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 Mrs. Sneha Jose
(ii).Location / site (GPS Co-ordinate) 9 degree 41 min 07.7 Sec N , to 9 degree 41 min 10.22 Sec 76 degree 44 min 45.98 sec to 76 degree 44 min 48.16 sec
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)0.39 ha.
(iv).Capacity of the Mining Lease (TPA) 75075
(v).Period of Mining Lease 3
(vi).Expected cost of the Project 50
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.sl no. 74 
Name of Consultant/RQPGlobal Environment & Mining Services
Address #394 HBR layout 5th block 5th main 1st cross 1st stage Bangalore-560043
Mobile No.9880788360
Landline No.25432447
Email Idgems.blr@globalmining.in
(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.  1.5 km
2. (ii). Nearest Infrastructural along with distance in kms  43 km
(iii). Nearest Railway Line along with distance in kms  43 km
(iv). Nearest National Highway along with distance in kms  110 km
(v). Nearest State Highway along with distance in kms  5 km
(vi). Nearest Major District Road along with distance in kms 30 km
(vii). Nearest Any Other Road along with distance in kms  0.35 km
(viii). Nearest Electric transmission line pole or tower distance in kms  0.2 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  5 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
None with 5km of the project site
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Erumelyy forest is at a distance of 35Km & Meenachil River, Bharananganam is at a distances of 5Km
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration None with 5km of the project site
6. Inland, coastal, marine or underground waters Alappuzha - 85km
7. State, National boundaries National Highway: Angamaly-Palakkad, 110Km State high way: Ettumanoor-Poonjar, 5Km
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas National Highway: Angamaly-Palakkad, 110Km State high way: Ettumanoor-Poonjar, 5Km Major Dist Road : Kottayam-Muvattupuzha, 30Km
9. Defence installations Nil
10. Densely populated or built-up area, distance from nearest human habitation The nearest human habitation is at Amparanirappel Village located at 0.55 Km from the mine.
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Hospital : Immaculate Hear of Mary Hospital-6Km. School : Amparanirappel L.P. School, 2.5km. Church : St.John's Church Amparanirappel, 2.5km. Mosque : Nainar Juma Masjid Erattupetta- 7Km. Temple : Sreekrishna Swami Temple Bharananganam-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) Nil
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) Nil
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/7059/2017
File NumberK15/DEIAA/Q16RS/17
Date of Apply EC19 Jun 2017
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)KeralaKottayamMeenachil
(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.)form1m19 Jun 2017
(2.)Covering letter19 Jun 2017
(3.)Letter form Village office19 Jun 2017
(4.)Certificates of RQP19 Jun 2017
(5.)Possession & Affidavit certificate19 Jun 2017
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameSNEHA JOSE
DesignationOwner
Company SNEHA JOSE
AddressKandoor Village , Meenachil Taluk, Kottayam Dist,Kerala
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