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 BUILDING STONE QUARRY OF MR SHINTO ABRAHAM (ii). Location / site (GPS Co-ordinate) 10°40’28.04” N to 10°40’39.60” N 76°25’47.90” E to 76°25’55.81” E Annexure-GPS file       (iii). Type of Lease Indivisual Area Size of the Mining Lease (in ha.) 3.8717 ha. (iv). Capacity of the Mining Lease (TPA) 60000 (v). Period of Mining Lease 10 (vi). Expected cost of the Project 24 (vii). Have you hired Consultant/Registered Qualified Person(RQP) for preparing document? Yes Accreditation No. 338/2104/A  Name of Consultant/RQP MAHESH S Address TC 31/580,NAVADEEPAM, SN NAGAR, PETTAH POST, TRIVANDRUM Mobile No. 9446303422 Landline No. 2663330 Email Id maheshsurendranpillai@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.  0.110 km 2. (ii). Nearest Infrastructural along with distance in kms  0.101 km (iii). Nearest Railway Line along with distance in kms  12 km (iv). Nearest National Highway along with distance in kms  15 km (v). Nearest State Highway along with distance in kms  0.700 km (vi). Nearest Major District Road along with distance in kms  .700 km (vii). Nearest Any Other Road along with distance in kms  0.110 km (viii). Nearest Electric transmission line pole or tower distance in kms  0.100 km (ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  101 km (x). Nearest In-take for drinking water pump house distance in kms  0.800 km (xi). Nearest In-take for Irrigation canal pumps distance in kms  0.200 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 from the Quarry Boundary 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 from the Quarry Boundary 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 from the Quarry Boundary 6. Inland, coastal, marine or underground waters None within 5 Km Radius from the Quarry Boundary 7. State, National boundaries None within 5 Km Radius from the Quarry Boundary 8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas HOSPITAL-PAZHAYANUR GOVT HOSPITAL-3KM PAZHAYANUR GOVT LP SCHOOL-1.2 KM, PAZHAYANUR TEMPLE-2.2 KM, PARAKULAM MOSQUE-800M 9. Defence installations None within 5 Km Radius from the Quarry Boundary 10. Densely populated or built-up area, distance from nearest human habitation NEAREST HOUSE-101M, DENSELY POPULATED AREA-2 kM 11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) HOSPITAL-PAZHAYANUR GOVT HOSPITAL-3KM PAZHAYANUR GOVT LP SCHOOL-1.2 KM, PAZHAYANUR TEMPLE-2.2 KM, PARAKULAM MOSQUE-800M 12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) None within 5 Km Radius from the Quarry Boundary 13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) None within 5 Km Radius from the Quarry Boundary 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) None within 5 Km Radius from the Quarry Boundary 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/Modernization New Proposal Number DIA/KL/MIN/9720/2017 File Number 17435/2017/DEIAA Date of Apply EC 07 Oct 2017

Details of State of the project
S.No.	State Name	District Name	Tehsil Name
(1.)	Kerala	Thrissur	Thalapilly

(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.) LOI 07 Oct 2017 (2.) CONSENT LETTER 07 Oct 2017 (3.) RQP CERTIFICATE 07 Oct 2017 (4.) MINE PLAN APPROVAL LETTER 07 Oct 2017 (5.) EMP AFFADAVIT 07 Oct 2017

(IV)	Undertaking
	The aforesaid application and documents furnished here with are true to my knowledge.

(IV).(i)

Name BUILDING STONE QUARRY OF MR SHINTO ABRAHAM Designation PROPRIETOR Company BUILDING STONE QUARRY OF MR SHINTO ABRAHAM Address SHINTO ABRAHAM, B2, INDIRA NAGAR, DHAVALOGAM, KOTTAYAM