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 Maharpani Stone Quarry
(ii).Location / site (GPS Co-ordinate) (A) 21°46'25.15"N 77°44'32.00"E (B) 21°46'26.02"N 77°44'34.71"E (C) 21°46'26.52"N 77°44'35.32"E (D) 21°46'25.40"N 77°44'35.26"E (E) 21°46'25.30"N 77°44'34.63"E (F)21°46'24.82"N 77°44'34.50"E
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)0.200 ha.
(iv).Capacity of the Mining Lease (TPA) 2416
(v).Period of Mining Lease 07
(vi).Expected cost of the Project 10
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?No
Reason for not hiring the Consultant/RQP it is B2 Category Project
(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.  5.20 km
2. (ii). Nearest Infrastructural along with distance in kms  1.0. km
(iii). Nearest Railway Line along with distance in kms  20 km
(iv). Nearest National Highway along with distance in kms  10.90 km
(v). Nearest State Highway along with distance in kms  0.24 km
(vi). Nearest Major District Road along with distance in kms 0.24 km
(vii). Nearest Any Other Road along with distance in kms  0.24 km
(viii). Nearest Electric transmission line pole or tower distance in kms  1.0 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  1.35 km
(x). Nearest In-take for drinking water pump house distance in kms  1.0 km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  1.5 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 15km 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. 2.30km Towards NW )
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 5km radius of the mining lease area
6. Inland, coastal, marine or underground waters No such area is located within the 10 radius of the mining lease area
7. State, National boundaries No such area is located within the 10 radius of the mining lease area
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas NH-59A (Approx 10.92km Towards N)
9. Defence installations Amla (Approx 42km Towards NE )
10. Densely populated or built-up area, distance from nearest human habitation Village Maharpani (Approx. 0.92km. in SW )
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Maharpani. Dispensary, hospital and education facility Are available in Maharpani
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) Same as item No.-4
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) The area is not subjected to the pollution or environmental damage
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) Seismic Zone II & III
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/MP/MIN/12259/2018
File NumberTo be assigned
Date of Apply EC11 Jan 2018
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)Madhya PradeshBetulBhainsdehi
(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.)Khasra Naksha & Panchsala11 Jan 2018
(2.)collector letter11 Jan 2018
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameBHARTI PARSAIYA
DesignationOwner
Company BHARTI PARSAIYA
AddressResi.- Dwarka Nagar, Badora,Betul,Tehsil & District- Betul(M.P)
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