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 Mr Manoj Kumar.K
(ii).Location / site (GPS Co-ordinate) 11°27'7.92"N to 11°27'13.52"N 75°51'25.31"E to 75°51'26.91"E
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)1.0261 ha.
(iv).Capacity of the Mining Lease (TPA) 12640
(v).Period of Mining Lease 10
(vi).Expected cost of the Project 35
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.DMG/KERALA/RQP/7/2016 
Name of Consultant/RQPNazar Ahamed K.V
Address N Square Mining and Environmental Solutions
Mobile No.9447177533
Landline No.2677533
Email Idgeologistna@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.  30 km
2. (ii). Nearest Infrastructural along with distance in kms  2 km
(iii). Nearest Railway Line along with distance in kms  30 km
(iv). Nearest National Highway along with distance in kms  26 km
(v). Nearest State Highway along with distance in kms  2 km
(vi). Nearest Major District Road along with distance in kms 1 km
(vii). Nearest Any Other Road along with distance in kms  0.12 km
(viii). Nearest Electric transmission line pole or tower distance in kms  5 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  4 km
(x). Nearest In-take for drinking water pump house distance in kms  1 km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  1 km
3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
None within 0.5 Kms from the project site.
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Koyilandy Coastal Zone-18Kms,Punoorpuzha-10Kms, Adivaram Mountain zone-18Kms,Kakkayam Forest Range-10.5Kms.
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration None within 0.2 Kms of the project site.
6. Inland, coastal, marine or underground waters Koyilandy Coastal zone-18Kms
7. State, National boundaries None within 0.5Km of the project site.
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas Lakkidi View point-19.5Km,Janaki Forest-21Km,Thusharagiri Waterfalls-22Kms.
9. Defence installations None within 0.5Km of the project site.
10. Densely populated or built-up area, distance from nearest human habitation 105m away from the project site
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Balussery Govt hospital-4Km, Chithramangalam school-4Km, Thalayadu church-9Kms,Malayilakathottu bagavathy temple-0.15kms,Vattoli bazar Masjid-2Km.
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) Kakkayam forest range-10.5Km.
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) Area not subjected to any pollution.
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) Area is not susceptible to any natural hazard.
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/14714/2018
File NumberH-3523/2018
Date of Apply EC23 Apr 2018
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)KeralaKozhikodeQuilandy
(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.)500m Quarry Detail Certificate and Mining Plan approval Letter23 Apr 2018
(2.)EC AFFIDAVIT23 Apr 2018
(3.)Tax Receipt and Possession Certificate23 Apr 2018
(4.)ID Proof23 Apr 2018
(5.)LOI23 Apr 2018
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameGRANITE BUILDING STONE QUARRY OF MR MANOJ KUMAR K
DesignationPROPRIETOR
Company GRANITE BUILDING STONE QUARRY OF MR MANOJ KUMAR K
AddressKINALUR VILLAGE, THAMARASSERY TALUK, KOZHIKODE DISTRICT
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