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 KGN ENT UDYOG
(ii).Location / site (GPS Co-ordinate) Gata no-51,55 - Latitude- 25°37'14.20"N to 25°37'15.56"N Longitude-81°37'26.37"E to 81°37'24.80"E Gata no-464,473 - Latitude- 25°36'35.89"N
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)1.6153 ha.
(iv).Capacity of the Mining Lease (TPA) 23551.1
(v).Period of Mining Lease 5
(vi).Expected cost of the Project 14
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.200/2015/A 
Name of Consultant/RQPDr Vinay Kumar Pandey
Address 3rd floor, trinity square, badshahnagar chauraha, lucknow
Mobile No.9839234256
Landline No.4956104
Email Idvinay78pandey@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.  3.53 km
2. (ii). Nearest Infrastructural along with distance in kms  .48 km
(iii). Nearest Railway Line along with distance in kms  3.53 km
(iv). Nearest National Highway along with distance in kms  13.91 km
(v). Nearest State Highway along with distance in kms  15.92 km
(vi). Nearest Major District Road along with distance in kms .48 km
(vii). Nearest Any Other Road along with distance in kms  2 km
(viii). Nearest Electric transmission line pole or tower distance in kms  .33 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  2.5 km
(x). Nearest In-take for drinking water pump house distance in kms  4 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 ecological landscape within 5km
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Ganga river
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration No nesting, foraging within 5km of buffer zone
6. Inland, coastal, marine or underground waters No inland, coastal within 5km of buffer zone
7. State, National boundaries N/A
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas N/A
9. Defence installations No Defence installation within 5 km buffer zone
10. Densely populated or built-up area, distance from nearest human habitation 10 Densely populated or built-up area, distance from nearest human habitation Bhagawatipur 1.29 km in SW Direction from Project Site
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) There are a primary hospitals, schools, places of worship, community facilities within 5Km radius From Project Site.
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) N/A
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) N/A
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/6619/2017
File NumberTo be assigned
Date of Apply EC23 May 2017
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)Uttar PradeshPRAYAGRAJSoraon
(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
NIL
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameKGN ENT UDYOG
Designationowner
Company KGN ENT UDYOG
AddressAndhiyari, Lalgopalganj
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