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 sand, stone & bajri from Khasra No. 594/542/403/19, 603/12/2, 593/542/403/19 & 595/542/403/19 falling in Mauza/Mohal-Barma Papri, Tehsil-Nahan, District-Sirmour, Himac
(ii).Location / site (GPS Co-ordinate) Latitude - 300 35’ 51.3” N Longitude - 770 11’ 29.8” E
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)4.55 ha.
(iv).Capacity of the Mining Lease (TPA) 67260
(v).Period of Mining Lease 5
(vi).Expected cost of the Project 20
(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.  1.9 km
2. (ii). Nearest Infrastructural along with distance in kms  10 km
(iii). Nearest Railway Line along with distance in kms  54 km
(iv). Nearest National Highway along with distance in kms  8 km
(v). Nearest State Highway along with distance in kms  8 km
(vi). Nearest Major District Road along with distance in kms 0.8 km
(vii). Nearest Any Other Road along with distance in kms  0.8 km
(viii). Nearest Electric transmission line pole or tower distance in kms  5 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  1.9 km
(x). Nearest In-take for drinking water pump house distance in kms  5 km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  5 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 Run river (left bank tributary of Markanda river) – 300 m, West
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 Haryana lies at a distance of 4 km in West 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 site.
10. Densely populated or built-up area, distance from nearest human habitation Nahan – 10 km, SE
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Government Senior Secondary School ,Trilokpur – 6.9 km, SSE Government arts & Commerce college,Nahan -11.10 km, SE Zonal Hospital ,Nahan – 10.01 km, SE Mata Bala Sundari Temple,Trilokpur – 608 km, SSE Gurudwara Dhangwala – 1.5 km, NE
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/5408/2017
File Number3/2017
Date of Apply EC16 Mar 2017
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)Himachal PradeshSirmaurNahan(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 Certificate16 Mar 2017
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameBALBIR SINGH SIRMOUR
DesignationPartner
Company BALBIR SINGH SIRMOUR
AddressVillage Bajari P.O. Barma Papri Tehsil Nahan Sirmour
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