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 Shri Narayan Dangi , Quartz & Feldspar Mining Project, Located at Near Village- Shishvi Sejlai, Tehsil- Girwa, District- Udaipur
(ii).Location / site (GPS Co-ordinate) Latitude: 24031’47.4”N to 27040’52.8”N Longitude: 75055’38.4”E to 75055’43.7”E
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)1.7613 ha.
(iv).Capacity of the Mining Lease (TPA) 110315
(v).Period of Mining Lease 50
(vi).Expected cost of the Project 30
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.NABET/EIA/1619/SA 066 
Name of Consultant/RQPM/s. Mantras Green Resources Limited
Address Hall No-1, First Floor, NICE Sankul, Plot No A-9, opp. Nasik Merchant Co Op Bank Ltd, ITI Signal, MIDC Satpur, Nasik
Mobile No.9950369484
Landline No.2295815
Email Idunienviro.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.  Approx. 15.79 Kms, T km
2. (ii). Nearest Infrastructural along with distance in kms  approx. 1.45 Km in S km
(iii). Nearest Railway Line along with distance in kms  Approx. 15.79 Kms, T km
(iv). Nearest National Highway along with distance in kms  approx. 19.65 Km WNW km
(v). Nearest State Highway along with distance in kms  None within 15 Km Ra km
(vi). Nearest Major District Road along with distance in kms approx. 9.39 Km SW d km
(vii). Nearest Any Other Road along with distance in kms  approx. 1.45 Km in S km
(viii). Nearest Electric transmission line pole or tower distance in kms  1.45 Km towards WNW km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  None km
(x). Nearest In-take for drinking water pump house distance in kms  None km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  None 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 radius of the mining lease area
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Phalet RF Approx 2.5 km towards SW direction. Amarbir RF Approx 8.5 Km in WSW Direction Anand Forest approx. 5.2 Km in NE direction No such water bodies is located within the 15 km radius of the mining lease area
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 radius of the mining lease area
6. Inland, coastal, marine or underground waters No such area is located within the 15 km radius of the mining lease area
7. State, National boundaries Not applicable, As no State, National boundaries are located within the 15 km radius of the mining lease area
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas NH-76 approx. 12.45 kms towards NW direction. NH-8 approx. 19.65 Km WNW direction MDR-11 approx. 9.39 Km SW direction
9. Defence installations None
10. Densely populated or built-up area, distance from nearest human habitation Sheshvi Sejlai (Approx. 1.45 Kms, towards SE direction)
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) School:- The Primary school is in Shishvi Sejlai ( 1.45 Km in SE direction) & Secondary School at Asawara village(2.8 km, west Direction). Hospital: -- Nearest dispensary is located at Asawara 2.80 km west direction of lease area. Government hospital is at udaipur about 25,7 kms WNW of M.L. area, Post Office etc. is located at Shishvi Sejlai about 1.45 kms SE of M.L. area.
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) Forest: Phalet RF Approx 2.5 km towards SW direction. Amarbir RF Approx 8.5 Km in WSW Direction Anand Forest approx. 5.2 Km in NE direction Water: - Ground water level lies at a depth of 55 to 60 m from the surface. The nearest source of dribking water is dug wells and tube wells Agricultural: - Agriculture is one of the major occupations in this region. As the M.L. area is a Govt. land.
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) The area is not subjected to the pollution or environmental damage.
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 project site falls in Zone-II as per IS 1893 (PartI): 2002. Hence, seismically it is a stable zone. No Earthquakes, subsidence, landslides, erosion, flooding or extreme or adverse climatic conditions are observed in past.
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/19872/2019
File NumberTo be assigned
Date of Apply EC21 Feb 2019
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)RajasthanUdaipurGirwa
(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)
NameSHRI NARAYAN DANGI
DesignationLessee
Company SHRI NARAYAN DANGI
AddressNear Village- Shishvi Sejlai, Tehsil- Girwa, Distt- Udaipur
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