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 Building Stone Quarry Of Santhosh T
(ii).Location / site (GPS Co-ordinate) 10 38 41.08 N to 10 38 44.65 N 76 37 20.05 E to 76 37 24.23 E
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)0.7655 ha.
(iv).Capacity of the Mining Lease (TPA) 50000
(v).Period of Mining Lease 5
(vi).Expected cost of the Project 30
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.RQP/BNG/2296/2013/A 
Name of Consultant/RQPHAREESH G THAMPY
Address 905 D-9th Street, Sankar Nagar, Kaimanam PO, TVM-695040
Mobile No.9387838782
Landline No.04912507
Email Idgt.hareesg@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.  2.1 km
2. (ii). Nearest Infrastructural along with distance in kms  15 km
(iii). Nearest Railway Line along with distance in kms  15 km
(iv). Nearest National Highway along with distance in kms  5.8 km
(v). Nearest State Highway along with distance in kms  45 km
(vi). Nearest Major District Road along with distance in kms .270 km
(vii). Nearest Any Other Road along with distance in kms  1 km
(viii). Nearest Electric transmission line pole or tower distance in kms  2.7 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  2.5 km
(x). Nearest In-take for drinking water pump house distance in kms  .500 km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  21 km
3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
None within 15 KM radius.
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Irrigation Canal – 700 m W
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration None within 15 KM radius
6. Inland, coastal, marine or underground waters Bharathapuzha – 11 KM E SE
7. State, National boundaries Kerala Tamilnadu instreet Boundaries – 26 KM E
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas Malampuzha Dam – 21 KM N NE Pothumbi Dam - 11 KM S Chulanur peafowl Sanctuary – 16 KM NW
9. Defence installations None within 15 KM radius
10. Densely populated or built-up area, distance from nearest human habitation Pallavoor – 1.6 KM S
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Pallavoor Post office – 1.6 KM S Mannalur post office – 2.5 KM NW Hospitals Public Health centre Kunissey – 3.3 KM W Muthalamada Govt Hospital - 16 KM E Avitis Super speciality Hospital – 7.4 KM SW Temples Muringamala Devi Temple – 400 m NE Kundukadu Lokhapanessrry Temple – 2 KM NE Ponnumangalam Uchumahalimman Temple – 2.4 KM NE Sree Buddha Temple – 1.3 KM NE Kakkayur Temple – 2.2 KM NE Sree subramannya swami Temple – 1.8 KM NE Kottamala Ayyappa Swami Temple – 3.1 KM E SE Sanathana G
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) Treasury unit of five star metals – 950 mtr SE Old Quarry – 70 mtr S Old Quarry – 1.2 KM S Deepam Granites – 0.9 KM W NW Macadam Granites – 1.3 KM W NW
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) Nil
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) Nil
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/15977/2018
File NumberDIA/KL/PL/31/2018
Date of Apply EC28 Jun 2018
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)KeralaPalakkadAlathur
(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.)FORM IM23 Jun 2018
(2.)Check List23 Jun 2018
(3.)Form 26AS23 Jun 2018
(4.)Cluster Certificate23 Jun 2018
(5.)Pan23 Jun 2018
(6.)Attested photo on eds26 Jun 2018
(7.)PFROn eds26 Jun 2018
(8.)LAND DOCUMENTS -TAX CERTIFICATE26 Jun 2018
(9.)Attested photo on eds28 Jun 2018
(10.)LAND DOCUMENT-EDS28 Jun 2018
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameBUILDING STONE QUARRY OF MR SANTHOSH T
DesignationMANAGINGPARTNER
Company BUILDING STONE QUARRY OF MR SANTHOSH T
AddressSANTHOSH T MANAGING PARTNER DEEPAM GRANITES MURINGHAMALA VEMBALLUR PALAKKAD DIST
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