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 Tetriya Stone Deposit for M/s Dadi Maa Stone Works (9.87 Acres)
(ii).Location / site (GPS Co-ordinate) Latitude From N25°02'38.00" To N25°02'49.92" Longitude From E87°42'04.40" To E87°42'14.78"
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)3.995 ha.
(iv).Capacity of the Mining Lease (TPA) 280956
(v).Period of Mining Lease 10
(vi).Expected cost of the Project 44
(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.  5.76 km
2. (ii). Nearest Infrastructural along with distance in kms  6.64 km
(iii). Nearest Railway Line along with distance in kms  3.67 km
(iv). Nearest National Highway along with distance in kms  8.17 km
(v). Nearest State Highway along with distance in kms  8.31 km
(vi). Nearest Major District Road along with distance in kms 23.44 km
(vii). Nearest Any Other Road along with distance in kms  1.88 km
(viii). Nearest Electric transmission line pole or tower distance in kms  1.83 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  8.82 km
(x). Nearest In-take for drinking water pump house distance in kms  9 km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  9 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 site 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 Local species like Lizard, Snakes are seen within the project site. Bushes of lantana and smooth brome grasses are there within the project site.
6. Inland, coastal, marine or underground waters No Inland, coastal or marine water body present within the 5 km buffer zone of the project site.
7. State, National boundaries Jharkhand – West Bengal State Border is present in Eastern direction, distance is around 9.37 Km.
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas No tourist or pilgrim area is situated within 500m surrounding the study area.
9. Defence installations No defense installation site is present within 500m surrounding the project site.
10. Densely populated or built-up area, distance from nearest human habitation At Teenpahar in South - Eastern direction and aerial distance is around 6.6 Km.
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Hospitals: Dispensary and local hospital facilities are available at Taljhari PHC which is near about 5.62 Km away from the site Schools: Local educational facilities up to primary are available at Teenpahar Bidalay 6.72 Km away from the site.
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 project site.
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-III, i.e. Moderate damages 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/12878/2018
File NumberFile no.-149/2018
Date of Apply EC10 May 2018
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)JharkhandSahibganjTaljhari
(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 1M07 Feb 2018
(2.)Documents07 Feb 2018
(3.)Form 1M10 May 2018
(4.)DOCUMENTS10 May 2018
(5.)RAYATEE AGREEMENT10 May 2018
(6.)KHATIYAN10 May 2018
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameSENS GEOMIN CONSULTANCY PRIVATE LIMITED
DesignationDIRECTOR
Company SENS GEOMIN CONSULTANCY PRIVATE LIMITED
AddressKALI MANDIR ROAD, NEAR PUJA TENT SERVICE, PO- DORANDA, RANCHI, JHARKHAND
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