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 Flag Stone Quarry of Shri Devanand Chandrakar
(ii).Location / site (GPS Co-ordinate) A 21°11'03.93"N 82°01'16.91"E B 21°11'03.82"N 82°01'18.03"E C 21°11'06.03"N 82°01'18.42"E D 21°11'06.15"N 82°01'17.29"E
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)0.25 ha.
(iv).Capacity of the Mining Lease (TPA) 2015.58
(v).Period of Mining Lease 5
(vi).Expected cost of the Project 16
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?No
Reason for not hiring the Consultant/RQP .
(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.  3.5 km
2. (ii). Nearest Infrastructural along with distance in kms  1 km
(iii). Nearest Railway Line along with distance in kms  3.5 km
(iv). Nearest National Highway along with distance in kms  2 km
(v). Nearest State Highway along with distance in kms  5 km
(vi). Nearest Major District Road along with distance in kms 1.4 km
(vii). Nearest Any Other Road along with distance in kms  0.25 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 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
There is no any international conventions, 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 The nearest river is Mahanadi that is about 260 m.
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration No.
6. Inland, coastal, marine or underground waters Ground water is available with the depth of 200 ft (approx).
7. State, National boundaries There is no any State, National boundaries present within 10 Km radius.
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas Local Village road is available that is about 250 m which can be used for recreation.
9. Defence installations Nil.
10. Densely populated or built-up area, distance from nearest human habitation The nearest populated area is Barbaspur Village that is about to 1 Km.
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) The nearest populated area is Barbaspur Village that is about to 1 Km.
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) There is no any such type of resources are present.
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) Nil.
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) Not present nearby the Quarry lease area.
15.
Is proposed mining site located over or near fissure/fracture for ground water recharge?Yes
DetailsDATA NOT AVAILABLE
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/4205/2017
File Number111/EC/MSD/2016
Date of Apply EC01 Feb 2017
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)ChhattisgarhMahasamundMahasamund
(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.)APPROVAL LETTER21 Jan 2017
(2.)APPROVAL LETTER01 Feb 2017
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameFLAG STONE QUARRY OF SHRI DEVANAND CHANDRAKAR
DesignationOWNER
Company FLAG STONE QUARRY OF SHRI DEVANAND CHANDRAKAR
AddressSHRI DEVANAND CHANDRAKAR
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