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 JATADAH ORDINARY STONE (SANDSTONE) QUARRY Village – Jatadah, Tehsil - Dondilohara, District-Balod (C.G.)
(ii).Location / site (GPS Co-ordinate) Latitude 20 43’ 29.97” to 20 43’ 32.65” Longitude 81 03’ 59.15” to 81 04’ 05.06”
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)0.93 ha.
(iv).Capacity of the Mining Lease (TPA) 23547
(v).Period of Mining Lease 2
(vi).Expected cost of the Project 10.00
(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, 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.  10.00 km
2. (ii). Nearest Infrastructural along with distance in kms  0.12 km
(iii). Nearest Railway Line along with distance in kms  10.00 km
(iv). Nearest National Highway along with distance in kms  46.05 km
(v). Nearest State Highway along with distance in kms  0.66 km
(vi). Nearest Major District Road along with distance in kms 13.80 km
(vii). Nearest Any Other Road along with distance in kms  0.66 km
(viii). Nearest Electric transmission line pole or tower distance in kms  1.00 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  2.60 km
(x). Nearest In-take for drinking water pump house distance in kms  0.15 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 areas exist near the Temporary Quarry Permit site
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests No such areas exist near the Temporary Quarry Permit site
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration No such areas exist near the Temporary Quarry Permit site
6. Inland, coastal, marine or underground waters No such areas exist near the Temporary Quarry Permit site
7. State, National boundaries Maharastra State boundary within distance of 51.30 Km in towards West direction from the Temporary Quarry Permit area
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas Rajnandgaon to Dalli-Rajhara road is 0.660 Kms away towards North to NE direction Gunderdehi-Arjunda_Jatadah Road 50.0 Km. towards NE direction Balod Road 13.80 Km. towards East direction Pilgrim – Temple Ganga Maiya at Jhalmala is located 17.70 Km towards SE direction
9. Defence installations None
10. Densely populated or built-up area, distance from nearest human habitation Jatadah 2.60 Kms towards North direction Jharan Tola 2.96 Kms towards South direction Sahgaon 2.10 Km. towards East direction Pingal 2.00 Km. towards West direction Salhetola 1.90 Km towards SE direction
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Hospital At Dondilohara 7.50 Kms School At Jatadah 2.70 Kms Temple At Rajnandgaon to Dalli-Rajhara road 0.600 Kms Gram Panchayat At Jatadah 2.80 Kms
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 Jujhara nalah is 0.350 km. distance from the quarry permit lease area. Forestry, Agriculture, Fisheries, Tourism, minerals: All details are available in District Survey Report of Balod District.
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) The more than 02 mines running in this region separately without any connection with each other, when the quarrying operation is being commenced some mount 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 pol
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) Low probability of earthquake as the area falls in Seismic Zone II. No landslides or no adverse climatic conditions have been observed in the recent years
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/9064/2017
File NumberDEIAA_Balod_2017-18_001
Date of Apply EC16 Sep 2017
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)ChhattisgarhBalodDondi
(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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