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 Quarry Area-1.232 Ha. Lessee- Devji Bhai Patel
(ii).Location / site (GPS Co-ordinate) Latitude 21 24 55.6 Longitude - 81 51 01.9
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)1.232 ha.
(iv).Capacity of the Mining Lease (TPA) 12321
(v).Period of Mining Lease 10
(vi).Expected cost of the Project 50
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.32 
Name of Consultant/RQPMr. Arun Swami
Address Flat no.-104, Ocean Block, Natura Apartment, Daldal Seoni, Raipur
Mobile No.9981082078
Landline No.4015510
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.  6 km
2. (ii). Nearest Infrastructural along with distance in kms  0.500 km
(iii). Nearest Railway Line along with distance in kms  8 km
(iv). Nearest National Highway along with distance in kms  11 km
(v). Nearest State Highway along with distance in kms  6 km
(vi). Nearest Major District Road along with distance in kms 3 km
(vii). Nearest Any Other Road along with distance in kms  1.5 km
(viii). Nearest Electric transmission line pole or tower distance in kms  0.660 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  0.400 km
(x). Nearest In-take for drinking water pump house distance in kms  0.750 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 45 kms from the quarry site At VALLABHACHARYA BIRTH PLACE TE TEMPL Temple at visit to
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 NAKTA village and it is about 2.5 km 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 NAKTA village at 2.5 Km, school, places of worship, community facilitiesis near NAKTA Village is about 2.5 km.
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 25m and maximum depth of water table isabout 30m based on the observation from nearby tube wells and water bodies. The maximum working depth will be about 30 m from the below ground level. The groundwater resources will be not affected due to mining. Surface resources: The nearest nala is about 06 kms distance from the quarry lease area on north- west si
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
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/4620/2017
File NumberEC/RAIPUR/QL/152
Date of Apply EC12 Feb 2017
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 1M12 Feb 2017
(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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