APPENDIX I (See Paragraph – 6) FORM 1 (I) Basic Information S Item Details No 1

APPENDIX I (See paragraph – 6) FORM 1 (I) Basic Information S Item Details No 1. Name of the project/s Building Stone Quarry of Mr. Soman B 2. S. No. in the schedule 1(a) As per O. M. No. L-11011/47/2011-IA.II (M) dated 18.05.2012. 3. Proposed capacity/area/length/tonnage Production capacity: 2,189 MTA. to be handled/ command Total area : 0.2023 Ha area/lease area/number of wells to be drilled 4. New/Expansion/Modernization New Quarry Project. Part of the mine lease area is an old abandoned quarry. 5. Existing Capacity/Area etc. No 6. Category of Project i.e.’A’ or ‘B’ “B” 7. Does it attract the general No condition? If yes, please specify. 8. Does it attract the specific No condition? If yes, please specify

9. Location The building stone quarry project is situated at Re. Survey No.116/2 of Village-Kayyur , Taluk- Hosdurg , District –Kasaragod, Kerala over an area of 0.2023 Ha. The project site falls in Survey of India Topo sheet No.48P/3. The geographical location of the mine with respect to the pillar boundary of the lease area is given below:- Latitude 12° 15'54.01”N to 12°15’55.60” N Longitude 75°13'1.61”E to 75°213'3.91”E

10. Plot/Survey/Khasra No. Re. Survey No.116/2 Village Kayyur Tehsil Hosdurg District Kasaragod, State Kerala 11. Nearest railway station/airport Name Distance from along with distance in kms lease Boundary (Road Distance) Railway Cheruvathur 11 Km station Airport Mangalore 100 Km Inter National Airport 12. Nearest Town, city, District Name Distance from Headquarters along with distance lease Boundary in kms. (Road Distance) Nearest Cheruvathur 11 Km town District Kasaragod 20 Km HQ. Nearest Kanhangad 19.6 Km City 13. Village Panchayats, Zilla Parishad., Village office: Municipal Corporation, Local body Kayyur Village, (complete postal addresses with Kayyur (po), Chruvallur(VIA) telephone nos. to be given Kasaragod District, Pin-671313 Phone:- 0467-2250322 Panchayath office: Kayur cheemeni Panchayath Office, Cheemeni (po), Cheruvaloor(VIA), Kasaragod District, Pin-671313 Phone:- 0467-2250322 14. Name of the applicant Mr. Soman B

15. Registered address Mr. Soman B Anugraha 7/398, Kuttamath Cheruvathur (PO), kasaragod- 671 313 Mobile No: 9497463873, 9446839653 16. Address for correspondence: Name Mr. Soman B Designation(Owner/Partner/CEO) Owner Address Anugraha 7/398, Kuttamath Cheruvathur (PO), Kasaragod- 671 313 Pin Code 671 313 E-mail [email protected] Telephone No. 9497463873, 9446839653 Fax No. --- 17. Detail s of Alternative Sites Not applicable as mining is site specific examined, if any. Location of these activity. sites should be shown on a topo sheet. 18. Interlinked Projects No 19. Whether separate application of interlinked project has been No. submitted? 20. If yes, date of submission Not Applicable. 21. If no, reason Not Applicable 22. Whether the proposal involves approval/clearance under: if yes, details of the same and their status to be given (a)The Forest (Conservation) Not Applicable Act,1980? (b) The Wildlife (Protection) Act,1972? (c) The C.R.Z.Notification,1991?

23. Whether there is any Government The following Govt. Orders / Policies are to Order/Policy relevant/relating to be followed: the site?  Kerala Minor Mineral Concession Rules, 1967. Mines Act, 1952.  Explosive Rules, 2008.  Kerala Panchayat Raj Act, 1994.  Central Ground Water Authority.  Water Pollution (Prevention & Control) Act, 1974.  Air Pollution (Prevention & Control) Act, 1981.  Environment Protection Act, 1986.  EIA Notification, 2006 I 2009.  The Kerala Promotion of Tree Growth in Non-Forest Areas (Amendment) Act, 2007. 24. Forest land involved (hectares) No 25. Whether there is any litigation No litigation is pending against the project pending against the project and / and / or land in which the project is or land in which the project is proposed. propose to be set up? (a) Name of the Court (b) Case No. (c) Orders/directions of the Court, if any and its relevance with the proposed project

