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 Sri A J Babu (ii). Location / site (GPS Co-ordinate) N09degree 51’28.115” to N09degree51’23.205” E76degree36’46.653” to E75degree36’43.178” Annexure-GPS file       (iii). Type of Lease Indivisual Area Size of the Mining Lease (in ha.) 0.8110 ha. (iv). Capacity of the Mining Lease (TPA) 75715 (v). Period of Mining Lease 4 (vi). Expected cost of the Project 65 (vii). Have you hired Consultant/Registered Qualified Person(RQP) for preparing document? Yes Accreditation No. 73  Name of Consultant/RQP Cyriac Joseph Address HBR layout 5th block 5th main 1st cross 1st stage Bangalore Mobile No. 9880788836 Landline No. 25432447 Email Id gems.blr@globalmining.in (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.  17 km 2. (ii). Nearest Infrastructural along with distance in kms  17 km (iii). Nearest Railway Line along with distance in kms  25 km (iv). Nearest National Highway along with distance in kms  17 km (v). Nearest State Highway along with distance in kms  2 km (vi). Nearest Major District Road along with distance in kms  1 km (vii). Nearest Any Other Road along with distance in kms  0.18 km (viii). Nearest Electric transmission line pole or tower distance in kms  0.5 km (ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  2 km (x). Nearest In-take for drinking water pump house distance in kms  1 km (xi). Nearest In-take for Irrigation canal pumps distance in kms  1.5 km 3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value None within 5 Kms of the project site 4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Forest: Kuttampuzha 60Km River: Muvatuphuzha River, 10Km Rivulet: Koothattukulam- Uzhavoor thodu,2.00Km Pond: Koothattukulam, 1.00 Km 5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration None within 5 Km of the project site 6. Inland, coastal, marine or underground waters Coast: Cochin 60km 7. State, National boundaries Tamil Nadu State boundary is about 65Kms (E) from the project site. 8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas National Highway: Kochi-Dhanushkodi High way, 17Km. (NH -49) State high way: MC Road , 2Km. 9. Defence installations None within 5 Km of the project site 10. Densely populated or built-up area, distance from nearest human habitation The nearest human settlements is at Karamala Village is located at 1.20 km away from the mine 11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Hospital: Govt Hospital, Koothattukulam 1.50Kms School : Govt LPS Mangalathuthazham -1.5 Kms Church : St, Mary's Church, 1.25 km. Temple : Koothattukulam Mahadeva Temple,1.75 km. Mosque : Juma Masjid, Muvathupzha, 10Km Anganwadi: Ainumakkal, 0.5Kms 12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) None within 5 Km of the project site 13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) Not applicable, since this is Fresh proposal 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, Permit area is not susceptible to natural hazard, as there is no history of such incidents. 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/Modernization New Proposal Number DIA/KL/MIN/15815/2018 File Number P-1776/18 Date of Apply EC 13 Jun 2018

Details of State of the project
S.No.	State Name	District Name	Tehsil Name
(1.)	Kerala	Ernakulam	Muvattupuzha

(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.) 500m radius certificate 13 Jun 2018 (2.) Affidavit 13 Jun 2018 (3.) NABET certificate 13 Jun 2018

(IV)	Undertaking
	The aforesaid application and documents furnished here with are true to my knowledge.

(IV).(i)

Name A J BABU Designation Owner Company A J BABU Address Arickappillil House,Karimpana P.O, Palakkuzha, Koothattukulam, Ernakulam