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 GRANITE BUILDING STONE QUARRY OF GAYATHRI AGGREGATES PVT LTD
(ii).Location / site (GPS Co-ordinate) 10°38’41.08’’N TO 10°38’44.65’’N 76°37’20.05’’E TO 76°37’21.25’’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) 80000
(v).Period of Mining Lease 5
(vi).Expected cost of the Project 75
(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 HAREESH G THAMPY905D-9TH STREET, SANKAR NAGAR, KAIMANAM PO, TVM
Mobile No.9387838782
Landline No.04932234
Email Idgt.hareesh@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.  15 km
2. (ii). Nearest Infrastructural along with distance in kms  2.7 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 0.270 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  250 km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  2.5 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 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 Go
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/17708/2018
File NumberDIA/KL/PL/50/2018
Date of Apply EC29 Sep 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 1M27 Sep 2018
(2.)CHECK LIST27 Sep 2018
(3.)LAND DOCUMENT27 Sep 2018
(4.)IT RETURN VERIFICATION FORM27 Sep 2018
(5.)PAN27 Sep 2018
(6.)IT Certificate29 Sep 2018
(7.)Photo attested29 Sep 2018
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameGAYATHRI AGGREGATES
DesignationMANGINGDIRECTOR
Company GAYATHRI AGGREGATES
AddressMR AG MADHAVAN, MANAGING DIRECTOR,GAYATHRI AGGREGATES PVT LTD,MURINGAMALA, VEMBALLUR PO, PALAKKAD DT
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