(II) Activity 1. Construction, operation or decommissioning of the Project involving actions, which will cause physical changes in the locality (topography, land use, changes in water bodies, etc.) S. Information/Checklist Yes/ Details thereof (with approximate quantities /rates, No confirmation No wherever possible) with source of information data 1.1 Permanent or Yes Land use: - The land use classification as per revenue temporary change in records is private land. The mining activity will have land use, land cover or localized impact and create physical change in the topography including existing environment due to the change in the land increase in intensity use. At the end of life of mine, the excavated pit will of land use (with be 0.0874 Ha, in which 0.0874 Ha will be reclaimed respect to local land with stacked dumping and overburden and use plan) rehabilitated by plantation. Topography: - The topography of the lease area is hilly. The highest elevation of the lease area is 140 m MSL and lowest is 110 m MSL. 1.2 Clearance of existing Yes land is sparsely vegetated and having topsoil with land, vegetation and average thickness of 1.5 m. buildings? 1.3 Creation of new land Yes The new land use pattern will be as follows at different uses? stages during the life of mine. Area in Ha. As on Plan Concp. Description date period Period Area under Quarry pit 0.0000 0.0874 0.0874 Area for infrastructure / 0.0000 0.0000 0.0000 plant Green belt / Plantation 0.0000 0.1076 0.1076 Road 0.0073 0.0073 0.0073 Area for future use / 0.1950 0.0000 0.0000 undisturbed 0.2023 0.2023 0.2023 Total Ha Ha Ha

1.4 Pre-construction No Not Applicable. investigations e.g. bore houses, soil testing? 1.5 Construction works? No Required infrastructure already exists. 1.6 Demolition works? No Not Applicable. 1.7 Temporary sites used No Not Applicable. for construction works or housing of construction workers? 1.8 Above ground Yes At the end of life of mine, the excavated pit will be buildings, structures or 0.0874 Ha, in which, 0.0874 Ha will be reclaimed with earthworks including stacked dumping and overburden and rehabilitated by linear structures, cut plantation. It is estimated that around 1,517 MT of and fill or excavations topsoil will be generated, which will be properly stacked and will be utilized for plantation. 1.9 Underground works No Not Applicable. including mining or tunneling? 1.10 Reclamation works? Yes At the end of life of mine, the excavated pit will be 0.0874 Ha, in which, 0.0874 Ha will be reclaimed with stacked dumping and overburden and rehabilitated by plantation 1.11 Dredging? No Not Applicable 1.12 Offshore structures? No Not Applicable

1.13 Production and Yes Maximum production proposed is 2,189 MTA. The manufacturing mining will be done by open cast method. The bench processes? height and width proposed will be 5.0m (2.50mX 2 sub benches) & 5m.To minimize the impacts of drilling and blasting, latest technology will be implemented. 1.14 Facilities for storage of Yes The finished material and overburden will be stored in goods or materials? inside the permit area at South direction. 1.15 Facilities for treatment Yes Solid waste: A total quantity of 1,517 MT of topsoil or disposal of solid and 1,095 MT of mine waste will be removed during waste or liquid the mining operations. Topsoil excavated from the

effluents? quarry will be stacked at predetermined place and subsequently will be utilized for plantation. Mine waste material will be backfilled. Liquid Effluent The sewage to the tune of 0.238 KLD generated from the mine office will be treated through septic tank & soak pit. 1.16 Facilities for long term Yes All the operational workers are mainly from the local housing of operational and nearby villages. Hence at present, there is no need workers? for long term housing for operational workers. In due course if any facilities are required for employees it will be provided. 1.17 New road, rail or sea No Existing facilities will suffice for the purpose of mining traffic during activity. construction or operation? 1.18 New road, rail, air No Existing facilities will suffice for the purpose of mining waterborne or other activity. transport infrastructure including new or altered routes and stations, ports, airports etc? 1.19 Closure or diversion of No Not applicable existing transport routes or infrastructure leading to changes in traffic movements? 1.20 New or diverted No Not applicable. transmission lines or

pipelines? 1.21 Impoundment, No Not applicable damming, culverting, realignment or other changes to the hydrology of water

