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 Masonary Stone Mining Lease ( M.L. No. 110/1998) Area 1.00 Hect. Khasra No. 863/1, Proposed Production capacity of Masonary 52395 TPA & Proposed Stone Crusher Named ( M/s Kapish Stone Crusher) of Ca
(ii).Location / site (GPS Co-ordinate) N - 26d 55’ 06.3” E - 75d 24’ 04.8”
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) 52395
(v).Period of Mining Lease 50
(vi).Expected cost of the Project 60
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.2012/07 
Name of Consultant/RQPNimish Singhvi
Address R/o- 15, New Glass Factory Colony, Sundarwas, Udaipur ( Raj.)
Mobile No.9414110360
Landline No.2492060
Email Idyadavjp.ahir20@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.  About 17.0 Km in Sou km
2. (ii). Nearest Infrastructural along with distance in kms  About 5.0 Km in Nort km
(iii). Nearest Railway Line along with distance in kms  About 17.0 Km in Sou km
(iv). Nearest National Highway along with distance in kms  About 15.0 Km in SE km
(v). Nearest State Highway along with distance in kms  About 6.0 Km in Nort km
(vi). Nearest Major District Road along with distance in kms About 6.0 Km in Nort km
(vii). Nearest Any Other Road along with distance in kms  Approx 200 Meter o km
(viii). Nearest Electric transmission line pole or tower distance in kms  00 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  About 4.2 South East 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  00 km
3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
No such Area is Located within the 15 km redius of the minning lease area.
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Bandi River- About 4.2 South East Direction.
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration No such Area is Located within the 15 km redius of the minning lease area.
6. Inland, coastal, marine or underground waters No such Area is Located within the 15 km redius of the minning lease area.
7. State, National boundaries No such Area is Located within the 15 km redius of the minning lease area.
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas RJ SH 2C- About 6.0 Km in North direction. NH-08- About 15.0 Km in SE direction.
9. Defence installations No such Area is Located within the 15 km redius of the minning lease area.
10. Densely populated or built-up area, distance from nearest human habitation Asalpur- Population 7566 Bodas- Population 873 Jobner-Population 11354 Haripura-Population 556
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Dispensary & Middile School is at Jobner. Perest polic e Station At Jobner.
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) No such Area is Located within the 15 km redius of the minning lease area.
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) No such Area is Located within the 15 km redius of the minning 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) 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/19156/2018
File NumberTo be assigned
Date of Apply EC21 Nov 2018
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)RajasthanJaipurPhulera (HQ.Sambhar)
(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)
NameMS KAPISH STONE CRUSHER LLP
DesignationOwner
Company MS KAPISH STONE CRUSHER LLP
AddressR/o- 2, Geejgarh Vihar, Ward No. 16, Tehsil & District-
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