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 Building Stone Quarry Of M/s Mokkam Blue Metals
(ii).Location / site (GPS Co-ordinate) 11°19’49.86” N to 11°19’54.51” N 76°01’53.24” E to 76°01’57.14” E
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)0.9908 ha.
(iv).Capacity of the Mining Lease (TPA) 17074
(v).Period of Mining Lease 5
(vi).Expected cost of the Project 50
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.RQP/7/2016 
Name of Consultant/RQPNazar Ahamed K.V
Address Nazar Ahamed DMG/KERALA/RQP/7/2016 Geomarine Solutions Pvt Ltd Ponnani
Mobile No.8547097533
Landline No.2663330
Email Idgeologistna@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.  1 km
2. (ii). Nearest Infrastructural along with distance in kms  0.125 km
(iii). Nearest Railway Line along with distance in kms  50 km
(iv). Nearest National Highway along with distance in kms  27 km
(v). Nearest State Highway along with distance in kms  9 km
(vi). Nearest Major District Road along with distance in kms 2.5 km
(vii). Nearest Any Other Road along with distance in kms  1 km
(viii). Nearest Electric transmission line pole or tower distance in kms  3 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  2 km
(x). Nearest In-take for drinking water pump house distance in kms  1.5 km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  2 km
3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
NONE WITHIN THE 10 KM RADIUS
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests NONE WITHIN THE 10 KM RADIUS
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration NONE WITHIN THE 10 KM RADIUS
6. Inland, coastal, marine or underground waters NONE WITHIN THE 10 KM RADIUS
7. State, National boundaries NONE WITHIN THE 10 KM RADIUS
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas NONE WITHIN THE 10 KM RADIUS
9. Defence installations NONE WITHIN THE 10 KM RADIUS
10. Densely populated or built-up area, distance from nearest human habitation NONE WITHIN THE 10 KM RADIUS
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) School- DUALP School Thazhe koodanji, Hospital-Lisa Hospital Thiruvampady, Temple- Sree porkkali Temple Koodranji, Church- St. Sebastians Church, Mosque- Kovilakkathum Kadavu
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) NONE WITHIN THE 10 KM RADIUS
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) NONE WITHIN THE 10 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 THE 10 KM RADIUS
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/5290/2017
File NumberH 3175/2017
Date of Apply EC09 Mar 2017
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)KeralaKozhikodeKozhikode
(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.)LOI09 Mar 2017
(2.)RQP CERTIFICATE09 Mar 2017
(3.)NABL CERTIFICATE09 Mar 2017
(4.)ANNEXURE 500 M DETAILS09 Mar 2017
(5.)ANNEXTURE APPROVAL LETTER09 Mar 2017
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameBUILDING STONE QUARRY OF MOKKOM BLUE METALS
DesignationAuthorizedsignatory
Company BUILDING STONE QUARRY OF MOKKOM BLUE METALS
AddressMokkom Blue Meatals Calicut Estate Alli (po) Mukkom (Via) Kozhikode
Print