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 MUHAMMED IQBAL, NEAR PADINJAR MASJID, ALAMIPPALLY, MALOTH:VILLAGE,VELLARIKKUND: TALUK,KASARAGOD :DISTRICT SY NO:147-7A
(ii).Location / site (GPS Co-ordinate) (1)N : 12° 22’ 25.45’’ E : 75° 19’ 14.94’’,(2)N : 12° 22’ 24.24’’ E : 75° 19’ 12.75’’,(3)N : 12° 22’ 26.20’’E : 75° 19’ 11.63’’ (4)N : 12° 22’ 27.21’’ E : 75° 19’ 12.88’’,(5)N : 12° 22’ 28.25’’ E : 7
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)2.6443 ha.
(iv).Capacity of the Mining Lease (TPA) 120313
(v).Period of Mining Lease 12
(vi).Expected cost of the Project 75
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.RQP/BNG/040/1988/A 
Name of Consultant/RQPABEY MATHEW ASSOCIATES
Address AIKKARAKUDIYIL CHAMBERS,CIVIL LANE ROAD, PADAMUGAL, KOCHI-682021
Mobile No.9388814499
Landline No.4032295
Email Idabeymathewassociates@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.  1.10 km
2. (ii). Nearest Infrastructural along with distance in kms  4.5 km
(iii). Nearest Railway Line along with distance in kms  26 km
(iv). Nearest National Highway along with distance in kms  26 km
(v). Nearest State Highway along with distance in kms  2.5 km
(vi). Nearest Major District Road along with distance in kms 1.0 km
(vii). Nearest Any Other Road along with distance in kms  0.900 km
(viii). Nearest Electric transmission line pole or tower distance in kms  2.00 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  1.10 km
(x). Nearest In-take for drinking water pump house distance in kms  0.240 km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  1.6 km
3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
None with in 5km Radius
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Bheemanady forest-6.1km
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration None with in 5km Radius
6. Inland, coastal, marine or underground waters no
7. State, National boundaries None with in 5km Radius
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas None with in 5km Radius
9. Defence installations None with in 5km Radius
10. Densely populated or built-up area, distance from nearest human habitation Vellarikkund-4.5kms
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Hospitals: 1.0. P H C At Vellarikkund-At 4.5Kms 2.0. Govt . Hospital Malom- At 2.5Kms Schools: 1).Govt. Higher Secondary &high School- Maloth Rural.-3.4kms 2 Govt. L P School –Chully-2.1Kms. 3) Jayces Nursery School-at Molam-3.2Kms 4)St Savio English Medium School- Molam-3.4Kms 5).Govt. Higher Secondary &high School- Balal-4.5Kmsl 6)St JudesArtscCollege-Vellarikkund-4.5Kms Temples: 1.0 Sri VishnuMoorthy Temple- Nattakkal at 1.2Kms 2.0 Bhagavathi Temple- Balal at 4.7Kms 3.0
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) None with in 5km Radius
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) No areas already subjected to pollution or environmental damage near the project site
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) no areas suscepectible to natural hazard near the project site
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/15017/2018
File NumberA/4838/2018/DEIAA
Date of Apply EC08 May 2018
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)KeralaKasaragodHosdurg
(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
NIL
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameABEY MATHEW ASSOCIATES
DesignationMANAGING PARTNER
Company ABEY MATHEW ASSOCIATES
AddressAIKKARAKUDIYIL CHAMBERS No:XI-275/J-92(M-5),5th FLOOR,HEAVENLY PLAZA,PADAMUGAL,THRIKKAKKARA.P.O,KOCHI,KERALA.STATE
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