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 Tvl. SQNY GRANITES, Existing Multi Colour Granite Quarry over an extent of 2.21.0 Hectares, Patta land in S.F.No. 885/2, 886/3B, 892/5, 892/7A etc.., Keela Thiruthangal Village of Sivakasi Taluk, Viru
(ii).Location / site (GPS Co-ordinate) Latitude - 09°29’1.61125” - 09°29’8.16071” N. Longitude -77°49’36.35711” - 77°49’43.73151”E
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)2.21 ha.
(iv).Capacity of the Mining Lease (TPA) 1795
(v).Period of Mining Lease 20
(vi).Expected cost of the Project 163.9
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.NABET/EIA/1821/RA 0103 
Name of Consultant/RQPAadhi Boomi Mining and Enviro Tech P Ltd
Address No 3 216, 3rd cross, KSV Nagar, Narasothipatti, Alagapuram Post
Mobile No.9842729655
Landline No.2440446
Email Idsuriyakumarsemban@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.  2.20 km
2. (ii). Nearest Infrastructural along with distance in kms  0.95 km
(iii). Nearest Railway Line along with distance in kms  0.32 km
(iv). Nearest National Highway along with distance in kms  11.4 km
(v). Nearest State Highway along with distance in kms  1 km
(vi). Nearest Major District Road along with distance in kms 5 km
(vii). Nearest Any Other Road along with distance in kms  0.44 km
(viii). Nearest Electric transmission line pole or tower distance in kms  0.1 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  0.165 km
(x). Nearest In-take for drinking water pump house distance in kms  10 km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  10 km
3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
 There is no protected area under 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 Urinjikulam pond at 165 m on west
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration There is no area 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 Coastal area Bay of Bengal is about: 74 km from the site towards South East.
7. State, National boundaries Tamil Nadu Kerala Interstate Boundary: 49.44 km (W)
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas There are no Routes or facilities used by the public for access to recreation or other tourist, pilgrim areas
9. Defence installations No nearby Defence installations around 10km radius
10. Densely populated or built-up area, distance from nearest human habitation Sivakasi is the nearby area holding more population which is about 3 km away
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) School, Health Centre, Temples are in Thiruthangal which is 1.3km on West.
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) Water table is located at a depth of 26 m. No other important, high quality or scarce resources (ground water resources, surface resources, forestry, agriculture, fisheries, tourism, minerals)
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) There is no area 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) There are no specific sensitive zones for earthquakes, subsidence, landslides, erosion, flooding or extreme or adverse climatic conditions. It is Zone-II, Low damage risk zone as per BMTPC, Vulnerability atlas Seismic zone of India IS: 1893-2002
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/19553/2018
File NumberTo be assigned
Date of Apply EC11 Dec 2018
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)Tamil NaduVirudhunagarSivakasi
(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.)ApprovalLetter11 Dec 2018
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameABM ENVIRO TECH PRIVATE LTD
DesignationConsultant
Company ABM ENVIRO TECH PRIVATE LTD
Address3/216, K.S.V. Nagar, Narasothipatti, Salem-636004
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