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 LATERITE BULDING STONE: REJI .P. CHERIYAN PALAI HOUSE, MONAPPILLY PUTHENCRUZ P.O THIRUVANIYOOR ERNAKULAM- 682308 SITE: MANEEDU VILLAGE , MUVATTUPUZHA TALUK RESURVAY NO:225/1
(ii).Location / site (GPS Co-ordinate) 9 54’37.35”N 76 25’42.75”E 9 54’36.16”N 76 25’44.97”E 9 54’33.41”N 76 25’44.39”E 9 54’33.55”N 76 25’43.60”E 9 54’35.97”N 76 25’43.40”E
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)0.3730 ha.
(iv).Capacity of the Mining Lease (TPA) 32638
(v).Period of Mining Lease 1
(vi).Expected cost of the Project 3
(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 SARAL ,TC 27/487(2)SWARAJ LANE,RC JNKUNNUKUZHY,THIRUVANTHAPURAM
Mobile No.9387805668
Landline No.04712732
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  40 km
(iii). Nearest Railway Line along with distance in kms  7 km
(iv). Nearest National Highway along with distance in kms  5 km
(v). Nearest State Highway along with distance in kms  5 km
(vi). Nearest Major District Road along with distance in kms 1 km
(vii). Nearest Any Other Road along with distance in kms  1 km
(viii). Nearest Electric transmission line pole or tower distance in kms  5 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  3 km
(x). Nearest In-take for drinking water pump house distance in kms  .200 km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  4 km
3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
AIRPORT NEDMUBASSERY 40 KM
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests 40 KM/ VEMBANATTU LAKE
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration 40 KM/ VEMBANATTU LAKE
6. Inland, coastal, marine or underground waters KOCHI – 35 KM
7. State, National boundaries TAMIL NADU BOUNDARY-THENI 190 KM
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas PIRAVOM CHURCH- 8 KM
9. Defence installations NDA ALUVA 30 KM
10. Densely populated or built-up area, distance from nearest human habitation PIRAVOM 8 KM
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) AP VARKEY HOSPITAL-7 KM
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) Applied area is virgin and no excavation activities. The environmental standards are normal.
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) NO
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) Applied area not underwent any natural hazard till date. No Scientific reporting the same
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/15961/2018
File Number1874/p
Date of Apply EC08 Nov 2018
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)KeralaErnakulamMuvattupuzha
(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.)APPENDIX VIII Form-1M & ID PROOF21 Jun 2018
(2.)APPENDIX VIII Form-1M & ID PROOF19 Jul 2018
(3.)AFFIDAVIT08 Nov 2018
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameREJI P CHERIYAN
DesignationOWNER
Company REJI P CHERIYAN
AddressREJI P CHERIYAN,PALAI HOUSE,MONAPPILLY,PUTHENCRUZ P.O,THIRUVANIYOOR,ERNAKULAM-682308
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