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 Ordinary Earth of B RADHAKRISHNAN
(ii).Location / site (GPS Co-ordinate) Latitude : 8°29'32.65"N to 8°29'32.19"N Longitude : 76°56'48.48"E to 76°56'48.33"E
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)0.0663 ha.
(iv).Capacity of the Mining Lease (TPA) 4392
(v).Period of Mining Lease 1
(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, TC 27/487(2), Swaraj Lane, RC Junction, Kunnukuzhy, Trivandrum, Kerala.
Mobile No.9387865668
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.  0.457 km
2. (ii). Nearest Infrastructural along with distance in kms  0.750 km
(iii). Nearest Railway Line along with distance in kms  0.457 km
(iv). Nearest National Highway along with distance in kms  0.005 km
(v). Nearest State Highway along with distance in kms  5 km
(vi). Nearest Major District Road along with distance in kms 0.457 km
(vii). Nearest Any Other Road along with distance in kms  0.457 km
(viii). Nearest Electric transmission line pole or tower distance in kms  0.250 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  0.5 km
(x). Nearest In-take for drinking water pump house distance in kms  10 km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  10 km
3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
Ponmudi – 54km
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Vellayani lake, 10 km
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration Neyyar Wild life Sanctuary – 30km
6. Inland, coastal, marine or underground waters Sangumugham Beach – 8.5 Km
7. State, National boundaries Kaliyikkavilai , 34 km
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas M G Road – 0.005km
9. Defence installations Pangode Military Camp – 6.5 Km
10. Densely populated or built-up area, distance from nearest human habitation Statue - 0.250km, Thampanoor - 0.750km, Palayam - 1km, East Fort - 1km
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Hospitals: Govt. Ayurveda College - 0.52km, Schools & Colleges: Chinmaya Vidyalaya School - 0.120km, SMV School - 0.300km, Tourist & Pilgrim areas: Museum - 2.5km, Ayurvedha College - 0.50km, Chinmaya Vidhyalayam School - 0.120km, Palayam Juma Masjid - 1km, Ujaini Mahakali Temple - 0.78km
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) None within 5km radius
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) None within 5km radius
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/16814/2018
File NumberK1/14658/2018
Date of Apply EC03 Nov 2018
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)KeralaThiruvananthapuramThiruvananthapuram
(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.)LETTER OF INTENT25 Aug 2018
(2.)APPROVALLETTER25 Aug 2018
(3.)POSSESSION&LOCATIONCERTIFICATE25 Aug 2018
(4.)LOCATION SKETCH25 Aug 2018
(5.)RQPCERTIFICATE25 Aug 2018
(6.)Form 1M25 Oct 2018
(7.)CHALAN25 Oct 2018
(8.)COPY OF ID PROOF03 Nov 2018
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameORDINARY EARTH OF B RADHAKRISHNAN
DesignationOwner
Company ORDINARY EARTH OF B RADHAKRISHNAN
AddressKLRA 20, Ureka, Kukiliya Lane, Jagathy, Thiruvananthapuram, Kerala.
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