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 MUSTHAFA.MK, SURVEY NO:155/1,154, VILLAGE: KARAKKUNNU, TALUK: ERANAD, MALAPPURAM
(ii).Location / site (GPS Co-ordinate) 11°10'40.67"N to 11°10'43.79"N 76°6'43.29"E to 76°6'46.06"E
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)0.6111 ha.
(iv).Capacity of the Mining Lease (TPA) 11920
(v).Period of Mining Lease 5
(vi).Expected cost of the Project 5
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.DMG/KERALA/RQP/8/2017 
Name of Consultant/RQPDr. SAKKIR. S
Address S/o E. SAINUDEEN PILLAI, SHASKANS, THANNIMOOD, IRICHAYAM POST, NEDUMANGAD, TRIVANDRUM, KERALA-695 561
Mobile No.9497154395
Landline No.281802
Email Idekspertthannimood@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.  20 km
2. (ii). Nearest Infrastructural along with distance in kms  1 km
(iii). Nearest Railway Line along with distance in kms  20 km
(iv). Nearest National Highway along with distance in kms  1 km
(v). Nearest State Highway along with distance in kms  1 km
(vi). Nearest Major District Road along with distance in kms 0.258 km
(vii). Nearest Any Other Road along with distance in kms  0.258 km
(viii). Nearest Electric transmission line pole or tower distance in kms  0.400 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  None within 5km radi 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  0.500 km
3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
None within 5km radius
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests None within 5km radius
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration None within 5km radius
6. Inland, coastal, marine or underground waters None within 5km radius
7. State, National boundaries Tamil Nadu 100km
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas Tourist: 1. Kottakkunnu Malappuram 18.9km, 2. Silsila water theme park 7.4km, 3. Mini Ooty 20km. Pilgrim: 1. Arukizhaya Mahadeva Temple Manjeri 7km, 2. Maha Vishnu Temple 1.7km
9. Defence installations None within 5km radius
10. Densely populated or built-up area, distance from nearest human habitation Karakkunnu 400m, Amayur 1km, Edavanna 7km.
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Hospitals: Gov.Medical College Manjeri 6.5km, Govt. General Hospital Areacode 9.2km Schools: 1.GMLP Amayur 1km, 2. ALP School Kandalpatta 1.6km,3. GLP School Anakkottupuram 1.6km Worship: 1. Temple: Karimkalikavu karakkunnu 1.4km, Maha Vishnu Temple Mannumthala 1.7km, 2. Mosque: Salafi Masjid West Karakkunnu 0.6km, Town Sunni Masjid 1.8km, Vadakkamala Juma Masjid 2.8km , 3.Church: St.Gregorios Syrian Orthodox Church Malappuram 7.5km, St. Joseph Manjeri 11.4km, Holy Cross Roman Latin Catholic
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) None within 5km radius
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) No notified/ Recognized polluted area within 5km radius
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) No, This area is generally not prone to any natural disasters.
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/19616/2018
File NumberDEIAA/MAL/EC/122/2018
Date of Apply EC13 Dec 2018
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)KeralaMalappuramEranad
(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.)APPROVAL LETTER &500M13 Dec 2018
(2.)RQP CERTIFICATE13 Dec 2018
(3.)EC AFFIDAVIT13 Dec 2018
(4.)NABL CERTIFICATE13 Dec 2018
(5.)LETTER OF INTENT13 Dec 2018
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameGRANITE(BUILDING STONE) QUARRY OF MR. MUSTHAFA MK
DesignationKARAKKUNNU
Company GRANITE(BUILDING STONE) QUARRY OF MR. MUSTHAFA MK
AddressKARAKKUNNU VILLAGE,ERANAD TALUK,MALAPPURAM
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