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 Minor Mineral Mining Project by sh Prempal
(ii).Location / site (GPS Co-ordinate) 30° 35' 20" N -77° 28' 34" E
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)2.0736 ha.
(iv).Capacity of the Mining Lease (TPA) 19230
(v).Period of Mining Lease 5
(vi).Expected cost of the Project 10
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.R.Q.P01/1 
Name of Consultant/RQPRQP-SUBHASH SHARMA
Address Kasumpati, Shimala
Mobile No.9958218629
Landline No.00000
Email Idssprempal1122@gmail.com
(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.  62 km
2. (ii). Nearest Infrastructural along with distance in kms  4 km
(iii). Nearest Railway Line along with distance in kms  62 km
(iv). Nearest National Highway along with distance in kms  9.76 km
(v). Nearest State Highway along with distance in kms  4 km
(vi). Nearest Major District Road along with distance in kms 19 km
(vii). Nearest Any Other Road along with distance in kms  0.5 km
(viii). Nearest Electric transmission line pole or tower distance in kms  1.5 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  4.0 km
(x). Nearest In-take for drinking water pump house distance in kms  1.5 km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  600 km
3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
 no such area within 5km radius.
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests project lies on the bed of Giri River only.
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration no such area within 5km radius.
6. Inland, coastal, marine or underground waters NA
7. State, National boundaries Nearest Highway is NH72-9.76km
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas no such route within 5km.
9. Defence installations NA
10. Densely populated or built-up area, distance from nearest human habitation khala is about 1.2km
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Nearest hospital is at villaga Gawana about 4km, Government Senior Secondary School about 13km
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) No such area 500m radius.
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) no such area within 5km radius.
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) Project lies under seismic zone IV which is not much susceptible to any natural hazard.
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/5381/2017
File Number1/2016
Date of Apply EC15 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.)DIA/HP/MIN/5381/201715 Mar 2017
(2.)DIA/HP/MIN/5381/201715 Mar 2017
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameMINING PROJECT BY SH PREMPAL
Designationowner
Company MINING PROJECT BY SH PREMPAL
AddressMauza and Mohal mehat, Tehsil Paonta Sahib
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