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 Mann Khad, situated in Mohal Tuhani, Mauza Jassai of Tehsil Nadaun, District Hamirpur, Himachal Pradesh proposed by Smt. Meera Devi
(ii).Location / site (GPS Co-ordinate) Latitude to Longitude 31°37'32.93"N to 76°24'9.95"E
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)4.53.70 ha.
(iv).Capacity of the Mining Lease (TPA) 79724
(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
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.  21 Kms km
2. (ii). Nearest Infrastructural along with distance in kms  0 km
(iii). Nearest Railway Line along with distance in kms  21 Kms km
(iv). Nearest National Highway along with distance in kms  11.26 km km
(v). Nearest State Highway along with distance in kms  0 km
(vi). Nearest Major District Road along with distance in kms 0.64 km km
(vii). Nearest Any Other Road along with distance in kms  1 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 Mann Khad: Adjacent to the Mine site Lunkhar Khad: At a distance of 5.30 km Hareta Khad: At a distance of 7 km in SE direction Kunah Khad: At a distance of 7 km in NE direction
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration
6. Inland, coastal, marine or underground waters Mann Khad: Adjacent to the Mine site
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 Nearest Town – Kanehra (about 1.63 km in SW direction) Nearest City – Hamirpur ( about 12.8 km in SE direction)
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) T.R. DAV Public Sr. Sec. School, Kangoor At a distance of About 6.77 km. Glodha Hospital, village Dosarka: At a distance of 12.74 km Baba Sidh Chano Mandir near village Kashmir: At a distance of 2.92 km
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 V, which is least 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/6363/2017
File NumberDEIAA/MS/EC/6363/2017
Date of Apply EC06 May 2017
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)Himachal PradeshHamirpurNadaun(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
NIL
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameSOM DUTT SHARMA
DesignationOwner
Company SOM DUTT SHARMA
AddressMohal Tuhani, Mauza Jassai, Tehsil Nadaun, District Hamirpur, H.P.
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