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 Shri Sanjay Makkad (Amalgamation Plan) Village - Ranijaroud, Tehsil - Simga, District-Baloda Bazar - Bhata Para (C.G.)
(ii).Location / site (GPS Co-ordinate) Latitude 21 38' 04.46’’ to 21 38' 09.43’’ Longitude 81 58' 33.95’’ to 81 58' 49.05’’
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)2.0214 ha.
(iv).Capacity of the Mining Lease (TPA) 6473
(v).Period of Mining Lease 10
(vi).Expected cost of the Project 45.94
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.11/2015 
Name of Consultant/RQPD N SATYANARAYANA
Address H.NO. 2, STREET NO. 4, NEAR KANTI DARSHAN COLLEGE, KOSA NAGAR, DIXIT COLONY, BHILAI (C.G.)
Mobile No.9407734020
Landline No.4038712
Email Iddnsa2004@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.  12.00 km
2. (ii). Nearest Infrastructural along with distance in kms  0.25 km
(iii). Nearest Railway Line along with distance in kms  12.00 km
(iv). Nearest National Highway along with distance in kms  36.00 km
(v). Nearest State Highway along with distance in kms  12.00 km
(vi). Nearest Major District Road along with distance in kms 30.00 km
(vii). Nearest Any Other Road along with distance in kms  2.50 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  2.50 km
(x). Nearest In-take for drinking water pump house distance in kms  0.25 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
 No such area exists near the mining site
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests No such area exists near the mining site
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration No such area exists near the mining site
6. Inland, coastal, marine or underground waters No such area exists near the mining site
7. State, National boundaries Odisha State boundary is near Murmuri within distance of 140 Km in towards South East direction from the quarry lease area.
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas Suhela - 2.50 Km.
9. Defence installations None
10. Densely populated or built-up area, distance from nearest human habitation Ranijaroud 1.0 Km. Suhela 2.50 Km.
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Hospital At Village Suhaila 2.5 Km. School At Village Ranijaroud 1.0 Km. Temple At Village Ranijaroud 1.0 Km. Gram Panchayat At Village Ranijaroud 1.0 Km.
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) Groundwater Resources: The minimum depth of water table is about 30 m based on the observation from nearby tube wells and water bodies. The minimum depth of working will be above the ground level. The groundwater resources will be not affected due to mining. Surface resources: The nearest nala is near about 3.50 Km. distance. Forestry, Agriculture, Fisheries, Tourism, minerals: Historical Place Makdu Dweep Island is 30.0 Km in North Direction. No Ecological Sensitive Areas (National Park,
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) The 15-20 mines running in this region together connecting with each other with an intermediate distance interval, Quarrying of these area carried under the concerning authority of Pollution Control Board Raipur.
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 Applicable
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/7173/2017
File NumberBBD/36/2017
Date of Apply EC23 Jun 2017
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)ChhattisgarhBalodabazarNo 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)
NameMINETECH CONSULTANCY SERVICES
DesignationCONSULTING TECHNO-GEOLOGIST
Company MINETECH CONSULTANCY SERVICES
AddressHOUSE NO. 255, POLSAY PARA, SHYAM NAGAR
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