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 Boregaon (Jungli) Stone Quarry (ii). Location / site (GPS Co-ordinate) BP1 N 210 26’ 39.10” E 780 47’ 46.18” BP2 N 210 26’ 30.80” E 780 47’ 45.00” BP3 N 210 26’ 30.99” E 780 47’ 50.73” BP4 N 210 26’ 39.10” E 780 47’ 50.43” BP5 N 210 26’ 39.93” E 780 47’ 48.78” BP6 N Annexure-GPS file       (iii). Type of Lease Indivisual Area Size of the Mining Lease (in ha.) 3.80 ha. (iv). Capacity of the Mining Lease (TPA) 420000 (v). Period of Mining Lease 2.5 (vi). Expected cost of the Project 20 (vii). Have you hired Consultant/Registered Qualified Person(RQP) for preparing document? Yes Accreditation No. NABET/EIA/1518/RA 017  Name of Consultant/RQP SRI SAI MANASA NATURE TECH (P) LTD Address SRI SAI MANASA NATURE TECH (P) LTD, HYDRABAD Mobile No. 9595773278 Landline No. 95957732 Email Id nilesh26lax@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.  00.00 km 2. (ii). Nearest Infrastructural along with distance in kms  00.00 km (iii). Nearest Railway Line along with distance in kms  15 km (iv). Nearest National Highway along with distance in kms  0.450 km (v). Nearest State Highway along with distance in kms  9 km (vi). Nearest Major District Road along with distance in kms  9 km (vii). Nearest Any Other Road along with distance in kms  2.10 km (viii). Nearest Electric transmission line pole or tower distance in kms  0.05 km (ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  0.100 km (x). Nearest In-take for drinking water pump house distance in kms  00.00 km (xi). Nearest In-take for Irrigation canal pumps distance in kms  00.00 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 Umri Dam is situated at a distance of 100 meter in east of the area. Canal is situated at a distance of 3.50 km in SSE direction. Kolar Dam is situated at a distance of 3.50 km in SSE direction. 5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration There is no any sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration. 6. Inland, coastal, marine or underground waters Not present nearby the area 7. State, National boundaries State Boundary of Madhya Pradesh is present at a distance of 4.5 km. 8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas Not present 9. Defence installations Not present nearby the area 10. Densely populated or built-up area, distance from nearest human habitation The Umri village is thinly populated village which is present at a distance of about 2km from the area 11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Police Station: – At Tehsil Saoner at about 15km from the mining site area. Medical Facility: - Primary Health Centre at Borgaon and Umri village at a distance of 2.0 km from mining site. School: - In Umri Village (2.0 Km.) Post office: - In Umri Village. (2.0 Km.). Railway Station: - In Saoner (15 km). 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) No 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 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/MH/MIN/18855/2018 File Number DEIAA/SQ/17/17 Date of Apply EC 10 Nov 2018

Details of State of the project
S.No.	State Name	District Name	Tehsil Name
(1.)	Maharashtra	Nagpur	Savner

(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 1M 10 Nov 2018

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

(IV).(i)

Name MS HG INFRA ENGINEERING LIMITED Designation Owner Company MS HG INFRA ENGINEERING LIMITED Address Friends colony, Katol Road, Nagpur