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 Sou Jayshree Dinesh Patil
(ii).Location / site (GPS Co-ordinate) 1 N 19°16’42.2” E 73°18’40.0” 2 N 19°16’45.1” E 73°18’38.5” 3 N 19°16’44.9” E 73°18’42.6” 4 N 19°16’42.6” E 73°18’44.1”
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)1 ha.
(iv).Capacity of the Mining Lease (TPA) 32733
(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.List A-131 
Name of Consultant/RQPM/s Sadekar Enviro Engineers Pvt Ltd
Address 310, Dempo Tower, EDC Patto, Panaji-403001, Goa
Mobile No.9820144125
Landline No.25833321
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.  3.57 km km
2. (ii). Nearest Infrastructural along with distance in kms  7.70km km
(iii). Nearest Railway Line along with distance in kms  10.60 km km
(iv). Nearest National Highway along with distance in kms  1.77km km
(v). Nearest State Highway along with distance in kms  8.29km km
(vi). Nearest Major District Road along with distance in kms 8.64km km
(vii). Nearest Any Other Road along with distance in kms  6.87km km
(viii). Nearest Electric transmission line pole or tower distance in kms  0.25 km km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  1.25km 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 Reserved Forest is present at an approximate aerial distance of 1.1 km from the project site in North direction.
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 Kalu is Present at an approximate aerial distance of 4.75 kms for the project site in the North direction. 2. River Bhatsa is Present at an approximate aerial distance of 11.50 kms for the project site in the North direction. 3. River Murbadi is Present at an approximate aerial distance of 3.18 kms for the project site in the South direction. 4. River Barvi is Present at an approximate aerial distance of 7.30 kms for the project site in the SW direction. 5. River Ulhas is Present at
7. State, National boundaries Not Applicable
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas Not Applicable
9. Defence installations Not Applicable
10. Densely populated or built-up area, distance from nearest human habitation Nearest Habitation (Kunde Village) is Located at an approximate aerial distance of 1.25 km from the project site in the West direction.
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) There are small schools & temples near Kunde Village.
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) The area falls in zone – III as per the seismic zone map and falls in moderate damage risk zone.
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/8703/2017
File Number109
Date of Apply EC02 Sep 2017
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)MaharashtraThaneKalyan
(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.)7/1202 Sep 2017
(2.)Grampanchayat NOC02 Sep 2017
(3.)7/1202 Sep 2017
(4.)Grampanchayat NOC02 Sep 2017
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameSOU JAYSHREE DINESH PATIL
DesignationOwner
Company SOU JAYSHREE DINESH PATIL
AddressSurvey No. 77/3A, Village Kunde, Taluka Kalyan, District Thane, Maharashtra.
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