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 Granite Building stone quarry of Mr.Sunil George
(ii).Location / site (GPS Co-ordinate) 10°35’46.13’’N to 10°35’49.59’’N 76°28’2.09’’E to 76°28’58.93’’E
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)0.9913 ha.
(iv).Capacity of the Mining Lease (TPA) 65000
(v).Period of Mining Lease 5
(vi).Expected cost of the Project 30
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.RQP/BNG/2296/2013/A 
Name of Consultant/RQPHAREESH G THAMPY
Address 905 D-9TH STREET,SANKAR NAGAR, KAIMANAM PO, TVM
Mobile No.9387838782
Landline No.04842606
Email Idgt.hareesh@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.  18 km
2. (ii). Nearest Infrastructural along with distance in kms  21 km
(iii). Nearest Railway Line along with distance in kms  18 km
(iv). Nearest National Highway along with distance in kms  0.5 km
(v). Nearest State Highway along with distance in kms  6.5 km
(vi). Nearest Major District Road along with distance in kms 0.5 km
(vii). Nearest Any Other Road along with distance in kms  0.5 km
(viii). Nearest Electric transmission line pole or tower distance in kms  0.5 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  12 km
(x). Nearest In-take for drinking water pump house distance in kms  .250 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
 None with in 5 KM radius
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Circular Pond – 2.2 KM SE
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration Chulannur Peafowl Sanctury – 14 KM N Vazhani WLS – 12 KM W
6. Inland, coastal, marine or underground waters Bharathapuzha – 7.4 KM N
7. State, National boundaries Kerala Tamilnadu Boundary– 38 KM E
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas Chulanur peafowl Sanctuary – 13 KM N
9. Defence installations None within 10 KM radius
10. Densely populated or built-up area, distance from nearest human habitation Vadakkencherry – 1.8 KM SE
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Fire Station Vadakkencherry – 3.7 KM E NE Police Station Vadalkkenchery – 3.7 KM ENE KSEB Office – 1.5 KM E Kannamppara Post office – 2.4 KM N Post office – 1.8 KM NE Vadakkencherry Post Office – 2.1 KM E SE Panniankara Post office – 2.1 KM W SW Village office – 2.5 KM W SW Vadankkencherry Village office I – 2.0 KM E SE Vadankkencherry Panchayath Office – 1.9 KM E SE Vadakkencherry Police Station - 2 KM E SE Vadakkencherry Panchayath Cremation Ground – 4 KM E Hospitals Ponnan Pus
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) Old Quarry – 1.1 KM SW Quarry with crusher – 1.5 KM W 13
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) Nil
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) Nil
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/18457/2018
File NumberDIA/KL/PL/56/2018
Date of Apply EC09 Nov 2018
Details of State of the project
S.No. State Name District Name Tehsil Name
(1.)KeralaPalakkadAlathur
(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 1M26 Oct 2018
(2.)FORM 26 AS26 Oct 2018
(3.)PAN AND ADHAAR26 Oct 2018
(4.)Photo attested26 Oct 2018
(5.)FORM 26 AS29 Oct 2018
(6.)PAN AND ADHAAR29 Oct 2018
(7.)FORM 1M09 Nov 2018
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameSUNIL GEORGE
DesignationOWNER
Company SUNIL GEORGE
AddressSUNIL GEORGE, OLIAPURAM HOUSE, THENIDUKKU, VADAKKENCHERY, PARUVASSERY PO,PALAKKAD DT
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