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 Gypsum Permit Area, Sh Manga Ram, Ref No. - 2018171288
(ii).Location / site (GPS Co-ordinate) Latitude, N Longitude, E 1 250 49'55.30" 710 59'20.70" 2 250 49'53.53" 710 59'15.19" 3 250 49'58.01" 710 59'20.50" 4 250 49'55.61” 710 59’14.61”
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)1.25 ha.
(iv).Capacity of the Mining Lease (TPA) 11344
(v).Period of Mining Lease 5
(vi).Expected cost of the Project 30
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.1619 
Name of Consultant/RQPR.K.Consultants
Address 17e/777Chopasani Housing Board, Jodhpur
Mobile No.9829021098
Landline No.02912706
Email Idrkconsultantsjodhpur@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.  6.55 km
2. (ii). Nearest Infrastructural along with distance in kms  0.5 km
(iii). Nearest Railway Line along with distance in kms  6.55 km
(iv). Nearest National Highway along with distance in kms  9.0 km
(v). Nearest State Highway along with distance in kms  12 km
(vi). Nearest Major District Road along with distance in kms 0 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  1.0 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
? No such place is there in 15 km radius
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests • Luni River at about 1.0 km towards SSE direction. • Kalki Nadi at about 8.0 km towards SW. • DholaNada at about 5.2km towards S W. • Kerli Nadi at about 9.0 km towards NW. • Jodon Ka Nada at about 8.8 km towards NE. • Khawas Nada at about 2.9 km at about NW. • Bhimarlai Pond at about 0.7 km towards SW.
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration ? No such place is there in 15 km radius
6. Inland, coastal, marine or underground waters ? No such place is there in 15 km radius
7. State, National boundaries ? No such place is there in 15 km radius
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas ? No such place is there in 15 km radius
9. Defence installations ? No such place is there in 15 km radius
10. Densely populated or built-up area, distance from nearest human habitation Village Bhimarlai As per Census 2011 the population of Bhimarlai is 1081 at about 0.5 Km towards SW direction.
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) • Primary school is present at Bhimarlai at about 0.5 km towards SW. • Govt. College is present at Baytu at about 23.0 km towards NW. • Govt. Hospitals are present at Baytu, Pachpadra & Balotra.
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) ? Minerals Gypsum is abundantly available. Thus only mining industry is also source of income other than agriculture.
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) No such place is there in 15 km radius
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 study area of the lease area falls in Zone II of the Seismic Map. ? There has been no incidence of landslide, earthquake or flooding.
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/17674/2018
File NumberDEIAA/BMR/666
Date of Apply EC03 Oct 2018
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)RajasthanBarmerPachpadra
(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)
NameS DEVA RAM
DesignationOwner
Company S DEVA RAM
AddressKhar ki Dhani, Gole Station, Tehsil - Pachpadra, Barmer
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