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 BUILDING STONE QUARRY OF JSS GRANITES
(ii).Location / site (GPS Co-ordinate) 11°8’09.42” N to 11°8’22.43” N 76°10’27.53” E to 76°10’36.63” E
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)4.9960 ha.
(iv).Capacity of the Mining Lease (TPA) 150000
(v).Period of Mining Lease 12
(vi).Expected cost of the Project 60
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.338/2014/A 
Name of Consultant/RQPMAHESH. S
Address Mahesh S RQP/BNG/338/2014/A TC 31/580, Navadeepam SN Nagar, Pettah Trivandrum
Mobile No.9446303422
Landline No.2663330
Email Idmaheshsurendranpillai@gmail.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.  3 km
2. (ii). Nearest Infrastructural along with distance in kms  0.120 km
(iii). Nearest Railway Line along with distance in kms  34 km
(iv). Nearest National Highway along with distance in kms  19 km
(v). Nearest State Highway along with distance in kms  11 km
(vi). Nearest Major District Road along with distance in kms 3 km
(vii). Nearest Any Other Road along with distance in kms  3 km
(viii). Nearest Electric transmission line pole or tower distance in kms  1 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  16 km
(x). Nearest In-take for drinking water pump house distance in kms  10 km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  28 km
3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
 Non within the 15Km radius of the lease area
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Non within the 15Km radius of the lease area
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration Non within the 15Km radius of the lease area
6. Inland, coastal, marine or underground waters Non within the 15Km radius of the lease area
7. State, National boundaries Non within the 15Km radius of the lease area
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas Non within the 15Km radius of the lease area
9. Defence installations Non within the 15Km radius of the lease area
10. Densely populated or built-up area, distance from nearest human habitation Nearest Human settlement-120.1 m
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Hospital-MB Hospital-8Km, School- Vallikapatta Blind school-2Km, Temple- Elankur-6Km , Mosque- Koilandikkal-3KM, Church- Pyyanadu-8Km
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) Non within the 15Km radius of the lease area
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) Non within the 15Km radius of the lease 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) Non within the 15Km radius of the lease area
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/KL/MIN/10929/2017
File NumberTo be assigned
Date of Apply EC16 Nov 2017
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)KeralaMalappuramErnad
(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.)LOI16 Nov 2017
(2.)ANNEXURE 500 M DETAILS16 Nov 2017
(3.)ANNEXTURE APPROVAL LETTER16 Nov 2017
(4.)annexure NABL Certificate16 Nov 2017
(5.)annexure RQP Certificate16 Nov 2017
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameBUILDING STONE QUARRY OF JSS GRANITES
DesignationManagingpartner
Company BUILDING STONE QUARRY OF JSS GRANITES
AddressHasim Malik.K, Managing Partner JSS Granites Room No. MM/16/1038Q JSS Shoping MallCH Bypass road Karuvambram, Manjeri
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