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 SUKHPURA-J SANDSTONE MINING PROJECT (Q.L NO. – 16)
(ii).Location / site (GPS Co-ordinate) Nil
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)0.18 ha.
(iv).Capacity of the Mining Lease (TPA) 19721
(v).Period of Mining Lease 20
(vi).Expected cost of the Project 10
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.2012/07 
Name of Consultant/RQPNimish Singhwi
Address 15 New Glass Factory Colony Sunderwas Udaipur 313001
Mobile No.9414110360
Landline No.2492060
Email Idnimesh.singhvi@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.  7 km
2. (ii). Nearest Infrastructural along with distance in kms  0 km
(iii). Nearest Railway Line along with distance in kms  16.47 km
(iv). Nearest National Highway along with distance in kms  2.5 km
(v). Nearest State Highway along with distance in kms  12.46 km
(vi). Nearest Major District Road along with distance in kms 0 km
(vii). Nearest Any Other Road along with distance in kms  0.22 km
(viii). Nearest Electric transmission line pole or tower distance in kms  0 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  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  9.47 km
3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
 Nil
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Eru Nadi(About 7 km in S direction) Unli Nadi(About 6.8 in N Direction) Menali Nadi(About 7.6km in SW direction)
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration RF(about 0.8km ijn W direction)
6. Inland, coastal, marine or underground waters Nil
7. State, National boundaries MP Boundary(about 10.4km in S direction)
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas NH-27 (about 2.5 km in S direction) RJSH-29 (about 12.46 km in NE direction)
9. Defence installations Nil
10. Densely populated or built-up area, distance from nearest human habitation Sr.No. Village Population Distance in KM. Direction 1 Sukhpura 1296 1.5 E 2 Berisal 1153 3.36 SE 3 Purohito ka khera 361 8.40 SE 4 Bhooti 794 12.40 SE 5 Govind Niwas 315 8.13 SE 6 Chand ji ki kheri 1563 5.77 SE 7 Kharipur 1107 1.72 S 8 Gulgaon 362 13.11 N 9 Anando Ka khera 168 10.01 N 10 Jujarpur 499 10.63 N 11 Dhorela 594 9.83 N 12 Rampuriya 664 12.46 NE 13 Bijoliya Khurd 2396 5.16 NE 14 Bijoliya Kalan 14140 9.58 NE 15 Jawda 1011 6.84 NE
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Govt. School, Ladpura Govt. Sr. Sec. School, Bijoliya Primary Dispensary at sukhpura About 11.14 Km NNW direction About 9.5 km in NE direction About 1.15 km in SE direction
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) Eru Nadi(About 7 km in S direction) Unli Nadi(About 6.8 in N Direction) Menali Nadi(About 7.6km in SW direction)
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) Nil
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 area comes under 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/6615/2017
File NumberTo be assigned
Date of Apply EC23 May 2017
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)RajasthanBhilwaraBeejoliya
(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
(1.)Smt. Lila Devi Sukhpura-J Sandstone mining project (Q.L NO. – 16)23 May 2017
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameSMT LILA DEVI
DesignationOwner
Company SMT LILA DEVI
Address111 Sutharo Ki Gali, Bori Tehsil & Dist. Pratapgarh Raj.
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