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 DEVGAON KH-WADNER SAND GHAT (ii). Location / site (GPS Co-ordinate) 18 13 4.8 N 75 28 35.8 E Annexure-GPS file       (iii). Type of Lease Indivisual Area Size of the Mining Lease (in ha.) 1.28 ha. (iv). Capacity of the Mining Lease (TPA) 21277 (v). Period of Mining Lease 1 (vi). Expected cost of the Project 385 (vii). Have you hired Consultant/Registered Qualified Person(RQP) for preparing document? Yes Accreditation No. 1518/SA036  Name of Consultant/RQP P SHUKLA Address NAGPUR Mobile No. 9225230146 Landline No. 999 Email Id ENVIROTECHNOCONSULT@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.  2.56 km 2. (ii). Nearest Infrastructural along with distance in kms  0.512 km (iii). Nearest Railway Line along with distance in kms  12.67 km (iv). Nearest National Highway along with distance in kms  54 km (v). Nearest State Highway along with distance in kms  2.67 km (vi). Nearest Major District Road along with distance in kms  3.15 km (vii). Nearest Any Other Road along with distance in kms  9.12 km (viii). Nearest Electric transmission line pole or tower distance in kms  17 km (ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  25.49 km (x). Nearest In-take for drinking water pump house distance in kms  0.44 km (xi). Nearest In-take for Irrigation canal pumps distance in kms  6.74 km 3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value NOT WITHIN 5 KM STUDY AREA 4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests NO WETLAND NOTIFIED,PACHMARHI 562KM NE,SATPURA RANGE 361 KM N WESTERN GHAT 214 KM SW COASTAL AREA 253.53 KM W 5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration NOT WITHIN 5 KM STUDY AREA 6. Inland, coastal, marine or underground waters COASTAL AREA 253.53 KM W 7. State, National boundaries KARNATAKA 84.02 KM S 8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas TULJAPUR 66.06 KM SE 9. Defence installations AURANGABAD 181.18 KM N 10. Densely populated or built-up area, distance from nearest human habitation DEVGAON 0.512 KM EAST 11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) PARANDA 6 KM NW 12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) NO 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) NO 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/Modernization New Proposal Number DIA/MH/MIN/17415/2018 File Number DIA/MH/MIN/17415/2018 Date of Apply EC 18 Sep 2018

Details of State of the project
S.No.	State Name	District Name	Tehsil Name
(1.)	Maharashtra	Osmanabad	Paranda

(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.) EIA-EMP 18 Sep 2018

(IV)	Undertaking
	The aforesaid application and documents furnished here with are true to my knowledge.

(IV).(i)

Name PROJECT PROPONENT Designation PROJECT PROPONENT Company PROJECT PROPONENT Address 68, mahakali nagar nagpur