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 Mr Jimmy Jose Quarry Project
(ii).Location / site (GPS Co-ordinate) Latitude: 09°57’09.72”N 09°57’17.53”N Longitude: 76°42’06.66”E 76°42’10.67”E
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)1.9442 ha.
(iv).Capacity of the Mining Lease (TPA) 61000
(v).Period of Mining Lease 12
(vi).Expected cost of the Project 100
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.RQP 
Name of Consultant/RQPDr. M. IFTHIKHAR AHMED
Address FAIRLAND SALEM
Mobile No.9443356539
Landline No.94433565
Email Idgssvmining@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.  4.5 km
2. (ii). Nearest Infrastructural along with distance in kms  .105 km
(iii). Nearest Railway Line along with distance in kms  43.5 km
(iv). Nearest National Highway along with distance in kms  12.18 km
(v). Nearest State Highway along with distance in kms  1.12 km
(vi). Nearest Major District Road along with distance in kms 1.12 km
(vii). Nearest Any Other Road along with distance in kms  1.12 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  .450 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  .1 km
3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
 None in 5KM Radius
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Kaliyar River 4.5 KM North West
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration None in 5KM Radius
6. Inland, coastal, marine or underground waters None in 5KM Radius
7. State, National boundaries None in 5KM Radius
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas (SH-43) Muvattupuzha – Theni Road 1.12 KM North
9. Defence installations None in 5KM Radius
10. Densely populated or built-up area, distance from nearest human habitation Nearest House 105 Meters West
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) St. Mary’s Public School 1.4 KM South West The Village International School 2.18 KM South East Kumaramangalam PHC 2.2 KM South East SH Hospital 2.8 KM South East Vempilly Ayurveda Hospital 1.4 KM South West Shanthu Kadu Temple 510 Meters South West St. Mary’s Church 1.36 KM South West St. George Church 1.40 KM North West
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) None in 5KM Radius
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) None in 5KM Radius
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) Zone III, Moderate damage risk zone as per BMTPC, Vulnerability Atlas of Seismic zone of India IS: 1893 – 2002. No history of such incidents in the area
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/6534/2017
File Numberdeiaa/77/17
Date of Apply EC19 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.)Form 119 May 2017
(2.)Form 1 M19 May 2017
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameJIMMY JOSE QUARRY UNIT
DesignationProprietor
Company JIMMY JOSE QUARRY UNIT
AddressVazhekudiyil House, Nakappuzha Post, Kalloorkad, Muvattupuzha Taluk
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