APPLICATION FOR AUTHORISATION UNDER REGULATION 34(6) OF
THE METALLIFEROUS MINES REGULATIONS, 1961.
To,
The Director of Mines Safety,
Bengaluru Region (SZ)
7th floor, 1st Stage,
Sir Vishveshwaraiah Kendriya Bhavan
Near Dommalur Fly Over,
Dommalur-Post,
Bangalore- 560071
Respected Sir,
I HERE TO APPLY FOR MANAGER’S PERMIT/AN AUTHORIZATION FOR Mr. Jeevan
Kumar S G. (Foreman’s certificate of competency) UNDER METALLIFEROUS
MINES REGULATIONS 34(6) OF MMR 1961, TO WORK AS MANAGER AT
PANCHAKSHARI PINK GRANITE QUARRY, (Q L No- 495), EXTENT- 2.20
ACRES LEASE AND SITUATED AT SY NO-34 OF VEERASAGARA - VILLAGE, KUDUR
- HOBLI, MAGADI – TALUK, RAMANAGARA - DISTRICT. KARNATAKA, OWNER IS
Sri. PANCHAKSHARI
LIN NO-2-2002-3129-3 MINE CODE-30249623
A. DETAILS OF APPLICANT:
1. Name : Mr. Jeevan Kumar S G
2. Age (Date of birth) : 12.09.1998. 26-year-old
3. Father’s name and full address of candidate : S/O Subramanya D,house
no 344,
Dowlatpur road, M gvtc opp,
asherya colony, sundur, Bellary
-Dist.
Karnataka 583119
4. QUALIFICATION:
1. Degree/Diploma in Mining Engineering : Diploma in Mining
Engineering
2. Manager’s Permit No. : Fresh
3. II class/Foreman’s Certificate No. and date : FRE /5716. Dtd-
18/09/2023
(Enclose duly attested photo- copies of the
Certificates possessed)
4. Mate’s Certificate No. and date : Not Applicable
(Enclose duly attested photo-copies)
5. Date & Centre of last Medical Examination under
Regulation 30/31 of the MMR, 1961. Please also : Not Applicable
Mention if declared fit/unfit and also enclose a
Copy of provisionally fit certificate if any.
6. I.P.O. No. and Date (Please enclose IPO Rs.10/- : ENCLOSED
For grant of permit for a new mine not required for
Renewal of authorization under Regulation 34(6) or
Under Regulation 34(6) for the same mine).
7. EXPERIENCE:
Mine(s) Period Capacity (As
Permit /Foreman
/Graduate
From To
Haddinapade iron ore 01.06.2022 07.06.2023 Foreman Trainee
mine of BKG mining pvt
lmt.
(Enclosed Experience details)
8. DETAILS OF MINES :
As defined in Section 2(i) of the Mines Act,
Including opencast workings, workshop, mineral beneficiation plant etc.
a) Name of the Mine : PANCHAKSHARI PINK GRANITE QUARRY
b) Minerals(s) : PINK GRANITE
c) Owner(s) : PANCHAKSHARI
Sl. Detail Mine
No. s
I. Name of mine PANCHAKSHARI PINK GRANITE
QUARRY (Quarry Lease No- 495)
II Type of Mine Open Cast
(Belowground/Opencast
)
III Address of the Mine Sy No-34 of Veerasagara -
Village, Kudur - Hobli, Magadi
– Taluk, Ramanagara -
District. Karnataka
IV Location of the Mine Quarry Lease no- 495
(Village, Survey No./ Sy No-34 of Veerasagara -
M.L. No. etc): Village, Kudur - Hobli, Magadi
– Taluk, Ramanagara -
District. Karnataka
V Extent of the Mine 2.20 Acres
VI Name of Owner PANCHAKSHARI
VII Name of Mineral PINK GRANITE
VIII No. & date of DRG No. KA/
enclosed Plans RAMANAGARA/QL-495
/01/2023-24, Dtd-
10.01.2024
IX Average Daily 40-50 Cub M/day &
Production &
Consumption of 10 kgs/day
Explosive/day
X Hours & Shift worked 8 hours General Shift
XI No of Pits worked 01
XII Size of Pit(s): 90M*70 M*12 M
XIII Whether deep hole No, As the quarry is an
blasting practiced Ornamental Pink Granite, So, no
deep hole blasting is not practiced.
XIV Man on Roll & 12 No’s
Average Daily 10 Nos Average
Attendance
9. List of machinery in use, with H.P (including hired machinery, if any):
Sl Machinery Make & Model No. of HP (Each)
No. Machine
s
1 Excavators- Kobelko 380 sk 2 200
Kobelko 380 HD
2 Wire saw Huada, 03 75
Sanva
3 Tipper MANN 02 100
4 Compressor Kulmec KE 100 2 90
Kulmec KE-120
Total 880
09. Is electricity used in the mines? : Yes
10. Is compressed air in use? : Yes
11. Is explosive in use? If so, daily consumption : Yes,
10kg/day(25mm)
12. Daily average employment in the mines : 12
Place Male Female Total
Above ground (mention - - -
place)
Belowground - -
Open-cast workings 12 - 12
13. Details of Supervisory Staff employed in the mines:
PANCHAKSHARI PINK GRANITE QUARRY
Name Designatio Jurisdiction Certificate No., Date of
n issue & validity
PANCHAKSH FRE /5716. Dtd-18/09/2023
Jeevan Mine ARI PINK
kumar S manager GRANITE
G QUARRY
PANCHAKSH MR/SZ/1095 Dtd-
Fayaz R Mine Mate ARI PINK 10/09/2020
AM GRANITE
QUARRY
I solemnly affirm that the above information furnished are correct to the
best of my knowledge.
Place: Ramanagara
Date: 13.05.2024 Signature of the applicant
(Jeevan Kumar S G)
Email: jeevanjm09@[Link]
14. Application forwarded by owners of proposed mines:
PANCHAKSHARI PINK GRANITE QUARRY
Signature of Owner /
Agent
Name of mine Owner / Sri. PANCHASHARI
Agent
Email id of owner/ panchaksharigranite@[Link]
Agent
Mobile No. of owner/ 9986962753
Agent
I solemnly affirm that above candidate is employed in our mine and
forward his application for Grant of Managers authorization.
Place: Tumkuru
Date: 13.05.2024 Signature of Mine
Owner
(PANCHAKSHARI)
