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 of Sand, Stone & Bajri from Swan River situated in Mauza Gagret, Up- Mohal Ram Nagar Proposed by Sh Kapil Sharma Partner. M/s Shree Rudra Stone & Screening Plant.
(ii).Location / site (GPS Co-ordinate) Latitude – Longitude 31°40'33.41"N to 76° 4'40.09"E
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)01.45.39 ha.
(iv).Capacity of the Mining Lease (TPA) 32625
(v).Period of Mining Lease 5
(vi).Expected cost of the Project 12
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.S.No. 134 
Name of Consultant/RQPShivalik Soild Waste Management Limited
Address Village Majra, P.O. Dabhota, Tehsil Nalagarh, District Solan, Himachal Pradesh-174101
Mobile No.9356882018
Landline No.509496
Email Idinfoshivalikeia@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.  3.16 Km km
2. (ii). Nearest Infrastructural along with distance in kms  0.85 km km
(iii). Nearest Railway Line along with distance in kms  3.16 Km km
(iv). Nearest National Highway along with distance in kms  0.85 km km
(v). Nearest State Highway along with distance in kms  3.80 Km km
(vi). Nearest Major District Road along with distance in kms 0.20 Km km
(vii). Nearest Any Other Road along with distance in kms  0 km
(viii). Nearest Electric transmission line pole or tower distance in kms  0 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  0 km
(x). Nearest In-take for drinking water pump house distance in kms  0 km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  0 km
3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
 Nil
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Nil
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration Lohara PF - 7.0 Km in NE direction
6. Inland, coastal, marine or underground waters Nil
7. State, National boundaries Punjab- Himachal Pradesh about 7.68 Km in West Direction (Aerial Distance)
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas NA
9. Defence installations NA
10. Densely populated or built-up area, distance from nearest human habitation Amb- At About 3.75 km in East direction
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) St. D.R. Public Sr. Sec. School, Gagret- 1.47 Km in SW Direction (Aerial Distance) Dr. B.R. Ambedkar Govt. Polytechnics College, Ambota- 1.49 Km in SW direction Lakhi Hospital, Daulatpur-12.19 Km in NW direction Shiv Temple, Kad-1.79 Km in N Direction
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) Swan River - Adjacent to lease area
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) NA
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 lease area falls in the seismic zone V, which is prone to earthquake.
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/6205/2017
File Numberdeiaa/una/2017/026
Date of Apply EC08 Sep 2017
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)Himachal PradeshUnaAmb
(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.)Fresh Letter of Intent (Reply to the EDS)19 Jul 2017
(2.)Fresh Mining Officer Letter(Reply to the EDS)19 Jul 2017
(3.)EMP08 Sep 2017
(4.)Form I08 Sep 2017
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameMS SHREE RUDRA STONE CRUSHER AND SCREENING PLANT
DesignationPartner
Company MS SHREE RUDRA STONE CRUSHER AND SCREENING PLANT
AddressVPO Oel, Tehsil Amb, District Una, H.P.
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