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 NATIONAL STONE CRUSHER
(ii).Location / site (GPS Co-ordinate) N170 54' 56.9" E770 36' 59.7" N170 54' 56.1" E770 36' 54.3"
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)0.8 ha.
(iv).Capacity of the Mining Lease (TPA) 35000
(v).Period of Mining Lease 20
(vi).Expected cost of the Project 87
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.337/2014/A 
Name of Consultant/RQPVINODH S
Address H NO 2 A WARD NO 19 PATEL NAGAR BALLARI
Mobile No.9845564109
Landline No.260909
Email Idisme.vinod@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.  0 km
2. (ii). Nearest Infrastructural along with distance in kms  1.0 km
(iii). Nearest Railway Line along with distance in kms  11 km
(iv). Nearest National Highway along with distance in kms  15 km
(v). Nearest State Highway along with distance in kms  7.5 km
(vi). Nearest Major District Road along with distance in kms 0.05 km
(vii). Nearest Any Other Road along with distance in kms  0 km
(viii). Nearest Electric transmission line pole or tower distance in kms  0.25 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  0.30 km
(x). Nearest In-take for drinking water pump house distance in kms  25 km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  0 km
3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
Bidar -11 KM towards North west having cultural or other related values
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests manjara river -3.8 km towards NE
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration No such area available within 10 km
6. Inland, coastal, marine or underground waters No such area available within 10 km
7. State, National boundaries 1.0 KM is Telangana state border
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas Bidar dist 11.0 KM towards NW
9. Defence installations No such area available within 10 km
10. Densely populated or built-up area, distance from nearest human habitation Imambad -1.0 KM Bidar 11.0 KM
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Bidar Dist 11.0 KM towards NW
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) Agricultural fields are adjoining areas The applied area is in pro zone of Building stone quarrying.
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) No
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) NA
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/KA/MIN/19576/2018
File NumberTo be assigned
Date of Apply EC11 Dec 2018
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)KarnatakaBidarBidar
(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
NIL
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameNATIONAL STONE CRUSHER
DesignationOWNER
Company NATIONAL STONE CRUSHER
Address9-5-420/2, Chidri Bidar, Karnataka,
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