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 Gitty, Stone, Khandas, Boulder (Sand Stone) miming from Bhukhand No. 3460 Khand No. 17 Vill- Koshadakala, Tehsil- Meja, Distt- Allahabad, UP
(ii).Location / site (GPS Co-ordinate) 25° 4'12.54"N 82°14'18.26"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) 260000
(v).Period of Mining Lease 3
(vi).Expected cost of the Project 70
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.165/2005/A 
Name of Consultant/RQPMr. UPS Chauhan
Address 4/366, Vikash Nagar, Lucknow,
Mobile No.9415195706
Landline No.94121957
Email Idupschauhan1953@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.  about 10.28 km km
2. (ii). Nearest Infrastructural along with distance in kms  - about 13.23 km km
(iii). Nearest Railway Line along with distance in kms  about 10.28 km km
(iv). Nearest National Highway along with distance in kms  - about 13.23 km km
(v). Nearest State Highway along with distance in kms  00 km
(vi). Nearest Major District Road along with distance in kms 00 km
(vii). Nearest Any Other Road along with distance in kms  – 13.50 km km
(viii). Nearest Electric transmission line pole or tower distance in kms  00 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  00 km
(x). Nearest In-take for drinking water pump house distance in kms  00 km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  00 km
3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
Ganga River 11.27 km (N)
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Ganga River 11.27 km (N)
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration Ganga River 11.27 km (N)
6. Inland, coastal, marine or underground waters Ganga River 11.27 km (N)
7. State, National boundaries Madhya Pradesh 28.52 (S)
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas NH7- 12.43 km (SE)
9. Defence installations none in 500m radius
10. Densely populated or built-up area, distance from nearest human habitation Mokhar 1.31 km (N)
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Bharatganj 6.43 km (N)
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) Ganga River 11.27 km (N)
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) none in 500m radius
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 study area lies in Seismic Zone III. However natural hazards due to earthquakes are not anticipated to be a major environmental issue owing to the shallow mining depths. Also no major structures are part of the proposed development. Hence environmental impacts due to the proposed development are ruled out. Erosion is not anticipated and is not considered to be a significant feature in case of flood, as the topsoil content is almost preserved Flooding may occur depending upon the rainfall,
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/UP/MIN/11728/2017
File NumberTo be assigned
Date of Apply EC18 Dec 2017
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)Uttar PradeshPRAYAGRAJMeja
(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.)500m radius map18 Dec 2017
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameSHRI MANOJ KUMAR SINGH
DesignationOwner
Company SHRI MANOJ KUMAR SINGH
AddressGitty Stone, Khandas, Boulder(Sand Stone) from Bhukkhand No.- 3460 Khand No. 17 at Vill- Kodhadakala, Tehsil- Meja, Distt- Allahabad, UP
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