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 Quarrying Project” of Sri. M. K. Padmanabhan Nair – Managing Partner of M/s. Crusher Metal Products.
(ii).Location / site (GPS Co-ordinate) Latitude 10°53’31.3” to 10°53’35.8”N Longitude 76°20’55.2” to 76°20’58.7”E
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)1.1676 ha.
(iv).Capacity of the Mining Lease (TPA) 34300
(v).Period of Mining Lease 12
(vi).Expected cost of the Project 10
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.49 
Name of Consultant/RQPGLOBAL ENVIRO LABS
Address 2-2-1075/14/A/1, Tilaknagar"X" Roads, Bagh Amberpet, Hyderabad - 560 072.
Mobile No.9945930701
Landline No.65582886
Email Idglobalelabs@rediffmail.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.  2.0 km
2. (ii). Nearest Infrastructural along with distance in kms  4.0 km
(iii). Nearest Railway Line along with distance in kms  17.0 km
(iv). Nearest National Highway along with distance in kms  15.0 km
(v). Nearest State Highway along with distance in kms  17.0 km
(vi). Nearest Major District Road along with distance in kms 0.80 km
(vii). Nearest Any Other Road along with distance in kms  0.15 km
(viii). Nearest Electric transmission line pole or tower distance in kms  0.04 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  2.00 km
(x). Nearest In-take for drinking water pump house distance in kms  0 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
Not Applicable
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests No areas sensitive for ecological reasons are present within 5 kms. no nearby/adjacent Forest area.
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration There are no areas protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration.
6. Inland, coastal, marine or underground waters Not applicable
7. State, National boundaries Not applicable
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas Nearest town Cherupulserry is about 04 kms, District Headquarter Palakkad, about 45 kms from the Quarry Site.
9. Defence installations No nearby Defence installations
10. Densely populated or built-up area, distance from nearest human habitation Cherplachery-34,899 populations, towards East.
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Cherupulserry village is about 4.00 kms & Ottappalam is about 17 Kms has School, Hospitals & Temples etc.,
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) The subject area is Patta Land and contains granite building stone deposits for use in building constructions, roads, etc.. The buffer zone outside private land is agricultural lands only.
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) Not applicable
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. Area is not prone to earthquakes, floods etc.
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/1900/2016
File NumberDIA/KL/PL/MIN 1/2016
Date of Apply EC17 Oct 2016
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)KeralaPalakkadOttappalam
(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
NIL
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameM K PADMANABHAN NAIR
DesignationManaging Partner
Company M K PADMANABHAN NAIR
AddressM.K. Padmanabhan Nair, Managing Partner, Crushed Metal Products, Vellinezhi, Palakkad District, Kerala.
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