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 M/s Nirman Buildmat
(ii).Location / site (GPS Co-ordinate) 19°54'11.20"N 73°56'58.68"E 19°54'15.23"N 73°56'58.30"E 19°54'15.51"N 73°57'2.53"E 19°54'11.54"N 73°57'3.43"E
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)1.62 ha.
(iv).Capacity of the Mining Lease (TPA) 32716
(v).Period of Mining Lease 5
(vi).Expected cost of the Project 30
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.List A-131 
Name of Consultant/RQPM/s Sadekar Enviro Engineer Pvt. Ltd.
Address 310, Dempo Tower, EDC Patto, Panaji - 4031001, Goa
Mobile No.9820144125
Landline No.2437048
Email Idprs@sadekarenviro.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.  1.76 km km
2. (ii). Nearest Infrastructural along with distance in kms  Not Applicable km
(iii). Nearest Railway Line along with distance in kms  11.80 km km
(iv). Nearest National Highway along with distance in kms  2.25 km km
(v). Nearest State Highway along with distance in kms  Not Applicable km
(vi). Nearest Major District Road along with distance in kms Not Applicable km
(vii). Nearest Any Other Road along with distance in kms  1.16 kms km
(viii). Nearest Electric transmission line pole or tower distance in kms  2.05 km km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  Not Envisaged km
(x). Nearest In-take for drinking water pump house distance in kms  Not Applicable. km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  Not Applicable. 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 1. River Darna is present at an approximate aerial distance of 6.30 kms from the project site in the NNE direction 2. River Godavari is present at an approximate aerial distance of 7.30 kms from the project site in the North direction
7. State, National boundaries Not Applicable.
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas NH 50 (Pune – Nashik Road) is present at an approximate aerial distance of 2.25 Km from the project site in the SW direction.
9. Defence installations Not Applicable.
10. Densely populated or built-up area, distance from nearest human habitation Nearest Habitation (Wadzire) is present at a distance of 0.95 km from the project site in north east direction.
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Not Applicable.
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.
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/8478/2017
File NumberDEIAA/MH/NSK/022/2017
Date of Apply EC19 Aug 2017
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)MaharashtraNashikSinnar
(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.)7/1219 Aug 2017
(2.)Mining Plan Letter19 Aug 2017
(3.)Lease Application19 Aug 2017
(4.)Grampanchayat NOC19 Aug 2017
(5.)7/1219 Aug 2017
(6.)Grampanchayat NOC19 Aug 2017
(7.)Lease Application19 Aug 2017
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameNIRMAN BUILDMAT
DesignationPartner
Company NIRMAN BUILDMAT
AddressGut. No. 122/3 (Part), Village - Wadzire, Taluka - Sinnar, District - Nashik, Maharashtra.
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