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 SREESIVA GRANITES
(ii).Location / site (GPS Co-ordinate) 12°22’1.88” N to 12°22’9.74” N 75°12’22.13”E to 75°12’28.41”E
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)2.9727 ha.
(iv).Capacity of the Mining Lease (TPA) 152000
(v).Period of Mining Lease 12
(vi).Expected cost of the Project 200
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.338/2014/A 
Name of Consultant/RQPMAHESH S
Address TC31/580,NAVADEEPAM,SN NAGAR PETTAH (PO) TRIVANDRUM 695024
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.  0.105 km
2. (ii). Nearest Infrastructural along with distance in kms  0.120 km
(iii). Nearest Railway Line along with distance in kms  15 km
(iv). Nearest National Highway along with distance in kms  18 km
(v). Nearest State Highway along with distance in kms  6 km
(vi). Nearest Major District Road along with distance in kms 15 km
(vii). Nearest Any Other Road along with distance in kms  0.300 km
(viii). Nearest Electric transmission line pole or tower distance in kms  0.500 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  28 km
(x). Nearest In-take for drinking water pump house distance in kms  3 km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  3 km
3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
NONE WITHIN 5 KM RADIUS FROM THE LEASE BOUNDARY
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests NONE WITHIN 5 KM RADIUS FROM THE LEASE BOUNDARY
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration NONE WITHIN 5 KM RADIUS FROM THE LEASE BOUNDARY
6. Inland, coastal, marine or underground waters NONE WITHIN 5 KM RADIUS FROM THE LEASE BOUNDARY
7. State, National boundaries NONE WITHIN 5 KM RADIUS FROM THE LEASE BOUNDARY
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas HOSPITAL- ENNAPARA 5KM,SCHOOL-THAYANNUR-7KM,TEMPLE-PALKULAM-4KM,CHURCH-sT sEBASTAIN CHURCH-aTTAKANDAM-2KM,MOSQUE-THAYANUR JUMAMASJID-8KM
9. Defence installations NONE WITHIN 5 KM RADIUS FROM THE LEASE BOUNDARY
10. Densely populated or built-up area, distance from nearest human habitation NEAREST HUMAN SETTLMENT 120.4M
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) HOSPITAL- ENNAPARA 5KM,SCHOOL-THAYANNUR-7KM,TEMPLE-PALKULAM-4KM,CHURCH-sT sEBASTAIN CHURCH-aTTAKANDAM-2KM,MOSQUE-THAYANUR JUMAMASJID-8KM
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) NONE WITHIN 5 KM RADIUS FROM THE LEASE BOUNDARY
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) NONE WITHIN 5 KM RADIUS FROM THE LEASE BOUNDARY
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) NONE WITHIN 5 KM RADIUS FROM THE LEASE BOUNDARY
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/11051/2017
File Number11578/17/A
Date of Apply EC20 Nov 2017
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)KeralaKasaragodHosdurg
(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.)RQP CERTIFICATE20 Nov 2017
(2.)NABL CERTIFICATE20 Nov 2017
(3.)LOI20 Nov 2017
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameBUILDING STONE QUARRY OF SREE SIVE GRANITES
DesignationManagingpartner
Company BUILDING STONE QUARRY OF SREE SIVE GRANITES
AddressSavithri thamaban Koliyar Attenganam Po Anandashramam Kasaragod
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