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 Tilda Sand Mine
(ii).Location / site (GPS Co-ordinate) 21°39'18.45"N 82°24'9.33"E 21°39'17.68"N 82°24'13.89"E 21°39'13.01"N 82°24'12.35"E 21°39'13.76"N 82°24'7.80"E
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)2.02 ha.
(iv).Capacity of the Mining Lease (TPA) 71527.5
(v).Period of Mining Lease 10
(vi).Expected cost of the Project 0.95
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?No
Reason for not hiring the Consultant/RQP Due to Category of B2 Project
(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.  1.66 km
2. (ii). Nearest Infrastructural along with distance in kms  0.550 km
(iii). Nearest Railway Line along with distance in kms  32.60 km
(iv). Nearest National Highway along with distance in kms  30.75 km
(v). Nearest State Highway along with distance in kms  1.66 km
(vi). Nearest Major District Road along with distance in kms 4.35 km
(vii). Nearest Any Other Road along with distance in kms  0.200 km
(viii). Nearest Electric transmission line pole or tower distance in kms  0.550 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  0.755 km
(x). Nearest In-take for drinking water pump house distance in kms  0.550 km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  1.45 km
3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
 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 sensitive areas 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 study recods found for such sensitive species for study area.
6. Inland, coastal, marine or underground waters The project site is in riverbed which has surface water flow; however, the project will not be operational at the asked level.
7. State, National boundaries There is no state or, national boundary close within 05 km aerial distance from project location.
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 - Kasdol(2.80km) - Distance from nearest human habitation- village Tilda (550 m.)
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) At Kasdol – 2.80 km distance
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) None - around study area
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) None - around 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) The area is safe with natural hazardous except flood prone area. However, the project is non-functional in such cases.
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/4145/2017
File NumberBBD/20/2017
Date of Apply EC19 Jan 2017
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)ChhattisgarhBalodabazarNo 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
(1.)EMP18 Jan 2017
(2.)Risk Assessment 218 Jan 2017
(3.)Risk Assessment 119 Jan 2017
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameTILDA
DesignationCheifExecutiveOfficer
Company TILDA
AddressJanpat Panchayat Balodabazar, Village- Balodabazar, Tehsil- Balodabazar
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