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 Yashwant Kumar Nishtoory Ordinary Stone Quarry Murdanda
(ii).Location / site (GPS Co-ordinate) Latitude 18° 34' 46.3068" N to 18° 34' 51.9010" N & Longitude 80° 46' 54.7208" E to80° 47' 01.9218" E.
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)2.023 ha.
(iv).Capacity of the Mining Lease (TPA) 10680
(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.81/2016 
Name of Consultant/RQPLikesh Kumar Nayak
Address Village Kumhali, PO Amaguda, Tehsil Jagdalpur, District Bastar, C.G.
Mobile No.8085273922
Landline No.224146
Email Idlikesh.nayak@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.  1.5 km
2. (ii). Nearest Infrastructural along with distance in kms  0.10 km
(iii). Nearest Railway Line along with distance in kms  70 km
(iv). Nearest National Highway along with distance in kms  20.67 km
(v). Nearest State Highway along with distance in kms  20 km
(vi). Nearest Major District Road along with distance in kms 0.12 km
(vii). Nearest Any Other Road along with distance in kms  0.70 km
(viii). Nearest Electric transmission line pole or tower distance in kms  0.10 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  0.25 km
(x). Nearest In-take for drinking water pump house distance in kms  0.10 km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  10 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 Not such sensitive area are located within 10 km from the lease area.
6. Inland, coastal, marine or underground waters No such sensitive area are located around the mine area except Galind Dippa Vagu Nallah at 1.50 km
7. State, National boundaries There is no state or national boundary close within 10 km from the lease area. State Boundary of Telangana is about 18 km.
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas No routs or facilities available on the lease area which is used for recreation or other tourist, pilgrim area.
9. Defence installations The area is not located close to any of the Defence installations. Mardum is located about 107 km in aerial distance and Girola is about 167 km.
10. Densely populated or built-up area, distance from nearest human habitation Densely populated area - Awapalli at 0.80 km,
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Hospital at Awapalli - 1.00 km,
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) No such important area are located within the lease area except ground water resources.
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) None within 10 km
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, there is no any natural hazards which could cause environmental problems.
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/6225/2017
File NumberDIA/CG/MIN/6225/2017/BJ/01
Date of Apply EC24 Apr 2017
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)ChhattisgarhBijapurNo 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.)LOCATION MAP24 Apr 2017
(2.)GOOGLE MAP24 Apr 2017
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameYASHWANT KUMAR NISHTOORY ORDINARY STONE QUARRY MURDANDA
DesignationOwner
Company YASHWANT KUMAR NISHTOORY ORDINARY STONE QUARRY MURDANDA
AddressVillage Murdanda, Tehsil Usur,
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