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 Basalt Mining Project Khasra No. 29 & 30 Near Village: GhodhKindi, Tehsil & District- Yavatmal, Maharashtra.
(ii).Location / site (GPS Co-ordinate) Sr. No. Latitude Longitude A 20°18’ 52.9” N 78° 10’ 07.1”E B 20°18’ 55.4 ”N 78° 10’ 08.5”E C 20°18’ 50.7 ”N 78° 10’ 17.4”E D 20°18’ 47.8”N 78° 10’ 22.7 ”E E 20°18’ 45.0”N 78° 10’ 21.0”E
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)4.04 ha.
(iv).Capacity of the Mining Lease (TPA) 19636
(v).Period of Mining Lease 5.0
(vi).Expected cost of the Project 25.0
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.NABET/EIA/1619/RA0037 
Name of Consultant/RQPVardan EnviroNet
Address D-142, Sushant Lok – III, Sector – 57, Gurgaon,
Mobile No.9422108964
Landline No.2983404
Email Idjaipur@vardanenvironet.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  Approx 1.3 Km toward km
(iii). Nearest Railway Line along with distance in kms  (Approx. 9.6 Km in N km
(iv). Nearest National Highway along with distance in kms  Approx 6.0 Km toward km
(v). Nearest State Highway along with distance in kms  Approx 1.7 Km toward km
(vi). Nearest Major District Road along with distance in kms 0 km
(vii). Nearest Any Other Road along with distance in kms  Approx 1.1 km toward km
(viii). Nearest Electric transmission line pole or tower distance in kms  Approx 1.3 Km toward km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  approx 2.55 km towar km
(x). Nearest In-take for drinking water pump house distance in kms  Approx 1.3 Km toward 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 10 km distance from the periphery of lease area.
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Jamb RF Approx 7.0 Km towards WNW direction. Kharda RF Approx 5.6 Km towards SW direction. Gondwakdi RF Approx 6.2 Km towards SE direction. Moho RF Approx 10.0 Km towards N direction. Water Reservoir approx 5.8 km towards SE direction. Water Reservoir approx 2.9 km towards NNE direction. Nilona Dam approx 2.55 km towards NW direction. Waghari River approx 1.24 km towards SSE direction.
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration None, within 10 km distance from the periphery of lease area.
6. Inland, coastal, marine or underground waters None, within 10 km distance from the periphery of lease area.
7. State, National boundaries None, within 10 km distance from the periphery of lease area.
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas Tar Road Approx 1.1 km towards SW direction. SH-237Approx 1.7 Km towards E direction. SH-6 Approx 6.8 Km towards NNE direction. NH-204 Approx 6.0 Km towards NW direction. Yavatmal Railway Station (Approx. 9.6 Km in NNW direction) Nagpur Airport (Approx. 126 in NE direction)
9. Defence installations None, within 10 km distance from the periphery of lease area.
10. Densely populated or built-up area, distance from nearest human habitation Ghodhkindi Approx 1.3 Km towards SSW direction. Yavatmal Approx 9.6 Km towards NNW direction.
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Yavatmal Approx 9.6 Km towards NNW direction.
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) Jamb RF Approx 7.0 Km towards WNW direction. Kharda RF Approx 5.6 Km towards SW direction. Gondwakdi RF Approx 6.2 Km towards SE direction. Moho RF Approx 10.0 Km towards N direction. Water Reservoir approx 5.8 km towards SE direction. Water Reservoir approx 2.9 km towards NNE direction. Nilona Dam approx 2.55 km towards NW direction. Waghari River approx 1.24 km towards SSE direction.
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) None, within 10 km distance from the periphery of lease 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) None, within 10 km distance from the periphery of lease area.
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/13202/2018
File NumberDIA/MH/MIN/13202/2018
Date of Apply EC23 Feb 2018
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)MaharashtraYavatmalYavatmal
(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)
NameRAJESH MOHANLAL SUCHAK
Designationonwer
Company RAJESH MOHANLAL SUCHAK
AddressYavatmal
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