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. Tanaji Ambadas Jadhav,Gut No.2676/1,Mangalwedha stone quarry proposal
(ii).Location / site (GPS Co-ordinate) 17°30'30.9"N, 75°25'31.9"E
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)2.00 ha.
(iv).Capacity of the Mining Lease (TPA) 147652
(v).Period of Mining Lease 5
(vi).Expected cost of the Project 36
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.1518/RA0036 
Name of Consultant/RQPPrashil Shukla
Address Enviro Techno consult Pvt Ltd., nagpur
Mobile No.9225230146
Landline No.32027888
Email Idenvirotechnoconsult@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.  0.368 km
2. (ii). Nearest Infrastructural along with distance in kms  2.2 km
(iii). Nearest Railway Line along with distance in kms  18.3 km
(iv). Nearest National Highway along with distance in kms  0.850 km
(v). Nearest State Highway along with distance in kms  2.117 km
(vi). Nearest Major District Road along with distance in kms 2.09 km
(vii). Nearest Any Other Road along with distance in kms  0.290 km
(viii). Nearest Electric transmission line pole or tower distance in kms  15 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  2.282 km
(x). Nearest In-take for drinking water pump house distance in kms  2.282 km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  2.282 km
3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
 Great Indian Bustered Santury- 12 Km
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Man River -5.840 Km NW,Canal-0.327 SE Km, Wet Land Not Notified for district ,Coastal Area 240 Km West, Biosphere Pachmadi -550 Km North East, Mountains Satpuda range 15 Km N, Rajegaon Rf 8.9 Km NE
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration Great Indian Bustered Santury- 12 Km
6. Inland, coastal, marine or underground waters Man River -5.840 Km NW,Canal-0.327 SE Km, Coastal Area 240 Km West, ,Marine Water -200 Km West
7. State, National boundaries 22 Km SE
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas Pandharpur-2.09 Km NE
9. Defence installations Not within 5km of study area
10. Densely populated or built-up area, distance from nearest human habitation Mangalwedha-2.2 km E
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Mangalwedha-2.2 km E
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) Man River -5.840 Km NW,Canal-0.327 SE Km,,Marine Water -200 Km West,quarry is agriculture area with single crop system, Fishing at Man River -5.840 Km NW, Minerals quarry belongs to 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/ModernizationNew
Proposal NumberDIA/MH/MIN/19363/2018
File NumberTo be assigned
Date of Apply EC02 Dec 2018
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)MaharashtraSolapurMangalvedhe
(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)
NamePROJECT PROPONENT
DesignationPROJECT PROPONENT
Company PROJECT PROPONENT
Address68, mahakali nagar nagpur
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