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 OMPRAKASH MANDAOKAR SAIBABA METAL INDUSTRIES
(ii).Location / site (GPS Co-ordinate) N20°24'9.59?, E78°59'0.45?
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)4.26 ha.
(iv).Capacity of the Mining Lease (TPA) 76452
(v).Period of Mining Lease 5
(vi).Expected cost of the Project 30
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.17350/2017 
Name of Consultant/RQPPRASHIL SHUKLA
Address ENVIRO TECHNO CONSULTNAGPUR
Mobile No.9225230146
Landline No.232777
Email Idenvirotechnoconsult@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.  4.10 km
2. (ii). Nearest Infrastructural along with distance in kms  0.21 km
(iii). Nearest Railway Line along with distance in kms  16.59 km
(iv). Nearest National Highway along with distance in kms  25 km
(v). Nearest State Highway along with distance in kms  1.64 km
(vi). Nearest Major District Road along with distance in kms 3.23 km
(vii). Nearest Any Other Road along with distance in kms  3.23 km
(viii). Nearest Electric transmission line pole or tower distance in kms  4.8 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  2.11 km
(x). Nearest In-take for drinking water pump house distance in kms  4.10 km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  2.11 km
3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
Tadoba Wildlife sanctuary-25 km E Bhatala Leni 12 Km East
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Water Body 8.29 Km East Chak Kawdapur Wet Land Not Notified for district Coastal Area 788 Km West, Biosphere Pachmadi -233Km North, Mountains Govilgad range 204 Km NW, Rf 6.9 Km East
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration Tadoba Wildlife santury-25 km E
6. Inland, coastal, marine or underground waters Canal 3.12 Km West, Coastal Area 788 Km West,Marine Water 760 Km West
7. State, National boundaries 150 Km E Telangana
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas NH 7- 1.64 KM for Bhadrawati Jain Mandir Mahakali Mandir Chandrapur, Tadoba W.L.S.
9. Defence installations 25 Km Bhadrawati O.F. Chanda
10. Densely populated or built-up area, distance from nearest human habitation Pimpalgaon S-0.210Km S
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Warora 18 Km S
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) River -4.10 km N,Water Body 8.29 Km E, R.F.-6.9 Km E, quarry is agriculture area with single crop system, Fishing at Water Body 8.2 Km E, Minerals quarry belongs to Basalt , coal mine is at Belgaon 8.7 Km S, Sand stone mine 8.1 Km S Mowad
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) Not within 5 km Study areaNo Stone quarry is at safe distances from natural hazards like earthquake prone area, subsidence, landslide, erosion, flooding prone 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)
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/14765/2018
File NumberDEIAA/14765/2018
Date of Apply EC04 Sep 2018
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)MaharashtraChandrapurWarora
(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.)COMPLIANCE SUBMISSION25 Apr 2018
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NamePROJECT PROPONENT
DesignationPROJECT PROPONENT
Company PROJECT PROPONENT
Address68, mahakali nagar nagpur
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