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 RE SURVEY NO. 344/6&295, KOLLENGODE -II VILLAGE
(ii).Location / site (GPS Co-ordinate) 10°34'56.34" N - 10°34'58.96" N 76°41'20.96" E -76°41'25.06" E
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)0.6874 ha.
(iv).Capacity of the Mining Lease (TPA) 30000
(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 SARAL, SWARAJ LANE, KUNNUKUZHY, TVM
Mobile No.9387805668
Landline No.93878056
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.  1 km
2. (ii). Nearest Infrastructural along with distance in kms  1 km
(iii). Nearest Railway Line along with distance in kms  4.82 km
(iv). Nearest National Highway along with distance in kms  11.07 km
(v). Nearest State Highway along with distance in kms  3.3 km
(vi). Nearest Major District Road along with distance in kms 2 km
(vii). Nearest Any Other Road along with distance in kms  0.5 km
(viii). Nearest Electric transmission line pole or tower distance in kms  0.2 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  1 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 km
3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
Nothing in 5 km Radius Nelliyampathy 5.1 Km S Ananganmala Eco Tourism 43 km NW
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Nothing in 5 km Radius Chimmini Reserve forest : 27.71 km SW Attapady reserve forest : 62 km N
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration Nothing in 5 km Radius Chulanur Peafowl Sanctuary : 27.74 Km NW Silent Valley National Park : 54.5 Km N Parambikulam Tiger Reserve :23 km SE
6. Inland, coastal, marine or underground waters Arabian Sea: 71.85 Km W Chulliyar irrigation canal : 1.0 km N
7. State, National boundaries Tamil Nadu state boundary: 12.7 Km E
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas Vadakkancherry Pollachi Road : 3.3 Km N Nemmara Nelliyampathy Road : 8.22 Km W
9. Defence installations None within 5 km radius area
10. Densely populated or built-up area, distance from nearest human habitation Nearest house is about 108.3 m W. Nearest village habitation is at Kachamkurussi 1.0 km NE. (aerial) Nearest major habitation (town) is Kollengode Town – 3.3 km N.
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) RPM High School, Panangattiri, 5.5 Km N (3.5 Km N Aerial) Prathiba hospital, Payyallurmukku, 4.5 km NE (3.5 Km N Aerial) Payyalore Juma Masjid : 7.5 km N (4 Km N Aerial) Kachamkurissi Temple: 2 km SE (.92 Km NW Aerial)
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) The applied area consists of good reserves of granite building stone. There are no scarce resources such as water resource, forest, fishery or tourism spot in the applied mining area or in the vicinity of the site.
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) There is no such area within 5 km radius of 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) The applied area falls in Seismic Zone III, which is moderate risk area. Systematic mining will be carried out in the applied mining area.
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/15983/2018
File NumberDIA/KL/PL/32/2018
Date of Apply EC29 Jun 2018
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)KeralaPalakkadChittur
(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.)land documents28 Jun 2018
(2.)DSR PART129 Jun 2018
(3.)DSR-PART229 Jun 2018
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameKRISHNAKUMAR K
DesignationPROPRIETOR
Company KRISHNAKUMAR K
AddressS/o. Kunhu
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