| 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 | | | (i). | Name of the Mining Lease site | Gothambu road |
| | (ii). | Location / site (GPS Co-ordinate) | 11°16’55.74” to 11°17’1.06” N
76°02’20.58” to 76°02’26.64” EAnnexure-GPS file  |
| | (iii). | |
| Type of Lease | Indivisual Area | | Size of the Mining Lease (in ha.) | 2.0437 ha. |
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| | (iv). | Capacity of the Mining Lease (TPA) | 78102 |
| | (v). | Period of Mining Lease | 10 |
| | (vi). | Expected cost of the Project | 85 |
| | (vii). | | Have you hired Consultant/Registered Qualified Person(RQP) for preparing document? | Yes | | Accreditation No. | RQP/BNG/338/2014/A | | Name of Consultant/RQP | MAHESH.S | | Address | T.C 31/580,NAVADEEPAM,S.N NAGAR,PETTAH(P.O),TRIVANDRUM-695024 | | Mobile No. | 9446303422 | | Landline No. | 2405383 | | Email Id | maheshsurendranpillai@gmail.com |
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| | (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. | 5.5 km |
| | 2. | (ii). Nearest Infrastructural along with distance in kms | 1.18 km | | (iii). Nearest Railway Line along with distance in kms | 23.28 km | | (iv). Nearest National Highway along with distance in kms | 17.4 km | | (v). Nearest State Highway along with distance in kms | 3.48 km | | (vi). Nearest Major District Road along with distance in kms | 1.66 km | | (vii). Nearest Any Other Road along with distance in kms | 0.32 km | | (viii). Nearest Electric transmission line pole or tower distance in kms | 1.5 km | | (ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms | 6.25 km | | (x). Nearest In-take for drinking water pump house distance in kms | 6 km | | (xi). Nearest In-take for Irrigation canal pumps distance in kms | 12 km |
| | 3. | Areas protected under international conventions, national or local legislation for their ecological, landscape, cultural or other related value
| None within 500m from the project site. | | 4. | Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests | None within 500m from the project site. | | 5. | Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration | None within 500m from the project site. | | 6. | Inland, coastal, marine or underground waters | Iruvazhinji River- 6.25Km- NW | | 7. | State, National boundaries | None within 500m from the project site. | | 8. | Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas | NH 766(Kozhikode-Karnataka)-17.4km NW, SH 34(Koyilandy-Edavanna)-3.48km W,Thottumukkam-Parathode Road-1.66km E,Thottumukkam-Valillapuzha Road-0.32km S | | 9. | Defence installations | None within 500m from the project site. | | 10. | Densely populated or built-up area, distance from nearest human habitation | Mukkam-7.53km NW | | 11. | Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) | St.Thomas Forane Church,Pallithazhe, 1.61 km SE
Orugippara Sree Shastha Bhagavathi Temple, 3.19 km N
Jumua masjid,Gothampu Road, 2.95 km W | | 12. | Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) | This area does not contain any high quality or scarce resources. | | 13. | Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) | This area does not subjected to pollution or environmental damage. | | 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) | This area is not susceptible to natural hazards. | | 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 |
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| | (b). | | The Wildlife (Protection) Act,1972? | No |
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| | (c). | | The Coastal Regulation Zone (C.R.Z) notification,2011? | No |
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| | 17. | | Is forest land involved (ha)? | No |
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| | 18. | | Whether there is any litigation pending against the project and/or land in which the project is proposed to be set up? | No |
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| | 19. | | New/Expansion/Modernization | New | | Proposal Number | DIA/KL/MIN/17093/2018 | | File Number | To be assigned | | Date of Apply EC | 04 Sep 2018 |
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| | Details of State of the project |
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| S.No. | State Name | District Name | Tehsil Name |
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| (1.) | Kerala | Kozhikode | Kozhikode |
| | (IV) | Undertaking | | The aforesaid application and documents furnished here with are true to my knowledge. | | (IV).(i) | | Name | IGT PVT LTD | | Designation | Owner | | Company | IGT PVT LTD | | Address | SRM Road, Lissi Jn.
Cochin-18; |
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