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 Shri.K.Selvam Roughstone quarry at Chinnamalaikundru Village, In SF No 302/5 & 303/3, 5 over an extent of 2.23.0 hectare
(ii).Location / site (GPS Co-ordinate) Latitude 090 10’ 25.00” N to 090 10’ 30.68” N Longitude : 770 58’ 09.26” E to 770 58’ 12.94” E
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)2.23.0 ha.
(iv).Capacity of the Mining Lease (TPA) 80000
(v).Period of Mining Lease 5
(vi).Expected cost of the Project 70
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.130/98/A 
Name of Consultant/RQPN.Ravinthiran
Address 1699/1, Madurai Road, SankarNagar, Tirunelveli-627357
Mobile No.9842126699
Landline No.2302067
Email Idjpr.industry@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. (ii). Nearest Infrastructural along with distance in kms
(iii). Nearest Railway Line along with distance in kms
(iv). Nearest National Highway along with distance in kms
(v). Nearest State Highway along with distance in kms
(vi). Nearest Major District Road along with distance in kms
(vii). Nearest Any Other Road along with distance in kms
(viii). Nearest Electric transmission line pole or tower distance in kms
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms
(x). Nearest In-take for drinking water pump house distance in kms
(xi). Nearest In-take for Irrigation canal pumps distance in kms
3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
 There are no such protected under ecological landscape, cultural area etc identified within 15 km radius
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests There are no such water bodies, coastal Zone biosphere, mountains, within 15 km radius.
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration There are no such sensitive flora or fauna for breeding, resting, foraging, migration within 15 km radius
6. Inland, coastal, marine or underground waters There are no such coastal marine or underground water within 15 km radius
7. State, National boundaries There are no such state, national boundaries within 15 km from the lease boundary
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas There are no such routes or facilities used by the public for access tourist, pilgrim areas within 15 km radius
9. Defence installations No defense installation found with in15 km from the lease area
10. Densely populated or built-up area, distance from nearest human habitation Elampuvanam is located 1 km southern side of an applied area
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Kovilpatti is having all facilities which are at a distance of13 km from the lease area.
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) Quarry operation is restricted only up to a depth of 28 m below ground level.Hence groundwater will not be affected beside the area is devoid of agricultural ,forestry, tourist place etc.
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) The area is not subjected to pollution or environmental damage.
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) The area is not susceptible to natural hazards like earthquake, landslides etc. It is a highly stable land
15.
16.
Whether the proposal involves approval or clearance under the following Regulations or Acts namely?
(a).
The Forest (Conservation) Act,1980?
(b).
The Wildlife (Protection) Act,1972?
17.
18.
Whether there is any litigation pending against the project and/or land in which the project is proposed to be set up?
19.
New/Expansion/ModernizationNew
Proposal NumberDIA/TN/MIN/16000/2018
File NumberTo be assigned
Date of Apply EC24 Jun 2018
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)Tamil NaduThoothukkudiEttayapuram
(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
NIL
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameKRSELVAMROUGHSTONE QUARRY
Designationproperitor
Company KRSELVAMROUGHSTONE QUARRY
AddressK.Selvam, 177 C SelviammanKoil street,Naranammalpuram, Tirunelveli Taluk & District
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