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 Kulwai Stone Mine (2.00 Acres)
(ii).Location / site (GPS Co-ordinate) Latitude N23°32'17.50" TO N23°32'22.19" Longitude E85°10'22.10" TO E85°10'26.48"
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)0.81 ha.
(iv).Capacity of the Mining Lease (TPA) 7182
(v).Period of Mining Lease 10
(vi).Expected cost of the Project 16
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.010/87/A 
Name of Consultant/RQPP. K. SEN
Address RQP/CG-RNC/010/87/A, KALI MANDIR ROAD, PO- DORANDA, RANCHI, JHARKHAND - 834002
Mobile No.9431106275
Landline No.2481110
Email Idpksenranchi@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.  4.24 km
2. (ii). Nearest Infrastructural along with distance in kms  3 km
(iii). Nearest Railway Line along with distance in kms  19.22 km
(iv). Nearest National Highway along with distance in kms  11.47 km
(v). Nearest State Highway along with distance in kms  10.86 km
(vi). Nearest Major District Road along with distance in kms 23.11 km
(vii). Nearest Any Other Road along with distance in kms  0.9 km
(viii). Nearest Electric transmission line pole or tower distance in kms  3.51 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  12.53 km
(x). Nearest In-take for drinking water pump house distance in kms  13 km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  13 km
3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
 There is no such thing present within the 5 km buffer zone of the study area.
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 present within the 5 Km buffer zone of the study area.
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration There are no Schedule I flora and fauna present within the study area. Sometimes local species like Lizard, Rat, Street Dog, Snakes are seen. Bushes of lantana and smooth brome grasses are also seen there.
6. Inland, coastal, marine or underground waters No Inland, coastal or marine water body present within the 5 km buffer zone of the study area.
7. State, National boundaries Jharkhand – West Bengal state Border is present in South-Eastern direction, aerial distance is around 71.65 Km.
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas No routs area passing through the project site to recreation or other tourist, pilgrim areas.
9. Defence installations No defense installation site is present within 500m surrounding the study area.
10. Densely populated or built-up area, distance from nearest human habitation Berwar village in North-Eastern direction, aerial distance is around 900m.
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) 11 Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship, community facilities) Hospitals: At Ginjothakurgaon village in Southern direction, aerial distance is around 2.34 km. Schools: At Ginjothakurgaon, aerial distance is 2.5 Km.
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) Project site doesn’t contain any such important, high quality or scarce resources within the 5 Km buffer zone of the study area.
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) There is no such area present within the 5 Km buffer zone of the study area.
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) Area falls under Seismic Zone-II, i.e. moderate risk zone. Other natural hazard is not expected because of the location of the project.
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/12083/2018
File NumberDIA/JH/MIN/12083/2018/22
Date of Apply EC04 Jan 2018
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)JharkhandRanchiBurmu
(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 1M04 Jan 2018
(2.)Documents04 Jan 2018
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameJIBRA MUNDA
DesignationLESSEE
Company JIBRA MUNDA
AddressVILLAGE- KULWAI, PO- GINJOTHAKURGAON, PS- BURMU, RANCHI, JHARKHAND.
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