preparing document? No Reason for not hiring the Consultant/RQP DUE TO B2 CATEGORY (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.  0.380 km 2. (ii). Nearest Infrastructural along with distance in kms  0.500 km (iii). Nearest Railway Line along with distance in kms  51.80 km (iv). Nearest National Highway along with distance in kms  58.70 km (v). Nearest State Highway along with distance in kms  13.50 km (vi). Nearest Major District Road along with distance in kms  16.80 km (vii). Nearest Any Other Road along with distance in kms  0.385 km (viii). Nearest Electric transmission line pole or tower distance in kms  0.500 km (ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  0.145 km (x). Nearest In-take for drinking water pump house distance in kms  0.500 km (xi). Nearest In-take for Irrigation canal pumps distance in kms  2.45 km 3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value No such record found or no such sensitive areas are located within study area. 4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests No such record found or no such sensitive species are located within study area. 5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration No such record found or no such sensitive areas are located within study area. 6. Inland, coastal, marine or underground waters No such sensitive areas are located within study area except- - River -10 km (Moran river at South) - Reservior - 2.85km - Groung Water table is 25 meter deep and proposed depth of mining is 6 meter deep, hence no impact on water table is expected. 7. State, National boundaries There is no national boundary close within 05 km aerial distance from project location. However Chhattisgarh-U.P. State boundary lies at 5.00 km at north from lease area. 8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas No route or facilities are available in the study area, which are being used for public access to recreation or other tourist, pilgrim. 9. Defence installations The area is not located close to any of the defense installations moreover the such defense area is not situated with in study area. 10. Densely populated or built-up area, distance from nearest human habitation - Densely populated or have built-up area - Pandri at 800 m. North - East. - Distance from nearest human habitation- 500 m 11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) At Pandri at 800 m. 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 around the study area or mine area except- Ground Water resources: - Groung Water table is 25 meter deep and proposed depth of mining is 6 meter deep, hence no impact on water table is expected. Surface Water resources: No important surface water resources are located within mines or around the mine area except river, nalla or reservoir as stated in point number 2 and 6 above. 13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) No such record found or no such sensitive areas are located within study 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) No such record found or no such sensitive areas are located within study 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/Modernization New Proposal Number DIA/CG/MIN/3141/2016 File Number DIA/BL/19/2016 FORWARDED TO DEAC Date of Apply EC 03 Dec 2016

Details of State of the project
S.No.	State Name	District Name	Tehsil Name
(1.)	Chhattisgarh	Balrampur	ramanujganj

(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.) RISK 03 Dec 2016 (2.) EMP 03 Dec 2016

(IV)	Undertaking
	The aforesaid application and documents furnished here with are true to my knowledge.

(IV).(i)

Name JAI PRAKASH JAISWAL Designation Private Individual Company JAI PRAKASH JAISWAL Address S/o. Shri Amarnath Jaiswal