APPENDIX VIII (See paragraph 6) FORM 1 M APPLICATION FOR MINING OF MINOR MINERALS UNDER CATEGORY ‘B2’ FOR LESS THAN AND EQUAL TO FIVE HECTARE

(II) Basic Information

SR.NO Information Detail 1 Name of the Mining Lease site: PARESHBHAI KESHAVBHAI THUMMAR s.no.35,39,40 on mahi river bed at:jalampura ta:savli dist: AT-JHALAMPURA, TA-SAVLI, DIST-VADODRA Mobail No-- 2 Location / site (GPS Co-ordinates): A. 220 30' 05.91"N 730 05' 29.35"E B. 220 30' 14.08"N 730 05' 32.51"E C. 220 30' 15.50"N 730 05' 28.46"E D. 220 30' 07.12"N 730 05' 25.64"E 3 Size of the Mining Lease (Hectare): 4.90.00 4 Capacity of Mining Lease (TPA): 150000

5 Period of Mining Lease: 3 YEARS

6 Expected cost of the Project:

7 Contact Information: -

(III) Environmental Sensitivity SR.NO Areas Distance in kilometer / Details 8 Distance of project site from nearest rail or DETAIL DISTANCE road bridge over the concerned River, NEAREST RAILWAY LINE 25 KM Rivulet, Nallah etc. NEAREST ROAD 3 KM NEAREST VILLAGE 1 KM NEAREST TOWN 10 KM DISTRICT HADEQUARTER 25 KM NEAREST OVER BRIDGE N.A. CONCERNED RIVER

9 Distance from infrastructural facilities Railway line VADODRA RAILWAY STATION - 25 KM National Highway NH – 8A 55 KM State Highway SAKDRA-SAVLI ROAD – 7.5 KM Major District Road Any Other Road GJ SH 1 AND GJ SH 38 Electric transmission line pole or tower NONE Canal or check dam or reservoirs or lake NONE or ponds In-take for drinking water pump house NONE Intake for Irrigation canal pumps NONE

NONE

10 Areas protected under international No such area within five kilometres radius conventions, national or local legislation for their ecological, landscape, cultural or other related value 11 Areas which are important or sensitive for N.A. ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests 12 Areas used by protected, important or No such area within five kilometres radius sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration 13 Inland, coastal, marine or underground N.A. waters 14 State, National boundaries N.A. 15 Routes or facilities used by the public for N.A. access to recreation or other tourist, pilgrim areas 16 Defence installations N.A. 17 Densely populated or built-up area, distance JHALAMPURA - 1 KM from nearest human habitation About Jalampura

Jalampura is a small Village/hamlet in Savli Taluka in Vadodara District of State, . It comes under Jalampura Panchayath. It is located 27 KM towards North from District head quarters Vadodara. 25 KM from Savli. 108 KM from State capital

Jalampura Pin code is 391780 and postal head office is Bhadarwa .

Poicha (kanoda) ( 2 KM ) , Poicha (raniya) ( 2 KM ) , Bhadarva ( 3 KM ) , Raniya ( 3 KM ) , Ramnagar ( 6 KM ) are the nearby Villages to Jalampura. Jalampura is surrounded by Taluka towards North , Anklav Taluka towards South , Savli Taluka towards East , Vadodara Taluka towards South .

Anand , Vadodara , Umreth , Padra are the near by Cities to Jalampura.

This Place is in the border of the Vadodara District and . Anand District Anand is west towards this place .

Jalampura is a small Village/hamlet in Savli Taluka in Vadodara District of Gujarat State, India. It comes under Jalampura Panchayath. It is located 27 KM towards North from District head quarters Vadodara. 25 KM from Savli. 108 KM from State capital Gandhinagar

Jalampura Pin code is 391780 and postal head office is Bhadarwa .

Poicha (kanoda) ( 2 KM ) , Poicha (raniya) ( 2 KM ) , Bhadarva ( 3 KM ) , Raniya ( 3 KM ) , Ramnagar ( 6 KM ) are the nearby Villages to Jalampura. Jalampura is surrounded by Umreth Taluka towards North , Anklav Taluka towards South , Savli Taluka towards East , Vadodara Taluka towards South .

Anand , Vadodara , Umreth , Padra are the near by Cities to Jalampura.

This Place is in the border of the Vadodara District and Anand District. Anand District Anand is west towards this place . 18 Areas occupied by sensitive man-made land Colleges near Jalampura uses (hospitals, schools, places of worship, community facilities) Kjit Address : Kjit Near Javala Talav Opp Iti Savali Sanskar Bharti B. Ed. College Address : Natvarnagar A – 391 780;taluk : Savli; Dist : Vadodara.

Schools in Jalampura

Jalampura Pri. Sch. Address : jalampura , savli , vadodara , Gujarat . PIN- 391780 , Post - Bhadarwa

19 Areas containing important, high quality or No such area containing important, high quality or scarce resources scarce resources (Ground water resources, surface (ground water resources, surface resources, forestry, agriculture, fisheries, tourism, resources, forestry, agriculture, fisheries, tourism, minerals) minerals) within 500 metres. 20 Areas already subjected to pollution or No such areas already subjected to pollution or environmental damage. (those where environmental damage. (Those where existing legal existing legal environmental standards are exceeded) environmental standards are exceeded) within five kilometres radius. 21 Areas susceptible to natural hazard which The area is not prone to flood and earthquake. No could cause the project to present such incidence of natural disaster is reported in this environmental problems (earthquakes, subsidence, landslides, area so far. In view point of seismicity, proposed erosion, flooding project comes in Zone-II (least active) of Seismic or extreme or adverse climatic conditions) Zoning Map of India. 22 Is proposed mining site located over or near NOT ANY fissure / fracture for ground water Recharge 23 Whether the proposal involves approval or NONE clearance under the following Regulations or Acts, namely:- (a) The Forest (Conservation) Act, 1980; (b) The Wildlife (Protection) Act, 1972; (c) The Coastal Regulation Zone Notification, 2011. If yes, details of the same and their status to be given. 24 Forest land involved (hectares) NONE 25 Whether there is any litigation pending No forest land involved against the project and/or land in which the project is propose to be set up? (a) Name of the Court (b) Case No. (c) Orders or directions of the Court, if any, and its relevance with the proposed project. Date:

Place:

(Signature of Project Proponent Along with name and address)