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
S.No.Item Details
(i).Name of the Mining Lease site Malayankadu Ordinary Earth Mining Project at Sy no:151/4 Keezhmad Village Aluva Taluk Ernakulam District
(ii).Location / site (GPS Co-ordinate) N10.063352,E76.230870 N10.063289,E76.231096 N10.063215,E76.231044 N10.063214,E76.230869 N10.063307,E76.230863
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)0.24 ha.
(iv).Capacity of the Mining Lease (TPA) 10000
(v).Period of Mining Lease 1
(vi).Expected cost of the Project 5
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.DMC/KERALA/RQP/4/2016 
Name of Consultant/RQPV.K ROY
Address Saral,T.C 27/487(2),Swaraj Lane,R.C Junction,Kunnukuzhy,Thiruvananthapuram-695035.
Mobile No.996112500
Landline No.93878056
Email Idvkroysaral@gmail.com
(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.  3 km
2. (ii). Nearest Infrastructural along with distance in kms  1 km
(iii). Nearest Railway Line along with distance in kms  7 km
(iv). Nearest National Highway along with distance in kms  7 km
(v). Nearest State Highway along with distance in kms  3 km
(vi). Nearest Major District Road along with distance in kms 3 km
(vii). Nearest Any Other Road along with distance in kms  2 km
(viii). Nearest Electric transmission line pole or tower distance in kms  1 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  7 km
(x). Nearest In-take for drinking water pump house distance in kms  7 km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  7 km
3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
NONE WITHIN 10 KMS RADIUS
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests NELLAD FOREST TIMBER DEPOT-45 KMS
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration NONE WITHIN 10 KMS RADIUS
6. Inland, coastal, marine or underground waters PERIYAR RIVER-10 KMS
7. State, National boundaries NONE WITHIN 10 KMS RADIUS
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas NH 49 AT KOLENCHERY-15 KMS
9. Defence installations COCHIN NAVAL BASE-20 KMS
10. Densely populated or built-up area, distance from nearest human habitation KEEZHMAD TOWNSHIP -01 KMS
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) RAJAGIRI MEDICAL COLLEGE,CHUNANGAMVELI-5 KMS MRS HSS,KEEZHMAD-01 KM PERIYARMUGHAM CHURCH-01 KM
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) VYPIN FISHING HARBOUR-40 KMS
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) NONE WITHIN 10 KMS RADIUS
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) NONE WITHIN 10 KMS RADIUS
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
(b).
The Wildlife (Protection) Act,1972?No
(c).
The Coastal Regulation Zone (C.R.Z) notification,2011?No
17.
Is forest land involved (ha)?No
18.
Whether there is any litigation pending against the project and/or land in which the project is proposed to be set up?No
19.
New/Expansion/ModernizationNew
Proposal NumberDIA/KL/MIN/12270/2018
File Number149/18/P
Date of Apply EC21 Feb 2018
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)KeralaErnakulamAluva
(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.)LAND RELATED DOCUMENTS11 Jan 2018
(2.)VO CERTIFICATES AND SKETCH11 Jan 2018
(3.)WORK ORDER11 Jan 2018
(4.)WORK ORDER21 Feb 2018
(5.)FORM 1 M(COMPRESSED TO MAKE IT LESS THAN 1 MB)21 Feb 2018
(6.)V.O SKETCH & CERTIFICATES(compressed to make it less than 1 mb)21 Feb 2018
(7.)LAND RECORDS21 Feb 2018
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NamePROPONENTISAC
DesignationOWNER
Company PROPONENTISAC
AddressERALIL HOUSE,PARAVOOR P.O,ERNAKULAM
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