courses or aquifers? 1.22 Stream crossings? No Nil 1.23 Abstraction or Yes The water to the tune of 0.4 KLD will be drawn from transfers of water form existing bore well for domestic purpose. ground or surface waters? 1.24 Changes in water No The change in the land surface due to quarrying will bodies or the land not affect the surface drainage in the surrounding surface affecting area. drainage or run-off? 1.25 Transport of personnel Yes Transport of materials is being made through tippers or materials for & trucks. Personnel to the work area are being construction, operation transported by the public / personal conveyance or or decommissioning? conveyance will be provided by the Company. 1.26 Long-term dismantling Yes At the end of the life of mine, excavated pit will be or decommissioning or reclaimed and rehabilitated with native species and restoration works? partly will be used as a water pond. 1.27 Ongoing activity during No Service buildings will be retained till the end of quarry decommissioning operations. More so the permit holder will use the which could have an same infrastructure for improving the environment impact on the after the closure of quarry. No activity will be carried environment? out at the end of decommissioning which will affect the environment. 1.28 Influx of people to an Yes Entry will be allowed only to authorize persons area in either (workers & staff). The quarry will employ about 10 temporarily or persons. permanently? 1.29 Introduction of alien No Not applicable species? 1.30 Loss of native species Yes As per the ecological survey carried out, there are only or genetic diversity? few native species of shrubs, trees etc. and there will be some loss of species due to mining activity 1.31 Any other actions? No None.

2. Use of Natural resources for construction or operation of the Project (such as land, water, materials or energy, especially any resources which are non-renewable or in short supply):

2.1 Land especially Yes The area of the project is outcrop of Charnockite undeveloped or agricultural (commercially known as Granite) rock, hence not feasible land (Ha) for agriculture purpose. 2.2 Water (expected source & Yes About 0.4 KLD is required for domestic consumption, competing users) unit: KLD 1.0 KLD is required for dust suppression and 1.0 KLD is required for green belt development. The required water will be met from open well and bore well. 2.3 Minerals (MT) Yes It is a mining project for excavation of building stone. Production will be 2,189 MTA . 2.4 Construction material – No Nil. stone, aggregates, sand / soil (expected source – MT)

2.5 Forests and timber (source Nil. No – MT)

2.6 Energy including electricity Yes 75 KW Diesel Engine and fuels (source, competing users) Unit: fuel (MT), energy (MW)

2.7 Any other natural resources No Nil. (use appropriate standard units)

3. Use, storage, transport, handling or production of substances or materials, which could be harmful to human health or the environment or raise concerns about actual or perceived risks to human health. 3.1 Use of substances or Yes Explosives will be procured, stored, transported, handled materials, which are and used in accordance with Indian Explosive Act 1884, hazardous (as per MSIHC MSIHC Rules 1989, Mines Act, 1952 and regulations there rules) to human health or under. the environment (flora, fauna, and water supplies)

3.2 Changes in occurrence of No Nil disease or affect disease vectors (e.g. insect or water borne diseases) 3.3 Affect the welfare of people Yes The project will support for improving the local socio- e.g. by changing living economic conditions of the people by providing direct and conditions? indirect employment opportunities and welfare activities. 3.4 Vulnerable groups of No There will not be any impact on human settlement. All people who could be necessary measures will be taken to operate the mine in affected by the project e.g. compliance with air, water, noise & vibration standards hospital patients, children, from time to time. the elderly etc., 3.5 Any other causes No Nil. 4. Production of solid wastes during construction or operation or decommissioning (MT/month) 4.1 Soil, overburden or mine Yes  About 1,517 MT of topsoil is likely to be generated wastes from this quarry which will be removed separately and stacked. This topsoil will be used for plantation purpose.  About 1,095 MT of waste is going to generate during the life of mine. This waste will be dumped in the area earmarked for the purpose in a systematic and scientific manner. During the post mining stage dump material will be used for reclamation purpose. 4.2 Municipal waste (domestic Yes Domestic effluent will be treated through septic tank and and or commercial soak pit. wastes) 4.3 Hazardous wastes (as per Yes Used oil from maintenance of DG sets, HEMM and tippers Hazardous Waste will be handled as per Hazardous Waste (Management Management Rules) Handling & Trans boundary Movement) Rules, 2008.

4.4 Other industrial process No Nil. wastes 4.5 Surplus product No None. 4.6 Sewage sludge or other No Nil. sludge from effluent treatment

4.7 Construction or demolition No No infrastructure will be demolished at the end of the wastes quarry, as the same infrastructure will be utilized for some other purpose which will improve the environment of the area. 4.8 Redundant machinery or Machinery with sufficient shelf life will be used and the equipment Yes redundant machinery will be phased out or sold to reprocessing agency. 4.9 Contaminated soils or No Nil. other materials 4.10 Agricultural wastes No Nil. 4.11 Other solid wastes No Nil. 5. Release of pollutants or any hazardous, toxic or noxious substances to air (Kg/hr) 5.1 Emissions from combustion No Diesel engine emissions (stationary) are given below: of fossil fuels from parameter Emission rate stationary or mobile PM 0.3 in g/KW-hr sources NOx 9.2 in g/KW-hr CO 3.5 in g/KW-hr HC 0.8 in g/KW-hr All measures will be taken to restrict the emission within CPCB norms. 5.2 Emissions from production Yes Fugitive Dust emission is the main pollutant, which will be processes generated from quarry activities and handling operations. 5.3 Emissions from materials Yes Air pollutants are generated from transportation. There handling including storage will be fugitive emissions generated during material or transport handling, transportation, loading, unloading etc. Regular water sprinkling on haul road will suppress the dust particles and prevent them from getting air-borne. Transportation Movement of vehicles like dumpers, trucks etc. will generate dust. The transportation activities on unpaved area will result in fugitive emissions to the tune of 1.261

