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 Sukhpura - A Sandstone Mining Project(Q. L.- 206)
(ii).Location / site (GPS Co-ordinate) Latitude : 25007’49.55” to 25007’50.23” Longitude : 75014’32.48” to 75014’33.24”
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)0.0232 ha.
(iv).Capacity of the Mining Lease (TPA) 10000
(v).Period of Mining Lease 20
(vi).Expected cost of the Project 8
(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.mine@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.  16.48 km
2. (ii). Nearest Infrastructural along with distance in kms  0 km
(iii). Nearest Railway Line along with distance in kms  17.73 km
(iv). Nearest National Highway along with distance in kms  2.51 km
(v). Nearest State Highway along with distance in kms  9.53 km
(vi). Nearest Major District Road along with distance in kms 0 km
(vii). Nearest Any Other Road along with distance in kms  1.31 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  7.05 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 Unli Nadi (About 7.05 km in North direction) Menali Nadi (About 7.75 km in SW direction) Eru Nadi (About 8.61 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 Reserve Forest (About 4.04 km in North direction) Protected Forest (About 8.56 km in West direction) Protected Forest (About 9.50 km in South direction)
6. Inland, coastal, marine or underground waters Nil
7. State, National boundaries MP Boundary (about 10.27 km in South direction)
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas NH- 27 (About 2.51 km in SE direction) RJ - SH-29 (About 9.53 km in NE direction)
9. Defence installations Nil
10. Densely populated or built-up area, distance from nearest human habitation Sr.No. Village Population Distance in KM. Direction 1. Sukhpura 1296 2.02 East 2. Kheripur 1032 1.39 SE 3. Kalyanpura 1183 4.38 East 4 Fatehpura 390 8.31 East 5 Bijoliya 2396 8.83 NE 6 Lakshmi Niwas 4725 5.90 East 7 Gopalpura 671 7.29 SW 8 Indrapura 889 8.206 SE 9 Amarpura 575 8.94 SE 10 Naya Nagar 599 4.59 SW 11 Mangarh 406 5.41 North 12 Tikhi 347 8.02 North 13 Tharoda 1347 5.57 NE 14 Mali Khera 1213 7.41 NE 15 Deroli 379 8.93 East 16 Chitamba 1961 6.80 SE
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Govt. School, Nayanagar Govt. Sr. Sec. School, Bijoliya Primary Dispensary at Sukhpura - A About 4.59 Km SW direction About 8.83 km in NE direction About 2.02 km in East direction
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) Unli Nadi (About 7.05 km in North direction) Menali Nadi (About 7.75 km in SW direction) Eru Nadi (About 8.61 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/10056/2017
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.)Shri Bahadur Yadav Sukhpura - A Sandstone Mining Project (Q. L.- 206)24 Oct 2017
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameSHRI BAHADUR YADAV
DesignationOwner
Company SHRI BAHADUR YADAV
AddressSalawatiya Tehsil Bijoliya District Bhilwara
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