(See Paragraph-6)
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 Al Ameen Crusher Unit
(ii).Location / site (GPS Co-ordinate) 11° 05'00.75"N to 11° 05'05.92"N 76°03'07.48"E to 76°03'19.83"E
Annexure-GPS file      
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)3.8152 ha.
(iv).Capacity of the Mining Lease (TPA) 100897
(v).Period of Mining Lease 12
(vi).Expected cost of the Project 60
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 Nsquare Mining & Environmental Solutions LLPEdappal, Malappuram-679576
Mobile No.9447177533
Landline No.2677533
(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.  25 km
2. (ii). Nearest Infrastructural along with distance in kms  1 km
(iii). Nearest Railway Line along with distance in kms  25 km
(iv). Nearest National Highway along with distance in kms  3 km
(v). Nearest State Highway along with distance in kms  15 km
(vi). Nearest Major District Road along with distance in kms 2 km
(vii). Nearest Any Other Road along with distance in kms  5 km
(viii). Nearest Electric transmission line pole or tower distance in kms  1.5 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  10 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  8 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 from the Lease area
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 from the Lease area
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 from the Lease area
6. Inland, coastal, marine or underground waters None Within the 10 KM radius from the Lease area
7. State, National boundaries None Within the 10 KM radius from the Lease area
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas None Within the 10 KM radius from the Lease area
9. Defence installations None Within the 10 KM radius from the Lease area
10. Densely populated or built-up area, distance from nearest human habitation Nearest Human Settlement is 240 m
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Hospital-MBH Melmuri(3.5Km),School-PKM ICS School Melmuri(2Km),Church-Malappuram(8Km),Mosque-Podiyad Parammal(1Km),Temple-Podiyad(2Km).
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 from the Lease area
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) None Within the 10 KM radius from the Lease area
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 from the Lease area
Is proposed mining site located over or near fissure/fracture for ground water recharge?No
Whether the proposal involves approval or clearance under the following Regulations or Acts namely?
The Forest (Conservation) Act,1980?No
The Wildlife (Protection) Act,1972?No
The Coastal Regulation Zone (C.R.Z) notification,2011?No
Is forest land involved (ha)?No
Whether there is any litigation pending against the project and/or land in which the project is proposed to be set up?No
Proposal NumberDIA/KL/MIN/8456/2017
File NumberDEIAA/MAL/EC/030/2017
Date of Apply EC18 Oct 2017
Details of State of the project
S.No. State Name District Name Tehsil Name
(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.)500M Quarry Details18 Aug 2017
(2.)Possession & Tax18 Aug 2017
(3.)Lab Report & NABL Certificate18 Aug 2017
(4.)EC Affidavit18 Aug 2017
(5.)LOI & RQP Certificate18 Aug 2017
(6.)LOI & RQP Certificate18 Oct 2017
(7.)500M Quarry Details & Mining Plan approval letter18 Oct 2017
(8.)EC Affidavit18 Oct 2017
(9.)Lab Report & NABL Certificate18 Oct 2017
(10.)Possession & Tax18 Oct 2017
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
AddressMr. Palakkan Abdul Azeez Managing Partner(Al Ameen Crusher Unit) S/O Kunjipokker