(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 Shri Prakash Dattatray Patil Survey No 47 & 48/6 Part At Village- Chikhali, Taluka - Shirala
(ii).Location / site (GPS Co-ordinate) BP -1- 16°56'38.76" N / 74° 6'3.53"E BP- 2- 16°56'41.74"N / 74° 6'2.72"E BP- 3- 16°56'41.94"N / 74° 6'3.35" E BP- 4- 16°56'43.15"N / 74° 6'3.38"E BP-5- 16°56'43.18" N / 74° 6'2.31"E BP-6- 16°56'4
Annexure-GPS file      
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)1.00 ha.
(iv).Capacity of the Mining Lease (TPA) 6000
(v).Period of Mining Lease 5
(vi).Expected cost of the Project 50.00
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.1013/041 
Name of Consultant/RQPVivek P Navare
Address 1815, E Ward, Rajarampuri 3rd Lane , Kolhapur
Mobile No.9422442756
Landline No.2535342
(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  1.76 km
(iii). Nearest Railway Line along with distance in kms  55 km
(iv). Nearest National Highway along with distance in kms  20.0 km
(v). Nearest State Highway along with distance in kms  00 km
(vi). Nearest Major District Road along with distance in kms 0.210 km
(vii). Nearest Any Other Road along with distance in kms  0.00 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  0.0 km
(x). Nearest In-take for drinking water pump house distance in kms  0.00 km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  0.00 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 Not Applicable
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 Not Applicable
7. State, National boundaries Not Applicable
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas National Highway No 4 - approx 20 Km
9. Defence installations Not Applicable
10. Densely populated or built-up area, distance from nearest human habitation Chikhali Village approx 1.76 Km
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Shirala Taluka Place Approx 5.00 Km
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) Not Applicable
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/15965/2018
File Number71
Date of Apply EC22 Jun 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.)Authority Letter22 Jun 2018
(2.)NABET List22 Jun 2018
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
Address1815, E Ward , Rajarammpuri 3rd Lane , Kolhapur