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 Ordinary Sand Mine Of Gram Panchayat Raunakapa
(ii).Location / site (GPS Co-ordinate) 22° 3'18.00"N 81°56'29.92"E 22° 3'18.46"N 81°56'30.61"E 22° 3'11.34"N 81°56'34.00"E 22° 2'55.45"N 81°56'26.26"E 22° 2'48.75"N 81°56'33.00"E 22° 2'47.99"N 81°56'32.86"E 22° 2'55.32"N
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)4.0 ha.
(iv).Capacity of the Mining Lease (TPA) 79200
(v).Period of Mining Lease 5
(vi).Expected cost of the Project 1
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?No
Reason for not hiring the Consultant/RQP DUE To B2 Category
(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.  0.80 km
2. (ii). Nearest Infrastructural along with distance in kms  15.00 km
(iii). Nearest Railway Line along with distance in kms  55.00 km
(iv). Nearest National Highway along with distance in kms  40.00 km
(v). Nearest State Highway along with distance in kms  15.00 km
(vi). Nearest Major District Road along with distance in kms 15.00 km
(vii). Nearest Any Other Road along with distance in kms  0.50 km
(viii). Nearest Electric transmission line pole or tower distance in kms  8.00 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  0.30 km
(x). Nearest In-take for drinking water pump house distance in kms  15.00 km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  0.00 km
3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
35.00 km
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests 80.00 Km (Reserve forest )
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration 80.00 Km ( Reserve Forest )
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 80.00 Km ( Reserve Forest )
9. Defence installations 30 Km (CRPF Camp
10. Densely populated or built-up area, distance from nearest human habitation 15.00 km
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) 15.00 Km
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) 80 km ( Reserve Forest )
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) 50 KM ( NTPC)
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) 80 km ( khuriiya Dam )
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/5172/2017
File NumberDEIAA 033/2016-17
Date of Apply EC06 Mar 2017
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)ChhattisgarhMungeliNo 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
NIL
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameGRAM PANCHAYAT RAUNAKAPA
DesignationSecretary
Company GRAM PANCHAYAT RAUNAKAPA
Addressgram Panchayat Raunakapa Village - Lata
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