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 Shijo T Paul Thuruthiyil (H), Pulluvazhy P.O., Perumbavoor, Ernakulam
(ii).Location / site (GPS Co-ordinate) 10 9 35.3 Latitude, 76 33 48.0 Longitude
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)0.9928 ha.
(iv).Capacity of the Mining Lease (TPA) 163495
(v).Period of Mining Lease 1
(vi).Expected cost of the Project 8
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.369/2016/A 
Name of Consultant/RQPC BALARAMAN
Address Paliam,Peoli Road ,Kacheripady,Kochi 682018
Mobile No.9446404140
Landline No.2590259
Email Idbalramc28@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.  5 km
2. (ii). Nearest Infrastructural along with distance in kms  7 km
(iii). Nearest Railway Line along with distance in kms  23 km
(iv). Nearest National Highway along with distance in kms  23 km
(v). Nearest State Highway along with distance in kms  18 km
(vi). Nearest Major District Road along with distance in kms 8 km
(vii). Nearest Any Other Road along with distance in kms  1 km
(viii). Nearest Electric transmission line pole or tower distance in kms  .2 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  5 km
(x). Nearest In-take for drinking water pump house distance in kms  .2 km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  2 km
3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
None within 15 Km radius
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Nil
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration None within 15 Km radius
6. Inland, coastal, marine or underground waters None within 15 Km radius
7. State, National boundaries None within 15 Km radius
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas Paniely Pore,4Km
9. Defence installations None within 15 Km radius
10. Densely populated or built-up area, distance from nearest human habitation Perumbavoor 13 Km
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) School-St:Mary's High School -Krariely-2.5Km,Govt. U P School Kombanad 2Km, Hospital:-Primary Health Centre Thoogaly-3 Km,Geethangaly Hospital Kuruppampady 7Km,Govt. Hospital Perumbavoor 12Km. Worship:-Sree Dharma Shastha Temple ,Kombanad 2 Km,St. Mary's Church ,Krariely 3 Km
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) Nil
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) Quarrying for Building Stone is being conducted since many years
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) Earth Quake Zone-III,Moderate damage risk zone as per BMTPC,Vulnerability atlas Seismic Zone of India Is:1893-2002
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/5375/2017
File Numberdeiaa/41/2017
Date of Apply EC19 Mar 2017
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)KeralaErnakulamKunnathunad
(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.)LOI CLUSTER CERTIFICATE CHECKLIST19 Mar 2017
(2.)lab report19 Mar 2017
(3.)land document19 Mar 2017
(4.)BTR ,LAND CLASSIFICATION, TAX RECEPIPT,Bank Guarantee,Old Permit19 Mar 2017
(5.)consent, Possesion,Id proof,RQP Certificate, villlage sketch19 Mar 2017
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameSHIJO T PAUL
DesignationProprietor
Company SHIJO T PAUL
AddressKOMBANAD VILLAGE KUNNATHUNADU THALUK ERNAKULAM KERALA
Print