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 Sri. Mahadevrao Bapurao Kale
(ii).Location / site (GPS Co-ordinate) 1) N 20°18’25.8” E 77°48’03.3” 2) N 20°18’29.5” E 77°48’04.5” 3)N 20°18’31.1” E 77°48’02.1” 4) N 20°18’27.2” E 77°48’00.6”
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)1 ha.
(iv).Capacity of the Mining Lease (TPA) 53900
(v).Period of Mining Lease 5
(vi).Expected cost of the Project 40
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.1316/SA001 
Name of Consultant/RQPMantras Green Resources Ltd
Address Hall No 1, First floor, MIDC, Satpur, Nashik, Maharashtra
Mobile No.8805877547
Landline No.2350888
Email Idinfo@mantrasresources.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.  5.4 km
2. (ii). Nearest Infrastructural along with distance in kms  3.5 km
(iii). Nearest Railway Line along with distance in kms  3.7 km
(iv). Nearest National Highway along with distance in kms  23 km
(v). Nearest State Highway along with distance in kms  1.5 km
(vi). Nearest Major District Road along with distance in kms 1.5 km
(vii). Nearest Any Other Road along with distance in kms  0.8 km
(viii). Nearest Electric transmission line pole or tower distance in kms  0.8 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  4.6 km
(x). Nearest In-take for drinking water pump house distance in kms  3 km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  3 km
3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
 None
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Reserved Forest Devagiri RF --2.4km in the North side Palodi RF --5.7km in the NW side Reserved Forest --7.6km in the SW side Reserved Forest --7.9km in the SE side Water Bodies Aran nadi ---5.4km in the eastern side Kupti nadi --6.4km in the western side Dungri nadi --4.6km in the southern side
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration None
6. Inland, coastal, marine or underground waters None
7. State, National boundaries No state boundary within 15km from the project site. Telangana state boundary is at 70 km from the project site.
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas None
9. Defence installations None
10. Densely populated or built-up area, distance from nearest human habitation As per the latest census 2011, Darwaha municipal council has a population of 25,791 which is 2.5km from project site
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Hospitals, schools are present in Darwha which is 2.5km from project site
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) Reserved Forest Devagiri RF --2.4km in the North side Palodi RF --5.7km in the NW side Reserved Forest --7.6km in the SW side Reserved Forest --7.9km in the SE side Water Bodies Aran nadi ---5.4km in the eastern side Kupti nadi --6.4km in the western side Dungri nadi --4.6km in the southern side 4 minor mineral quarries are also present on the North and Eastern boundaries of the project site.
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) There are existing quarries present surrounding the mine. They are minor minerals. The ambient air quality, water pollution levels are within limits CPCB only.
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
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/4434/2017
File Number4434/2017
Date of Apply EC02 Feb 2017
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)MaharashtraYavatmalDarwha
(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.)Form102 Feb 2017
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameSRI.MAHADEVRAO BAPURAO KALE
DesignationOwner
Company SRI.MAHADEVRAO BAPURAO KALE
AddressGatt no.53/2-part,Mauja-Bagwadi village, Darwha Taluka, Yavatmal district, Maharashtra
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