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 Dugariya Quarry Lease
(ii).Location / site (GPS Co-ordinate) P-122° 2'16.02"N 79°17'59.53"E P-2 22° 2'16.49"N 79°18'1.37"E P-3 22° 2'15.36"N 79°18'1.98"E P-4 22° 2'15.38"N 79°18'3.69"E P-5 22° 2'12.35"N 79°18'2.85"E P-6 22° 2'12.36"N 79°18'0.59"
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)1.000 ha.
(iv).Capacity of the Mining Lease (TPA) 20000
(v).Period of Mining Lease 10
(vi).Expected cost of the Project 10
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.010/2013 
Name of Consultant/RQPRAJENDRA KUMAR SHARMA
Address INDIRA NAGAR LUCKNOW
Mobile No.9009155499
Landline No.232999
Email Idmaashardaenergetics@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.  1.5 km
2. (ii). Nearest Infrastructural along with distance in kms  0.9 km
(iii). Nearest Railway Line along with distance in kms  5 km
(iv). Nearest National Highway along with distance in kms  5 km
(v). Nearest State Highway along with distance in kms  1.5 km
(vi). Nearest Major District Road along with distance in kms 1.5 km
(vii). Nearest Any Other Road along with distance in kms  0.6 km
(viii). Nearest Electric transmission line pole or tower distance in kms  0.9 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  0.6 km
(x). Nearest In-take for drinking water pump house distance in kms  0.9 km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  0.6 km
3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
Not any within 5 km
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Not any within 5 km
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration Not any within 5 km
6. Inland, coastal, marine or underground waters Not any within 5 km
7. State, National boundaries Not any within 5 km
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas Not any within 5 km
9. Defence installations Not any within 5 km
10. Densely populated or built-up area, distance from nearest human habitation Cahurai tehsil is densely populated area which is 5 km from the project site
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Dugariya village is having primary school facility which is 1.2 km from project site
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) Not any within 5 km
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) Not any within 5 km
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 any within 5 km
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/MP/MIN/7732/2017
File Number133/17
Date of Apply EC22 Jul 2017
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)Madhya PradeshChhindwaraChaurai
(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.)LOI22 Jul 2017
(2.)Gramsabha NOC22 Jul 2017
(3.)Tehsil NOC22 Jul 2017
(4.)forest NOC22 Jul 2017
(5.)khasara scedule22 Jul 2017
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameRITURAJ DWIVEDI
Designationowner
Company RITURAJ DWIVEDI
Addresshousing board coloney maihar
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