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 stone from hill slope proposed by Chuhi Ram Sharma Prop. M/s Maruti Crushers & Suppliers
(ii).Location / site (GPS Co-ordinate) Latitude – Longitude 30°34'14.84"N - 77°38'57.40"E
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)2.98 ha.
(iv).Capacity of the Mining Lease (TPA) 50000
(v).Period of Mining Lease 15
(vi).Expected cost of the Project 15
(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, H.P.- 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.  0.20 Km km
2. (ii). Nearest Infrastructural along with distance in kms  0 km
(iii). Nearest Railway Line along with distance in kms  42 Km km
(iv). Nearest National Highway along with distance in kms  0.20 Km km
(v). Nearest State Highway along with distance in kms  0 km
(vi). Nearest Major District Road along with distance in kms 0 km
(vii). Nearest Any Other Road along with distance in kms  1.69 Km 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
 NA
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests NA
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration NA
6. Inland, coastal, marine or underground waters NA
7. State, National boundaries NA
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 Kamroo About 2Km in SSW direction
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Buddhist Temple Tillordhar About 950 m in SE direction Government senior secondary School Kafota- About 2.55 km in NE direction Government degree college Shillai - About 8.49 km in NNE direction Government Hospital Shillai- About 7.76 km in NE direction
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) NA
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 IV, 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?Yes
StatusIn-Principle(Stage-I) Approval Obtained
File numberNo.Ft.48-3299/2016(FCA) 
Date of In-Principle08 Mar 2016
Area diverted3.91 Ha of forest land for approach road, mining lease and stone crusher has been diverted
Uploaded Clearance LetterAnnexure-Uploaded clearance letter
(b).
The Wildlife (Protection) Act,1972?No
(c).
The Coastal Regulation Zone (C.R.Z) notification,2011?No
17.
Is forest land involved (ha)?Yes
Uploaded details3.91 Ha of forest la
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/6321/2017
File Number1/17
Date of Apply EC03 May 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.)LOI, Mining Officer letter, Forest Diversion letter03 May 2017
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameMS MARUTI CRUSHERS AND SUPPLIERS
DesignationOwner
Company MS MARUTI CRUSHERS AND SUPPLIERS
AddressKhasra numbers Bila Paimuda/1, Mauza/Mahol Barwas, Tehsil Paonta Sahib, District Sirmour, Himachal Pradesh
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