(See Paragraph-6)
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 Proposed Chikka Savanuru Grey Granite Quarry, Chikka Savanuru Village, Shirahatti Taluk, Gadag District
(ii).Location / site (GPS Co-ordinate) N15°5'36.86" to N15°5'42.15" E75°36'35.12" to E75°36'39.23"
Annexure-GPS file      
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)1.5076 ha.
(iv).Capacity of the Mining Lease (TPA) 9205
(v).Period of Mining Lease 20
(vi).Expected cost of the Project 40
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.RQP/GOA/052/A 
Name of Consultant/RQPS.B. Naganur
Address Plot no. 30 2nd floor, Nanjundeshwara Complex, Canal Road, Basaveshwara Badavane, Hosapete
Mobile No.9880641510
Landline No.22388
(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 km
2. (ii). Nearest Infrastructural along with distance in kms  2.5 km
(iii). Nearest Railway Line along with distance in kms  51 km
(iv). Nearest National Highway along with distance in kms  58 km
(v). Nearest State Highway along with distance in kms  2.4 km
(vi). Nearest Major District Road along with distance in kms 1.60 km
(vii). Nearest Any Other Road along with distance in kms  0.7 km
(viii). Nearest Electric transmission line pole or tower distance in kms  2.5 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  0 km
3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
Nil. None in 5km radius
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Nil. There are no sensitive ecological sensitive areas.
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration Nil. None in 5km radius
6. Inland, coastal, marine or underground waters There is no inland, coastal & marine water. However, Underground water table is 40-50m from general surface in surrounding area.
7. State, National boundaries No State or National boundaries within 5kms radius
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas Not Applicable
9. Defence installations Nil. There is no defence installations in the applied/study area.
10. Densely populated or built-up area, distance from nearest human habitation Shirahatti is the densely populated area at the distance of ~16 Km N from the lease. Chikka Savanur is the nearest human habitation at the distance of ~2.5 Km from the lease.
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) No sensitive man made land use in core zone. However, Shirahatti ~16Km, N has some schools and primary health centres and private hospitals
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) No scarce resources in core zone. Areas containing important, high quality or scarce resources are far from the applied area.
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) Not Applicable
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 applicable. The project site is in low seismic damage zone. It is situated in earthquake sensitive zone-II as defined in IS: 1893-2002.
Is proposed mining site located over or near fissure/fracture for ground water recharge?No
Whether the proposal involves approval or clearance under the following Regulations or Acts namely?
The Forest (Conservation) Act,1980?No
The Wildlife (Protection) Act,1972?No
The Coastal Regulation Zone (C.R.Z) notification,2011?No
Is forest land involved (ha)?No
Whether there is any litigation pending against the project and/or land in which the project is proposed to be set up?No
Proposal NumberDIA/KA/MIN/15406/2018
File NumberDEIAA7(2)1/2018-19
Date of Apply EC24 May 2018
Details of State of the project
S.No. State Name District Name Tehsil Name
(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.)Form-1M24 May 2018
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
AddressHouse no.4243/19, Ilkal