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 Building Stone Quarry of M/s. S. K. Metal Crushers and Quarry Pvt. Ltd.
(ii).Location / site (GPS Co-ordinate) Latitude : 08° 28’ 25.20” N to 08° 28’ 32.18” N Longitude: 77° 05’ 30.07” E to 77° 05’ 39.71” E
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)3.6994 ha.
(iv).Capacity of the Mining Lease (TPA) 152000
(v).Period of Mining Lease 10
(vi).Expected cost of the Project 300
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.1518/RA014 
Name of Consultant/RQPMetamorphosis Project Consultants Pvt Ltd
Address Prakruti Bhavan, #200, 2nd Floor, 1st Cross, 40th Main, BTM Layout 2nd Stage, Bangalore-68
Mobile No.9845027475
Landline No.26783006
Email Idmail@metamorphosis-india.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  3.8 km
(iii). Nearest Railway Line along with distance in kms  7 km
(iv). Nearest National Highway along with distance in kms  8 km
(v). Nearest State Highway along with distance in kms  6.5 km
(vi). Nearest Major District Road along with distance in kms 2 km
(vii). Nearest Any Other Road along with distance in kms  0.8 km
(viii). Nearest Electric transmission line pole or tower distance in kms  0 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  0.8 km
(x). Nearest In-take for drinking water pump house distance in kms  0 km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  0 km
3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
 No areas protected under international conventions, national or local legislation for their ecological, landscape, cultural or other related value within the radius of 5.00 kms.
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests No important or sensitive areas for ecological reasons nearby.
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration No areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over intering, migration within the radius of 5.00 kms
6. Inland, coastal, marine or underground waters Neyyar river is at a distance of 0.6 km from the project site.
7. State, National boundaries NIL
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas NIL
9. Defence installations NIL
10. Densely populated or built-up area, distance from nearest human habitation The nearest densely populated or builtup area is Kattakada at a distance of 3.8 kms from the site. Nearest human habitation is at Maranalloor at a distance of 2.3 kms.
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) CSI Chempanacode@ 2 kms NE, Amachal Mosque @ 3 kms NE, Christian College and Susrutha Ayurveda College @ 4 kms North, Pankajakasthuri College of Engg and Tech @ 2.7 kms NW, Christ Nagar College @ 3.0 kms West.
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) This area receives an average rainfall of about 3000 mm annually. General ground level is 50 m above MSL. General ground water table is 10 m below the general ground level ie., 40 m above MSL.
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) NIL
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) As there is no history of such events from last 50 years and therefore the same is not envisaged.
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/3774/2017
File NumberDEIAA TVM 03/2017
Date of Apply EC04 Jan 2017
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)KeralaThiruvananthapuramNeyyattinkara
(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.)NABET Certificate04 Jan 2017
(2.)Form 1M04 Jan 2017
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameS K METAL CRUSHERS AND QUARRY PRIVATE LIMITED
DesignationDirector
Company S K METAL CRUSHERS AND QUARRY PRIVATE LIMITED
Address336, Surjith Bhavan, Aruvikkara, Maranalloor, Koovalassery Post, Thiruvananthapuram
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