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 Sirigeri Pink Granite Quarry
(ii).Location / site (GPS Co-ordinate) N15°25'44.1" E76°50'36.3" N15°25'43.0" E76°50'35.8" N15°25'43.8" E76°50'33.3" N15°25'45.3" E76°50'34.1" N15°25'45.4" E76°50'35.1"
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)0.4047 ha.
(iv).Capacity of the Mining Lease (TPA) 1250
(v).Period of Mining Lease 20
(vi).Expected cost of the Project 20
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?No
Reason for not hiring the Consultant/RQP B2 project
(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.  0.687 km
2. (ii). Nearest Infrastructural along with distance in kms  1.16 km
(iii). Nearest Railway Line along with distance in kms  31.75 km
(iv). Nearest National Highway along with distance in kms  32.39 km
(v). Nearest State Highway along with distance in kms  6.3 km
(vi). Nearest Major District Road along with distance in kms 33.24 km
(vii). Nearest Any Other Road along with distance in kms  1.16 km
(viii). Nearest Electric transmission line pole or tower distance in kms  0.76 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  1.14 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
Nil. The area is not covered under any international convention.
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Nil. There are no sensitive for ecological areas.
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration Nil. None in 5km radius
6. Inland, coastal, marine or underground waters There is no inland, coastal & marine water. However, Underground water table is 80m from general surface in surrounding area.
7. State, National boundaries No State or National boundaries within 5kms radius
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas Not Applicable
9. Defence installations Nil. There are no defence installations in the applied/study area.
10. Densely populated or built-up area, distance from nearest human habitation Siruguppa is the densely populated area at the distance of ~21.3Km from the lease. Sirigere is the nearest human habitation at the distance of ~1.16N Km from the lease.
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) No sensitive man made land use in core zone. However, Siruguppa ~21.3Km, NE has some schools and primary health centres and private hospitals.
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) No scarce resources in core zone. Areas containing important, high quality or scarce resources are far from the applied area.
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) Not Applicable
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. The project site is in low seismic damage zone. It is situated in earthquake sensitive zone-II as defined in 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/KA/MIN/19160/2018
File NumberREV/DEIAA/EC/10/2018-19
Date of Apply EC22 Nov 2018
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)KarnatakaBellarySiruguppa
(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)
NameS N MALLIKARJUNA
Designationproponent
Company S N MALLIKARJUNA
Address3/33, Patashala street, sirigeri
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