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 Sugipahari Stone Mine
(ii).Location / site (GPS Co-ordinate) N 24°17’32.45’’ TO N 24°17’36.16’’ E 86°58’49.56’’ TO 86°58'56.88"E
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)1.416 ha.
(iv).Capacity of the Mining Lease (TPA) 38744.33
(v).Period of Mining Lease 5
(vi).Expected cost of the Project 26.25
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.162/2013/A 
Name of Consultant/RQPDr. Anal Kumar Sinha
Address Chanchala Smriti, Puran Vihar, Near Argora Bye- Pass Road Ranchi- 834002
Mobile No.7762923277
Landline No.77629232
Email Idsinha.anal@rediffmail.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.  11 km
2. (ii). Nearest Infrastructural along with distance in kms  0.5 km
(iii). Nearest Railway Line along with distance in kms  11 km
(iv). Nearest National Highway along with distance in kms  12 km
(v). Nearest State Highway along with distance in kms  28 km
(vi). Nearest Major District Road along with distance in kms 28 km
(vii). Nearest Any Other Road along with distance in kms  0.60 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
 None. Beyond 15 km distance. There is no Area which is protected under international conventions, national or local legislation for their ecological, landscape, cultural or other related value.
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests None. Beyond 15 km distance. There is no such area which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests.
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration None. Beyond 15 Km distance. There is no such area which is used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration.
6. Inland, coastal, marine or underground waters None. There is no Inland, coastal, marine or underground waters in 15 Km radius
7. State, National boundaries None. There is no State, National boundaries in 5 Km radius area
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas NH -114A is at 12 km distance in NE
9. Defence installations No Defence installation in 15 Km radius
10. Densely populated or built-up area, distance from nearest human habitation Madhupur is at the distance of 34 km West
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Primary School, Sugipahari- Approx 600 m, NE Madhupur College, Madhupur- Approx 34.0 km W Primary Health Centre, Palojori- Approx 7.0 km SE
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) None. No such high quality or scarce resources present in the lease area.
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) None. There is no such area within 10 km radius of the lease.
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) The site comes under seismic zone III according to Indian Standard Seismic Zone. The area is under safe seismic zone.
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/13246/2018
File NumberTo be assigned
Date of Apply EC26 Feb 2018
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)JharkhandDeogharPalojori
(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.)Documents26 Feb 2018
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameSUGIPAHARI STONE MINE
DesignationPartner
Company SUGIPAHARI STONE MINE
AddressSri Viveka Nand Ray, S/o Sri Manohar Prasad Ray, Vill- Bargunia, P.O- Madhupur, P.S.- Devipur, District- Deoghar, State- Jharkhand
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