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 KEWATINTOLA ORDINARY STONE QUARRY
(ii).Location / site (GPS Co-ordinate) A 20° 20' 21.71"N 81° 18' 06.10"E B 20° 20' 21.79"N 81° 18' 12.04"E C 20° 20' 18.23"N 81° 18' 11.89"E D 20° 20' 17.74"N 81° 18' 10.56"E E 20° 20' 19.03"N 81° 18' 05.95"E
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)1.62 ha.
(iv).Capacity of the Mining Lease (TPA) 27405
(v).Period of Mining Lease 10
(vi).Expected cost of the Project 0.00
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?No
Reason for not hiring the Consultant/RQP NOT RQUIRED
(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.  4.0 km
2. (ii). Nearest Infrastructural along with distance in kms  0.500 km
(iii). Nearest Railway Line along with distance in kms  35.00 km
(iv). Nearest National Highway along with distance in kms  20.0 km
(v). Nearest State Highway along with distance in kms  3.00 km
(vi). Nearest Major District Road along with distance in kms 2.00 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  0.500 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  0.300 km
(x). Nearest In-take for drinking water pump house distance in kms  0.00 km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  4.00 km
3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
There is no such area nearby which is protected under 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 There is no such area nearby which are important or sensitive for ecological reason – wetlands, watercourses or other water bodies, coastal zone, biospheres, mountain, forests
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration No such area is nearby which is used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting over, wintering, migration
6. Inland, coastal, marine or underground waters No such Inland, coastal, marine or underground water resource is not in nearby which will be effected
7. State, National boundaries No any state and national boundary exist nearby
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas No such Routes or facilities used by the public for access to recreation or other tourist, pilgrim areas is nearby.
9. Defence installations No, such defense installation is nearby.
10. Densely populated or built-up area, distance from nearest human habitation Nearest village is Kewatintola 500m
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) School in Kewatintola at 500m and Hospital in Korar at 5km
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) No such area is nearby which is containing important, high quality or scarce resources (ground water resources, surface resources, forestry, agriculture, fisheries, tourism, minerals)
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) No such area is nearby which is already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded)
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 area exist which is susceptible to nature hazard which could cause the project to present environmental problems (earthquakes, subsidence, landslide, erosion, flooding or extreme or adverse climate conditions)
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/5117/2017
File NumberEC/KNK/STONE/07
Date of Apply EC02 Mar 2017
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)ChhattisgarhKankerKanker
(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
NIL
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameRAMESH PANJWANI
DesignationOWNER
Company RAMESH PANJWANI
AddressNEAR MENONIGHT SCHOOL RATNABANDHA ROAD DHAMTARI DISTRICT DHAMTARI
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