(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 “Black Granite Quarry” over an extent of 6-37 Acres at Sy No.50/2, 50/3 of Potloramhalli village, Challakere Taluk, Chitradurga
(ii).Location / site (GPS Co-ordinate) A - 14o 18’ 05.5” N - 76o 55’ 34.3” E B - 14o 18’ 15.7” N - 76o 55’ 31.2” E C - 14o 18’ 15.9” N - 76o 55’ 33.5” E D - 14o 18’ 19.3” N - 76o 55’ 34.8” E E - 14o 18’ 19.9” N - 76o 55’ 36.2” E
Annexure-GPS file      
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)2.78 ha.
(iv).Capacity of the Mining Lease (TPA) 1219.83
(v).Period of Mining Lease 5
(vi).Expected cost of the Project 5.5
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.RQP/BNG/342/2014/A 
Name of Consultant/RQPGanesha
Address Bangalore
Mobile No.8277358855
Landline No.1453968
(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.  3.00 km
2. (ii). Nearest Infrastructural along with distance in kms  25 km
(iii). Nearest Railway Line along with distance in kms  28.6 km
(iv). Nearest National Highway along with distance in kms  48.27 km
(v). Nearest State Highway along with distance in kms  6.91 km
(vi). Nearest Major District Road along with distance in kms 2.82 km
(vii). Nearest Any Other Road along with distance in kms  0.2 km
(viii). Nearest Electric transmission line pole or tower distance in kms  1.05 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  1.50 km
(x). Nearest In-take for drinking water pump house distance in kms  1.05 km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  0.2 km
3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Potlarahalli pond -1.50 kms(W)
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration NA
6. Inland, coastal, marine or underground waters NA
7. State, National boundaries Karnataka - Andhra Pradesh State Border - 0.95 kms(SE)
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas SH 48 - 6.63 kms(S)
9. Defence installations --
10. Densely populated or built-up area, distance from nearest human habitation Challakere - 25.00 kms(W)
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Challakere - 25.00 kms(W)
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) NA
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) NA
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) NA
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/19093/2018
File NumberDEIAA 09/2018-19
Date of Apply EC19 Nov 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
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.