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 Sunny Cyriac Quarry
(ii).Location / site (GPS Co-ordinate) Latitude - 12°05'27.85"N Longitude - 75°42'0.31"E
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)1.1330 ha.
(iv).Capacity of the Mining Lease (TPA) 40000
(v).Period of Mining Lease 12
(vi).Expected cost of the Project 25
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.RQP/4/2016 
Name of Consultant/RQPV.K Roy
Address Saral, TC 27/487(2), Swaraj Lane, RC Junction,Kunnukuzhy, Thiruvananthapuram.
Mobile No.9387805668
Landline No.4014111
Email Idvkroysaral@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.  6 km
2. (ii). Nearest Infrastructural along with distance in kms  9 km
(iii). Nearest Railway Line along with distance in kms  60 km
(iv). Nearest National Highway along with distance in kms  60 km
(v). Nearest State Highway along with distance in kms  5 km
(vi). Nearest Major District Road along with distance in kms 5 km
(vii). Nearest Any Other Road along with distance in kms  1 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  25 km
(x). Nearest In-take for drinking water pump house distance in kms  5 km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  5 km
3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
 Nil
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 Nil
6. Inland, coastal, marine or underground waters Nil
7. State, National boundaries Karnataka (State) 3.5Kms
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas Coorg-40KM Wayanad-80KM Vismaya Park, Parassinikkadavu-70KM
9. Defence installations Nil
10. Densely populated or built-up area, distance from nearest human habitation Anakuzhy 1Km Kolithattu 2Km Peratta 3Km
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Tourist & Pilgrim areas Coorg 40Km Wayanad 80Km Peratta Church 3Km Iritty Temple 20Km Schools & Colleges St.Johns LP School,kolithattu 2Km St.Antonys School,Peratta 3Km MG College,Iritty 23Km Vimal Jyothi Engineering College,Chemperi 35Km PRNHSS Mattanur 38Km Hospitals Karunya Hospital 18Km P.P Chacko Memorial Hospital 18Km Amala Hospital, Iritty 20Km
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) No notified / Recognized polluted area within 15km distance.
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) No, This area is generally not prone to any natural disasters.
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/6431/2017
File Number44/KNR/2017/DEIAA
Date of Apply EC11 May 2017
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)KeralaKannurTaliparamba
(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.)500m Certificate11 May 2017
(2.)Letter of Intent11 May 2017
(3.)Mine Plan Approval Letter11 May 2017
(4.)Risk Assessment11 May 2017
(5.)NABL Certificate11 May 2017
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameSUNNY CYRIAC QUARRY
DesignationOwner
Company SUNNY CYRIAC QUARRY
AddressPottankal House, Thondiyil P.O, Peravoor, Kannur, Kerala.
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