FOR MINOR MINERALS

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FORM-15

APPLICATION FOR QUARRY LEASE

(See Rule.5)

To

                ..................................................................

                 Dated        the                      19

 Sir,

                  1. I/We submit an application for a quarry  lease of...................(minerals) a term of................

years over..................hectares of land in the area specified  in the Annexure given below.......................

 

                  2.A sum of Rs.2000/- payable as fee for the grant of such lease under rule 6 of the Orissa Minor

Mineral Concession Rules,1990 has been paid in the   Government Treasury at.........................and the receipted challan is enclosed.

                  3.The required particulars are given below:-

                                  (I)                 Name and address of the applicant............................................

                                (ii)                 Nationality of the applicant.....................................................

                                (iii)                 Profession of the applicant.....................................................

                                (iv)                 Approximate quantity of minor minerals expected to be

                                                      raised annually.......................................

                                (v)                 Particulas of the areas mineral wise within the State for which the

                                                     applicant or any person jointly interest with him................................

                                                (a)                 Already holds a quarry lease.......................

                                                (b)                 has alerady applied for quarry lease but not granted.............

                                                (c)                 being applied for simultaneously.....................................

                                                (d)                 nature of joint interest, if any.........................................

                                (vi)                 Means by which the Minor Mineral/Minerals is /are to be raised, i.e.

                                                     whether manual or mechanical.....................................

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

                                                (a)                 for manufacture....................................

                                                (b)                 for sale................................................

                                                (c)                 any other purpose................................

                                  (viii)                 Details of the plan of the area applied for to be enclosed:-

                                                (The plan should be on the relevant portion of the cadastral village

                                                map with scale and should contain natural features , land marks   or

                                                other features to enable identification of the area in the field , the

                                                nearest railway stations, or any other places of importance)

                                (ix)                 Has the applicant any previous experience in quarrying:

                                                If yes, details should be given ................................................

                                   (x)                 Financial resources of the applicant.............................

                                  (xi)                 Total investment in the operation anticipated.......................

                                  (xii)                 Particulars of the receipted Treasury Challan  for the fee.................

                                  (xiii)                 Attested copies  of I.T.C.C. and S.T.C.C. of the last finacial year  and

                                                          valid on the date of application...........................................

                                  (xiv)                 Any other particulars which the applicant wishes to furnish..................

                                                1.                 Name of the Village/Forest Block

                                                2.                 Details of the area applied for in each Survey Number

                                                3.                 Full description of the area applied for with regard to natural

                                                                features..............................

                                                4.                 District

                                I/We  hereby declare that the particulars furnished above are correct and undertake

to furnish any other details, plan, etc.,as may be required by you.

PLACE:-                                                                                                  Yours faithfully,

DARE:                                                                                                                                    

                                                                                                        Signature of the Applicant.

N.B.: If the application is signed by an authorised agent of the applicant, the power of attorney should

          be attached.

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