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 Kantbada Sandstone Mining Project (QL No. 07/2013)
(ii).Location / site (GPS Co-ordinate) Latitude : 25003’18.35" to 25003’22.64" Longitude : 75023’13.40" to 73023’30.35"
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)4.0468 ha.
(iv).Capacity of the Mining Lease (TPA) 16031.5
(v).Period of Mining Lease 10
(vi).Expected cost of the Project 40
(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 colony sunderwas,udaipur
Mobile No.9414110360
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.  19.90 km
2. (ii). Nearest Infrastructural along with distance in kms  0 km
(iii). Nearest Railway Line along with distance in kms  33.79 km
(iv). Nearest National Highway along with distance in kms  7.90 km
(v). Nearest State Highway along with distance in kms  11.30 km
(vi). Nearest Major District Road along with distance in kms 47 km
(vii). Nearest Any Other Road along with distance in kms  0 km
(viii). Nearest Electric transmission line pole or tower distance in kms  0.15 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  5.18 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 Water Bodies Eru Nadi(About 0.10 Km in N direction) Pond(About 7.33 Km in NE direction) Small Pond(About 5.18 Km in NW direction) Pond(About 12.91 Km in NW direction)
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration NIL
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 NH-76 (About 7.90 km in N direction) SH- 9 A (About 11.30 km in S direction) SH-29(About 11.69 km in NW direction)
9. Defence installations NIL
10. Densely populated or built-up area, distance from nearest human habitation Village Name Population Distance (Km) Direction Ummedpura 508 1.54 SE Kantwada 831 0.51 SW Haripura 935 0.96 NE Jhalon ka Dhoondha 303 1.65 NE Danpura 379 2.71 NE Anti 1182 1.87 S Baniyon Ka Talab 1128 4.41 W Surajbilas 312 1.53 NW Ant 525 2.09 NE Makreri 710 4.86 NW Gudha 1792 4.33 SE Naya gaon 729 5.62 SE Satkundiya 753 4.73 NE Laxmipura 1022 6.52 NE Gopalpura 837 4.80 NE Budhpura 5070 8.66 NE Gordhanpura 574 7.89 NE Govindpura 1305 11.02 NW Manji Saheb ka Khera 807 11.47 NW
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Kasya Govt. School at Tilaswan About 4.86km in W direction Govt. School at Budhpura About 8.96km in NE direction Govt. School at Dabi About 13.86km in NE direction Saraswati higher Sec. School at Singoli About 13.74km in SW direction Sen. Sec. School at Tamboliya About 10.80km in SW direction Sen. Sec. School at Dhaganmau s About 10.76km in SE direction Govt. School at Bijoliya Kalan About 12.69km in NW direction Ebenzers Sec. High School at Bijoliya Kalan About 13.08km in NW 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) 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/10053/2017
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.)RajasthanBhilwaraBeejoliya
(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.)Other24 Oct 2017
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameSMT MEENAKSHI MEENA
Designationowner
Company SMT MEENAKSHI MEENA
AddressKasya,bijoliya,bhilwara
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