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 Pardi K Sandghat (Minor Mineral) Mining Project Adjacent Khasra No- 153 for Pardi K Tehsil – Parshiwani, District - Nagpur, State - Maharashtra. (ii). Location / site (GPS Co-ordinate) 21°19'17.80"N 79°05'41.00"E 21°19'16.60"N 79°05'43.22"E 21°19'20.63"N 79°05'35.66"E 21°19'18.12"N 79°05'33.44"E Annexure-GPS file       (iii). Type of Lease Indivisual Area Size of the Mining Lease (in ha.) 2.50 ha. (iv). Capacity of the Mining Lease (TPA) 20000 (v). Period of Mining Lease 1 (vi). Expected cost of the Project 12 (vii). Have you hired Consultant/Registered Qualified Person(RQP) for preparing document? Yes Accreditation No. NABET/EIA/1619/IA007  Name of Consultant/RQP Global Management and Engineering Consultants Address Saharan Tower, 308, Officers Campus Ext., Sirsi Road, Jaipur Mobile No. 9928599571 Landline No. 2353241 Email Id info@gmecinternational.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.  0 km 2. (ii). Nearest Infrastructural along with distance in kms  1 km (iii). Nearest Railway Line along with distance in kms  3 km (iv). Nearest National Highway along with distance in kms  0 km (v). Nearest State Highway along with distance in kms  4 km (vi). Nearest Major District Road along with distance in kms  0 km (vii). Nearest Any Other Road along with distance in kms  1 km (viii). Nearest Electric transmission line pole or tower distance in kms  1 km (ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  0 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  0 km 3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value No such area is located within the study area. 4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests The quarry area is itself part of water body i.e. River Kanhan, there are number of tributes of River Kanhan is also available in Study Area. 5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration None 6. Inland, coastal, marine or underground waters The project lies in Kanhan River. 7. State, National boundaries Madhya Pradesh State boundary is about 31 km in north direction 8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas SH- 267 About 4.0 km in SSW direction from Project Site. 9. Defence installations No, Defence Installations. 10. Densely populated or built-up area, distance from nearest human habitation Pardi-K village is situated 1.0 km in NNW direction from the project site. 11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) a) School: -The Primary school facility is available at village – Pardi K (1.0 Km, in NNW direction), b) Hospital: -Hospital facility is available Parshivani (9.0 km, NE) from quarry area. 12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) Quarry mine area is falls in river Kanhan. 13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) The area is not subjected to the pollution or environmental damage. 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 area is prone to flooding during heavy rains. The area is falls in Seismic Zone –II 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/19144/2018 File Number DEIAA/17/01 Date of Apply EC 21 Nov 2018

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

(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.) Mining plan letter 21 Nov 2018

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

(IV).(i)

Name TEHSILDAR OFFICE, NAGPUR Designation Applicant Company TEHSILDAR OFFICE, NAGPUR Address Tehsildar office nagpur