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 The granite building stone quarry of Iblue Rocksand & metals (India) Pvt Ltd. Over an extent 3.4575 ha (resurvey. no — 146/4A2) in Balal village, Vellarikundu taluk, Kasaragod district, kerala state
(ii).Location / site (GPS Co-ordinate) Sr. No. Latitude (N) Longitude BP-1 12°24'11.49"N 75°22'2.65"E BP-2 12°24'14.82"N 75°22'3.21"E BP-3 12°24'17.98"N 75°22'3.94"E BP-4 12°24'18.60"N 75°22'4.38"E BP-5 12°24'20.77"N 75°22'5.2
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)3.4575 ha.
(iv).Capacity of the Mining Lease (TPA) 100000
(v).Period of Mining Lease 12
(vi).Expected cost of the Project 59
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.1013/041 
Name of Consultant/RQPVivek P Navare
Address sankalpana, opposite Syndicate bank Dhavlimal Ponda Goa 403401
Mobile No.9422442756
Landline No.314491
Email Idviveknavare@yahoo.in
(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.  3.29 km
2. (ii). Nearest Infrastructural along with distance in kms  0.10 km
(iii). Nearest Railway Line along with distance in kms  32.08 km
(iv). Nearest National Highway along with distance in kms  30.06 km
(v). Nearest State Highway along with distance in kms  2.87 km
(vi). Nearest Major District Road along with distance in kms 1.21 km
(vii). Nearest Any Other Road along with distance in kms  0.26 km
(viii). Nearest Electric transmission line pole or tower distance in kms  0 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  0.05 km
(x). Nearest In-take for drinking water pump house distance in kms  0.10 km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  0 km
3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
Ranipuram National Park — 1.50km — N (Aerial) Bheemanadi Reserve Forest - 44.91Km – SE (Aerial)
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Neelipuzha River is 50m (S) Kudumbur River flows 5.72Km (N) Tejaswini river 13.40Km (S)
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration Ranipuram National Park — 1.50km — N (Aerial) Bheemanadi Reserve Forest - 44.91Km – SE (Aerial)
6. Inland, coastal, marine or underground waters Neelipuzha River is 50m (S) Kudumbur River flows 5.72Km (N) Tejaswini river 13.40Km (S) Arabian Sea coast – 33.50 Km W
7. State, National boundaries Not applicable
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas Routes used Kanhangad Railway Station 32.08Km W NH-17 highway – 30.06Km SW SH -59 – 02.87 Km SW Malom - Puncha road ~ 1.21Km S
9. Defence installations None
10. Densely populated or built-up area, distance from nearest human habitation Places Malom 3.96Km SW Kaneerwadi 1.13Km SW Pullody 3.66Km W Paramba 5.42Km SW Nattakal 5.22Km SW Konnakkad 4.02Km S
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Sl. No. Places Dist. from Project Site (Km) Tourist & Pilgrim areas 1 Shree Vishnumurthy Temple 1.33Km S 2 St Thomas Church 2.09Km SW 3 St Mary`s Church, Konnakkad 3.79Km S 4 Shree Ayappa Temple 7.11Km NW 5 St Mary`s Church, Amalgiri 2.26Km SW 6 St. Mary's church Chully 5.28Km W Schools & Colleges 1 GHSS Maloth Kasba 4.13Km S 2 Jaycees Nursery School 3.84Km SW 3 St Thomas LP School 8.76Km S Hospitals 1 Community Hospital Panathady 14.0Km SW 2 Bedadka Primary health centre 22.64Km
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) There are rivers (Neelipuzha River is 50m (S)), wildlife reserve forest (Ranipuram National Park — 1.50km — N (Aerial) Bheemanadi reserve forest — 11.72 km —SW (Aerial) Kasargod district is rich in mineral resources. There are scares agricultural lands.
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) 1. Project area falls in earthquake zone III. Thus there will be least chances of earthquake. 2. This is the case if open cast mining. There will not be any case of subsidence. 3. There will be benches formed in it with safe bench and pit parameters. There will be least chances of landslide. 4. The mine site is much above the HFL of the river. There will not be any chances of flooding. As per the past records there are least chances of extreme or adverse climatic conditions.
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/15480/2018
File NumberTo be assigned
Date of Apply EC29 May 2018
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)KeralaKasaragodKasaragod
(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.)form 1M29 May 2018
(2.)consent letter29 May 2018
(3.)LOI29 May 2018
(4.)possession certificate29 May 2018
(5.)affidavit29 May 2018
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameVIVEK P NAVARE
DesignationMember
Company VIVEK P NAVARE
Address1815, E Ward , Rajarammpuri 3rd Lane , Kolhapur
Print