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 Bramnwada Sandghat (Minor Mineral) Mining Project Adjacent Khasra No. 42, 44, 68, 73, 70 for Bramnwada, Tehsil – Amravati, District - Amravati, State - Maharashtra.
(ii).Location / site (GPS Co-ordinate) Latitude “N” Longitude “E” 21° 7'51.34"N 77°47'55.90"E 21° 7'50.39"N 77°47'58.64"E 21° 7'49.89"N 77°48'1.03"E 21° 7'49.68"N 77°48'0.97"E 21° 7'50.16"N 77°47'58.57"E 21° 7'51.12"N 77°
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)0.1085 ha.
(iv).Capacity of the Mining Lease (TPA) 864
(v).Period of Mining Lease 1
(vi).Expected cost of the Project 5.72
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.NABET/EIA/1619/IA007 
Name of Consultant/RQPGmec International.com
Address 308, Officers Campus Extension, Near Sanskar School, Sirsi Road, Khatipura, Jaipur, 302012
Mobile No.9928793002
Landline No.2353241
Email Idinfo@gmecinternational.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.  0.0 km
2. (ii). Nearest Infrastructural along with distance in kms  at 1.0 km towards So km
(iii). Nearest Railway Line along with distance in kms  at 7.80 km towards W km
(iv). Nearest National Highway along with distance in kms  at 13.50 km towards km
(v). Nearest State Highway along with distance in kms  at 5.80 km towards E km
(vi). Nearest Major District Road along with distance in kms 0.0 km
(vii). Nearest Any Other Road along with distance in kms  at 5.10 km towards W km
(viii). Nearest Electric transmission line pole or tower distance in kms  at 1.0 km towards So km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  River Nagghiri km
(x). Nearest In-take for drinking water pump house distance in kms  at 1.0 km towards So 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
NO
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests The quarry area is itself part of water body i.e. River Nagghiri, there are number of tributes of River Nagghiri is also available in Study Area.
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration NO
6. Inland, coastal, marine or underground waters The project lies in Nagghiri, River.
7. State, National boundaries NO
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas Kathora Chandur Bazar Road is available at 5.10 km towards West from the project site.
9. Defence installations NO
10. Densely populated or built-up area, distance from nearest human habitation Bramnwada is available at 1.0 km towards South West and Antora is available at 0.80 km towards North East 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 – Bramnwada (1. 0 km, in South West direction), b) Hospital: -Hospital facility is available Amravati (22.50 Km, in South direction), c) Temple: Mandir at Bramnwada (1. 0 km, in South West direction), from the study area.
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 Nagghiri.
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) NO
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 falls in Seismic Zone –III
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/15100/2018
File NumberDIA/MH/MIN/15100/2018
Date of Apply EC15 May 2018
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)MaharashtraAmravatiAmravati
(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 CERTIFICATE15 May 2018
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameTEHSILDAR AMRAVATI
DesignationTehsildar
Company TEHSILDAR AMRAVATI
AddressCollector office Amravati State-Mharashtra
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