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 Mahalgaon Murrum & Metal Ston Quarry
(ii).Location / site (GPS Co-ordinate) Latitude- 210 01’ 04.5”N to 210 01’ 12.6”N Longitude 800 02’ 43.1”E to 800 02’ 46.4”E
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)1 ha.
(iv).Capacity of the Mining Lease (TPA) 7987
(v).Period of Mining Lease 5
(vi).Expected cost of the Project 28
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.1316/IA001 
Name of Consultant/RQPVardan Environet
Address D-142, Shushant Lok-III, Sector -57 Gurugram Haryana
Mobile No.9422108968
Landline No.2983404
Email Idjaipur@vardanenvironet.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.  None km
2. (ii). Nearest Infrastructural along with distance in kms  Approx 0.60 Km towa km
(iii). Nearest Railway Line along with distance in kms  (Approx8.44 in NE di km
(iv). Nearest National Highway along with distance in kms  Approx 7.66 Km towa km
(v). Nearest State Highway along with distance in kms  Approx 45.0 Km towar km
(vi). Nearest Major District Road along with distance in kms None km
(vii). Nearest Any Other Road along with distance in kms  Internal road Approx km
(viii). Nearest Electric transmission line pole or tower distance in kms  Approx 0.60 Km towa km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  5.0 Km in WSW Direct km
(x). Nearest In-take for drinking water pump house distance in kms  Approx 0.60 Km towa km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  Approx 0.60 Km towa km
3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
No such area is located within the 15 km radius of the mining lease area.
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests River approx 1.72 km towards N Water Reservoir 5.0 Km in WSW Direction
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration No such area is located within the 15 km radius of the mining lease area.
6. Inland, coastal, marine or underground waters No such area is located within the 15 km radius of the mining lease area.
7. State, National boundaries No such area is located within the 15 km radius of the mining lease area.
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas NH-6 Approx 7.66 Km towards N SH-252 Approx 45.0 Km towards NW SH-254 Approx 44.0 Km towards WNW Internal road Approx 3.0 Km towards W Sounded Railway Station (Approx8.44 in NE direction)
9. Defence installations No such area is located within the 15 km radius of the mining lease area.
10. Densely populated or built-up area, distance from nearest human habitation Mahalgaon Approx 0.60 Km towards W.
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) ? Primary School at Mahalgaon Approx 0.60 Km towards W ? Hospital at Palasgaon Approx. 1.7 in SE direction ? All Other facilities available in Palasgaon Approx 1.7 Km towards SE
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) Same as item No-2
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) No such area is located within the 15 km radius of the mining 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) No such areas observed The study area lies in Seismic Zone IV. However natural hazards due to earthquakes are not anticipated to be a major environmental issue.
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/4711/2017
File Number4711/2017
Date of Apply EC15 Feb 2017
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)MaharashtraBhandaraSakoli
(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)
NameMAROTI HANAJI MARWADE
Designationonwer
Company MAROTI HANAJI MARWADE
AddressSakoli Bhandara. MH
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