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 Environmental Clearance for Mr. Pious Antony, of M/s.P.J.Associates. It is being prepared for the existing quarry lease of building stone quarry S.F No: 93/2 part, 94/2part ,94/2-1part , and 94/2-2 pa
(ii).Location / site (GPS Co-ordinate) 09°45’29.3” N to 09°45’42.3” N 76°40’20.2” E to 76°40’35.7” E
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)1.9426 ha.
(iv).Capacity of the Mining Lease (TPA) 80000
(v).Period of Mining Lease 12
(vi).Expected cost of the Project 75
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.CNN/264/15 
Name of Consultant/RQPR.Rajasekar-RQP/CNN/264/2015/A
Address R.Raja Sekar , No-4A-Chozha Nagar , Pennadam -Post, Thittakudi , Cuddalore 606105.
Mobile No.9486905579
Landline No.2577123
Email Idraja.parvathi@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.  24.0 km
2. (ii). Nearest Infrastructural along with distance in kms  .750 km
(iii). Nearest Railway Line along with distance in kms  24.0 km
(iv). Nearest National Highway along with distance in kms  30.0 km
(v). Nearest State Highway along with distance in kms  3.0 km
(vi). Nearest Major District Road along with distance in kms 3.5 km
(vii). Nearest Any Other Road along with distance in kms  0.700 km
(viii). Nearest Electric transmission line pole or tower distance in kms  0.300 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  1.5 km
(x). Nearest In-take for drinking water pump house distance in kms  1.5 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
Nil
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Nil
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration Nil
6. Inland, coastal, marine or underground waters Nil
7. State, National boundaries Nil
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas Nil
9. Defence installations Nil
10. Densely populated or built-up area, distance from nearest human habitation Kollappally – 4 km
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Carmel Hospital 6.4 km St.Mathew L.P School Anthyalam – 0.750 km St.Mathews Church – 0.750 km
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/9842/2017
File NumberK41/DEIAA/2017
Date of Apply EC15 Oct 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.)RQP Certificate15 Oct 2017
(2.)Applicant's ID15 Oct 2017
(3.)Form-1m15 Oct 2017
(4.)Resolution & Partnership Deed15 Oct 2017
(5.)Affidavit & Undertaking Letter15 Oct 2017
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameP J ASSOCIATES
Designationmanagingpartner
Company P J ASSOCIATES
AddressM/s.P.J.Associates,Anthyalam, Payappar (Post), Pala, Lalam Village , Meenachil Taluk , Kottayam-Dist
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