Form - I

(To be Submitted in Triplicate)

Received................ at..................(Place) on..................(date)

Initial of Receiving Officer

Government of..........................

Application for Mining Lease

(See rule 22(1) of the Mineral Concession Rules, 1960)

Dated the ....................day of 20 .....................

To

Through:

Sir,

        I/We request that a mining lease under the Mineral Concession Rules, 1960 may be granted to me/us.

2. A sum of Rs. 500/- and Rs. 1,000/- being the fees in respect of this application and preliminary expenses respectively payable under sub-rule (3) of rule 22 of the said rule have been deposited (vide receipt Challan No.................dated...........of the State Bank of India/ Treasury ...........................)

3. The required particulars are given below:

(i) Name of the applicant with complete address.

Status of the applicant

(ii) Is the applicant a private individual/co-operative/firm/association /private company/ public company/public sector undertaking/joint sector undertaking or any other.

(iii) In case of the applicant is,-

(a) an individual, his nationality, qualifications and experience relating to mining.

(b) a company, an attested copy of the certificate of registration of the company shall be enclosed.

(c) Omitted.

(d) Firm or Association, the nationality of all the partners of the firm or members of the association, and

(e) a co-operative the nationality of non-Indian members, if any alongwith place of registration and a copy of the certificate of registration.

(iv) Profession or nature of business of applicant.

(v) Particulars of documents appended:

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Document                                                                     Reference

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(a) Mining dues clearance certificate

OR

(b) Affidavit in lieu of Mining Dues Clearance Certificate; subject to the production of mining lease dues, clearance certificate within the period of ninety days of making application.

OR

(c) Affidavit when not holding any mining lease.

(d) Affidavit that up-to-date Income Tax Returns as prescribed under the Income Tax Act, 1961 and that the tax due including the tax on account of self-assessment has been paid.

(vi) Mineral or minerals which the applicant intends to mine.

(vii) Period for which mining lease is required,

(viii) Extent of the area for which mining lease is required.

(ix) Details of the area in respect of which mining lease is required.

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District   Taluqa   Village   Khasra No.    Plot No.   Area    Ownership-Occupancy

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(x) Brief description of the area with particular reference to the following:

(a) Does the applicant have surface rights over the area for which he is making an application for grant of a mining lease.

(b) If not, has he obtained the consent of the owner, and the occupier of the land for undertaking mining operation. If so, the consent of the owner and occupier of the land be obtained in writing and be filed.

(xi)      (a) The situation of the area in respect of natural features such as streams or lakes.

(b) In the case of village areas, the name of the village, the Khasra number, the area in hectares of each field or part thereof applied for.

(c) In case the area applied for is under forest, then the following particulars be given:

(1) Forest division, Block and Range.

(2) Legal status of the forest (namely reserved, protected, unclassified etc.).

(3) Whether it forms part of a National Park or Wild-life Sanctuary.

(4) Type and extent of vegetation in the area.

(5) For areas where no forest maps or cadastral maps are available, a sketch plan should be submitted on scale showing the area applied for together with boundary, if any, of any other existing mining lease or prospecting licence area, if the area applied for has any common point or line with the boundaries of existing prospecting licence or mining lease areas.

(xii) The area applied for should be marked on plan as detailed below:

(a) In case a cadastral Map* of the area is available, the area on this map should he marked showing the name of the village, Khasra number and area in hectares of each field and part thereof.

(b) In the case of forest maps the area should be marked on the map showing the range and felling series.

(c) In case neither cadastral nor forest maps are available, the area should be marked on a sketch plan drawn to scales showing on this plan all important surface and natural features, the dimensions of the lines forming the boundary of the area and the bearing and distance of all comer points from any important, prominent and fixed point or points.

(No.1(3)/68-MII Dt. 30.3.68)

(xiii) Particulars of the area mineral-wise in each State duly supported by an affidavit for which the applicant or any person joint in interest with him.

(a) already holds under mining lease;

(b) has already applied for but not granted;

(c) being applied for simultaneously.

