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 “Dharwara Ordinary Sand Mining”
(ii).Location / site (GPS Co-ordinate) Latitude-25o 09.189' N Longitude-82o 58.928' E
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)2.02 ha.
(iv).Capacity of the Mining Lease (TPA) 10000
(v).Period of Mining Lease .5
(vi).Expected cost of the Project 13
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.086/95A 
Name of Consultant/RQPpankaj pande
Address B1/21, sector b, aliganj, lucknow-2206024
Mobile No.9415102339
Landline No.4011565
Email Idpankajpande@rocketmail.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.  .50 km
2. (ii). Nearest Infrastructural along with distance in kms  .50 km
(iii). Nearest Railway Line along with distance in kms  12.86 km
(iv). Nearest National Highway along with distance in kms  7.31 km
(v). Nearest State Highway along with distance in kms  57 km
(vi). Nearest Major District Road along with distance in kms .50 km
(vii). Nearest Any Other Road along with distance in kms  12 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  21 km
(x). Nearest In-take for drinking water pump house distance in kms  1 km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  1 km
3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
 None
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Tones River .12 Km* (S)
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration None
6. Inland, coastal, marine or underground waters None
7. State, National boundaries None
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas Area is well connected by local bus services. The area connects well by tar road.
9. Defence installations None
10. Densely populated or built-up area, distance from nearest human habitation Meza City 1.3 Km* (S)
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Meza City 1.3 Km* (S)
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) Tones River .12 Km* (S)
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) None
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) As the site comes under seismic zone II according to Indian Standard. Neither any adverse impacts of natural hazards have been noted so for at the site nor it is anticipated.
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/UP/MIN/6567/2017
File Number628
Date of Apply EC20 May 2017
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)Uttar PradeshPRAYAGRAJMeja
(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 CONSTRUCTION
Designationowner
Company SHRI NARAYAN CONSTRUCTION
AddressKathauli, Meja, Allahabad
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