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 Takhat Ji Ka Kheda Quartz & Feldspar Mining Project (ML No.- 41/2013)
(ii).Location / site (GPS Co-ordinate) Latitude : 25018’26.07” to 25018’35.07” Longitude : 73014’27.84'' to 73014’37.02''
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)4.6561 ha.
(iv).Capacity of the Mining Lease (TPA) 30000
(v).Period of Mining Lease 20
(vi).Expected cost of the Project 30
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.2012/07 
Name of Consultant/RQPNimish Singhwi
Address 15 New Glass Factory Colonay Sunderwas Udaipur
Mobile No.9414100360
Landline No.2492060
Email Idnimesh.singhvi@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 km
2. (ii). Nearest Infrastructural along with distance in kms  0 km
(iii). Nearest Railway Line along with distance in kms  7.45 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 10.56 km
(vii). Nearest Any Other Road along with distance in kms  1.6 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  6.7 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
Nil
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests MEJ River (About 3.2 Km in SE direction) Unli River (About 6.9 Km in SW direction) Pond (About 6.7 Km in SE direction)
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration Reserved Forest (About 2.6 km in NE direction) Reserved Forest (About 6.1 km in NE direction) Reserved Forest (About 8.7 km in SE direction) Reserved Forest (About 5.1 km in SE direction) Protected Forest (About 3.0 km in South direction)
6. Inland, coastal, marine or underground waters Nil
7. State, National boundaries Nil
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas Nil
9. Defence installations Nil
10. Densely populated or built-up area, distance from nearest human habitation S. No. Village Population Distance in KM Direction 1 Takhat Ji Ka Kheda 546 0.8 NW 2 Meghpura 222 0.2 E 4 Kalyanpura 629 1.9 SE 5 Badanpura 1270 7.4 W 6 Mala Ka Khera 202 4.7 NW 7 Amli 702 7.4 NW 8 Salampura 740 8.8 NW 9 Godpuriya 147 7.5 NW 10 Ekalmeri 17 7.2 NW 11 Rajpura 517 8.7 NW 12 Madhupura 238 9.4 NW 13 Shobhaji Ka Khera 334 8.1 NW 14 Kabri 222 8.7 NE 15 Ralayata 1281 7.6 NE 16 Mewasa 1143 8.5 NE 17 Hamiriya 808 7.7 SE 18 Ratanpura 516 7.5 SW 19 Dhorela 598 8.5 S 20 Je
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) S. No. School/Hospital/Dispensary Distance in KM Direction 1 Govt. Sr. Sec. School at Badanpura 7.4 W 2 Govt. Hospital at Jetpura 8.4 SW 3 Primary School at Hamiriya 7.7 SE 5 Govt. Sr. Sec. School at Mewasa 8.5 NE 6 Govt. Hospital at Ralayata 7.6 NE
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) MEJ River (About 3.2 Km in SE direction) Unli River (About 6.9 Km in SW direction) Pond (About 6.7 Km in SE direction)
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) The area comes under Seismic Zone –II
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/RJ/MIN/10010/2017
File NumberTo be assigned
Date of Apply EC24 Oct 2017
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)RajasthanBhilwaraMandalgarh
(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.)Smt. Sunita Jain Takhat Ji Ka Kheda Quartz & Feldspar Mining Project (ML No.- 41/2013)24 Oct 2017
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameSMT SUNITA JAIN
DesignationOwner
Company SMT SUNITA JAIN
AddressD 25 Lal Bahadur Nagar Malviya
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