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 Building Stone Quarry of M/s. ADANI VIZHINJAM PORT PVT. LTD
(ii).Location / site (GPS Co-ordinate) Latitude 08°43’ 42.88” N to 08°33’ 51.74” N Longitude 76°50’ 15.26” E to 76° 50’ 23.24” E
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)3.6630 ha.
(iv).Capacity of the Mining Lease (TPA) 512500
(v).Period of Mining Lease 5
(vi).Expected cost of the Project 750
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.NABET/EIA/1518/ RA 014 
Name of Consultant/RQPMETAMORPHOSIS Project Consultants Pvt. Ltd.,
Address Prakruti Bhavan, #200, 2nd Floor, 1st Cross, 40th Main, BTM Layout II Stage, bengaluru 560038.
Mobile No.9845027475
Landline No.26783006
Email Idmail@metamorphosis-india.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.  9.0 km
2. (ii). Nearest Infrastructural along with distance in kms  35.013.0 km
(iii). Nearest Railway Line along with distance in kms  9.0 km
(iv). Nearest National Highway along with distance in kms  9.0 km
(v). Nearest State Highway along with distance in kms  00 km
(vi). Nearest Major District Road along with distance in kms 6.5 km
(vii). Nearest Any Other Road along with distance in kms  0.50 km
(viii). Nearest Electric transmission line pole or tower distance in kms  0.2 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  1.9 km
(x). Nearest In-take for drinking water pump house distance in kms  00 km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  00 km
3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
There are no such areas nearby quarry ie., upto 5 kms 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 areas nearby quarry ie., upto 5 kms 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 areas nearby quarry ie., upto 5 kms radius
6. Inland, coastal, marine or underground waters There are no such areas nearby quarry ie., upto 5 kms radius
7. State, National boundaries There are nonational or state boundaries within 5 kms radius from the quarry
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas NIL- within the radius of 5.00 kms
9. Defence installations NIL- within the radius of 5.00 kms
10. Densely populated or built-up area, distance from nearest human habitation The nearest human in-habitation is Nagaroor village which is at a distance of 1.2 kms
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Hospitals-Alamcode 3.00 km, Primary school- Nagaroor-1.80 km Govt High School-Alamcode-3.00 km, Colleges-Alamcode-3.00 km, Temple- Near Quarry-0.26 km, Church-Attingal-4.25 km, Masjid-Nagaroor-1.50 km, Post office-Attingal-4.25 km Police Station-Attingal-4.25 km, Rajadhani Engg. College- Backside of quarry-1.00 km
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) Basically Kerala falls on the west coast and with series of mountains / hillocks running parallel to each other. Kerala produces Rubber, Coconut, Paddy and so on. And also it is famous for tourism where there are beaches, boat house and many temples
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) The said area is subjected to pollution : (as this quarr was working earlier for extraction of building stone )However baseline studies were conducted to know the pollutant levels of Air, Water and Noise in this 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) As there are no such events from last few decades, therefore the same could not be envisaged. As per the map of the seismic zone, the said Chiranyankeezh taluk and Thiruvananthapuram district falls under Zone II which is least active.
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/KL/MIN/17945/2018
File NumberK1/16860/2018
Date of Apply EC14 Nov 2018
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)KeralaThiruvananthapuramChirayinkeezhu
(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 - IM06 Oct 2018
(2.)Payment receipt25 Oct 2018
(3.)Mine Plan Approval Letter05 Nov 2018
(4.)Form 1M Corrected14 Nov 2018
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameADANI VIZHINJAM PORT PVT LTD
DesignationCEO
Company ADANI VIZHINJAM PORT PVT LTD
Address2nd Floor, Vipanchika Tower, Thycaud,
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