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 Sand (Minor Mineral) Mining Project for Jungaon, Tehsil –Pombhurna, District - Chandrapur, State - Maharashtra.
(ii).Location / site (GPS Co-ordinate) The quarry area is situated in District- Chandrapur (MS), State – Maharashtra and falls in the Survey of India Toposheet No.– 56 M/13 Sr. No Latitude “N” Longitude “E” 1 19°55'15.79"N 79°47'22.56"
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)0.38 ha.
(iv).Capacity of the Mining Lease (TPA) 5962.50
(v).Period of Mining Lease 01
(vi).Expected cost of the Project 5.97
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.NABET/EIA/1619/IA 007 
Name of Consultant/RQPGMEC INTERNATIONAL
Address SAHARAN TOWER 308, OFFICERS CAMPUS EXTENSION, NEAR SANSKAR SCHOOL, SIRSI ROAD KHATIPURA, JAIPUR-302012
Mobile No.9928793002
Landline No.2353241
Email Idinfo@gmecinetrnational.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.  No such area is loca km
2. (ii). Nearest Infrastructural along with distance in kms  No such area is loca km
(iii). Nearest Railway Line along with distance in kms  No such area is loca km
(iv). Nearest National Highway along with distance in kms  No such area is loca km
(v). Nearest State Highway along with distance in kms  No such area is loca km
(vi). Nearest Major District Road along with distance in kms No such area is loca km
(vii). Nearest Any Other Road along with distance in kms  Is about 6.10 km tow km
(viii). Nearest Electric transmission line pole or tower distance in kms  0.0 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  o such area is locat km
(x). Nearest In-take for drinking water pump house distance in kms  is about 1.5 km in S km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  is about 1.50 km in km
3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
 The quarry area is itself part of water body i.e. River Wainganga, there are number of tributes of River Wainganga is also available in Study Area.
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests No
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration The project lies in Wainganga, River.
6. Inland, coastal, marine or underground waters None
7. State, National boundaries Is about 6.10 km towards South of project site. (Source : -Google Earth)
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas POMBHURANA ROAD- Is about 6.10 km towards South of project site. (Source : -Google Earth)
9. Defence installations No, Defence Installations
10. Densely populated or built-up area, distance from nearest human habitation Village Jungaon at 1.50 Km towards South from the project site.
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) a) School: -The Primary school facility is available at village – Jungaon 1.5 Km, South), b) Hospital: -PHC facility is available – Jungaon (1.50 Km, South), c) Temple: Ganesh ka Mandir at – – Soit (1.50 Km, South), from the quarry area. (Source : -Google Earth)
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) Quarry mine area is falls in river Wainganga.
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) The area is not subjected to the pollution or environmental damage.
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 prone to flooding during heavy rains. The area is falls in Seismic Zone –II (Source: National Disaster Management Authority, www.ndma.gov.in/en/zone-map.html, )
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/13717/2018
File Number13717
Date of Apply EC10 Mar 2018
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)MaharashtraChandrapurPombhurna
(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.)NABET CERTIFICATE10 Mar 2018
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameCOLLECTOR OFFICE CHANDRAPUR
DesignationAdditional Collector Chandrapur
Company COLLECTOR OFFICE CHANDRAPUR
AddressDistrict-Chandrapur, MS.
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