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 Ashokkumar M V OE project (ii). Location / site (GPS Co-ordinate) 1. 9°54'9.54"N 76°31'39.19"E 2. 9°54'11.17"N 76°31'37.52"E 3. 9°54'11.60"N 76°31'37.81"E 4. 9°54'12.62"N 76°31'37.95"E 5. 9°54'12.60"N 76°31'38.50"E 6. 9°54'12.73"N 76°31'38.95"E Annexure-GPS file       (iii). Type of Lease Indivisual Area Size of the Mining Lease (in ha.) 0.9834 ha. (iv). Capacity of the Mining Lease (TPA) 20000 (v). Period of Mining Lease 1 (vi). Expected cost of the Project 10 (vii). Have you hired Consultant/Registered Qualified Person(RQP) for preparing document? Yes Accreditation No. DMG/KERALA/RQP/7/2016  Name of Consultant/RQP NAZAR AHAMED K V Address N-SQURE MINIG & ENVIORNMENTAL SOLUTIONS LLP, EDAPPAL, MALAPPURAM Mobile No. 9447177533 Landline No. 48622500 Email Id geologistna@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.  4 km 2. (ii). Nearest Infrastructural along with distance in kms  35 km (iii). Nearest Railway Line along with distance in kms  20 km (iv). Nearest National Highway along with distance in kms  15 km (v). Nearest State Highway along with distance in kms  2 km (vi). Nearest Major District Road along with distance in kms  0.200 km (vii). Nearest Any Other Road along with distance in kms  0.200 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  2 km (x). Nearest In-take for drinking water pump house distance in kms  7 km (xi). Nearest In-take for Irrigation canal pumps distance in kms  2 km 3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value none within 5 km radius 4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests none within 5 km radius 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 radius 6. Inland, coastal, marine or underground waters none within 5 km radius 7. State, National boundaries none within 5 km radius 8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas none within 5 km radius 9. Defence installations none within 5 km radius 10. Densely populated or built-up area, distance from nearest human habitation Kakkoor & Pampakuda 5 Km Respectievely 11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) 1.PHC Pampakuda4 Km 2.MTM HSS Pampakuda5Km 3. ST. Jonhs ChurchPampakuda5Km 4. St. Thomas Church Pampakuda2Km 6. Govt HSS Thirumarady5 Km 7. Govt HSS Pampakuda5 km 8.St. Thomas Chappel1Km 9. Sree MAhadevaTemple Pampakuda5 Km 10AmbasseryKavu Kakkoor3Km 12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) No 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) No 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/16404/2018 File Number 2315/p Date of Apply EC 20 Jul 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.) Simplified application 20 Jul 2018

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

(IV).(i)

Name ASHOK KUMAR O E PROJECT Designation Shri Company ASHOK KUMAR O E PROJECT Address Maliyel, Vadayar P. O, thalayolaparambu