(See Paragraph-6)
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 Annamma Joseph
(ii).Location / site (GPS Co-ordinate) Latitude 10 11 55.05 Longitude 76 33 29.74
Annexure-GPS file      
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)0.4795 ha.
(iv).Capacity of the Mining Lease (TPA) 19180
(v).Period of Mining Lease 1
(vi).Expected cost of the Project 15
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.369/2016/A 
Name of Consultant/RQPC BALARAMAN
Address Paliam Peoli Road Ernakulam
Mobile No.9446404140
Landline No.2353644
(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
Is proposed mining site located over or near fissure/fracture for ground water recharge?No
Whether the proposal involves approval or clearance under the following Regulations or Acts namely?
The Forest (Conservation) Act,1980?No
The Wildlife (Protection) Act,1972?No
The Coastal Regulation Zone (C.R.Z) notification,2011?No
Is forest land involved (ha)?No
Whether there is any litigation pending against the project and/or land in which the project is proposed to be set up?No
Proposal NumberDIA/KL/MIN/11815/2017
File Number8061/2017/P
Date of Apply EC22 Dec 2017
Details of State of the project
S.No. State Name District Name Tehsil Name
(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.)ID proof,location sketch,pancard,work order22 Dec 2017
(2.)affidavit,witness certificate Village officer,letter of tahsildar,NOC22 Dec 2017
(3.)BTR,Land documents,tax receipt,thandaper register22 Dec 2017
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
AddressKallarackal House Mulankuzhy Malayattoor P.O