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 M/s SUPER SANDS
(ii).Location / site (GPS Co-ordinate) Latitude : 11° 6'13.21"N Longitude : 75°59'48.23"E
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)4.9072 ha.
(iv).Capacity of the Mining Lease (TPA) 150000
(v).Period of Mining Lease 12
(vi).Expected cost of the Project 85
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.338/2014/A 
Name of Consultant/RQPMahesh.S
Address T C 31/580,Navadeepam,S.N Nagar,House No 24,Pettah P.O,Trivandrum
Mobile No.9446303422
Landline No.2456333
Email Idmaheshsurendranpillai@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.  2 km
2. (ii). Nearest Infrastructural along with distance in kms  7.5 km
(iii). Nearest Railway Line along with distance in kms  20 km
(iv). Nearest National Highway along with distance in kms  15 km
(v). Nearest State Highway along with distance in kms  6 km
(vi). Nearest Major District Road along with distance in kms 15 km
(vii). Nearest Any Other Road along with distance in kms  8 km
(viii). Nearest Electric transmission line pole or tower distance in kms  0 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  2 km
(x). Nearest In-take for drinking water pump house distance in kms  0 km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  0 km
3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
NONE WITHIN 5 KM RADIUS
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests NONE WITHIN 5 KM RADIUS
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration NONE WITHIN 5 KM RADIUS
6. Inland, coastal, marine or underground waters NONE WITHIN 5 KM RADIUS
7. State, National boundaries Tamil Nadu - 120 Km (State boundary)
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas Muduvil Juma Masjid 4 km Bajana Madam 4 km Madukaparambu palli 4 km The Christ king Church 2 km
9. Defence installations Nil
10. Densely populated or built-up area, distance from nearest human habitation Cherur (4.5 km) Kottekattuparambu(2 km) Manjengara ( 2 km)
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) M.U.P LP School, Cherur 4.5 km SMGA College,Vengara 7.5 km P.P.T.Y.M HSS,Chinnampadi 4.5 km Malabar College,Vengara 7.5 km Cooperative College,Vengara 7.5 km Primary Health Center , Vengara 6 km Noufa Hospital,Vengara,7.5 km Al Salaam Hospital ,Vengara ,7.5 km
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) NONE WITHIN 5 KM RADIUS
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) NONE WITHIN 5 KM 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) 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/9111/2017
File NumberDEIAA/MAL/EC/031/2017
Date of Apply EC11 Oct 2017
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)KeralaMalappuramTirurangadi
(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 Intent18 Sep 2017
(2.)Mining Plan Approval Letter18 Sep 2017
(3.)500 m Certificate18 Sep 2017
(4.)Proponent Affidavits18 Sep 2017
(5.)Risk Assessment18 Sep 2017
(6.)Lab Reports11 Oct 2017
(7.)NABL Certificate11 Oct 2017
(8.)RQP Certificate11 Oct 2017
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameGEC MINING SOLUTION
DesignationMD
Company GEC MINING SOLUTION
AddressGEC Mining Solutions, Thiruvananthapuram, Kerala
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