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 Mining appln of Mr. Basant Suryanath Singh,Gut No.579/3 Part,Sawli (Jam) stone quarry proposal (ii). Location / site (GPS Co-ordinate) 20°29' 11.0575"N, 78°55' 49.701"E Annexure-GPS file       (iii). Type of Lease Indivisual Area Size of the Mining Lease (in ha.) 1.20 ha. (iv). Capacity of the Mining Lease (TPA) 25724 (v). Period of Mining Lease 5 (vi). Expected cost of the Project 22 (vii). Have you hired Consultant/Registered Qualified Person(RQP) for preparing document? Yes Accreditation No. 1518/RA0036  Name of Consultant/RQP Prashil Shukla Address Enviro Techno Consult Pvt Ltd., Nagpur Mobile No. 9225230146 Landline No. 32027888 Email Id envirotechnoconsult@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.  4.193 km 2. (ii). Nearest Infrastructural along with distance in kms  10.8 km (iii). Nearest Railway Line along with distance in kms  7.7 km (iv). Nearest National Highway along with distance in kms  10.7 km (v). Nearest State Highway along with distance in kms  5.563 km (vi). Nearest Major District Road along with distance in kms  2.606 km (vii). Nearest Any Other Road along with distance in kms  0.328 km (viii). Nearest Electric transmission line pole or tower distance in kms  3.101 km (ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  0.50 km (x). Nearest In-take for drinking water pump house distance in kms  6.011 km (xi). Nearest In-take for Irrigation canal pumps distance in kms  2.88 km 3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value Tadoba-andheri Tiger reserve-31.5 Km E, Bor Santury-57 Km NW 4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Water Body –Sawli (Jam)-0.500 km SE,2.67 km SW,2.76 km NW,Vana river-12.5 Km W,Pothra River 6.15 Km S,, Wet Land Not Notified for district ,Coastal Area 638 Km West,Biosphere Pachmadi -212 Km N,Mountains Mudkhed Hills 82 Km SW 5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration Tadoba-andheri Tiger reserve-31.5 Km E, Bor Santury-57 Km NW 6. Inland, coastal, marine or underground waters Water Body –Sawli (Jam)-0.500 km SE,2.67 km SW,2.76 km NW,Vana river-12.5 Km W,Pothra River 6.15 Km S,Coastal Area 638 Km, ,Marine Water -630 Km West 7. State, National boundaries 80 Km S 8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas Tadoba Rd – 5.5 km E 9. Defence installations Pulgaon -58 Km NW 10. Densely populated or built-up area, distance from nearest human habitation Sawli (Jam) -2.13 km N 11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) 10.8 Km Hinanghat NW 12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) Water Body –Sawli (Jam)-0.500 km SE,2.67 km SW,2.76 km NW,Vana river-12.5 Km W,Pothra River 6.15 Km S,Coastal Area 638 Km, ,Marine Water -630 Km West,quarry is agriculture area with single crop system, Fishing at Water Body 6.15 Km S, Minerals quarry Basalt 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. Stone quarry is at safe distances from natural hazards like earthquake prone area, subsidence, landslide, erosion, flooding prone area 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/19328/2018 File Number DIA/MH/MIN/19328/2018 Date of Apply EC 01 Dec 2018

Details of State of the project
S.No.	State Name	District Name	Tehsil Name
(1.)	Maharashtra	Wardha	Hinganghat

(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 NIL

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

(IV).(i)

Name PROJECT PROPONENT Designation PROJECT PROPONENT Company PROJECT PROPONENT Address 68, mahakali nagar nagpur