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 Secure Sands and Gravels Granite Building Stone Quarry
(ii).Location / site (GPS Co-ordinate) N 110 13’ 12.7” - N 110 13’ 22.4” E 750 55’ 23.4” – E 750 55’ 32.1”
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)3.6300 ha.
(iv).Capacity of the Mining Lease (TPA) 142200
(v).Period of Mining Lease 12
(vi).Expected cost of the Project 3500
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.KER/7/2016 
Name of Consultant/RQPNAZER AHAMED K. V.
Address Karuveettil House, Veliyamkode P.O., Malappuram district, Kerala
Mobile No.8547097533
Landline No.85470975
Email Idnazimhsn@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.  19 km
2. (ii). Nearest Infrastructural along with distance in kms  .75 km
(iii). Nearest Railway Line along with distance in kms  18 km
(iv). Nearest National Highway along with distance in kms  8.5 km
(v). Nearest State Highway along with distance in kms  2 km
(vi). Nearest Major District Road along with distance in kms 3 km
(vii). Nearest Any Other Road along with distance in kms  .5 km
(viii). Nearest Electric transmission line pole or tower distance in kms  .5 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  1.39 km
(x). Nearest In-take for drinking water pump house distance in kms  .25 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
Nothing in 10 km
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Nothing in 10 km
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration Nothing in 10 km
6. Inland, coastal, marine or underground waters Nothing in 10 km
7. State, National boundaries Nothing in 10 km
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas Kozhikode Palakkad NH
9. Defence installations Nothing in 10 km
10. Densely populated or built-up area, distance from nearest human habitation Kodimel 1 km Aroor 1.14
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Rahmath Juma Masjid .75km Vishnu Temple 1.5 km Kodimel LP school 2 km
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) Nothing in 10 km
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) Nothing in 10 km
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) Nothing in 10 km
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/5149/2017
File NumberDEIAA/MAL/EC/012/2017
Date of Apply EC15 May 2017
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)KeralaMalappuramEranad
(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.)LOI and NABL certificate12 May 2017
(2.)RQP Certificate and Undertaking12 May 2017
(3.)NABL Lab Reports12 May 2017
(4.)Affidavit and Cluster Certi12 May 2017
(5.)Possession Certificates15 May 2017
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameSECURE SANDS AND GRAVELS
DesignationPartner
Company SECURE SANDS AND GRAVELS
AddressOlavattoor P.O., Malappuram
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