FORM-I

(See rule 9)

Application for Grant \ Renewal of Quarry Lease

 

 

Received at .............(Place) on the  ...........day of……..19……

 

From

 

To

    The

 

Through :- The

 

Dated the ………..19….

 

 

1. I/We beg to apply for grant of Quarry lease/ renewal of quarry lease for a term of …….years over …….hectares of land in the area specified in the schedule.

 

2. A sum of Rs.5000/- or Rs. 250/-   as  application fee  payable under rules   has been deposited  vide challan No....... dated .........at place…….

 

3.            The required particulars are given below

(i)         Name of the applicant.

(ii)        Nationality of the  applicant (parteners, Director, Members)

(iii)       Place of registration or incorporation(firm, Company or Society/Association)

(iv)       Profession of individual , nature of business of firm or Company or Society/Association and place of business.

(i)                 Address of the firm, Company or Society/Association              

(ii)                Caste (individual or member of Society/Association)

(iii)              Educational qualification (individual or member of Society/Association)

(iv)              Age (individual or member of Society/Association).

(v)               Residence (individual or member of Society/Association).

 (x)            List of Directors/partners/Members

(xi)            Registration/ in-corporation certificate

(xii)            Financial status

(xiii)           Articles of memorandum/partnership deed/by-laws

(xiv)          Whether the application is for a fresh lease or for a renewal of a lease previously granted. Give details of previous lease held.

(xv)            Mineral/Minerals, which the applicant intends to mine.

(xvi)          Period for which the quarry lease/renewal of quarry lease is required.

(xvii)         Approximate quantity of mineral expected to be raised year wise during the first three years.

(xviii)       Manner in which the mineral raised is to be utilized.

(a)    for manufacture

(b)    for sale

(c)     any other purpose

in case of manufacture the industries in connection with which it is required, should be specified. Details of Plant(s) owned, proposed to be setup be given.

 

4 (a)            A plan (six copies) showing the situation and boundaries of the area/ areas applied for and concession if any, adjoining is/ are enclosed.(If this plan / these plans be considered insufficient, I /We request that the necessary plan/plans of the area/ areas may be prepared in duplicate in your office at my/ our cost)

               (b)   Khasra Panchsala.

 

5.                  A statement supported by an affidavit showing all the areas mineral wise in each district of the state.

 

(i)                  already held by me/us in my/ our name/names (and jointly with others) under quarrying leases specifying the names of minor minerals.

(ii)                already applied for but not yet granted and

(iii)               being applied for simultaneously.

6.                  An affidavit of obtaining surface rights.

7.                  No dues certificate in Form II.

8.                  The plan should indicate important features, viz-

(i)                  if a railway, its full details i.e. whether Eastern Railway or Central Railway, whether a branch line or a main line or colliery tramway.

(ii)                if a road, whether village or Public Works Department or cart track

(iii)               wells

(iv)              temples or mosques

(v)                burning ghats or burial ground, etc

9.                  In case the renewal applied for is only for part of the lease hold,

(a)                the area applied for renewal

(b)               description of the area applied for renewal

(c)                particulars of the lease hold with area applied for renewal clearly marked on it (attached)

10.        Means by which mineral is to be raised i.e. by hand labourers, mechanical or electric power

11.        any other particulars which the applicant wishes to furnish

 

Schedule

Description of the area applied for

(i)           Name of village and Panchayat.

(ii)          Khasra number and area of each field or part thereof-

 

 

Khasra Number

Area in Hectares

 

 

(iii)        full description of the area applied for with regard to natural feature-

(iv)        Tehsil and patwari circle number –

(v)         District……

Place……..

Date………

 

Yours faithfully

 

Name and Designation

 

 

N.B.-      If the application is signed by an authorised agent of the applicant then the power of Attorney should be attached.

If all the number can not entered on this form they should be continued on a separate sheet attached to it and signed. Where a portion of a khasra number only is required the approximate area of such portion will suffice.