(See Paragraph-6)
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 M/s K.T.N. Infra
(ii).Location / site (GPS Co-ordinate) 1 N 19°20’17.20” E 72°57’22.09” 2 N 19°20’21.69” E 72°57’23.41” 3 N 19°20’21.96” E 72°57’24.27” 4 N 19°20’24.56” E 72°57’28.75” 5 N 19°20’19.88” E 72°57’30.53” 6 N 19°20’19.57” E 72°57’30.63” 7
Annexure-GPS file      
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)2.95 ha.
(iv).Capacity of the Mining Lease (TPA) 28623
(v).Period of Mining Lease 10
(vi).Expected cost of the Project 700
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.NABET/IA/1619/IA 006 
Name of Consultant/RQPRahul Kumar
Address GT-20, Sector 117, Noida
Mobile No.7838176459
Landline No.2697178
(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.  6.61 km
2. (ii). Nearest Infrastructural along with distance in kms  3.05 km
(iii). Nearest Railway Line along with distance in kms  2.67 km
(iv). Nearest National Highway along with distance in kms  6.78 km
(v). Nearest State Highway along with distance in kms  0.0 km
(vi). Nearest Major District Road along with distance in kms 0.0 km
(vii). Nearest Any Other Road along with distance in kms  2.11 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  2.41 km
(x). Nearest In-take for drinking water pump house distance in kms  0.0 km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  0.0 km
3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
Not Applicable.
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests No such areas envisaged within 10 km radial distance form project site.
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration Not Applicable
6. Inland, coastal, marine or underground waters 1. River Ulhas is present at an approximate aerial distance of 5.90 kms from the project site in the SE direction. 2. Vasai Creek is present at an approximate aerial distance of 3.82 kms from the project site in the South direction. 3. Lake near Paigaon is present at an approximate areal distance of 2.41 km from the project site in the EES direction. 4. Lake near village Poman is present at an approximate areal distance of 2.70 km from the project site in the west direction. 5. Lake Netaji i
7. State, National boundaries Not Applicable
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas NH-8 is present at an approximate aerial distance of 6.78 km from the project site in the West direction.
9. Defence installations Not Applicable
10. Densely populated or built-up area, distance from nearest human habitation Nearest Habitation - Payegaon Village is Located at an approximate aerial distance of 1.89 Km from the project site in the South direction.
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) There are small schools & temples near by Villages.
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) Not Applicable
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) Not Applicable
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 falls in zone – III as per the seismic zone map and falls in moderate damage risk zone.
Is proposed mining site located over or near fissure/fracture for ground water recharge?No
Whether the proposal involves approval or clearance under the following Regulations or Acts namely?
The Forest (Conservation) Act,1980?No
The Wildlife (Protection) Act,1972?No
The Coastal Regulation Zone (C.R.Z) notification,2011?No
Is forest land involved (ha)?No
Whether there is any litigation pending against the project and/or land in which the project is proposed to be set up?No
Proposal NumberDIA/MH/MIN/15010/2018
File NumberDEIAA Thane File No 115
Date of Apply EC07 May 2018
Details of State of the project
S.No. State Name District Name Tehsil Name
(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.)7-1207 May 2018
(2.)Grampanchayat NOC07 May 2018
(3.)Electricity NOC07 May 2018
(4.)7-1207 May 2018
(5.)Grampanchayat NOC07 May 2018
(6.)Electricity NOC07 May 2018
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
AddressGut no. 159, 159/1 and 161/1, Village Paye, Taluka Bhiwandi, District Thane, Maharashtra.