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 Excavation project of M/s Favourite Constructions (P) Ltd at Koliyakode Village, Manikkal Panchayath, Nedumangad Taluk, Thiruvananthapuram District, Kerala for an area of 0.8829 hectare
(ii).Location / site (GPS Co-ordinate) 08°38'27.97"N 76°53'43.81"E
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)0.00829 ha.
(iv).Capacity of the Mining Lease (TPA) 105000
(v).Period of Mining Lease 1
(vi).Expected cost of the Project 5000
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.1518/RA010 
Name of Consultant/RQPM/s Environmental Engineers & Consultants Pvt. Ltd
Address A1-198, Janak Puri, New Delhi-110058
Mobile No.9350873385
Landline No.25507190
Email Ideecnewdelhi@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.  3 km
2. (ii). Nearest Infrastructural along with distance in kms  1 km
(iii). Nearest Railway Line along with distance in kms  10 km
(iv). Nearest National Highway along with distance in kms  7 km
(v). Nearest State Highway along with distance in kms  4 km
(vi). Nearest Major District Road along with distance in kms 0.800 km
(vii). Nearest Any Other Road along with distance in kms  0.080 km
(viii). Nearest Electric transmission line pole or tower distance in kms  0.080 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  1.50 km
(x). Nearest In-take for drinking water pump house distance in kms  0.120 km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  1.50 km
3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
None within 10 km radius
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Water body: Drain / thodu about 1.50 km, NE Mamam River about 10 km, N
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration None within 10 km radius
6. Inland, coastal, marine or underground waters Water body: Drain / thodu about 1.50 km, NE Mamam River about 10 km, N
7. State, National boundaries None within 10 km radius
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas Highway /Major roads near site : NH- 47 at Thonnakkal about 7 km, West SH-47 at Koppam about 4 km, East Kazhakkoottam-Thycaud road 800m, East
9. Defence installations None within 10 km radius
10. Densely populated or built-up area, distance from nearest human habitation Nearest densely populated area at Pothencode, 4 km, South and the nearest house is at about 80 m towards South.
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Nearest Hospital :- PHC, Koliyacode, about 1 km, NE Nearest School :- Pothencode, 3 km, S Religious places :- Church – Poolanthara, 1.50 km, SE Temple – Madan Thampuran, 800m, SE Mosque – Velavoor, 2.50 km, NE
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) None within 10 km radius
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) None within 10 km 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) None within 10 km radius
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?Yes
(a)Name of the Court 4
(b)Name of the Sub court 42
(c) Case No. 1086/2016
(d) Orders/directions of the court, if any and relevance with the proposed project. A litigation regarding challenging the issuance of building permit against the Secretary, Manickal Grama Panchayath before the Tribunal of Local Self Government Institution, Trivandrum vide Appeal No. 1086/2016 is pending and case details are attached with application.
19.
New/Expansion/ModernizationNew
Proposal NumberDIA/KL/MIN/4832/2017
File NumberTo be assigned
Date of Apply EC20 Feb 2017
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)KeralaThiruvananthapuramNedumangad
(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.)Court Case details20 Feb 2017
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameFAVOURITE CONSTRUCTIONS PVT LTD
DesignationMD
Company FAVOURITE CONSTRUCTIONS PVT LTD
AddressT.C. 26/2469, Statue-Gen Hospital Road, Thiruvananthapuram, Kerala-695001
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