(xiv) Nature of joint in interest, if any.

(xv)     (a) Does the applicant hold a prospecting licence over the area mentioned at (xi) above? If so, give its number and date of grant and the date when it is due to expire.

(b) Has the applicant carried out the prospecting operations over the area held under prospecting licence and sent his report to the State Government, as required by rule 16 of the Mineral Concession Rules, 1960? If not, state reasons for not doing so.

(xvi) Broad parameters of the mineral/ore body/bodies.

(a) Strike length, average width and dip.

(b) Wall rocks on hanging and foot wall sides.

(c) Whether area is considerably disturbed geologically or is comparatively free of geological disturbance? (copy of geological map of the area is to be attached.)

(d) Reserves assessed with their grade(s)(chemical analysis reports of representative samples are to be attached).

(e) Whether the area is virgin? If not, the extent to which it has already been worked. In case there are old workings, their locations are to be shown on the geological map of the area.

(xvii) Broad parameters of the mine

(a) Proposed date of commencement of the mining operations.

(b) Proposed rate of mineral production during the first 5 years (year-wise).

(c) Proposed rate of production when mine is fully developed.

(d) Anticipated life of the mine.

(e) Proposed method of mining (Underground or opencast)

(i) If underground, the method of approach to the deposit mineral/ore whether through inclines or shafts,

(ii) If opencast, the over-burden to one ratio and overall pit stope.

(f) Nature of the land chosen for dumping over burden/waste and tailings(that is type of land whether agricultural, grazing land, barren, saline land etc.) and whether proposed site has been shown on the mine working plan. Give also the extent of area in hectares set apart for dumping of waste and tailings.

(xviii) A report giving the details of prospecting carried out in the area together with assessment of the ore reserves, geological plans, results of chemical analysis of the representative samples, and boreholes and logs.

(xix) Manner in which the mineral raised is to be utilised.

(a)      (i)  If for captive use, the location of plant and industry.

(ii) For sale for indigenous consumption.

(b) If for exports to foreign countries indicate,

(i) Names of the countries to which it is likely to be exported where the mine is being set up on 100% export oriented or tied-up basis.

(ii) Whether mineral will be exported in raw form or after processing. Also indicate the stage of processing, whether intermediate stage or final stage of the end-product.

(c) If it is to be used within the country. indicate -

(i) The industry/industries in which it would be used.

(ii) Whether it will be supplied in raw form or after processing (crushing/grinding/beneficiation/ calcining).

(iii) Whether it would need upgradation and if so, whether it is proposed to set up beneficiation plant. Also indicate the capacity of such plant and the time by which it would be set up.

(d) In case of coal, or other high bulk minerals/ores details of existing railway transport facility available and additional transport facility, if any, required.

(xx) Name, qualification and experience of the Technical Personnel available for supervising the mines.

(xxi)    (i) Financial resources of the applicant.

(ii) Anticipated yearly financial investment during the course of mine; construction and aggregate investment upto the stage of commencement of commercial production.

(xxii)   (a) Nature of waste water, (e.g. whether acidic). If so, expected pH value.

(b) The application form should be accompanied by a statement of the salient features of the scheme of mining. This should be generally on the lines of the "Project at a Glance" given in a mining feasibility report including features relating to the protection of environment.

         I/We do hereby declare that the particulars furnished above are correct and am/are ready to furnish any other details including accurate plans and security deposit, as may be required by you.

Place:.......                                                                                        Yours faithfully,

Date:........                                                                                 Signature of the applicant

* The topographical map of 1"=1 mile scale is obtainable from the office of the Survey of India,      Hathibarkhala, Dehra Dun.

Detailed plan and topographical map are to be attached in triplicate with the original application in case mineral applied for is a scheduled mineral.

Note 1 - If the application is signed by an authorised agent of the applicant, then The Power of               Attorney should be attached.

Note 2-The application should relate to one compact area only except when the application for             mining lease is for an area already held under prospecting licence by the applicant.