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 Palam Granites Mineral (Colour Granite), Area 3.00 Hectares, Existing Quarry Lease, Survey No.01, Village– V.J. Puram, (Vooralova Hill) Mandal– Madugula, District- Visakhapatnam State – A
(ii).Location / site (GPS Co-ordinate) Latitude 180 49’ 59.36” to 180 50’ 12.19” Longitude 830 46’ 33.10” to 830 46’ 40.96”
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)3.00 ha.
(iv).Capacity of the Mining Lease (TPA) 207344
(v).Period of Mining Lease 20
(vi).Expected cost of the Project 8.00
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.37/2017 
Name of Consultant/RQPD N SATYANARAYANA
Address Flat No G-3 Ground Floor RATNAM ARCADE CANTONMENT AREA, District VIZIANAGARAM ANDHRA PRADESH
Mobile No.9407734020
Landline No.07884098
Email Iddnsa2004@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.  60.00 km
2. (ii). Nearest Infrastructural along with distance in kms  3.50 km
(iii). Nearest Railway Line along with distance in kms  38.00 km
(iv). Nearest National Highway along with distance in kms  45.20 km
(v). Nearest State Highway along with distance in kms  9.50 km
(vi). Nearest Major District Road along with distance in kms 70.5 km
(vii). Nearest Any Other Road along with distance in kms  9.50 km
(viii). Nearest Electric transmission line pole or tower distance in kms  3.75 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  11.5 km
(x). Nearest In-take for drinking water pump house distance in kms  3.65 km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  0.00 km
3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
Not Applicable
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Not Applicable
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration Not Applicable
6. Inland, coastal, marine or underground waters Not Applicable
7. State, National boundaries Odisha State boundary within distance of 55.70 Km. at Velamjuvvi towards NW direction near Itikabedda Villge of Odisha.
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas From Kavagunta Village near lease area SH-38 is near Ravikamatham about 9.5 Kms via Bhatlova-Chinapachila to Ravimatham which is connecting Visakhapatnam, District head quater.
9. Defence installations None
10. Densely populated or built-up area, distance from nearest human habitation V. J. Puram 2.00 West Bhatlova 2.30 South Sagaram 4.10 North Chintaluru 3.85 East Budibanda 2.75 SW Komari 1.65 SE Kavagunta 1.00 West
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Hospital At V.J. Puram about 2.05 towards W School At V.J. Puram about 2.07 towards W Temple At V.J. Puram about 2.09 towards W Gram Panchayat At V.J. Puram about 2.03 towards W
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) Groundwater Resources: The minimum depth of water table is about more than 50 meters based on the observation from nearby tube wells and water bodies be. The groundwater resources will not be affected due to small scale mining. Surface resources: Kalyanapu Lova Reservoir is 11.5 Km. towards West to SW Forestry, Agriculture, Fisheries, Tourism, minerals: All details are available in State Forest Census Reports
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) Presently no such area is air marked but after EIA notification dated 14th September 2006 has been amended by Ministry of Environment, Forests and Climate Change, New Delhi by S.O. 141(E) dated 15th January 2016 the norms of environmental standards will be monitored accordingly.
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) Not Applicable
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/AP/MIN/11480/2017
File Number4.20/deac/ap/vsp/17-18
Date of Apply EC02 Dec 2017
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)Andhra PradeshVisakhapatnamMadugula
(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)
NameMINETECH CONSULTANCY SERVICES
DesignationCONSULTING TECHNO-GEOLOGIST
Company MINETECH CONSULTANCY SERVICES
AddressHOUSE NO. 255, POLSAY PARA, SHYAM NAGAR
Print