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 M/s Jai Durga Stone Crusher
(ii).Location / site (GPS Co-ordinate) Latitude: 31° 11' 13.8"N Longitude: 76° 53' 55.2" E
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)0.5380 ha.
(iv).Capacity of the Mining Lease (TPA) 16625
(v).Period of Mining Lease 5
(vi).Expected cost of the Project 50
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.148 
Name of Consultant/RQPSrushti Sewa Private Limited
Address 455 Aggarwal Metro Heights, Netaji Subhash Place, Pitampura, Delhi-110034
Mobile No.9990416608
Landline No.47565882
Email Idgcrddelhi@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.  60 km
2. (ii). Nearest Infrastructural along with distance in kms  3.5 km
(iii). Nearest Railway Line along with distance in kms  60 km
(iv). Nearest National Highway along with distance in kms  6 km
(v). Nearest State Highway along with distance in kms  7.32 km
(vi). Nearest Major District Road along with distance in kms 0 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
Not present within 15 km
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Not present within 15 km
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration Not present within 15 km
6. Inland, coastal, marine or underground waters Not present within 15 km
7. State, National boundaries Not present within 15 km
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas National Highway-88 about a a distance of 6 km in North direction State Highway-9 is at a distance of 7.32 in SE direction
9. Defence installations Not present within 15 km
10. Densely populated or built-up area, distance from nearest human habitation Arki village is about a distance of 8km in SE direction.
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Bhumti Govt.Hospital is about 7 km away in SSE direction Arki Civil Hospital is about 7.5 km away in SE direction Veterinary Hospital Dhundhan is about 5 km away in N direction Civil Hospital & Life Line Hospital Darlaghat is about 7 km away in NE direction Govt. Dispensary Batal is about 3.5 Kms in SW Direction
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) Nil
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) Nil
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) Nil
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/8500/2017
File NumberTo be assigned
Date of Apply EC21 Aug 2017
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)Himachal PradeshSolanArki(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.)Letter of Intent21 Aug 2017
(2.)NOC from Gram Panchayat21 Aug 2017
(3.)Composite 500 metre21 Aug 2017
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameSHRI YASHVINER SINGH
DesignationOwner
Company SHRI YASHVINER SINGH
AddressVillage Riyal Post Office Dhundan Tehsil Arki State Himachal Pardesh
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