(See Paragraph-6)
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 Shri. D. P. Garg, Area -0.36 Ha. (Originally approved 1.62 Ha) Kh/Gut No. 76/2 , Mouza- Khapri (Raja), Tehsil- Umred, District- Nagpur (MS)
(ii).Location / site (GPS Co-ordinate) N 21° 00’38.04” E 79°11’19.34” N 21° 00’38.04” E 79°11’15.88” N 21° 00’39.22” E 79°11’15.75” N 21° 00’39.21” E 79°11’19.19”
Annexure-GPS file      
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)0.36 ha.
(iv).Capacity of the Mining Lease (TPA) 15120
(v).Period of Mining Lease 5
(vi).Expected cost of the Project 10
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.NABET/EIA/1720/RA0085 
Name of Consultant/RQPEarthcare Labs Private Limited
Address C-11, Amar Enclave Commercial Wing, Jog Layout, Prashant Nagar, Ajni Square, Nagpur 440015
Mobile No.9766616862
Landline No.2251470
(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.  4.02 km
2. (ii). Nearest Infrastructural along with distance in kms  0.74 km
(iii). Nearest Railway Line along with distance in kms  16.76 km
(iv). Nearest National Highway along with distance in kms  14.52 km
(v). Nearest State Highway along with distance in kms  0.11 km
(vi). Nearest Major District Road along with distance in kms 0.11 km
(vii). Nearest Any Other Road along with distance in kms  0.11 km
(viii). Nearest Electric transmission line pole or tower distance in kms  0.81 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  1.45 km
(x). Nearest In-take for drinking water pump house distance in kms  1.88 km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  1.86 km
3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
Not Existing in 5 Km radius
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Not Existing in 5 Km radius
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration Not Existing in 5 Km radius
6. Inland, coastal, marine or underground waters Not Existing in 5 Km radius
7. State, National boundaries Not Existing in 5 Km radius
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas Not Existing in 5 Km radius
9. Defence installations Not Existing in 5 Km radius
10. Densely populated or built-up area, distance from nearest human habitation Village Khapri(Raja)- 0.74 Km towards North
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) VIT College 8.90 Km towards SE
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) Pachgaon Lake 1.45 Km towards West
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) Not Existing in 5 Km radius
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) Not Existing in 5 Km radius
Is proposed mining site located over or near fissure/fracture for ground water recharge?No
Whether the proposal involves approval or clearance under the following Regulations or Acts namely?
The Forest (Conservation) Act,1980?No
The Wildlife (Protection) Act,1972?No
The Coastal Regulation Zone (C.R.Z) notification,2011?No
Is forest land involved (ha)?Yes
Uploaded details0.36
Whether there is any litigation pending against the project and/or land in which the project is proposed to be set up?No
Proposal NumberDIA/MH/MIN/19286/2018
File NumberDEIAA/SQ/17/13
Date of Apply EC30 Nov 2018
Details of State of the project
S.No. State Name District Name Tehsil Name
(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.)Undertaking30 Nov 2018
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
AddressC-401, Amar Enclave, Prashant Nagar, Ajni Square, Nagpur