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 Laterite Building Stone Quarry of Mr Kabeer A
(ii).Location / site (GPS Co-ordinate) 8°43'46.67"N to 8°43'49.30"N 76°44'46.68"E to 76°44'48.72"E
Annexure-GPS file      
(iii).
Type of LeaseIndivisual Area
Size of the Mining Lease (in ha.)0.1922 ha.
(iv).Capacity of the Mining Lease (TPA) 17944
(v).Period of Mining Lease 1
(vi).Expected cost of the Project 5
(vii).
Have you hired Consultant/Registered Qualified Person(RQP) for preparing document?Yes
Accreditation No.DMG/KERALA/RQP/6/2016 
Name of Consultant/RQPD.P Sreekumar
Address N Square mining & Environmental Solutions, Edappal, Malappuram, Kerala
Mobile No.9447429236
Landline No.2677533
Email Idiamdpsree@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.  1 km
2. (ii). Nearest Infrastructural along with distance in kms  0.1 km
(iii). Nearest Railway Line along with distance in kms  1 km
(iv). Nearest National Highway along with distance in kms  7 km
(v). Nearest State Highway along with distance in kms  8 km
(vi). Nearest Major District Road along with distance in kms 0.5 km
(vii). Nearest Any Other Road along with distance in kms  0.12 km
(viii). Nearest Electric transmission line pole or tower distance in kms  0.12 km
(ix). Nearest Canal or check dam or reservoirs or lake or ponds distance in kms  4 km
(x). Nearest In-take for drinking water pump house distance in kms  6 km
(xi). Nearest In-take for Irrigation canal pumps distance in kms  3 km
3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
None within 1KM from project site.
4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Anchuthengu Kayal-3Km, Coastal area-4Km.
5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration None within 1KM from project site.
6. Inland, coastal, marine or underground waters Coastal area-4KM.
7. State, National boundaries None within 1KM from project site.
8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas Varkala Beach-5Km.
9. Defence installations None within 1KM from project site.
10. Densely populated or built-up area, distance from nearest human habitation Nearest House is 26.9M From the proposed mining area.
11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Hospital:-Varkala Taluk Gov Hospital-3KM, School:-Habib Haji Thangal Lower Primary School -600M, Church:-Church of God in india -1KM, Mosque:-Paluchira Thakavi Masjid-500M, Temple:-Panthuvila Maha Ganapathi Temple- 700M.
12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) Edava Beach-8KM, Punayil Kadavu Bridge-4KM, Golden Island-4KM, Golden Island Boating-4KM, Varkala Beach-5Km.
13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) No
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) No
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/18812/2018
File NumberK1/100226/2018
Date of Apply EC15 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.)RQP Certificate07 Nov 2018
(2.)Form 1M07 Nov 2018
(3.)Village Documents07 Nov 2018
(4.)Documents07 Nov 2018
(5.)Mining Plan Approval Letter & LOI07 Nov 2018
(6.)Chalan Copy09 Nov 2018
(7.)Form 1M (Appendix VIII)12 Nov 2018
(8.)chalan15 Nov 2018
(IV) Undertaking
The aforesaid application and documents furnished here with are true to my knowledge.
(IV).(i)
NameLATERITE BUILDING STONE QUARRY OF MR KABEER A
DesignationProprietor
Company LATERITE BUILDING STONE QUARRY OF MR KABEER A
AddressPuthen Veedu Raghunathapuram Varkala, Thiruvananthapuram
Print