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 Belbhadri Stone Deposit of M/S Kashi Builders & Services Pvt Ltd. Director- Sri Bipin Kumar (ii). Location / site (GPS Co-ordinate) The Proposed area is bounded by Longitude 87°29'22.49" E & 87°29'27.39" E and latitude 25°14'18.78" N & 25°14'23.49" N Annexure-GPS file       (iii). Type of Lease Indivisual Area Size of the Mining Lease (in ha.) 1.32 ha. (iv). Capacity of the Mining Lease (TPA) 122300.2 (v). Period of Mining Lease 10 (vi). Expected cost of the Project 40 (vii). Have you hired Consultant/Registered Qualified Person(RQP) for preparing document? Yes Accreditation No. 30/13/1835  Name of Consultant/RQP RAVINDRA KUMAR PRAKASH Address ENVIRON MANTRA CONSULTING CENTER DEEP MANSION KASHYAP VIHAR OPPOSITE ASHOK NAGAR GATE NO 4 RANCHI 834002 Mobile No. 8757538142 Landline No. 6561605 Email Id environmantra@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.  5 km 2. (ii). Nearest Infrastructural along with distance in kms  5 km (iii). Nearest Railway Line along with distance in kms  5 km (iv). Nearest National Highway along with distance in kms  9 km (v). Nearest State Highway along with distance in kms  6 km (vi). Nearest Major District Road along with distance in kms  6 km (vii). Nearest Any Other Road along with distance in kms  1 km (viii). Nearest Electric transmission line pole or tower distance in kms  5 km (ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  15 km (x). Nearest In-take for drinking water pump house distance in kms  15 km (xi). Nearest In-take for Irrigation canal pumps distance in kms  15 km 3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value There is no such Protected area within 5 km Radius of ML area. 4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests There is no such sensitive area within 5 km radius of ML area 5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration There is no such sensitive flora or fauna has been found within 5 km radius of ML area. 6. Inland, coastal, marine or underground waters There is no such water resources within 5 km radius of ML area. 7. State, National boundaries State boundary of Bihar & Jharkhand is approx 4.85 km from the ML area 8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas No such routes are there within 5 km radius of ML area 9. Defence installations Army camp is there in district headquarter Sahibganj afround 30 KM from the ML area 10. Densely populated or built-up area, distance from nearest human habitation Densely populated area nearby the ML area is Mirzachauki i.e. 5 km from the Propsed area 11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) There is no such area within 5 km of ML area. 12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) There is no such area within a radius of 5 km 13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) There is no such area within 5 km radius of ML area 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) There is no such area within a radius of 5 km 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/JH/MIN/11896/2017 File Number File No.-134/18 Date of Apply EC 26 Dec 2017

Details of State of the project
S.No.	State Name	District Name	Tehsil Name
(1.)	Jharkhand	Sahibganj	Mandro

(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.) Hydrogeology Report 26 Dec 2017

(IV)	Undertaking
	The aforesaid application and documents furnished here with are true to my knowledge.

(IV).(i)

Name ENVIRON MANTRA CONSULTING CENTER Designation Managing Director Company ENVIRON MANTRA CONSULTING CENTER Address ENVIRON MANTRA CONSULTING CENTER, DEEP MANSION, KASHYAP VIHAR