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. Thambi. B.A
(ii).Location / site (GPS Co-ordinate) 10°42'29.35” N to 10°42'32.01” N 76°25'31.84”E to 76°25'37.44”E
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)0.7635 ha.
(iv).Capacity of the Mining Lease (TPA) 9394
(v).Period of Mining Lease 5
(vi).Expected cost of the Project 20
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.RQP/5/2016 
Name of Consultant/RQPK.SOMAN
Address K.SOMAN Geomarine Solutions Pvt Ltd, 1st Floor Sameer Complex , C.V Junction Ponnani
Mobile No.9847083000
Landline No.2663330
Email Idkunjusom@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.  0.52 km
2. (ii). Nearest Infrastructural along with distance in kms  0.1081 km
(iii). Nearest Railway Line along with distance in kms  6 km
(iv). Nearest National Highway along with distance in kms  20 km
(v). Nearest State Highway along with distance in kms  0.500 km
(vi). Nearest Major District Road along with distance in kms 0.500 km
(vii). Nearest Any Other Road along with distance in kms  0.52 km
(viii). Nearest Electric transmission line pole or tower distance in kms  0.200 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  2 km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  0.70 km
3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
None Within 3 Km from the permit area
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Baratha puzha river- 71.2 m
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration None Within 3 Km from the permit area
6. Inland, coastal, marine or underground waters Baratha puzha river- 71.2 m
7. State, National boundaries None Within 3 Km from the permit area
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas Hospital- Vdakkethara Gvt Hospital-1km, School-Thiruvillamala Gvt hospital-1km, Temple-Thiruvillamala 4Km, Church- Pazhayanoor 4km, Mosque -Cheerakuzhi- 2km
9. Defence installations None Within 3 Km from the permit area
10. Densely populated or built-up area, distance from nearest human habitation Nearest house-108.1m
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Hospital- Vdakkethara Gvt Hospital-1km, School-Thiruvillamala Gvt hospital-1km, Temple-Thiruvillamala 4Km, Church- Pazhayanoor 4km, Mosque -Cheerakuzhi- 2km
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) Baratha puzha river- 71.2 m
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) None
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 3 Km from the permit 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/14849/2018
File NumberB1-6983/2018
Date of Apply EC30 Apr 2018
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)KeralaThrissurThalapilly
(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.)annexure NABL Certificate30 Apr 2018
(2.)annexure RQP Certificate30 Apr 2018
(3.)ANNEXTURE APPROVAL LETTER30 Apr 2018
(4.)Annexure-LOI30 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 THAMPI BA
DesignationOwner
Company GRANITE BUILDING STONE QUARRY OF MR THAMPI BA
AddressThampi.B.A Brahmakulum Thekkath(H),Chelakkara(p.o) Meppadam Thrissur
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