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 Thiru K.M.Natarajan, Quarrying Grey Colour Granite quarry, over an Extent of 1.15.80 Ha in S.F.No: 311/9B, 311/11, 311/14A, 311/14B and 311/15B, Jagadevipalayam Village, Bargur Taluk, Krishnagiri Dist
(ii).Location / site (GPS Co-ordinate) N 12°29'14.33225" to N 12°29'19.80742" E 78°21'19.40574" to E 78°21'23.97211".
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)1.15.80 ha.
(iv).Capacity of the Mining Lease (TPA) 89430
(v).Period of Mining Lease 20
(vi).Expected cost of the Project 27
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.NABET/EIA/1821/RA0103 
Name of Consultant/RQPS.SURIYAKUMAR
Address 3/216, K.S.V.Nagar, Narasothipatti,Salem-636 004
Mobile No.9842729655
Landline No.2444297
Email Idsuriyakumarsemban@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.  23 km
2. (ii). Nearest Infrastructural along with distance in kms  0.7 km
(iii). Nearest Railway Line along with distance in kms  16 km
(iv). Nearest National Highway along with distance in kms  2.82 km
(v). Nearest State Highway along with distance in kms  1.92 km
(vi). Nearest Major District Road along with distance in kms 2.77 km
(vii). Nearest Any Other Road along with distance in kms  0.43 km
(viii). Nearest Electric transmission line pole or tower distance in kms  10 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  14 km
(x). Nearest In-take for drinking water pump house distance in kms  2 km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  10 km
3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
There is no area protected under international conventions, national or local legislation for their ecological, landscape, cultural or other related value within 10 km radius.
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Thogarapali Reserve Forest-2.96 km (SW) Thattakkal Reserve Forest-11.75 km (SW) Bargur Reserve Forest-7.84 km (NE) Nandibanda Reserve Forest-9 km (NW) Varatabapalli Reserve Foresr-8 km (NW)
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration There is no area used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration.
6. Inland, coastal, marine or underground waters Coastal area is about 197 km from the site towards east.
7. State, National boundaries Andhra Pradesh-Tamil Nadu interstate boundary is about 13 km on North.
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas There is no routes or facilities used by the public for access to recreation or other tourist, pilgrim areas
9. Defence installations No nearby Defence installations around 5km radius.
10. Densely populated or built-up area, distance from nearest human habitation Nearest habitation is Kondappanayanapalli which is about 0.7 km from the lease area. Jagadevi is a densely populated area which is 4km away west side from lease area.
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Hazaradth md sulaiman shah quadiri is found 4.91 km south West side of the lease area.
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) Water Table is located at a depth of 38-40m bgl. This area is not containing important, high quality or scare resources.
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) There is no area subjected to pollution or environmental damage.
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) The area under Zone II – Low damage risk zone (MSK VI or Less) as per BMTPC, Vulnerability atlas Seismic zone of India IS: 1893-2002.
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/TN/MIN/19890/2019
File NumberTo be assigned
Date of Apply EC11 Mar 2019
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)Tamil NaduKrishnagiriHosur
(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)
NameABM ENVIRO TECH PRIVATE LTD
DesignationConsultant
Company ABM ENVIRO TECH PRIVATE LTD
Address3/216, K.S.V. Nagar, Narasothipatti, Salem-636004
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