APPENDIX VIII (See paragraph 6) FORM 1 M APPLICATION FOR MINING OF MINERALS UNDER CATEGORY ‘B2’ FOR LESS THAN AND EQUAL TO FIVE HECTARES. 1. Basic Information

Name of the Mining I “Granite Building Stone Quarry of Mr.Sudheesh A T” Permit Site Re Survey No: 432/584 Village: Nenmeni Taluk: - Sulthan Bathery District: - Wayanad State: - Boundary Latitude Longitude Pillar Location/Site (GPS II BP 1 N 11036’21.68” E 76015’20.99” Co- Ordinate) BP 2 N 11036’23.25” E 76015’23.36” BP 3 N 11036’22.84” E 76015’24.60” BP 4 N 11036’23.15” E 76015’25.49” BP 5 N 11036’22.59” E 76015’26.13” BP 6 N 11036’20.63” E 76015’24.68” BP 7 N 11036’19.86” E 76015’22.25” BP 8 N 11036’20.31” E 76015’21.82”

Size of the Mining III 0.9612 Ha Permit Capacity of Mining IV 187881 MT Permit V Period of Mining Permit 5 Years VI Expected Cost of Project 85 Lakh Name Mr.Sudheesh A T VII Contact Information Address S/o Thankachan Adakkathottathil House

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Rattakundu Kumbleri P O Wayanad Pin: 673591 Mob 9946099088

2. Environment Sensitivity

Sl.No. Areas Distance (KM) Distance of project site from Rail, Road 1 Bridge over the concerned River, Rivulet, Kottoor Bridge-4.79km-SW Nallah etc. Distance from infrastructural facilities Railway Line Road railway station -36.1 km -S National Highway NH 766(Kozhikode-)-6.1km NW State Highway SH 29-6.5km-SW Major District Road Anappara-Thomarimal-231.0m-NW Other Road Kottail Road-52.7m-NW Electrical Transmission Line or Pole Anappara-500m-SW Karapuzha -9.7km-NW 2 Banasurasagar Dam-33.3km-NW Kakkayam Dam-36.9km-SW Peruvannamoozhi Dam-21.5km-SW Canal/Check Dam/Reservoirs/Lake/Pond Karapuzha Reservoir-9.82km-NW Thalur Pond-1.45km-SW Karlad Lake-30.3km-NW Lake-25.9km-SW In-take for drinking water/pump house Chulliyode-800m-SE In-take for Irrigation canal pumps Chulliyode-1.0km-SE Areas protected under international 3 conventions, national or local legislation for None within 1KM from project site their ecological, landscape, cultural or others

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related value. Mavoor Wetlands- 51.5 km- SW Nilgiris Biosphere Reserve-21.1km-NE Bandipur Tiger Reserve & National Park- Areas which are important or sensitive for 25.8km-NE ecological reasons – Wetlands, watercourses 4 Mudumalai National Park-30.5km-SE or other water bodies, coastal zone, & Tiger Reserve- biospheres,mountains, 49.3km-NW -26.1km-NW River-48.1km- SW Areas used by protected, important or sensitive 5 species of flora or fauna for breeding, nesting, None within 1KM from project site foraging, resting, over Wintering, migration Thalur Pond-1.45km-SW Karlad Lake-30.3km-NW 6 Inland, coastal, marine or underground Waters -25.9km-SW Kabini River-26.1km-NW Chaliyar River-48.1km- SW Kerala-Karnataka Border-17.5km -NE 7 State, National boundaries Kerala-Tamilnadu Border-2.02km-SE Routes or facilities used by the public for NH 766(Kozhikode-Karnataka)-6.1km NW 8 access to recreation or other tourist, pilgrim SH 12(Ambalapuzha-Thiruvalla)-9.94km-SW areas 9 Defense installations None within 1KM from project site Densely populated or built-up area, distance Nenmeni-3.49 km NE 10 from nearest human habitation Nearest human habitation-50.1m NE Hospital: - Marina Hospital, – 4.9 km NW Areas occupied by sensitive man-made land Airport: - Calicut International Airport - 11 uses (Hospitals, schools, places of worship, 61.3km SW community facilities) School: - Anappara GVHSS School, Chulliyode –0.85km SW Church: - Thaloor Jacobite Church, 2.39 km

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SW Mosque: - Juma Masjid, Chulliyode, 0.43 km SE Temple: - Sree Dhrmasastha Bagavathi Temple,Chulliyode, 0.99 km SW Kabini River-26.1km-NW Chaliyar River-48.1km- SW Areas containing important, high quality or Wayanad Wildlife Sanctuary-14.2km-NE scarce resources (ground water resources, 12 Malabar Wildlife Sanctuary-33.0km-SW surface resources, forestry, agriculture, Muthanga Forest-13.7km-NE fisheries, tourism, minerals) Wayanad Forest-29.3km-NE Padiri Reserve Forest-25.6km-NW Areas already subjected to pollution or 13 environmental damage, (those where existing No legal environmental standards are exceeded) Areas susceptible to natural hazard which Could cause the project to present environmental problems (earthquake, 14 subsidence, landslides, erosion, flooding, or No extreme or adverse climate conditions) is proposed mining site located over or near fissure/fracture for ground water recharge Whether the proposed involves approval or clearance under the following Regulations or Acts namely: - (i) The Forest (Conservation) Act, No 15 1980; (ii) The wildlife No (Protection) Act,1972; (iii) The Coastal Regulation Zone No Notification, 2011

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If yes, details of the same and their status to be

given. 16 Forest land involved (hectares) No forest land involved Whether there is any litigation pending against the project and/or land in which The project is proposed to be set up? (i) Name of the Court 17 No (ii) Cash No. (iii) Orders or directions of the court, if any and its relevance with the proposed project

“I hereby give undertaking that the data and information given in the application and enclosure are true to the best of my knowledge and belief and I am aware that if any part of the data and information submitted is found to be false or misleading at any stage, the project will be rejected and clearance given, if any to the project will be revoked at our risk and cost.”

Place: Wayanad Date: 17/06/2019

RQP: Applicant:

MAHESH. S SUDHEESH A T

TC31/580, Navadeepam, Adakkathottathil House

S N Nager, Pettah (p.o), Kumbleri P O

Trivandrum – 695024 Wayanad -67359

Kerala Kerala

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