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 Survey No 96, At Por, Taluka: Gandhinagar, Dist: Gandhinagar
(ii).Location / site (GPS Co-ordinate) 1. 23.164176 N, 72.596726 E 2. 23.165048 N, 72.596724 E 3. 23.164783 N, 72.597938 E 4. 23.164580 N, 72.597961 E 5. 23.164524 N, 72.598720 E 6. 23.163627 N, 72.598796 E 7. 23.163104 N, 72.598311
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)00.70.00 ha.
(iv).Capacity of the Mining Lease (TPA) 10000
(v).Period of Mining Lease 05
(vi).Expected cost of the Project 10
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?No
Reason for not hiring the Consultant/RQP this project is categorized as B2, hence EIA is no
(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.  7.0 km
2. (ii). Nearest Infrastructural along with distance in kms  1.0 km
(iii). Nearest Railway Line along with distance in kms  5.0 km
(iv). Nearest National Highway along with distance in kms  1.80 km
(v). Nearest State Highway along with distance in kms  1.00 km
(vi). Nearest Major District Road along with distance in kms 0.330 km
(vii). Nearest Any Other Road along with distance in kms  0.370 km
(viii). Nearest Electric transmission line pole or tower distance in kms  1.0 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  2.30 km
(x). Nearest In-take for drinking water pump house distance in kms  2.30 km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  2.30 km
3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
Thol Bird Sanctuary – 18.80 KM
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Thol Bird Sanctuary – 18.80 KM
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration Thol Bird Sanctuary – 18.80 KM
6. Inland, coastal, marine or underground waters Not Applicable
7. State, National boundaries No such area within 15 KM
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas NH 147 – 1.80 KM SH 41 – 1.00 KM Adalaj Por Road – 0.330 KM Koba Adalaj Road – 0.370 KM
9. Defence installations No such area within 15 KM
10. Densely populated or built-up area, distance from nearest human habitation Adalaj – 1.00 KM
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Adalaj – 1.00 KM
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) Not Applicable
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) Not Applicable
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) The study area lies in Seismic Zone-III. However natural hazards due to earthquakes are not anticipated to be a major environmental issue owing to the shallow mining depths. Also no major structures are part of the proposed development. Hence environmental impacts due to the proposed development are ruled out.
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/GJ/MIN/4281/2017
File NumberTo be assigned
Date of Apply EC25 Jan 2017
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)GujaratGandhinagarGandhinagar
(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.)Form 1 and Form 1M25 Jan 2017
(2.)Project Details25 Jan 2017
(3.)Brick Registration25 Jan 2017
(4.)NA Documents25 Jan 2017
(5.)Location Map25 Jan 2017
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameJAY BRAHMANI BRICKS
DesignationApplicant
Company JAY BRAHMANI BRICKS
AddressSurvey No 96 At Por, Taluka: Gandhinagar, Dist: Gandhinagar
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