(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 Masonry Stone Mine (Quarry) project of Shri K. Gangadharan at Re-Survey No. 151/1 of Puthur Village, Thalassery Taluk, Kannur District, Kerala for area of 0.8456 hectare
(ii).Location / site (GPS Co-ordinate) 11 47’45.92” to 11 47’50.94” N 75 36’41.95” to 75 36’46.04” E
Annexure-GPS file      
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)0.8456 ha.
(iv).Capacity of the Mining Lease (TPA) 11370
(v).Period of Mining Lease 5
(vi).Expected cost of the Project 15
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.NABET/EIA/1518/SA032 
Name of Consultant/RQPM/s Environmental Engineers & Consultants Pvt. Ltd
Address A1-198, Janak Puri, New Delhi-110058
Mobile No.9350873385
Landline No.25507190
(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.  2 km
2. (ii). Nearest Infrastructural along with distance in kms  1 km
(iii). Nearest Railway Line along with distance in kms  15 km
(iv). Nearest National Highway along with distance in kms  16 km
(v). Nearest State Highway along with distance in kms  4.50 km
(vi). Nearest Major District Road along with distance in kms 1.50 km
(vii). Nearest Any Other Road along with distance in kms  0.600 km
(viii). Nearest Electric transmission line pole or tower distance in kms  0.500 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  0.060 km
(x). Nearest In-take for drinking water pump house distance in kms  0.080 km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  0.150 km
3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
None within 15 km radius
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Wildlife Sanctuary: - None within 15 km radius National Park: - None within 15 km radius Forest: - Kannavam Forest at about 5 km, E Water Bodies :- Kuyyali Puzha, 2 km, NW Annapalam Thodu, 2 km, S Ummanchira Puzha, 11 km, W Anjarkany River, 14 km, NW
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration None within 15 km radius
6. Inland, coastal, marine or underground waters Water Bodies :- Kuyyali Puzha, 2 km, NW Annapalam Thodu, 2 km, S Ummanchira Puzha, 11 km, W Anjarkany River, 14 km, NW
7. State, National boundaries None within 15 km radius
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas Roads near site: NH-17 (Edappally-Panvel) 16 km, SW SH-38 (Kuthuparamba-Panoor Rd.), 4.50 km, SW Cheruvancherry-Panoor Rd., 1.50 km, SE
9. Defence installations None within the study area
10. Densely populated or built-up area, distance from nearest human habitation Nearest densely populated area is Panoor at 7 km, SW and the nearest house is at 156 m towards S.
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Nearest Hospital :- PHC Kunnothparamba, 2 km, SW Nearest School :- Jawahar Navodaya Vidyalaya, 1.50 km, W Religious Places near the site: Temple – Sri Puthoor Temple, 1.30 km, SE Church – Panoor at 7 km, SW Mosque- Cheruvanchery, 1.50 km, N
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) None within the study area
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) None within 15 km radius
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 15 km radius
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?Yes
(a)Name of the Court 2
(b)Name of the Sub court 14
(c) Case No. WP (C) 1601/2016 (A)
(d) Orders/directions of the court, if any and relevance with the proposed project. Court Orders are attached with Covering Letter of EC Application.
Proposal NumberDIA/KL/MIN/16510/2018
File Number313/ECA/KNR/2018/DEIAA
Date of Apply EC27 Jul 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.)Duly Filled Form 1M27 Jul 2018
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
AddressK.G House Muthiyanga(P.O) Kannur (dist)