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 Chilli Basalt Mining Project
(ii).Location / site (GPS Co-ordinate) Latitude Longitude NE Corner 190 40’45.01”N 77041’27.01”E SE Corner 190 40’34.10”N 77041’24.52”E SW Corner 190 40’33.64”N 77041’22.70”E NW Corner 190 40’45.32”N 77041’23.72”E
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)2.44 ha.
(iv).Capacity of the Mining Lease (TPA) 14355
(v).Period of Mining Lease 5
(vi).Expected cost of the Project 30
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.1316/IA001 
Name of Consultant/RQPVardan Environet
Address D-142 Shushant Lok-III, Sector-57, Gurugram Haryana
Mobile No.9024032841
Landline No.2983404
Email Idjaipur@vardanenvironet
(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.  approx 15.0 kms NE D km
2. (ii). Nearest Infrastructural along with distance in kms  Approx. 1.9 in SW d km
(iii). Nearest Railway Line along with distance in kms  Approx. 35.16 Km in km
(iv). Nearest National Highway along with distance in kms  Approx 3.2 Km toward km
(v). Nearest State Highway along with distance in kms  Approx 2.9 Km toward km
(vi). Nearest Major District Road along with distance in kms None km
(vii). Nearest Any Other Road along with distance in kms  Approx 0.6 Km toward km
(viii). Nearest Electric transmission line pole or tower distance in kms  Approx. 1.9 in SW d km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  approx 3.5 km toward km
(x). Nearest In-take for drinking water pump house distance in kms  Approx. 1.9 in SW d km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  Approx. 1.9 in SW d 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 15 km radius of the mining lease area.
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests ? River approx 5.50 km towards SSW ? River approx 8.90 km towards WSW ? River approx 8.50 km towards ESE ? River approx 12.0 km towards NNE ? Veni Reservoir approx 15.0 km towards N ? Water Reservoir approx 9.5 km towards ENE ? Water Reservoir approx 3.5 km towards SW ? Water Reservoir approx 5.5 km towards NNW
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration No such area is located within the 15 km radius of the mining lease area.
6. Inland, coastal, marine or underground waters No such area is located within the 15 km radius of the mining lease area.
7. State, National boundaries No such area is located within the 15 km radius of the mining lease area.
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas SH-3 Approx 2.9 Km towards ESE NH-204 Approx 3.2 Km towards E Himayatnagar Railway Station (Approx. 35.16 Km in SE direction)
9. Defence installations No such area is located within the 15 km radius of the mining lease area.
10. Densely populated or built-up area, distance from nearest human habitation Chilli Approx 2.05 Km towards SSE. Botha Approx. 1.9 in SW direction
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Primary School at Chilli Approx 2.05 Km towards SSE. Botha Approx. 1.9 in SW direction All Other facilities available in Chilli Approx 2.05 Km towards SSE.
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) Same as item no.-2
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) No such areas observed The study area lies in Seismic Zone III However natural hazards due to earthquakes are not anticipated to be a major environmental issue.
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/4566/2017
File Number4566/2017
Date of Apply EC10 Feb 2017
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)MaharashtraYavatmalUmarkhed
(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)
NameMAROTI BANDUJI KUNTE
Designationonwer
Company MAROTI BANDUJI KUNTE
AddressVillage Chilli, umerkhed, Yavtmal MH
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