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 Jamba stone Quarry of Shri Vinayak Bhalchandra Mestri
(ii).Location / site (GPS Co-ordinate) Pillar no Latitude Longitude 1. N- 16°13'34.75" E- 73°40'51.34" 2. N- 16°13'36.56" E- 73°40'53.31" 3. N- 16°13'38.21" E- 73°40'51.15" 4. N- 16°13'39.90" E- 73°40'49.69" 5. N- 16°13'37.60" E-
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)1.16.83 ha.
(iv).Capacity of the Mining Lease (TPA) 6267.24
(v).Period of Mining Lease 5
(vi).Expected cost of the Project 32
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.1031/041 
Name of Consultant/RQPVivek p Navare
Address Sankalpana dhavlimal ponda goa 403401
Mobile No.9422442756
Landline No.314491
Email Idviveknavare@yahoo.in
(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.  4.64 km
2. (ii). Nearest Infrastructural along with distance in kms  0.70 km
(iii). Nearest Railway Line along with distance in kms  3.34 km
(iv). Nearest National Highway along with distance in kms  4.88 km
(v). Nearest State Highway along with distance in kms  2.58 km
(vi). Nearest Major District Road along with distance in kms 5.40 km
(vii). Nearest Any Other Road along with distance in kms  1.76 km
(viii). Nearest Electric transmission line pole or tower distance in kms  0 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  1.85 km
(x). Nearest In-take for drinking water pump house distance in kms  0 km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  0 km
3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
There are any no international conventions, national or local legislation for their ecological, landscape, cultural or other related value.
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Gad river flows 1.85Km away in the north Arabian Sea Coast: apprx 25.0Km away - west
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration Not applicable
6. Inland, coastal, marine or underground waters Area like Inland, coastal, marine are not present within the 5 km radius of the mine Gad river flows 1.85Km away in the north
7. State, National boundaries Not within 15Km zone of the lease area
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas NH – 66 (Mumbai-Goa road) passes 4.88Km away in the north-east. State highway no 179 passes 2.58Km away in the east. State highway no 281 passes 3.11Km away in north.
9. Defence installations None
10. Densely populated or built-up area, distance from nearest human habitation Nearest human settlement is located 0.70Km away in the south-east
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) There are few village dispensaries. Hospitals and Schools envisaged within 5 km radius of the mine site but not in core zone.
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) Areas containing important, high quality or scarce resources are not present
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) Areas already subjected to pollution or environmental damage. (those where existing legal environmental standards are exceeded) are does not present within the lease 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) Such type of areas are not present
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/MH/MIN/17079/2018
File NumberDIA/MH/MIN/17079/2018
Date of Apply EC03 Sep 2018
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)MaharashtraSindhudurgMalwan
(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.)form 1m03 Sep 2018
(2.)emp03 Sep 2018
(3.)Project benefits03 Sep 2018
(4.)conclusion03 Sep 2018
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameVIVEK P NAVARE
DesignationMember
Company VIVEK P NAVARE
Address1815, E Ward , Rajarammpuri 3rd Lane , Kolhapur
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