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 Brahmanwada Stone Quarry of Shri Satish Pandurang Hingankar, Located in Kh No.- 195 (P), Brahmanwada Village, Tehsil Karanja, District Washim, Maharashtra over an area of 1.80 Ha.
(ii).Location / site (GPS Co-ordinate) The lease area falls under Survey of India Toposheet no. 55 H/10 and lies between Latitudes N 20°35’25.00” to N 20°35’30.94” & Longitudes E 77°32’01.95” to E 77°32’09.85”.
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)1.80 ha.
(iv).Capacity of the Mining Lease (TPA) 71501
(v).Period of Mining Lease 5
(vi).Expected cost of the Project 3.50
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.SA/108 
Name of Consultant/RQPPollution and Ecology Control Services
Address Near Dhantoli Police Station, Dhantoli, Nagpur-440012
Mobile No.9822588733
Landline No.6504146
Email Idsatishwashim01@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.  10.10 km
2. (ii). Nearest Infrastructural along with distance in kms  5.00 km
(iii). Nearest Railway Line along with distance in kms  10.10 km
(iv). Nearest National Highway along with distance in kms  18.00 km
(v). Nearest State Highway along with distance in kms  5.00 km
(vi). Nearest Major District Road along with distance in kms 5.00 km
(vii). Nearest Any Other Road along with distance in kms  0 km
(viii). Nearest Electric transmission line pole or tower distance in kms  1.48 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  1.48 km
(x). Nearest In-take for drinking water pump house distance in kms  1.48 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
None within 5 km Study area
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Nearest Forest : Forest near Bhuloda~ 0.45 km, SE Nearest Water Body: Brahmanwada Nalla~ 0.07 km, SW
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration None within 5 km Study area
6. Inland, coastal, marine or underground waters Nearest Water Body: Brahmanwada Nalla~ 0.07 km, SW
7. State, National boundaries None within 5 km Study area
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas None within 5 km Study area
9. Defence installations None within 5 km Study area
10. Densely populated or built-up area, distance from nearest human habitation Karanja Lad~ 13.1 Km, WSW
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Nearest Hospitals & School, ~ Brahmanwada Village ~ 1.48 Km, NNE Nearest Place of Worship ~ Brahmanwada Village ~ 1.48 Km, NNE
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) Nearest Forest : Forest near Bhuloda~ 0.45 km, SE Nearest Water Body: Brahmanwada Nalla~ 0.07 km, SW
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) None within 5 km 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) The area is not known for these natural hazards. Seismically, this area is categorized under Zone-II as per IS-1893 (Part-1)-2002.Hence; seismically the site is in a stable 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/MH/MIN/10910/2017
File Number2
Date of Apply EC15 Nov 2017
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)MaharashtraWashimKaranja
(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)
NameBRAHMANWADA STONE QUARRY OF SHRI SATISH PANDURANG HINGANKAR
DesignationOwner
Company BRAHMANWADA STONE QUARRY OF SHRI SATISH PANDURANG HINGANKAR
AddressKh No- 195 (P), Village- Brahmanwada, Tehsil- Karanja, District-Washim
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