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 A.Rajendran, Gravel Quarry from over an Extent of 2.26.5Ha in S.F.No: 549/4 (P) at Chettipatti Village of Kulathur Taluk, Pudukkottai DistricT.
(ii).Location / site (GPS Co-ordinate) 10°38’35.56’’N to 10°38’42.83’’N 78°48’01.02’’E to 78°48’08.93’’E
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)2.26.5 ha.
(iv).Capacity of the Mining Lease (TPA) 33792
(v).Period of Mining Lease 3
(vi).Expected cost of the Project 23.53
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.
Name of Consultant/RQPThangaraju P
Address fairlands, Salem
Mobile No.9443356539
Landline No.2431989
Email Idpproponent@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 km
2. (ii). Nearest Infrastructural along with distance in kms  1 km
(iii). Nearest Railway Line along with distance in kms  6 km
(iv). Nearest National Highway along with distance in kms  11 km
(v). Nearest State Highway along with distance in kms  5.5 km
(vi). Nearest Major District Road along with distance in kms 0.100 km
(vii). Nearest Any Other Road along with distance in kms  0 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  0.500 km
(x). Nearest In-take for drinking water pump house distance in kms  1 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
No protected areas to be identified with in 10 km distance.
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests There is no eco sensitive area, wildlife sanctuary, National park, Monuments, CRZ etc. within the radius of 10km. Tank is situated within 500m radius from the lease applied area.
5. Areas used by protected, 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 water around the site.
7. State, National boundaries There is no State or National boundaries within a radius of 10Km.
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas There are no Tourist, pilgrim areas within 10 Km radius
9. Defence installations No defense installation found 10km near the site
10. Densely populated or built-up area, distance from nearest human habitation 1. Alangudippatti 1.5km - South East 200 2. Sivakamipuram 1.0km - South 400 3. Suriyur 2.0km - North West 450 4. Chinna Paanduraarpatty 1.5km - South west 400
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Keeranur is having all the facilities, which are at a distance of 8km on the South western side of the area.
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) The quarry operation is restricted to only 2m below the ground level and proposed to excavate for a period of Three years only. Hence the ground water will not be affected beside the area is devoid of agriculture, Forestry, Tourist place etc.
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) This is a fresh lease applied area.
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 landslides, Earth quake; it is a high stable land.
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/16750/2018
File NumberTo be assigned
Date of Apply EC11 Aug 2018
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)Tamil NaduPudukkottaiKulathur
(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)
NamePROJECT PROPONENT
DesignationApplicant
Company PROJECT PROPONENT
AddressFAIRLANDS SALEM TAMILNADU
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