Kg/VkmT for PM10 and 0.126 Kg/VkmT for PM 2.5. (calculation based on USEPA-AP-42 series). Gaseous emission rate due to transportation CO 5.45 g/KWh

HC 0.78 g/KWh NOx 5.0 g/KWh

5.4 Emissions from No Nil. construction activities including plant and equipment 5.5 Dust or odours from Yes Fugitive dust will be generated while excavation, handling of materials transportation & loading operations. This will be taken including construction care of by water sprinkling at regular intervals on the haul materials, sewage and roads, quarry benches, and internal roads. No odor is waste generated from handling the materials including construction materials, sewage and waste. 5.6 Emissions from No Not Applicable. incineration of waste 5.7 Emissions from burning of No Not Applicable. waste in open air (e.g. slash materials, construction debris) 5.8 Emissions from any other No Not Applicable. sources 6. Generation of Noise and Vibration, and Emissions of Light and Heat: S.No Information/Checklist Yes Details thereof (with approximate quantities/rates, confirmation /No wherever possible) with source of information data with source of information data 6.1 From operation of Yes The noise generating equipments in the permit area are as equipment e.g. engines, under:- ventilation plant, crushers Sl. List of Range No equipments db(A) 1. Excavator 95-100 2. Hydraulic Jack 95-100 Hammer 3. Trucks/Tippers 84-86 Source:-NIRM Mitigation Measures:-  Effective maintenance of machineries and vehicles

at regular and frequent intervals.  Plantation of green belt around the haul roads and lease periphery.  PPE’s will be provided. Heat and Light generation not envisaged. 6.2 From industrial or similar No Not Applicable. processes 6.3 From construction or No Not Applicable. demolition 6.4 From blasting or piling Yes Drilling and blasting do generate noise and vibration, but, the drilling carried out at this quarry is mainly by jackhammer, where about 60 – 70 % of the noise and ground vibration is avoided compared with the primary blast. And also, required precautions will be taken to maintain the noise levels within prescribed standard by providing proper delay between two blasts. 6.5 From construction or Yes Due to vehicular traffic and material transportation within operational traffic the permit area, noise will be generated. However, the noise levels will be kept at lowest decibel and also within the limits of DGMS and CPCB guidelines. 6.6 From lighting or cooling No None. systems 6.7 From any other sources No None. 7. Risks of contamination of land or water from releases of pollutants into the ground or into sewers, surface waters, groundwater, coastal waters or the sea: 7.1 From handling, storage, No Hazardous materials like spent oil, old batteries are being use or spillage of hazardous disposed off as per the existing Rules & Guidelines of materials Hazardous Waste (Management Handling & Trans boundary Movement) Rules, 2008 and are being sent to stores for disposal through authorized agents. 7.2 From discharge of sewage No There is no discharge of sewage or other effluents to or other effluents to water water or land. or the land (expected mode and place of discharge)

7.3 By deposition of pollutants No Dust will be generated, which is suppressed by regular water emitted to air into the land sprinkling on haul roads, quarry benches and surrounding or into water area.

7.4 From any other sources No Not envisaged. 7.5 Is there a risk of long term No Since quarrying activity will be generating dust particles and build up of pollutants in the smoke within tolerable limits, there is no possibility of long environment from these term build up of pollutants in the environment. sources? 8. Risk of accidents during construction or operation of the Project, which could affect human health or the environment 8.1 From explosions, spillages, Yes Safety of the mine workers is taken care as per the Mines Act fires etc from storage, 1952 and the rules and regulations made under this act. Also, handling, use or production Storage & using of explosives will be as per the guideline by of hazardous substances DDMS and Indian Explosive Act 1884, MSIHC Rules 1989. 8.2 From any other causes Yes The risks of accidents are envisaged due to the operation of equipments, failure of mine pit etc. Pit slope will be kept at 45°. Moreover, no loose stones or debris will be allowed to remain near the edges of excavation and along the sites of haul road. Good safety practices will be adopted at the site. All precautionary measures will be adopted and use of protective equipments will be mandatory. First aid measures at the site will be provided. 8.3 Could the project be No No such events reported in the area till date. Moreover, as affected by natural per Building Material and Technology Promotion Council disasters causing (BMTPC) Vulnerability Atlas of Seismic zone of India area falls environmental damage (e.g. in Seismic Zone-III, which is moderate damage risk zone floods, earthquakes, landslides, cloudburst etc)? 9. Factors which should be considered (such as consequential development) which could lead to environmental effects or the potential for cumulative impacts with other existing or planned activities in the locality 9.1 Lead to development of Yes Continuation of quarry operations will benefit local supporting facilities, community by way of direct & indirect employment. The ancillary development or ROM will be utilized for various infrastructure purpose like

