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 M/s. SRI LAKSHMI BALAJI STONE CRUSHER (ii). Location / site (GPS Co-ordinate) BP.NO LATITUDE (N) LONGITUDE (E) 1 16°10'10.20"N 80°14'16.15"E 2 16°10'14.19"N 80°14'16.45"E 3 16°10'15.10"N 80°14'12.22"E 4 16°10'11.90"N 80°14'12.80"E Annexure-GPS file       (iii). Type of Lease Indivisual Area Size of the Mining Lease (in ha.) 1.307 ha. (iv). Capacity of the Mining Lease (TPA) 95300 (v). Period of Mining Lease 15 (vi). Expected cost of the Project 20 (vii). Have you hired Consultant/Registered Qualified Person(RQP) for preparing document? No Reason for not hiring the Consultant/RQP We can do the application. (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.  12.2 kms km 2. (ii). Nearest Infrastructural along with distance in kms  Edlapadu-1.00 kms km (iii). Nearest Railway Line along with distance in kms  12.2 kms km (iv). Nearest National Highway along with distance in kms  AH-45-.1.15 kms km (v). Nearest State Highway along with distance in kms  -- km (vi). Nearest Major District Road along with distance in kms  -- km (vii). Nearest Any Other Road along with distance in kms  Edlapadu-Gottipadu r km (viii). Nearest Electric transmission line pole or tower distance in kms  1.00 km (ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  Maidavolu Cheruvu-2 km (x). Nearest In-take for drinking water pump house distance in kms  1 km (xi). Nearest In-take for Irrigation canal pumps distance in kms  1 km 3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value Such are not located within 10 kms of the proposed area. 4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Such are not located within 10 kms of the proposed area. 5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration Such are not located within 10 kms of the proposed area. 6. Inland, coastal, marine or underground waters Such boundaries are not located within 10 kms of proposed area. 7. State, National boundaries No interstate, national boundary within 10 kms of proposed area. 8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas Such areas are not located within 10 kms of proposed area. 9. Defence installations None 10. Densely populated or built-up area, distance from nearest human habitation Edlapadu-1.00 kms 11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Primary school education is available at Viswanadhuni Kandrika Village, Higher education are available at Edlapadu, Guntur. 12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) None 13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) No legal disputes about this project. 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 environmental problems in the project area. 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/Modernization New Proposal Number DIA/AP/MIN/18704/2018 File Number 277/DEIAA/AP/GNT/18 Date of Apply EC 02 Nov 2018

Details of State of the project
S.No.	State Name	District Name	Tehsil Name
(1.)	Andhra Pradesh	Guntur	Edlapadu

(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)

Name SRI LAKSHMI BALAJI STONE CRUSHER Designation ManagingPartner Company SRI LAKSHMI BALAJI STONE CRUSHER Address Sy.No.17/Part, Viswanadhuni Kandrika, Edlapadu Mandal, Guntur District