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 Granite Building Stone Quarry of M/s Johnson Rocks
(ii).Location / site (GPS Co-ordinate) N 9 14’ 18.00” E 76 52’ 31.60” to N 9 14’ 16.17” E 76 52’ 30.74”
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)0.8949 ha.
(iv).Capacity of the Mining Lease (TPA) 46925
(v).Period of Mining Lease 5
(vi).Expected cost of the Project 50.50
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.RQP/BNG/338/2014/A 
Name of Consultant/RQPMahesh S
Address TC 31/580, Navadeepam, SN Nagar, House Number 24, Pettah PO, Thiruvanathapuram
Mobile No.9446303422
Landline No.00000000
Email Idmaheshsurendranpillai@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.  2.5 km
2. (ii). Nearest Infrastructural along with distance in kms  5 km
(iii). Nearest Railway Line along with distance in kms  30 km
(iv). Nearest National Highway along with distance in kms  10 km
(v). Nearest State Highway along with distance in kms  3.2 km
(vi). Nearest Major District Road along with distance in kms 2.0 km
(vii). Nearest Any Other Road along with distance in kms  2 km
(viii). Nearest Electric transmission line pole or tower distance in kms  0.200 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  5 km
(x). Nearest In-take for drinking water pump house distance in kms  5 km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  5 km
3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
No areas protected under international conventions, national or local legislation for their ecological, landscape, cultural or other related value within the radius of 5.00 kms.
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests No such areas wthin 5.00 kms
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration No areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration within the radius of 5.00 kms
6. Inland, coastal, marine or underground waters NIL (within the radius of 5.00 kms)
7. State, National boundaries NIL (within the radius of 5.00 kms)
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas NIL (within the radius of 5.00 kms)
9. Defence installations NIL (within the radius of 5.00 kms)
10. Densely populated or built-up area, distance from nearest human habitation The nearest densely populated or builtup area is Konni at an aerial distance of 5 kms from the site. Nearest human habitation is at Perinjottackal at a distance of 0.5 kms.
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Post Office @ Perinjottackal -2.00 kms, Police Station @ Konni- 5.00 kms, Govt. Hospital @ Konni- 5.00 kms, Govt. School @ Payyanamon-2.0 km, Fire Station @ Konni – 5.00 kms
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) NIL (within the radius of 5.00 kms)
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) NIL (within the radius of 5.00 kms)
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) NIL (within the radius of 5.00 kms)
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/14971/2018
File Number53/2018
Date of Apply EC05 May 2018
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)KeralaPathanamthittaAdoor
(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.)Letter of Intent05 May 2018
(2.)Mine Plan Approval Letter05 May 2018
(3.)Possession Certificate05 May 2018
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameHARITHA CONSULTANTS
DesignationPartner
Company HARITHA CONSULTANTS
Address1st Floor, Olippil Complex, Kottiyam, Kollam
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