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 Sunita Singh
(ii).Location / site (GPS Co-ordinate) BL1 25°00'44.45"N 80°40'49.93"E BL2 25°00'44.53"N 80°40'54.64"E BL3 25°00'45.47"N 80°40'54.24"E BL4 25°00'46.77"N 80°40'54.56"E BL5 25°00'47.61"N 80°40'54.02"E BL6 25°00'48.58"N 80°40'50.63"E
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)1.262 ha.
(iv).Capacity of the Mining Lease (TPA) 12000
(v).Period of Mining Lease 10
(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 B2 Catogary 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.  1.31 km
2. (ii). Nearest Infrastructural along with distance in kms  0.150 km
(iii). Nearest Railway Line along with distance in kms  16.36 km
(iv). Nearest National Highway along with distance in kms  23.55 km
(v). Nearest State Highway along with distance in kms  12.35 km
(vi). Nearest Major District Road along with distance in kms 12.35 km
(vii). Nearest Any Other Road along with distance in kms  0.300 km
(viii). Nearest Electric transmission line pole or tower distance in kms  0.250 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  0.900 km
(x). Nearest In-take for drinking water pump house distance in kms  0.165 km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  22 km
3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
No
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests No
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration No
6. Inland, coastal, marine or underground waters No
7. State, National boundaries 5.5 km Uttar Pradesh State Boundary
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas No
9. Defence installations No
10. Densely populated or built-up area, distance from nearest human habitation Majhagawan Tehsil 16 km
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) No
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) No
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) No
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
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/5607/2017
File NumberSTA/17/54
Date of Apply EC27 Mar 2017
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)Madhya PradeshSatnaMajhgawan
(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.)EMP27 Mar 2017
(2.)Risk Assesment 227 Mar 2017
(3.)Risk Assesment 327 Mar 2017
(4.)Risk Assesment 427 Mar 2017
(5.)Risk Assesment 127 Mar 2017
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameNAKAILA FLAG STONE
DesignationOwner
Company NAKAILA FLAG STONE
AddressNakaila,Tehsil- Majhgawa,District- Satna
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