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 Prameela Vincent
(ii).Location / site (GPS Co-ordinate) Latitude : 8°40'14.38"N Longitude : 77° 1'39.94"E
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)0.2996 ha.
(iv).Capacity of the Mining Lease (TPA) 15000
(v).Period of Mining Lease 5
(vi).Expected cost of the Project 25
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.RQP/4/2016 
Name of Consultant/RQPV K ROY
Address TC 27/487(2), Saral, Swaraj Lane, RC Junction, Kunnukuzhy, Trivandrum, Kerala.
Mobile No.9387805668
Landline No.2304516
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.  7 km
2. (ii). Nearest Infrastructural along with distance in kms  7 km
(iii). Nearest Railway Line along with distance in kms  25 km
(iv). Nearest National Highway along with distance in kms  50 km
(v). Nearest State Highway along with distance in kms  8 km
(vi). Nearest Major District Road along with distance in kms 1 km
(vii). Nearest Any Other Road along with distance in kms  3 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  26 km
(x). Nearest In-take for drinking water pump house distance in kms  0 km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  0 km
3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
 None within 5km radius
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Vamanapuram River – 7Km
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration Thenmala, 40km
6. Inland, coastal, marine or underground waters Kovalam – 32 Km
7. State, National boundaries Aryankavu, 45km
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas Nedumangadu – Vithura - Ponmudi
9. Defence installations CRPF Camp Pallipuram– 20 Km
10. Densely populated or built-up area, distance from nearest human habitation Elavattom - 0.5km, Pachamala - 2km, Panavoor - 5km, Nedumangad - 8km
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Hospital: Govt Hospital, Pallode - 5km, Schools & Colleges: Elavattom VRM High School - 1km, Govt LP School, Elavattom - 2km, Peringamal Iqbal college - 10km Pilgrim areas: Manalayam Siva Temple - 4km, Edavattom Juma Masjid - 1.5km, Edavattom CSI Church - 1.5km
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) None within 5km radius from the project site
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) None within 5km radius from 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, This area is generally not prone to any natural disasters.
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/15893/2018
File Number11756/18
Date of Apply EC16 Jun 2018
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)KeralaThiruvananthapuramNedumangad
(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.)LOI & Approval Letter16 Jun 2018
(2.)Proponent Affidavits16 Jun 2018
(3.)Form 1M16 Jun 2018
(4.)Lab Reports16 Jun 2018
(5.)RQP Certificate16 Jun 2018
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NamePRAMEELA VINCENT
DesignationOwner
Company PRAMEELA VINCENT
AddressBethleham, Uliyoor, Pazhakutty P.O, Nedumangad, Thiruvananthapuram, Kerala.
Print