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 Mining project for extraction of stone from Khasra No. 58, 59, 69, 70 falling in Mauza/Mohal-Bhatrog, Tehsil-Paonta Sahib, District-Sirmour, Himachal Pradesh.
(ii).Location / site (GPS Co-ordinate) Latitude - 30°32' 34.95" N Longitude - 77° 39' 43.38"E
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)2.79 ha.
(iv).Capacity of the Mining Lease (TPA) 68496
(v).Period of Mining Lease 15
(vi).Expected cost of the Project 12
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.77 
Name of Consultant/RQPIdma Laboratories Limited
Address 391, Industrial Area Phase-I, Panchkula
Mobile No.9988694610
Landline No.5064827
Email Idjoginder@idmagroup.co.in
(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.  44 km
2. (ii). Nearest Infrastructural along with distance in kms  35 km
(iii). Nearest Railway Line along with distance in kms  44 km
(iv). Nearest National Highway along with distance in kms  0.8 km
(v). Nearest State Highway along with distance in kms  5 km
(vi). Nearest Major District Road along with distance in kms 0.8 km
(vii). Nearest Any Other Road along with distance in kms  5 km
(viii). Nearest Electric transmission line pole or tower distance in kms  22 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  0.3 km
(x). Nearest In-take for drinking water pump house distance in kms  22 km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  22 km
3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
 There are no such areas near the project site.
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Giri river - 300 m, West Yamuna river - 12 km, South
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration There are no such areas near the project site.
6. Inland, coastal, marine or underground waters There are no such areas near the project site.
7. State, National boundaries Interstate boundary with Uttaranchal lies at a distance of 10 km in SSE direction.
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas No such routes/facilities related to recreation or pilgrimages are present near the project site.
9. Defence installations No defence installations are found near the project site.
10. Densely populated or built-up area, distance from nearest human habitation Paonta Sahib - 22 km, SW Nahan- 35 km, West
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Himachal Puran Hospital – 11 km, SSW Kalindi Hospital – 14 km, SE The Sapience School – 14 km, SE Government College, Amboa – 6 km, East Himachal Institute of Dental Sciences – 11 km, SSW Renuka Mata Temple – 21 km, NW Gurudwara shri Paonta sahib – 13 km, SSW
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) There are no such areas near the project site.
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) There are no such areas near the project site.
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) District Sirmour falls in Seismic Zone-IV. Zone IV is High Damage Risk Zone as per the Seismic Zoning Map of India (IS Code: 1893:2002) (Source-District Disaster Management Plan of District-Sirmour)
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/HP/MIN/5365/2017
File Number2/2017
Date of Apply EC14 Mar 2017
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)Himachal PradeshSirmaurPaonta Sahib(T)
(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.)Distance Certificate14 Mar 2017
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameNEELGIRI STONE CRUSHER SIRMOUR
DesignationProprietor
Company NEELGIRI STONE CRUSHER SIRMOUR
AddressVillage Bhatrog District Sirmour
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