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 Khadgaon Stone Quarry Sy No.248
(ii).Location / site (GPS Co-ordinate) 210 10’ 50.87”N 780 57’ 19.23”E 210 10’ 52.48”N 780 57’ 13.43”E 210 10’ 50.41”N 780 57’ 12.88”E 210 10’ 46.65”N 780 57’ 16.99”E
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)1.72 ha.
(iv).Capacity of the Mining Lease (TPA) 40044.5
(v).Period of Mining Lease 5
(vi).Expected cost of the Project 20
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?No
Reason for not hiring the Consultant/RQP Not Required
(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.  None km
2. (ii). Nearest Infrastructural along with distance in kms  Approx 0.30 Km towar km
(iii). Nearest Railway Line along with distance in kms  Approx 14.0 Km in ES km
(iv). Nearest National Highway along with distance in kms  Approx 5.50 Km towar km
(v). Nearest State Highway along with distance in kms  Approx 3.0 Km toward km
(vi). Nearest Major District Road along with distance in kms None km
(vii). Nearest Any Other Road along with distance in kms  0.20 Km towards N km
(viii). Nearest Electric transmission line pole or tower distance in kms  Approx 0.30 Km towar km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  Approx 2.50 Km in SW km
(x). Nearest In-take for drinking water pump house distance in kms  Approx 0.30 Km towar km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  Approx 0.30 Km towar 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 Water Reservoir Approx 9.0 Km in WSW Direction. Water Reservoir Approx 2.50 Km in SW Direction. Water Reservoir Approx 8.50 Km in E 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 Nagpur Railway Station Approx 14.0 Km in ESE Direction. Nagpur International Airport (Approx. 13.50 km. in SE direction) NH-6 Approx 5.50 Km towards SE. SH-248 Approx 3.0 Km towards NE Internal road Approx 0.20 Km towards N
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 Khadgaon Approx 0.30 Km towards N. Nagpur Approx. 11.0 in E direction
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Khadgaon Approx 0.30 Km towards N. Nagpur Approx. 11.0 in E direction
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) Water Reservoir Approx 9.0 Km in WSW Direction. Water Reservoir Approx 2.50 Km in SW Direction. Water Reservoir Approx 8.50 Km in E 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/15073/2018
File NumberTo be assigned
Date of Apply EC10 May 2018
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)MaharashtraNagpurNagpur (Rural)
(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)
NameRAMESH SITARAM HIRANWAR
Designationonwer
Company RAMESH SITARAM HIRANWAR
AddressDhrampeth Nagpur
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