(See Paragraph-6)
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 Granite Building Stone quarry of M/s Chelakkara Granite
(ii).Location / site (GPS Co-ordinate) 10°43'15.51"N - 10°43'20.19"N 76°19'42.46"E- 76°19'47.21"E
Annexure-GPS file      
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)0.9340 ha.
(iv).Capacity of the Mining Lease (TPA) 40000
(v).Period of Mining Lease 5
(vi).Expected cost of the Project 40
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 LLP
Mobile No.9447177533
Landline No.2677533
(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.  10 km
2. (ii). Nearest Infrastructural along with distance in kms  1 km
(iii). Nearest Railway Line along with distance in kms  12 km
(iv). Nearest National Highway along with distance in kms  30 km
(v). Nearest State Highway along with distance in kms  2 km
(vi). Nearest Major District Road along with distance in kms 2 km
(vii). Nearest Any Other Road along with distance in kms  0.150 km
(viii). Nearest Electric transmission line pole or tower distance in kms  0.06 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  12 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
None within 0.5 Km of the project site.
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Coastal Area-Chettuva-40Km, Water Bodies-Bharathapuzha-12Km, Forests –Poongode Forest Station-14Km, Cheenikarakad Forest Range-0.194Km,
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration No such Protected important species within the 0.5Km radius from the project site.
6. Inland, coastal, marine or underground waters Coastal Area-Chettuva-40Km, Water Bodies-Bharathapuzha-12Km,
7. State, National boundaries None within 5 Kms of the project site
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas Five Palms Thozhupadam-6Km, Mayannur Grass land -5Km, Asurankundu Dam Attoor-6Km,
9. Defence installations None within 5 Km of the project site
10. Densely populated or built-up area, distance from nearest human habitation The nearest human settlements are 88.9m away from project site.
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Hospital-Jeevodaya Hospital-2.6Km, School-Gov UP School Killimangalam-3Km, Masjid-Othuvadi Juma Masjid-3Km, Nearest Church-3Km, Temple-Cholamakkavu Temple-1Km,
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) Forest- Poongode Forest Station-14Km, Cheenikarakad Forest Range-0.194Km,
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
Is proposed mining site located over or near fissure/fracture for ground water recharge?No
Whether the proposal involves approval or clearance under the following Regulations or Acts namely?
The Forest (Conservation) Act,1980?No
The Wildlife (Protection) Act,1972?No
The Coastal Regulation Zone (C.R.Z) notification,2011?No
Is forest land involved (ha)?No
Whether there is any litigation pending against the project and/or land in which the project is proposed to be set up?No
Proposal NumberDIA/KL/MIN/15041/2018
File NumberB1-7016/18
Date of Apply EC19 May 2018
Details of State of the project
S.No. State Name District Name Tehsil Name
(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.)EC AFFIDAVIT09 May 2018
(2.)Letter of Intent09 May 2018
(3.)Mine Plan Approval Letter09 May 2018
(4.)Form 1M09 May 2018
(5.)RQP CERTIFICATE09 May 2018
(6.)Appendix VIII (Form1M)19 May 2018
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
AddressKillimangalam- Village, Thalappilly Taluk,Thrissur District