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 VILLAGE HARI NAGAR URF KHERKI, TEHSIL AND DISTT. PATIALA, BY SINGLA BRICKS COMPANY
(ii).Location / site (GPS Co-ordinate) VILLAGE HARI NAGAR URF KHERKI, TEHSIL AND DISTT. PATIALA, BY SINGLA BRICKS COMPANY
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)2.83 ha.
(iv).Capacity of the Mining Lease (TPA) 8000
(v).Period of Mining Lease 6
(vi).Expected cost of the Project 18
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?No
Reason for not hiring the Consultant/RQP 0
(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 km
2. (ii). Nearest Infrastructural along with distance in kms  0 km
(iii). Nearest Railway Line along with distance in kms  0 km
(iv). Nearest National Highway along with distance in kms  0 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  2.2 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
The area 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 is not important or sensitive for ecological reasons - 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 in and around 1 km. radius 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 1 km. radius of the project site.
7. State, National boundaries Haryana boundary (interstate boundary) exists at a distance of around 2876 Ft from the site. There is no national boundary within an area of 07 kms.
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas There are no recreation or other tourist, pilgrim areas within 1 km radius of the project site.
9. Defence installations No defence installations within 1 km radius of the project site.
10. Densely populated or built-up area, distance from nearest human habitation No densily populated town within 1 km radius of the project site.
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Hospitals, Schools, Place of Worship, Community Facilities etc. are located more than 1 km from the project 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 within 1km radius of the project site.
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) No, the area is not subjected to pollution or 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 surrounding 1 km radius area 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/PB/MIN/14602/2018
File Number5.22
Date of Apply EC17 Apr 2018
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)PunjabPatialaPatiala
(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.)PROJECT FILE17 Apr 2018
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameHIGH TECH COMPUTER
DesignationACCOUNTANT
Company HIGH TECH COMPUTER
AddressPATIALA
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