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 M/s National Granites and Hollow Bricks
(ii).Location / site (GPS Co-ordinate) Latitude - 12°04'17.71"N Longitude - 75°42'05.32"E
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)2.5700 ha.
(iv).Capacity of the Mining Lease (TPA) 182058
(v).Period of Mining Lease 12
(vi).Expected cost of the Project 20
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.362/2015/A 
Name of Consultant/RQPKorah A G
Address Anteril House,Mooledom P.ONattakom, Kottayam,Kerala, 686012
Mobile No.9447889626
Landline No.2360994
Email Idkorahag@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.  2.5 km
2. (ii). Nearest Infrastructural along with distance in kms  1.25 km
(iii). Nearest Railway Line along with distance in kms  52 km
(iv). Nearest National Highway along with distance in kms  52 km
(v). Nearest State Highway along with distance in kms  2.5 km
(vi). Nearest Major District Road along with distance in kms 1.25 km
(vii). Nearest Any Other Road along with distance in kms  0.125 km
(viii). Nearest Electric transmission line pole or tower distance in kms  0.125 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  2.5 km
(x). Nearest In-take for drinking water pump house distance in kms  3 km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  3 km
3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
Aralam Wildlife Sanctuary Kannur, 25Kms
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Koothupuzha, 2kms
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration Makootta Forest, 5Kms
6. Inland, coastal, marine or underground waters Koothupuzha, 2kms
7. State, National boundaries Karnataka border, 5Kms
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas 1) Aralam Wildlife Sanctuary kannur, 25 km 2) Peratta juma Masjid, 2 km 3) Balankiri muthapa temple, 1.5 km 4)Mattani Subramanya temple,3 km 5) St.Antony’s church , 1.4 km 6)Malankar catholika church, kolithatt, 2.5 km
9. Defence installations Nil
10. Densely populated or built-up area, distance from nearest human habitation 1 Kolithatt 1.5Kms 2 Kallamthodu 1Km 3 Anakuzhi 1.4Kms 4 Peratta 2Kms 5 Mattani 3Kms
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Tourist & Pilgrim areas Aralam Wildlife Sanctuary kannur 25Kms Peratta juma Masjid 2Kms Balankiri muthapa temple 1.5Kms Mattani Subramanya temple 3Kms St.Antony’s church 1.4Kms Malankar catholika church, kolithatt 2.5Kms Schools & Colleges St. Antoine’s up school Kallanthode 1.4Kms Peratta Govt LP school 2Kms St. Johns LP school 3Kms Alphonsa English Medium School 2.5Kms St.antony’s higher secondary 4Kms Don Bosco Arts & Science College 14Kms ITM College of Arts & Science
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) Nil
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) No notified / Recognized polluted area within 15km distance.
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/3008/2016
File Number05/KNR/2017/DEIAA
Date of Apply EC10 Mar 2017
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)KeralaKannurTaliparamba
(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/S NATIONAL GRANITES & HOLLOW BRICKS
DesignationManaging Partner
Company M/S NATIONAL GRANITES & HOLLOW BRICKS
AddressPeratta,Ulickal, Koothupuzha, P.O, iritty taluk, Kannur District, Kerala
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