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 Thiru.M.VILATHDEVAN, Gravel Quarry, S.F.NO : 231/9, 231/13, & 237/10 VILLAGE : PILLAIYARKULAM TALUK : TIRUCHULI DISTRICT : VIRUDHUNAGAR.
(ii).Location / site (GPS Co-ordinate) Latitude :9° 44'13.32" N 9° 44' 6.93"N Longitude :78°11'48.84"Eto 78°11'35.88" E
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)1.53.5 ha.
(iv).Capacity of the Mining Lease (TPA) 14155
(v).Period of Mining Lease 1
(vi).Expected cost of the Project 7.26
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?No
Reason for not hiring the Consultant/RQP we have resource
(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 km
2. (ii). Nearest Infrastructural along with distance in kms  1 km
(iii). Nearest Railway Line along with distance in kms  11 km
(iv). Nearest National Highway along with distance in kms  14 km
(v). Nearest State Highway along with distance in kms  3 km
(vi). Nearest Major District Road along with distance in kms 0.3 km
(vii). Nearest Any Other Road along with distance in kms  0 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  0 km
(x). Nearest In-take for drinking water pump house distance in kms  11 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
There is no international conventions, national or local legislation for their ecological, landscape, cultural or other related value.
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests There is no important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forest.
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration There is no important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration.
6. Inland, coastal, marine or underground waters There is no Inland, coastal, marine or underground waters.
7. State, National boundaries There is no inter state or national boundary within 15km radius.
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas There is no such public for access to recreation or other tourist, pilgrim areas within radius of 10km
9. Defence installations No Defence installations within the radius of 15km.
10. Densely populated or built-up area, distance from nearest human habitation Tiruchuli is the nearest dense populated town which is located 14km away from the lease area.
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) There is no such sensitive man-made land uses (hospitals, schools, places of worship, community facilities) within 1km radius.
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) There is no such features within 1km radius.
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) It is a New Gravel Quarry.
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) It is a Gravel quarry which is naturally occur in Sedimentary Terrain and it will not cause any nature hazards.
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/TN/MIN/12418/2018
File NumberTo be assigned
Date of Apply EC20 Jan 2018
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)Tamil NaduVirudhunagarTiruchuli
(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-120 Jan 2018
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NamePROPONENT
DesignationGEOLOGIST
Company PROPONENT
AddressSengattur, Muthampatti post, Tholasampatti (Via) Mettur (TK), Salem.
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