| 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 | | | (i). | Name of the Mining Lease site | Annamma Joseph |
| | (ii). | Location / site (GPS Co-ordinate) | Latitude 10 11 55.05
Longitude 76 33 29.74Annexure-GPS file  |
| | (iii). | |
| Type of Lease | Indivisual Area | | Size of the Mining Lease (in ha.) | 0.4795 ha. |
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| | (iv). | Capacity of the Mining Lease (TPA) | 19180 |
| | (v). | Period of Mining Lease | 1 |
| | (vi). | Expected cost of the Project | 15 |
| | (vii). | | Have you hired Consultant/Registered Qualified Person(RQP) for preparing document? | Yes | | Accreditation No. | 369/2016/A | | Name of Consultant/RQP | C BALARAMAN | | Address | Paliam
Peoli Road
Ernakulam | | Mobile No. | 9446404140 | | Landline No. | 2353644 | | Email Id | balramc28@gmail.com |
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| | (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 | 10 km | | (iii). Nearest Railway Line along with distance in kms | 20 km | | (iv). Nearest National Highway along with distance in kms | 19 km | | (v). Nearest State Highway along with distance in kms | 10 km | | (vi). Nearest Major District Road along with distance in kms | 13 km | | (vii). Nearest Any Other Road along with distance in kms | 6 km | | (viii). Nearest Electric transmission line pole or tower distance in kms | 0.70 km | | (ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms | 0.056 km | | (x). Nearest In-take for drinking water pump house distance in kms | .300 km | | (xi). Nearest In-take for Irrigation canal pumps distance in kms | 0.130 km |
| | 3. | Areas protected under international conventions, national or local legislation for their ecological, landscape, cultural or other related value
| None within 500m radius | | 4. | Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests | None within 500m radius | | 5. | Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration | None within 500m radius | | 6. | Inland, coastal, marine or underground waters | None within 500m radius | | 7. | State, National boundaries | None within 500m radius | | 8. | Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas | None within 500m radius | | 9. | Defence installations | None within 500m radius | | 10. | Densely populated or built-up area, distance from nearest human habitation | Perumbavoor, 10 Km | | 11. | Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) | 1. Govt. LP School –Illithode,4 Km
2. St. Thomas School-Malayattor, 8 Km
Hospitals
Primary Health Center, Illithode- 5Km
Worship
Church- St. Thomas Church,Mulankuzhi-2.5 Km
Temple-Sree Bhadrakaali Sivakshethram,
Ambalappara, Mulankuzhi-2 Km
Mosque- Illithode- 5Km | | 12. | Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) | NIL | | 13. | Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) | None | | 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) | Earth Quake Zone-III, Moderate damage risk zone as per BMTC,Vulnerability atlas Seismic zone of India IS 1893-2002 | | 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 |
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| | (b). | | The Wildlife (Protection) Act,1972? | No |
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| | (c). | | The Coastal Regulation Zone (C.R.Z) notification,2011? | No |
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| | 17. | | Is forest land involved (ha)? | No |
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| | 18. | | Whether there is any litigation pending against the project and/or land in which the project is proposed to be set up? | No |
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| | 19. | | New/Expansion/Modernization | New | | Proposal Number | DIA/KL/MIN/11815/2017 | | File Number | 8061/2017/P | | Date of Apply EC | 22 Dec 2017 |
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| | Details of State of the project |
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| S.No. | State Name | District Name | Tehsil Name |
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| (1.) | Kerala | Ernakulam | Kunnathunad |
| | 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 |
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| S.No. | Attached File | Date of Submission |
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| (1.) | ID proof,location sketch,pancard,work order | 22 Dec 2017 | | (2.) | affidavit,witness certificate Village officer,letter of tahsildar,NOC | 22 Dec 2017 | | (3.) | BTR,Land documents,tax receipt,thandaper register | 22 Dec 2017 |
| | (IV) | Undertaking | | The aforesaid application and documents furnished here with are true to my knowledge. | | (IV).(i) | | Name | ANNAMMA JOSEPH | | Designation | Owner | | Company | ANNAMMA JOSEPH | | Address | Kallarackal House
Mulankuzhy
Malayattoor P.O |
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