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 masonry stone mining project M.L. No- 259/98
(ii).Location / site (GPS Co-ordinate) 26 49’ 54.460” N 75 21’ 22.334” E
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)1.00 ha.
(iv).Capacity of the Mining Lease (TPA) 123500
(v).Period of Mining Lease 50
(vi).Expected cost of the Project 30.00
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.1619/RA037 
Name of Consultant/RQPVardan Environet
Address D-142, Sushant Lok -III, Gurugram Sector-57
Mobile No.9887537089
Landline No.2983404
Email Idvardan.jaipur@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.  None km
2. (ii). Nearest Infrastructural along with distance in kms  (500 Mtr. In ENE Dir km
(iii). Nearest Railway Line along with distance in kms  approximate 6.50 km km
(iv). Nearest National Highway along with distance in kms  Approx. 7.0 Kms tow km
(v). Nearest State Highway along with distance in kms  Approx. 4.0 Kms tow km
(vi). Nearest Major District Road along with distance in kms Approx. 4.0 Kms tow km
(vii). Nearest Any Other Road along with distance in kms  2.5Kms km
(viii). Nearest Electric transmission line pole or tower distance in kms  (500 Mtr. In ENE Dir km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  approx. 14.73 NE km
(x). Nearest In-take for drinking water pump house distance in kms  (500 Mtr. In ENE Dir km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  (500 Mtr. In ENE Dir km
3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
None
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Bandi River approx. 4.21 kms towards E direction. ? Sadriya Nadi approx. 10.85 kms towards SE direction. ? Hingoniya Sagar approx. 11.02 kms towards SSE direction. ? Kalakh Sagar approx. 14.73 kms towards NE
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration None
6. Inland, coastal, marine or underground waters None
7. State, National boundaries None
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas SH-57 Approx. 4.0 Kms towards S NH- 8 Approx. 7.0 Kms towards SSE
9. Defence installations None
10. Densely populated or built-up area, distance from nearest human habitation 500 Mtr. In ENE Direction
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Govt. Hospital is available Approx Bichun Approx 2.70 km Govt. School Primary School, & Govt. Senior Secondary School is available Approx Bichun Approx 2.70 km towards
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) None, within 10 km distance from the periphery of lease area
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) None, within 10 km distance from the periphery of lease area
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) 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/11694/2017
File NumberTo be assigned
Date of Apply EC16 Dec 2017
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)RajasthanJaipurDudu (HQ. Mauzamabad)
(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
NIL
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameSHANI CHOUDHARY
DesignationOwner
Company SHANI CHOUDHARY
AddressJaipur
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