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 Binumon J Quarry Koodal Village Konni Thaluk
(ii).Location / site (GPS Co-ordinate) 9 9 7.3, Latitude, 76 52 28.76 Longitude
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)3.32 ha.
(iv).Capacity of the Mining Lease (TPA) 88000
(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.RA036/027 
Name of Consultant/RQPK N SUDERSHAN RAO
Address 24-B,Dadu Marg Gopal Bari, Jaipur
Mobile No.9948045135
Landline No.2590259
Email Idksudershan@enkayenviro.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.  16 km
2. (ii). Nearest Infrastructural along with distance in kms  3 km
(iii). Nearest Railway Line along with distance in kms  16 km
(iv). Nearest National Highway along with distance in kms  14 km
(v). Nearest State Highway along with distance in kms  2.4 km
(vi). Nearest Major District Road along with distance in kms .3 km
(vii). Nearest Any Other Road along with distance in kms  .3 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  2.5 km
(x). Nearest In-take for drinking water pump house distance in kms  9 km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  9 km
3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
 None within Study area
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Achankovil River,6 km
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration None within Study area
6. Inland, coastal, marine or underground waters None within Study area
7. State, National boundaries None within Study area
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas Church – St.Mary’s Orthdox Church Chappel, 2 km, W Temple – Achan Kovil Temple, 2.5 km., W Mosque - Juma Masjid, Koodal at 3 Km, SW
9. Defence installations None within Study area
10. Densely populated or built-up area, distance from nearest human habitation Pathanapuram,7Km,
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Church – St.Mary’s Orthdox Church Chappel, 2 km, W Temple – Achan Kovil Temple, 2.5 km., W Mosque - Juma Masjid, Koodal at 3 Km, SW Nearest School Kalanjoor Govt. School, 5 km., SW Nearest Hospital Koodal, 3 km, SW
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) None within Study area
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) None within 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) Earth Quake Zone-III,Moderate damage risk zone as par BMTPC,Vulnerability atlas Seismic Zone of IndiaIS: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/6180/2017
File Number9
Date of Apply EC20 Apr 2017
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)KeralaPathanamthittaAdoor
(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.)Approval Letter,Cluster Certificate,Attested Photo,AFFIDAVIT,20 Apr 2017
(2.)Old Permit,Explosive,Lease deed,Possession,Land Tax ,Panchayat License Old20 Apr 2017
(3.)land document20 Apr 2017
(4.)ID Proof,NABL,LAB Report20 Apr 2017
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameJ BINUMON
DesignationOwner
Company J BINUMON
AddressKOODAL VILLAGE, KONNI THALUK PATHANAMTHITTA
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