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 Shri Anish Abraham (ii). Location / site (GPS Co-ordinate) N09degree42’25.47” to N09degree42’34.04” E76degree55’01.12” to E76degree55’17.67” Annexure-GPS file       (iii). Type of Lease Indivisual Area Size of the Mining Lease (in ha.) 4.990 ha. (iv). Capacity of the Mining Lease (TPA) 252932.5 (v). Period of Mining Lease 15 (vi). Expected cost of the Project 220 (vii). Have you hired Consultant/Registered Qualified Person(RQP) for preparing document? Yes Accreditation No. 75  Name of Consultant/RQP Global Environment & Mining Services Address HBR layout 5th block 5th main 1st cross 1st stage Bangalore Mobile No. 9880788836 Landline No. 25432447 Email Id gems.blr@globalmining.in (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.  6 km 2. (ii). Nearest Infrastructural along with distance in kms  80 km (iii). Nearest Railway Line along with distance in kms  80 km (iv). Nearest National Highway along with distance in kms  28 km (v). Nearest State Highway along with distance in kms  1.82 km (vi). Nearest Major District Road along with distance in kms  1 km (vii). Nearest Any Other Road along with distance in kms  0.3 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  7 km (x). Nearest In-take for drinking water pump house distance in kms  3 km (xi). Nearest In-take for Irrigation canal pumps distance in kms  35 km 3. Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value Idukki Wild life sanctuary, 2.26 Km 4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Forest: Idukki Wild life sanctuary,, 2.26 Km River: Vazhikadavu, 5 Km Coast: Kochi Coast ,100 Km Rivulet: Meenmutty,4 Km 5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration Idukki Wild life sanctuary, 2.26 Km 6. Inland, coastal, marine or underground waters Kochi Coast, 100.0 Km 7. State, National boundaries Tamilnadu State boundary is about 30 Km from the project site. 8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas National Highway: Kottayam-Kumlli Road, 28 Km. State Highway: Kottayam-Elappara Road, 5 Km Major District Road: Upputhara-Vagamon Road, 1 Kms 9. Defence installations None within 5Km of the project site 10. Densely populated or built-up area, distance from nearest human habitation The nearest human habitant is at Kottamala is located at 1.75 km away from the mine. 11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Hospital: Medi care hospital, Vagamon, 4.5KM School: Govt School Vagamon, 3 Km Church: St. Sebastian Church , 4 Km Mosque: Muhayiudheen Juma Masjid, 3.5 Km Temple: Sree Arundathi Vasishta Temple,1.96Km Anganwadi: Vagamon, 3 km 12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) Tourism: Pine Forest,10 Kms Mottakunnu, 8Km Suicide Point, 11Kms Kolahal medu High Tech farm, 10Kms 13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) Not applicable, since this is Fresh proposal 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, Lease area is not susceptible to natural hazard, as there is no history of such incidents. 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/Modernization New Proposal Number DIA/KL/MIN/19100/2018 File Number deiaa _23/2018(C3-4719) Date of Apply EC 19 Nov 2018

Details of State of the project
S.No.	State Name	District Name	Tehsil Name
(1.)	Kerala	Idukki	Peerumade

(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.) Form1M 19 Nov 2018 (2.) NABET 19 Nov 2018

(IV)	Undertaking
	The aforesaid application and documents furnished here with are true to my knowledge.

(IV).(i)

Name SHRI ANISH ABRAHAM Designation Owner Company SHRI ANISH ABRAHAM Address S/O Abraham Sebastian, Athiyalil House, Teekoy. (P.O), Meenachil Taluk, kottayam District, kerala State