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 New Pannippara Bricks & Metals
(ii).Location / site (GPS Co-ordinate) Latitude - 11°12'19.78"N Longitude - 76°06'02.60"E
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)4.4542 ha.
(iv).Capacity of the Mining Lease (TPA) 200000
(v).Period of Mining Lease 12
(vi).Expected cost of the Project 500
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.362/2015/A 
Name of Consultant/RQPKorah A G
Address Anteril House,Mooledom P.ONattakom,Kottayam, Kerala,686012
Mobile No.9447889626
Landline No.2360994
Email Idkorahag@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.  2.5 km
2. (ii). Nearest Infrastructural along with distance in kms  1 km
(iii). Nearest Railway Line along with distance in kms  50 km
(iv). Nearest National Highway along with distance in kms  35 km
(v). Nearest State Highway along with distance in kms  1 km
(vi). Nearest Major District Road along with distance in kms 1.5 km
(vii). Nearest Any Other Road along with distance in kms  1 km
(viii). Nearest Electric transmission line pole or tower distance in kms  1 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  20 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  20 km
3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
 Nilambur Forest – 20 km
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Chaliyar River – 6 Km Adiyan Para – 25 Km
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration Nilambur Forest – 20 km
6. Inland, coastal, marine or underground waters Chaliyar River – 6 Km
7. State, National boundaries Tamil Nadu – 45 Km
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas Nilambur – Ooty Road, 6 Km Vadashery Juma Musjid , 1.1Km Ayappa Bhajana Madam, 2Km St George Orthodox Church, 7.0 Km
9. Defence installations Nil
10. Densely populated or built-up area, distance from nearest human habitation Nilambur – Ooty Road, 6 Km Vadashery Juma Musjid , 1.1Km Ayappa Bhajana Madam, 2Km St George Orthodox Church, 7.0 Km
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Religious Places Pannippara town masjid 2Kms Vadashery Juma Masjid 1.1Kms Pottiyil Temple 2.5Kms Ayappa Bhajana Madam 2Kms Vadavulam church 15Kms St. George Orthodox Church 7Kms Schools & Colleges Pannippara high school 1.5Kms Thoovkkad Badal school 4Kms Pannippara Anganvadi 1Kms CHMKMHS iruvaitti 4Kms Palappatta Govt LP school 5Kms Majma'a Training College 5.7Kms Regional College of Science and Humanities 13kms Hospitals Rajag
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) Nilambur forest , 20 km
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) Not applicable
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 generally not Prone to any natural disasters. However, lightning, Landslides (debris flows) and minor earth tremors may occur rarely. Proper precautions will be taken for combating the disasters, according to Disaster Management Act, 2005.
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/3147/2016
File NumberDEIAA/MAL/EC/003/2016
Date of Apply EC09 Dec 2016
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)KeralaMalappuramEranad
(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.)Form 1M09 Dec 2016
(2.)NABL and RQP09 Dec 2016
(3.)Affidavits09 Dec 2016
(4.)500m Radius Certificate09 Dec 2016
(5.)Possession, Area Survey Plan09 Dec 2016
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameNEW PANNIPPARA BRICKS AND METALS
DesignationManaging Partner
Company NEW PANNIPPARA BRICKS AND METALS
AddressPannippara P.O Edavanna, Malappuram district, Kerala.
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