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 Saneesh Kodikkandy (ii). Location / site (GPS Co-ordinate) 12 degree 05 min 15.20 sec to 12 degree 05 min 19.92 75 degree 30 sec 54.15 to 75 degree 30 sec 59.50 Annexure-GPS file       (iii). Type of Lease Indivisual Area Size of the Mining Lease (in ha.) 1.13 ha. (iv). Capacity of the Mining Lease (TPA) 48123 (v). Period of Mining Lease 12 (vi). Expected cost of the Project 119 (vii). Have you hired Consultant/Registered Qualified Person(RQP) for preparing document? Yes Accreditation No. 242/2007/B  Name of Consultant/RQP Global Environment & Mining Services Address #394, 1st stage , 1st cross, 5th main, 5th block HBR layout Mobile No. 8050103670 Landline No. 229433 Email Id Nazneen0991@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.  7 km 2. (ii). Nearest Infrastructural along with distance in kms  28 km (iii). Nearest Railway Line along with distance in kms  48 km (iv). Nearest National Highway along with distance in kms  28 km (v). Nearest State Highway along with distance in kms  7 km (vi). Nearest Major District Road along with distance in kms  2 km (vii). Nearest Any Other Road along with distance in kms  0 km (viii). Nearest Electric transmission line pole or tower distance in kms  4 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 nil 4. Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests Kerala forest - Kanakakunnu 12 Kms 5. Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration None within 5Km of the project site 6. Inland, coastal, marine or underground waters None within 2 km of the project site 7. State, National boundaries Karanataka state boundary is about 4-5kms from the project site 8. Routes or facilities used by the public for access to recreation or other tourist,pilgrim areas Nil 9. Defence installations Nil 10. Densely populated or built-up area, distance from nearest human habitation There is no human settlement in the lease area. How ever the nearest settlement Karayattumchal is located at 0.55km qway fromthe mine 11. Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship,community facilities) Hospital : Nivil Hospital Sreekandapuram, 6km School: Karayathumchal Govt U.P., 1.4km Church : Karayathumchal St. Sebabtian church,1.7km Mosque: Veliyanand Muslim mosque 2.2 km Temple : Karayathumchal Muthappan temple, 2.1km 12. Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) Nil 13. Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) Nill 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/Modernization New Proposal Number DIA/KL/MIN/3274/2016 File Number 10/KNR/2017/DEIAA Date of Apply EC 08 Dec 2016

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

(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)

Name SANEESH KODIKANDY Designation Proprietor Company SANEESH KODIKANDY Address Nediyanga Village, Thaliparam Taluk, Kannur Dist