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 Roughstone Quarry
(ii).Location / site (GPS Co-ordinate) N 11°39’23.13” E 78°16’15.96’’
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)1.50.0 ha.
(iv).Capacity of the Mining Lease (TPA) 1.50.0
(v).Period of Mining Lease 5
(vi).Expected cost of the Project 22
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?No
Reason for not hiring the Consultant/RQP Aware of the Project
(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  2 km
(iii). Nearest Railway Line along with distance in kms  5 km
(iv). Nearest National Highway along with distance in kms  0 km
(v). Nearest State Highway along with distance in kms  0 km
(vi). Nearest Major District Road along with distance in kms 2 km
(vii). Nearest Any Other Road along with distance in kms  1 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 km
(x). Nearest In-take for drinking water pump house distance in kms  0 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 are no such protected areas like ecological landscape, cultural area etc. identified within the 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 is no wild life, bird sanctuary, within 15kms radius from the quarrying lease area. There is no coastal zone, Eco sensitive zone within the radius of 15Km.
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration There is no protected sensitive species are identified within the 15km radius.
6. Inland, coastal, marine or underground waters There is no Inland, coastal, and marine or underground water around the site.
7. State, National boundaries There is a No State and National boundary within 15 Km radius.
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas There is no tourist, pilgrim areas within 15 Km radius.
9. Defence installations No defense installation found within 15Kms from the project area.
10. Densely populated or built-up area, distance from nearest human habitation Ayodhiyapatinam 5Km
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Salem is having all the facilities which are at a distance of 15km
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 16m above the ground level and 15m depth below ground level for a period of five years. 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) the area has not subjected to pollution or environmental damage. The atmosphere is quite fresh and it is proposed to carry out the quarrying operations an Eco friendly manner.
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 areas are not susceptible to natural hazards like landslides, earthquake, it is a high stable land. There are no evidences recorded in the past history.
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/8470/2017
File NumberTo be assigned
Date of Apply EC18 Aug 2017
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)Tamil NaduSalemVazhapadi
(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)
NameGEO MINING
DesignationOwner
Company GEO MINING
AddressState Bank Officers Colony, 2nd Street,Meiyanur, Salem.
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