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 KHAIRIDIH STONE MINE
(ii).Location / site (GPS Co-ordinate) Latitude: N 24°21’20.53” TO N 24°21’32.68” Longitude: E 85°54’18.91” TO E 85°54’32.10”
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)2.124 ha.
(iv).Capacity of the Mining Lease (TPA) 40344.89
(v).Period of Mining Lease 10
(vi).Expected cost of the Project 35
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.RQP/RNC/162/2013/A 
Name of Consultant/RQPDr. ANAL KUMAR SINHA
Address CHANCHLA SMRITI, PURAN VIHAR, ARGORA BYPASS ROAD, RANCHI
Mobile No.7762923277
Landline No.2240894
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.  27 km
2. (ii). Nearest Infrastructural along with distance in kms  10 km
(iii). Nearest Railway Line along with distance in kms  27 km
(iv). Nearest National Highway along with distance in kms  46 km
(v). Nearest State Highway along with distance in kms  3 km
(vi). Nearest Major District Road along with distance in kms 3 km
(vii). Nearest Any Other Road along with distance in kms  5 km
(viii). Nearest Electric transmission line pole or tower distance in kms  9 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  5 km
(x). Nearest In-take for drinking water pump house distance in kms  5 km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  5 km
3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
There are no such areas which are protected within 5 km from the project site.
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests There are no such areas which are ecologically sensitive within 5 km from the project site.
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration There are no such areas which are protected or sensitive within 5 km from the project site.
6. Inland, coastal, marine or underground waters No Inland, coastal, Marine or Underground water source is located within 5 Km from the project site.
7. State, National boundaries There is no Interstate/ International boundary falling within 5 km from the project site.
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas No such routes area passing through the project site to recreation or other tourist, pilgrim areas.
9. Defence installations No defence installation within 5 km from the mine lease area.
10. Densely populated or built-up area, distance from nearest human habitation The nearest habitation is at Rajdhanwar which is at a distance of 10 km from the lease area.
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Hospital: The Primary Health Center as well as Referral Hospital is situated at Dhanwar (10Km) School: Primary and Middle Schools are situated at Madhopur village about 2 km distance from the area.
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) There are no such areas falling within 5 km from the project site which contains quality or scarce resources.
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) There are no areas already subjected to pollution within 5 km from 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) No. Although the Area is susceptible to Earthquake as the Project area falls in Zone-IV as Moderate Damage Risk Zone. But no natural hazard has caused any Environmental problems till date.
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/15392/2018
File Number3
Date of Apply EC24 May 2018
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)JharkhandGiridihDhanwar
(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.)Production Report24 May 2018
(2.)DFO Report24 May 2018
(3.)CO Report24 May 2018
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameRAJ LAKCHMI MINERALS
DesignationPROPRIETOR
Company RAJ LAKCHMI MINERALS
AddressMAUZA: KHAIRIDIH, THANA: DHANWAR
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