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 Devadaru Agro –Land Ventures Pvt. Ltd.
(ii).Location / site (GPS Co-ordinate) BP NO Latitude (N) Longitude BP-1 12°37'59.00"N 74°58'47.80"E BP-2 12°38'2.61"N 74°58'48.61"E BP-3 12°38'3.64"N 74°58'46.58"E BP-4 12°38'1.78"N 74°58'44.83"E BP-5 12°38'0.01"N 74°58'43.93"E BP
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)1.7765 ha.
(iv).Capacity of the Mining Lease (TPA) 100000
(v).Period of Mining Lease 12
(vi).Expected cost of the Project 75
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.1013/041 
Name of Consultant/RQPVivek P Navare
Address Sankalpana
Mobile No.9422442756
Landline No.314491
Email Idviveknavare@yahoo.in
(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.  3.17 km
2. (ii). Nearest Infrastructural along with distance in kms  1.03 km
(iii). Nearest Railway Line along with distance in kms  6.18 km
(iv). Nearest National Highway along with distance in kms  5.82 km
(v). Nearest State Highway along with distance in kms  13.89 km
(vi). Nearest Major District Road along with distance in kms 1.03 km
(vii). Nearest Any Other Road along with distance in kms  1.13 km
(viii). Nearest Electric transmission line pole or tower distance in kms  0.15 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  0 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
Bheemanadi Reserve Forest - 44.91Km – SE (Aerial)
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Anekallu River – 5.83 Km N Madhuvahini River – 6.79 Km S Shiriya River – 400 m W
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration Bheemanadi Reserve Forest - 44.91Km – SE (Aerial)
6. Inland, coastal, marine or underground waters Anekallu River – 5.83 Km N Madhuvahini River – 6.79 Km S Shiriya River – 400 m W Arabian Sea coast – 6.52 Km W
7. State, National boundaries Karnataka Border – 7.89 Km NE
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas Sri Mahadeva Temple 0.50 Km Masjid e Rehman 2.52 Km Zakariya Masjid 3.64 Km Muhiyaddeen Juma Masjid 4.10 Km Chilangad Juma Masjid 3.05 Km Quliriya Masjid adka 4.53 Km Subhaniya Masjid 4.66 Km Bilal Masjid 5.22 Km Kunil Masjid 5.18 Km Shiriya Temple 5.62 Km Shiriya Masjid 5.53 Km Poomani Kinnimani Daivastan 2.05 Km Shree Cherumba Bhagvati temple 4.80 Km Anantpura lake temple 5.37 Km Muchilot Bhagvati temple 4.84 Km Routes used NH-66 Edapally Panvel highway - 5.82KM W SH -31 - 13.
9. Defence installations Nil
10. Densely populated or built-up area, distance from nearest human habitation Places Kidoor 550m E Kalathur 1.32Km SE Ujarulvar 2.11 km W Thada compound 1.25km NW Heroor 2.50Km NW Kayyar 2.70Km N Puthige 3.70Km SE Ichilampady 2.71Km S Arikady 3.99km SW Edanad 3.90km SE Mugu 4.48km SE Ichilangod 3.10km NW Koipady 4.24km SW Mulyadukkam 3.53km SW Angadimogar 3.74km NE
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Tourist & Pilgrim areas 1 Sri Mahadeva Temple 0.50Km 2 Masjid e Rehman 2.52 Km 3 Zakariya Masjid 3.64 km 4 Muhiyaddeen Juma Masjid 4.10 km 5 Chilangad Juma Masjid 3.05 Km 6 Quliriya Masjid adka 4.53 Km 7 Subhaniya Masjid 4.66km 8 Bilal Masjid 5.22 Km 9 Kunil Masjid 5.18km 10 Shiriya Temple 5.62 Km 11 Shiriya Masjid 5.53Km 12 Poomani Kinnimani Daivastan 2.05Km 13 Shree Cherumba Bhagvati temple 4.80Km 14 Anantpura lake temple 5.37km 15 Muchilot Bhagvati temple 4.84km Schools & Coll
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) There are rivers (Shiriya River – 400 m W), wildlife reserve forest (Bheemanadi Reserve Forest - 44.91Km – SE (Aerial). Kasargod district is rich in mineral resources. There are scares agricultural lands.
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) None
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) 1. Project area falls in earthquake zone III. Thus there will be least chances of earthquake. 2. This is the case if open cast mining. There will not be any case of subsidence. 3. There will be benches formed in it with safe bench and pit parameters. There will be least chances of landslide. 4. The nearest river is more than 200ms away. The mine site is much above the HFL of the river. There will not be any chances of flooding. As per the past records there are least chances of extreme or a
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/6833/2017
File NumberTo be assigned
Date of Apply EC05 Jun 2017
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)KeralaKasaragodKasaragod
(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.)Affidavits05 Jun 2017
(2.)form 1M05 Jun 2017
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
Namev
Designationproprioter
Company v
Addressvivek navare,yash residency, rajarampuri 4th lane, kolhapur
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