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 Basalt & Murrum Mining Project (ii). Location / site (GPS Co-ordinate) A 200 28’ 02.0 ”N 780 15’ 53.3 ”E B 200 28’ 00.7 ”N 780 15’ 59.6 ”E C 200 28’ 05.6 ”N 780 15’ 56.8 ”E D 200 28’ 09.1 ”N 780 15’ 58.0 ”E E 200 28’ 09.9 ”N 780 15’ 53.7 ”E Annexure-GPS file       (iii). Type of Lease Indivisual Area Size of the Mining Lease (in ha.) 3 ha. (iv). Capacity of the Mining Lease (TPA) 75843 (v). Period of Mining Lease 5 (vi). Expected cost of the Project 25 (vii). Have you hired Consultant/Registered Qualified Person(RQP) for preparing document? Yes Accreditation No. 1619/RA037  Name of Consultant/RQP Vardan EnviroNet Address Vardan Environet,D-142, Sushant Lok-III, Gurgaon Haryana Mobile No. 9422108968 Landline No. 2983404 Email Id vardan.jaipur@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.  Approx. 17.01 Km in km 2. (ii). Nearest Infrastructural along with distance in kms  Approx 6.57 Km towar km (iii). Nearest Railway Line along with distance in kms  Approx. 17.01 Km in km (iv). Nearest National Highway along with distance in kms  Approx 5.0 Km towar km (v). Nearest State Highway along with distance in kms  Approx 13.37 Km towa km (vi). Nearest Major District Road along with distance in kms  Approx 13.37 Km towa km (vii). Nearest Any Other Road along with distance in kms  None km (viii). Nearest Electric transmission line pole or tower distance in kms  None km (ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  approx 5.09 km towar km (x). Nearest In-take for drinking water pump house distance in kms  approx 5.09 km towar km (xi). Nearest In-take for Irrigation canal pumps distance in kms  None km 3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value None, within  10  km  distance  from  the periphery of lease area. 4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Water  Reservoir  approx  6.13  km towards  SE,  Water  Reservoir  approx 5.09  km  towards  WSW ,  Water Reservoir approx 7.04 km towards WSW , Water  Reservoir  approx  10.39  km towards W 5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration None, within  10  km  distance  from  the periphery of lease area. 6. Inland, coastal, marine or underground waters None, within  10  km  distance  from  the periphery of lease area. 7. State, National boundaries None, within  10  km  distance  from  the periphery of lease area. 8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas SH-244 Approx 13.37 Km towards W NH-204 Approx 5.0 Km towards S 9. Defence installations None, within  10  km  distance  from  the periphery of lease area. 10. Densely populated or built-up area, distance from nearest human habitation Mauja  Shankarpur  Approx  0.75  Km towards SSW 11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Kalamb Approx 6.57 Km towards SE 12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) Water  Reservoir  approx  6.13  km towards  SE,  Water  Reservoir  approx 5.09  km  towards  WSW ,  Water Reservoir approx 7.04 km towards WSW , Water  Reservoir  approx  10.39  km towards W 13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) None, within  10  km  distance  from  the periphery of 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) None, within  10  km  distance  from  the periphery of lease area. 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/7166/2017 File Number DIA/MH/MIN/7166/2017 Date of Apply EC 23 Jun 2017

Details of State of the project
S.No.	State Name	District Name	Tehsil Name
(1.)	Maharashtra	Yavatmal	Kalamb

(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)

Name UTTAMRAO KISANRAO MANWAR Designation Lessee Company UTTAMRAO KISANRAO MANWAR Address Mauja Shankarpur, Taluka Kalamb, district Yavatmal ( MH)