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 Dhansuli Limestone, Area - 1.98 Ha. Lessee - Sai Ram Enterprises, C/o Santosh Sharma, Raipur
(ii).Location / site (GPS Co-ordinate) Latitude 21°24'46.4" Longitude 81°50'49.2"
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)1.98 ha.
(iv).Capacity of the Mining Lease (TPA) 100000
(v).Period of Mining Lease 10
(vi).Expected cost of the Project 160
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.32 
Name of Consultant/RQPArun Swami
Address Plot no.-104, Ocean Block, Natura Apartment, Dal Dal Seoni, Raipur
Mobile No.9981082078
Landline No.410551
Email Idarunswami@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.  0.924 km
2. (ii). Nearest Infrastructural along with distance in kms  0.250 km
(iii). Nearest Railway Line along with distance in kms  30 km
(iv). Nearest National Highway along with distance in kms  22 km
(v). Nearest State Highway along with distance in kms  1.7 km
(vi). Nearest Major District Road along with distance in kms 1.7 km
(vii). Nearest Any Other Road along with distance in kms  0.030 km
(viii). Nearest Electric transmission line pole or tower distance in kms  660 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  1.3 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  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 nearby areas within radius of 10 Km from the subject area which are important or sensitive for ecological reasons – Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests.
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration No nearby areas within radius of 10 Km from the subject areaprotected important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration.
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 No State, National boundaries in nearby within radius of 10 Km 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 141kms from the quarry site at Amakantak for visit to Amakantak.
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 Dhansuli village and it is about 500m 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 Bangoli village at 2.5 Km, school, places of worship, community facilitiesis near Dhansuli Village is about 500 m.
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 30m and maximum depth of water table is about 40m based on the observation from nearby tube wells and water bodies. The maximum working depth will be about 6 m from the below ground level. The groundwater resources will be not affected due to mining. Surface resources: The nearest nala is about 924 m distance from the quarry lease area on north-west side a
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) The ten or fifteen mine running in this region, 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/3514/2016
File NumberEC/RAIPUR/QL/89
Date of Apply EC28 Dec 2016
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)ChhattisgarhRaipurTilda
(2.)ChhattisgarhRaipurTilda
(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 1M28 Dec 2016
(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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