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 Alex P Cyriac M/s Perumalil Infrastructure Private Limited Koothattukulam Village Muvattupuzha Taluk Ernakluam District
(ii).Location / site (GPS Co-ordinate) Latitude : 9 51 9.9, Longitude : 76 33 47.5
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)0.9998 ha.
(iv).Capacity of the Mining Lease (TPA) 66151
(v).Period of Mining Lease 2
(vi).Expected cost of the Project 20
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.369/2016/A 
Name of Consultant/RQPC BALARAMAN
Address Pailam,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.  20 km
2. (ii). Nearest Infrastructural along with distance in kms  5 km
(iii). Nearest Railway Line along with distance in kms  20 km
(iv). Nearest National Highway along with distance in kms  17 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  .250 km
(viii). Nearest Electric transmission line pole or tower distance in kms  .200 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  .300 km
(x). Nearest In-take for drinking water pump house distance in kms  1 km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  .300 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 Muvattupuzha River,14Km
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 None within the study area
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 None within the study area
9. Defence installations None within the study area
10. Densely populated or built-up area, distance from nearest human habitation Koothattukulam,9 Km
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Schools & Colleges FISAT Engineering College,4Km, Mutholipuram,St.Paul's School,6 Km Hospital Devamatha Hospital,Koothattukulam,9 Km Koothattukulam Taluk Hospital,9Km Worship Mutholapuram Church,6Km Kizhakomba Temple,4Km
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/6446/2017
File Numberdeiaa/75/17
Date of Apply EC12 May 2017
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)KeralaErnakulamMuvattupuzha
(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.)LETTER OF INTENT,CLUSTER CERTIFICATE,CADASTRAL MAP,LAND CLASSIFICATION,TAX RECEIPT12 May 2017
(2.)BTR,AFFIDAVIT,APPROVAL CERTIFICATE12 May 2017
(3.)Land Document112 May 2017
(4.)Land Document212 May 2017
(5.)Land Document312 May 2017
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameJ R ASSOCIATES
DesignationMD
Company J R ASSOCIATES
AddressJR ASSOCIATES
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