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 Raghunathpura Quartz & Feldspar Mine (ii). Location / site (GPS Co-ordinate) raghunathpura Annexure-GPS file       (iii). Type of Lease Indivisual Area Size of the Mining Lease (in ha.) 4.7745 ha. (iv). Capacity of the Mining Lease (TPA) 37700 (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. 1619IA0012  Name of Consultant/RQP Fulgro Environmental Engineering Servies I Pvt Ltd Address 27 ashok vatika near khatipura flyover Jhotwara jaipur Mobile No. 9928170000 Landline No. 11111111 Email Id eia@fulgro.in (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 Within in 15 km km 2. (ii). Nearest Infrastructural along with distance in kms  None Within in 15 km km (iii). Nearest Railway Line along with distance in kms  None Within in 15 km km (iv). Nearest National Highway along with distance in kms  12 km (v). Nearest State Highway along with distance in kms  None Within in 15 km km (vi). Nearest Major District Road along with distance in kms  None Within in 15 km km (vii). Nearest Any Other Road along with distance in kms  None Within in 15 km km (viii). Nearest Electric transmission line pole or tower distance in kms  None Within in 15 km km (ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  None Within in 15 km km (x). Nearest In-take for drinking water pump house distance in kms  None Within in 15 km km (xi). Nearest In-take for Irrigation canal pumps distance in kms  None Within in 15 km km 3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value None Within in 15 km radius map 4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Shiv Pura RF11 km towards WNW Chain Pura RF940 km towards NNW Kirimal RF 7 km towards NNW Chain Pura RF 12 km towards WNW Open Jungle RF13 km towards WNW Khari River1 km towards NW Nekhadi River 10 km towards NW Sukh Dev Sagar 1 km towards East Mephliyas Water Body1 km towards ENE Gondiya Water Body14 km towards NNE 5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration None Within in 15 km radius map 6. Inland, coastal, marine or underground waters None Within in 15 km radius map 7. State, National boundaries None Within in 15 km radius map 8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas None Within in 15 km radius map 9. Defence installations None Within in 15 km radius map 10. Densely populated or built-up area, distance from nearest human habitation Raghunathpura 2 km towards South direction from ML area 11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Raghunathpura 2 km towards South direction from ML area 12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) None Within in 15 km radius map 13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) None Within in 15 km radius map 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) None Within in 15 km radius map 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/Modernization New Proposal Number DIA/RJ/MIN/3493/2016 File Number To be assigned Date of Apply EC 27 Dec 2016

Details of State of the project
S.No.	State Name	District Name	Tehsil Name
(1.)	Rajasthan	Bhilwara	Asind

(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)

Name FULGRO ENVIRONMENTAL & ENGINEERING SERVICES INDIA PVT LTD Designation Lessee Company FULGRO ENVIRONMENTAL & ENGINEERING SERVICES INDIA PVT LTD Address 16, Ambani Gali, Nayabas, Beawar, Ajmer