development roads, housing etc. stimulated by the project which could have impact on the environment e.g.: • Supporting infrastructure (roads, power supply, waste or waste water treatment, etc.) • housing development • extractive industries • supply industries • other 9.2 Lead to after-use of the No Not Applicable site, which could have an impact on the environment 9.3 Set a precedent for later No Not Applicable developments 9.4 Have cumulative effects No Not Applicable due to proximity to other existing or planned projects with similar effects

(III) Environmental Sensitivity

S.No Areas Name/ Aerial distance Identity (within 15 km.) Proposed project location boundary 1 Areas protected under international None within 15km - conventions, national or local legislation for radius from the quarry their ecological, landscape, cultural or other boundary related value 2 Areas which are important or sensitive for Thejaswini puzha 750 m ecological reasons - Wetlands, watercourses or

other water bodies, coastal zone, biospheres, mountains, forests 3 Areas used by protected, important or sensitive None within 15km - species of flora or fauna for breeding, nesting, radius from the quarry foraging, resting, over wintering, migration boundary 4 Inland, coastal, marine or underground waters Thejaswini Puzha 750 m 5 State, National boundaries Karnataka boundary 23 Km 6 Routes or facilities used by the public for access Road-Njendadi - 0.500 Km to recreation or other tourist, pilgrim areas Thadiiyamad Road, PHC Hospital Kayyur 4Km High school 4km Temple-Mayyil- 2Km Mosque-Cheemeni 6Km Church-Cheemen 6Km 7 Defence installations None within 15km - radius from the quarry boundary 8 Densely populated or built-up area Panathady 4 Km Nearest House 0.075 km 9 Areas occupied by sensitive man-made land uses Nearest Hospital 4 Km (hospitals, schools, places of worship, community PHC facilities) Nearest School 4 km Kayyur High School Mosque 6 Km Cheemeni Temple 2 Km Mayyil Church 6 Km Cheemeni 10 Areas containing important, high quality or Thejaswini Puzha 750 m scarce resources (ground water resources, surface resources, forestry, agriculture, fisheries, tourism, minerals) 11 Areas already subjected to pollution or Nil - environmental damage. (those where existing

legal environmental standards are exceeded) 12 Areas susceptible to natural hazard which could Earth Quake Zone Zone-III, Moderate cause the project to present environmental damage risk zone problems (earthquakes, subsidence, landslides, as per BMTPC, erosion, flooding or extreme or adverse climatic Vulnerability Atlas conditions) of Seismic zone of India IS:1893-2002. No history of such incidents in the area.

“I hereby given undertaking that the data and information given in the application and enclosures 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 give, if any to the project will be revoked at our risk and cost. NOTE: Place:Kayyur Date : 27/07/19

Mr. Soman B, (Owner)

1. The projects involving clearance under Coastal Regulation Zone Notification, 1991 shall submit with the application a C.R.Z. map duly demarcated by one of the authorized agencies, showing the project activities, w.r.t. C.R.Z. (at the stage of TOR) and the recommendations of the State Coastal Zone Management Authority (at the stage of EC). Simultaneous action shall also be taken to obtain the requisite clearance under the provisions of the C.R.Z Notification, 1991 for the activities to be located in the CRZ. 2. The projects to be located within 10 km of the National Parks, Sanctuaries, Biosphere Reserves, Migratory Corridors of Wild Animals, the project proponent shall submit the map duly authenticated by Chief Wildlife Warden showing these features vis-à-vis the project location and the recommendations or comments of the Chief Wildlife Warden thereon (at the stage of EC)”. 3. All correspondence with the Ministry of Environment & Forests including submission of application for TOR /Environmental Clearance, subsequent clarifications, as may be required

17 from time to time, participation in the EAC Meeting on behalf of the project proponent shall be made by the authorized signatory only. The authorized signatory should also submit a document in support of his claim of being an authorized signatory for the specific project”.