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 Granite Building Stone Quarry of Mr Zainul Abideen
(ii).Location / site (GPS Co-ordinate) 12°21'57.34” N to 12°22'1.50” N 75°13'55.27”E to 75°13'58.67”E
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)0.6800 ha.
(iv).Capacity of the Mining Lease (TPA) 21318
(v).Period of Mining Lease 5
(vi).Expected cost of the Project 12
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.DMG/KERALA/RQP/2/2016 
Name of Consultant/RQPA. Mahammed Kunhi
Address A. Mahammed Kunhi Geo marine solutions Pvt Ltd 1St Floor Sameer Complex cv junctions ponnani malappuram
Mobile No.9446679585
Landline No.2663330
Email Idmohdkunhia@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.  0.059 km
2. (ii). Nearest Infrastructural along with distance in kms  0.069 km
(iii). Nearest Railway Line along with distance in kms  36 km
(iv). Nearest National Highway along with distance in kms  25 km
(v). Nearest State Highway along with distance in kms  10 km
(vi). Nearest Major District Road along with distance in kms 10 km
(vii). Nearest Any Other Road along with distance in kms  0.059 km
(viii). Nearest Electric transmission line pole or tower distance in kms  0.060 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  15 km
(x). Nearest In-take for drinking water pump house distance in kms  4 km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  1.5 km
3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
None Within 5 Km radius from the quarry permit boundary
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Thejaswini Puzha - 20 Km
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration None Within 5 Km radius from the quarry permit boundary
6. Inland, coastal, marine or underground waters School- GHSS Parappa- 2 Km Hospital- CHC Panathady- 13 Km Temple-Parappachal- 4Km Mosque- Clayikkodu-400m Church- Parappa-3 Km
7. State, National boundaries Kerala- Karnataka Boundary - 16Km
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas Road- Parappa - Vallichitta Road- 59m School- GHSS Parappa- 2 Km Hospital- CHC Panathady- 13 Km Temple-Parappachal- 4Km Mosque- Clayikkodu-400m Church- Parappa-3 Km
9. Defence installations None Within 5 Km radius from the quarry permit boundary
10. Densely populated or built-up area, distance from nearest human habitation Nearest House- 0.069m
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) School- GHSS Parappa- 2 Km Hospital- CHC Panathady- 13 Km Temple-Parappachal- 4Km Mosque- Clayikkodu-400m Church- Parappa-3 Km
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) School- GHSS Parappa- 2 Km Hospital- CHC Panathady- 13 Km Temple-Parappachal- 4Km Mosque- Clayikkodu-400m Church- Parappa-3 Km
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) No
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, This area is generally not prone to any natural disasters.
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/16253/2018
File NumberA-6796/2018/DEIAA
Date of Apply EC10 Jul 2018
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)KeralaKasaragodHosdurg
(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.)LETTER OF INTENT10 Jul 2018
(2.)RQP Certificate10 Jul 2018
(3.)nabl certificate10 Jul 2018
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameGRANITE BUILDING STONE QUARRY OF MR ZAINUL ABIDEEN
DesignationProprietor
Company GRANITE BUILDING STONE QUARRY OF MR ZAINUL ABIDEEN
AddressZainul Abideen S/O Koyamma Thangal Puthiya purayil Parappa (po) Kasaragod
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