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 Murram & Building Stone Quarry of M/s. Patel Engineering Ltd
(ii).Location / site (GPS Co-ordinate) N14008’23.9” & E 75027’58.2” N14008’24.6” & E 75028’04.2” N14008’21.0” & E 75028’05.1” N14008’20.3” & E 75027’59.2”
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) 279998
(v).Period of Mining Lease 5
(vi).Expected cost of the Project 30
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.RA 0030 
Name of Consultant/RQPS. Kameswara Rao
Address GLOBAL Environment & Mining Services, 3rd Main Road, Basaveswara Badawane, Hospet-583201
Mobile No.9448479433
Landline No.651111
Email Idgems_hpt@yahoo.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 km
2. (ii). Nearest Infrastructural along with distance in kms  0 km
(iii). Nearest Railway Line along with distance in kms  26 km
(iv). Nearest National Highway along with distance in kms  23.3 km
(v). Nearest State Highway along with distance in kms  0.1 km
(vi). Nearest Major District Road along with distance in kms 0.1 km
(vii). Nearest Any Other Road along with distance in kms  0.75 km
(viii). Nearest Electric transmission line pole or tower distance in kms  0.1 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  7.3 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  0.5 km
3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
Nil
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Agricultural lands are located in buffer zone area. These are the seasonal corps. The village ponds are located in buffer zone area. These water bodies are far away from the Quarry area. There are no biospheres, mountains, etc. However the forest land is located in the buffer zone.
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration There is no sensitive flora & fauna in this area for breeding, nesting, foraging resting over wintering migration.
6. Inland, coastal, marine or underground waters Nil
7. State, National boundaries Nil
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas Nil
9. Defence installations Nil
10. Densely populated or built-up area, distance from nearest human habitation The village Siddapura is at a distance of 0.5 kms away from the quarry area. Shivamogga Town is at a distance of 25 kms from the stone quarry.
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Primary Schools are located at Siddapura village. The hospitals, colleges, places of worship community facilities etc., are located at Shivamogga town which is at a distance of 25 kms by road from the lease area.
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) Kudurekanda Reserved Forest is located at a distance of 2.5 Kms towards North-East, Suragondanakoppa Minor Forest is located at a distance of 2.9 Kms towards South, Minor Forest is located at a distance of 1.4 Kms towards North-West.
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) There are few Building Stone Quarries adjacent to the granted area.
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) Nil
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/KA/MIN/8598/2017
File NumberKallugani/cr/41/17-18
Date of Apply EC26 Aug 2017
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)KarnatakaDavanagereHonnali
(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-IM26 Aug 2017
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NamePATEL ENGG LTD
DesignationOwner
Company PATEL ENGG LTD
AddressM/s. Patel Engineering Ltd,Murram and Building Stone Quarry over an Extent:5.0 Acres,Sy No.42 of Siddapura Village, Honnahalli Taluk, Davanagere District, Karnataka
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