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 Brick Earth Mine in Villages Kapoor chandpur & Poore premshah, Tehsil Musafirkhana & District Amethi Developed By H. K. brick field (ii). Location / site (GPS Co-ordinate) 26° 23.270'N and 81° 46.912'E Annexure-GPS file       (iii). Type of Lease Indivisual Area Size of the Mining Lease (in ha.) 1.823 ha. (iv). Capacity of the Mining Lease (TPA) 4990 (v). Period of Mining Lease 5 (vi). Expected cost of the Project 20 (vii). Have you hired Consultant/Registered Qualified Person(RQP) for preparing document? Yes Accreditation No. 00  Name of Consultant/RQP MUKESH SUROLIYA Address LUCKNOW Mobile No. 9258148733 Landline No. 4071422 Email Id deepk1001@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.  0.0 km 2. (ii). Nearest Infrastructural along with distance in kms  1.5 km (iii). Nearest Railway Line along with distance in kms  0.2 km (iv). Nearest National Highway along with distance in kms  0.4 km (v). Nearest State Highway along with distance in kms  0.0 km (vi). Nearest Major District Road along with distance in kms  0.0 km (vii). Nearest Any Other Road along with distance in kms  0.0 km (viii). Nearest Electric transmission line pole or tower distance in kms  0.0 km (ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  0.0 km (x). Nearest In-take for drinking water pump house distance in kms  0.0 km (xi). Nearest In-take for Irrigation canal pumps distance in kms  0.0 km 3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value Not with in 10 km radius 4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Not with in 10 km radius 5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration Not with in 10 km radius 6. Inland, coastal, marine or underground waters Not with in 10 km radius 7. State, National boundaries Not with in 10 km radius 8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas Not with in 10 km radius 9. Defence installations Not with in 10 km radius 10. Densely populated or built-up area, distance from nearest human habitation Village poore premshah- 1.5 km 11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) 2.5 km 12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) Not with in 10 km radius 13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) Not with in 10 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) Not with in 10 km radius 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/UP/MIN/4974/2017 File Number To be assigned Date of Apply EC 25 Feb 2017

Details of State of the project
S.No.	State Name	District Name	Tehsil Name
(1.)	Uttar Pradesh	Amethi	No Data

(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 AWS ENVIRO SOLUTIONS Designation proprietor Company AWS ENVIRO SOLUTIONS Address 2ND FLOOR DEVPURI PLAZA, NEELGIRI CROSSING, INDRANAGAR LUCKNOW