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 Urughutu - Jambani Stone Mine
(ii).Location / site (GPS Co-ordinate) 22 36' 49.01" to 86 05' 59.92"
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)1.517 ha.
(iv).Capacity of the Mining Lease (TPA) 50000
(v).Period of Mining Lease 10
(vi).Expected cost of the Project 19330
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?No
Reason for not hiring the Consultant/RQP B2 category has no need
(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.  2 km
2. (ii). Nearest Infrastructural along with distance in kms  8 km
(iii). Nearest Railway Line along with distance in kms  8 km
(iv). Nearest National Highway along with distance in kms  25 km
(v). Nearest State Highway along with distance in kms  2 km
(vi). Nearest Major District Road along with distance in kms 9 km
(vii). Nearest Any Other Road along with distance in kms  1 km
(viii). Nearest Electric transmission line pole or tower distance in kms  0.5 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  0.5 km
(x). Nearest In-take for drinking water pump house distance in kms  0.5 km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  0.5 km
3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
 No any area is protected for this ML site.
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests The lease hold area is devoid of any important or sensitive areas. The nearest water body is Bhangbanga River.
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration The lease hold area is devoid of any flora and fauna rich area is mentioned below: Tiring PF about 7.00 km towards SW direction.
6. Inland, coastal, marine or underground waters Bhangbanga river about 4.5 km
7. State, National boundaries No any state boundary is present within 10 kms
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas The Jamshedpur Chaibasa road (SH-6) is crossing on the Northern side at a distance of about 2 km from the lease area.The nearest Railway station is Haldipokhar which is located at a distance of about 08 kmon the eastern side from lease area.
9. Defence installations There is no defence installation near the area
10. Densely populated or built-up area, distance from nearest human habitation Haldipokhar 0.8 km
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Primary health centre-Govindpur-4.0 km,Primary school-Urughutu-1 km,Mandir-Jambani-1 km
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) This area does not contain any important high quality or scarce resources
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) This area is not subjected to pollution or environmental damage
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 high risk factors
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/JH/MIN/11461/2017
File NumberFILE NO.-XIV-02/17-18 MEMO NO.-105/DEIAA DATED-
Date of Apply EC01 Dec 2017
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)JharkhandSeraikela KharsawanKharsawan
(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.)Form 1M01 Dec 2017
(2.)EMS01 Dec 2017
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameSAFE ENVIRONMENT
DesignationProponent
Company SAFE ENVIRONMENT
Address31-Tulsi Bhawan Bistupur, Jamshedpur
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