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 Brick Earth Mining in Mauza Paplah, Tehsil Fatehpur, District Kangra, Himachal Pradesh
(ii).Location / site (GPS Co-ordinate) Latitude : 32°08’59.42” N Longitude:75°57’11.26” E
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)0.8515 ha.
(iv).Capacity of the Mining Lease (TPA) 4425
(v).Period of Mining Lease 5
(vi).Expected cost of the Project 44.00
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.EIA/1619 
Name of Consultant/RQPEnviro Infra Solutions Pvt. Ltd.
Address 301, 302, 305, SRBC, Sector 9, Vasundhara, Ghaziabad
Mobile No.9814087586
Landline No.2306679
Email Idjain_yp@yahoo.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.  0.7 km
2. (ii). Nearest Infrastructural along with distance in kms  0.65 km
(iii). Nearest Railway Line along with distance in kms  1.2 km
(iv). Nearest National Highway along with distance in kms  13.0 km
(v). Nearest State Highway along with distance in kms  1.2 km
(vi). Nearest Major District Road along with distance in kms 0.15 km
(vii). Nearest Any Other Road along with distance in kms  0.65 km
(viii). Nearest Electric transmission line pole or tower distance in kms  0.5 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  7.5 km
(x). Nearest In-take for drinking water pump house distance in kms  7.5 km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  0.5 km
3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
The area around the brick earth mining site is not protected under international conventions, national or local legislation for their ecological, landscape, cultural or other related value.
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests The area around the brick earth mining site has no important or sensitive ecological bodies such as Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests.
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration The area around the brick earth mining site is not 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 There are no inland, coastal, marine or underground waters which would be affected area in and around the brick earth mining site.
7. State, National boundaries There are no State or National boundaries around the brick earth mining site.
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas There are no facilities of recreation or other tourist, pilgrim areas around the brick earth mining site.
9. Defence installations There are no defence installations around the brick earth mining site.
10. Densely populated or built-up area, distance from nearest human habitation Village - Paplah Khas : 0.25 kms. Jawali Town : 5.5 kms.
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Hospitals, Schools, Community Facilities etc. are located more than 5 km. away from the proposed site.
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) There is no important area containing high quality or scarce resources such as ground water resources, surface resources, forestry, agriculture, fisheries, tourism, minerals around the brick earth mining site.
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) The area around the brick earth mining site is not Critically Polluted Area as identified by the Central Pollution Control Board, hence it is not subjected to environmental damage.
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 area around the brick earth mining site is not susceptible to natural hazard which could cause the project to present environmental problems.
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/8358/2017
File NumberTo be assigned
Date of Apply EC12 Aug 2017
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)Himachal PradeshDharmshalaNo Data
(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)
NamePANKAJ MAHAJAN
DesignationPartner
Company PANKAJ MAHAJAN
AddressMahajan Brick Kiln Industries, Village Kandwal, Tehsil Nurpur, District Kangra, Himachal Pradesh
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