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 Smt Soniya Binoy
(ii).Location / site (GPS Co-ordinate) 12°0'44.79"N to 12°0'47.23"N 75°46'27.31"E to 75°46'32.08"E
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)0.9706 ha.
(iv).Capacity of the Mining Lease (TPA) 33426
(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.RQP/BNG/338/2014/A 
Name of Consultant/RQPMahesh S
Address TC 31/580,Navadeepam S.N Nagar, House No-24, Pettah P.O, Triavandrum
Mobile No.9446303422
Landline No.04942699
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.  5 km
2. (ii). Nearest Infrastructural along with distance in kms  1 km
(iii). Nearest Railway Line along with distance in kms  42 km
(iv). Nearest National Highway along with distance in kms  42 km
(v). Nearest State Highway along with distance in kms  3 km
(vi). Nearest Major District Road along with distance in kms 1.5 km
(vii). Nearest Any Other Road along with distance in kms  1 km
(viii). Nearest Electric transmission line pole or tower distance in kms  0.70 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  2 km
(x). Nearest In-take for drinking water pump house distance in kms  0.2 km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  11 km
3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
 There are no such protected areas like ecological landscape, cultural area etc. identified within the 0.5 Km radius
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Coastal Zone- 45Km, Forest-58M
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration There is no protected sensitive species are identified within the 0.5 Km radius
6. Inland, coastal, marine or underground waters Coastal Area-45Kms
7. State, National boundaries State Boundary-3.6Kms
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas No Routes or facilities used by the public for access to recreation or other tourist, pilgrim areas within 0.1Km radius.
9. Defence installations Kannur-47 Km
10. Densely populated or built-up area, distance from nearest human habitation The nearest human settlement is 68M
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Hospital : Karikkottakary (2Km), School : Karikkottakary, (2.4Km), Church : Parackapara (1Km), Temple : Karikkottakary (2.2Km), Mosque/Masjid : Karikkottakary.(2.5 Km).
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) Forest-58M
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) Not applicable, since this is Fresh proposal
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) No, Permit area is not susceptible to natural hazard, as there is no history of such incidents.
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/14592/2018
File Number153/ECA/KNR/2018/DEIAA
Date of Apply EC17 Apr 2018
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)KeralaKannurThalassery
(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.)LOI17 Apr 2018
(2.)Form 1M17 Apr 2018
(3.)Mining Plan Approval Letter & 500m Quarry Details17 Apr 2018
(4.)RQP Certificate17 Apr 2018
(5.)EC Affidavit17 Apr 2018
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameBUILDING STONE QUARRY OF SMT SONIYA BINOY
DesignationProprietor
Company BUILDING STONE QUARRY OF SMT SONIYA BINOY
AddressD/o Sebastian Kizhakkepadavath House, Payam P.O,Kannur
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