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 Masonry Stone Mine (Quarry) project of Mr. GEORGE JOSEPH (Applicant) at Survey Nos. 132/3-1, 132/3, 132/5, 132/5-1, 132/6, 132/7, 132/2, 129/3, Njeezhoor Village, Vaikom Taluk, Kottayam District, Ker
(ii).Location / site (GPS Co-ordinate) 09°48'53.84"N to 09°49'00.95"N 76°32'00.84"E to 76°32'09.99"E
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)3.3355 ha.
(iv).Capacity of the Mining Lease (TPA) 100000
(v).Period of Mining Lease 10
(vi).Expected cost of the Project 200
(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.  0.400 km
2. (ii). Nearest Infrastructural along with distance in kms  2 km
(iii). Nearest Railway Line along with distance in kms  15 km
(iv). Nearest National Highway along with distance in kms  21 km
(v). Nearest State Highway along with distance in kms  0.400 km
(vi). Nearest Major District Road along with distance in kms 2 km
(vii). Nearest Any Other Road along with distance in kms  0.300 km
(viii). Nearest Electric transmission line pole or tower distance in kms  0.400 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  0.350 km
(x). Nearest In-take for drinking water pump house distance in kms  0.140 km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  0.350 km
3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
 None within the study area
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Water body: Marangoly thodu, 350m towards SE Valiyathodu River, 3 km, SE Muvattupuzha River, 8 km, NW
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration None within the study area
6. Inland, coastal, marine or underground waters Water body: Marangoly thodu, 350m towards SE Valiyathodu River, 3 km, SE Muvattupuzha River, 8 km, NW
7. State, National boundaries None within the study area
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas Major roads near the site : NH- 49, Muvattupuzha about 21 km, North SH – 42 (Njeezhoor-Elanji), 400m, East Elanji-Monippally Rd., 2 km, NE
9. Defence installations None within the study area
10. Densely populated or built-up area, distance from nearest human habitation Nearest densely populated area is Elanji, 4 km, North and the nearest house is at 42 m towards North. (Consent obtained).
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Nearest Hospital :- Elanji, 4 km, N Nearest School :- Marangoli, 600m towards S Religious places :- Church – St. Marys, Marangoly, 1.50 km, S Temple – Marangoly Temple, 600m, S Mosque – Vettikkattumukku, 10 km, W
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) None within the study area
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) None within the study area
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) The project site is in seismic zone III and moderate damage risk zone.
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 2
(b)Name of the Sub court 14
(c) Case No. WP (C) 29901 of 2014
(d) Orders/directions of the court, if any and relevance with the proposed project. Currently, No litigation pending, the High Court Judgment for old case about the existing quarry was enclosed with this application. High Court of Kerala at Ernakulam WP(C) No. 29901 of 2014 (K) Copy of Final Order is enclosed.
19.
New/Expansion/ModernizationNew
Proposal NumberDIA/KL/MIN/5513/2017
File Numberk 22/DEIAA/Q20/17
Date of Apply EC22 Mar 2017
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)KeralaKottayamVaikom
(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
NIL
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameGEORGE JOSEPH
DesignationOwner
Company GEORGE JOSEPH
AddressMr. George Joseph, Kozhuppankutty House, Marangoly P.O., Kottayam, Kerala - 686612
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