APPENDIX VIII (See paragraph 6) FORM 1 M APPLICATION FOR MINING OF MINERALS UNDER CATEGORY ‘B2’ FOR LESS THAN AND EQUAL TO FIVE HECTARE.

Basic Information

(i) Name of the Mining “Laterite Building Stone Quarry of Mr Kabeer A” Permit Site

Survey No:- 191/11-1 Village:- Cherunniyur Taluk:- District:- State:-

Pillar No Latitude Longitude

BP 01 8°43'48.62"N 76°44'46.68"E

(ii) Location/Site (GPS Co- BP 02 8°43'49.30"N 76°44'47.10"E Ordinate) BP 03 8°43'47.25"N 76°44'48.72"E BP 04 8°43'46.67"N 76°44'48.18"E

(iii) Size of the Mining 0.1922Ha Lease/Permit (iv) Capacity of Mining 17944MT Lease/Permit (v) Period of Mining 1 Years Lease/Permit (vi) Expected Cost of Project 5,00,000

Name Mr.Kabeer A Address Puthen Veed (vii) Contact Information Raghunathapuram Varkala P.O Thiruvananthapuram -695 141

E-mail Mob +918075103058

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Environment Sensitivity

Si No Areas Distance (KM) Distance of project site from Rail, Road Bridge over Railway Over Bridge-1 KM 1 the concerned River, Rivulet, Nallah etc. 2 Distance from infrastructural facilities Railway Line Railway Line -1Km National Highway NH-47-7KM State Highway SH-46-8KM Major District Road Varkala-Kallambalam Road-0.5KM Other Road Puthenkadavu road -0.12Km Electrical Transmission Line or Pole Puthenkadavu road -0.12Km Canal/Check Dam/Reservoirs/Lake/Pond T.S Canal-4Km In-take for drinking water/pump house -6Km In-take for Irrigation canal pumps Thoduvey-3Km Areas protected under international conventions, 3 national or local legislation for their ecological, None within 1KM from project site landscape, cultural or others related value. Areas which are important or sensitive for ecological Anchuthengu Kayal-3Km reasons – Wetlands, watercourses or other water Coastal area-4Km 4 bodies, coastal zone, biospheres, mountains, Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, None within 1KM from project site 5 foraging, resting, over Wintering, migration 6 Inland, coastal, marine or underground Coastal area-4KM Waters 7 State, National boundaries None within 1KM from project site Routes or facilities used by the public for access to -5Km 8 recreation or other tourist, pilgrim areas 9 Defense installations None within 1KM from project site. 10 Densely populated or built-up area, distance from Nearest House is 26.9M From the nearest human habitation proposed mining area. Areas occupied by sensitive man-made land uses Hospital:- Gov Hospital-3KM 11 (Hospitals, schools, places of worship, community School:-Habib Haji Thangal Lower facilities) Primary School -600M Church:-Church of God in -1KM Mosque:-Paluchira Thakavi Masjid-500M Temple:-Panthuvila Maha Ganapathi Temple-700M

Areas containing important, high quality or scarce Edava Beach-8KM resources (ground water resources, surface resources, Punayil Kadavu Bridge-4KM 12 forestry, agriculture, fisheries, tourism, minerals) Golden Island-4KM Golden Island Boating-4KM

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Areas already subjected to pollution or environmental damage, (those where existing legal environmental No 13 standards are exceeded)

Areas susceptible to natural hazard which Could cause the project to present environmental problems (earthquake, subsidence, landslides, No 14 erosion, flooding, or extreme or adverse climate conditions) is proposed mining site located over or near fissure/fracture for ground water recharge Whether the proposed involves approval or clearance under the following Regulations or Acts namely:-

(i) The Forest (Conservation) Act, No 1980; (ii) The wildlife (Protection) Act, No 15 1972; (iii) The Coastal Regulation Zone Not Applicable Notification, 2011

If yes, details of the same and their status To be given.

16 Forest land involved (hectares) No forest land involved Whether there is any litigation pending against the project and/or land in which The project is proposed to be set up? No (i) Name of the Court 17 (ii) Cash No. (iii) Orders or directions of the court, if any and its relevance with the proposed project

“I hereby given undertaking that the data and information given in the application & Enclosures are true to the best of my knowledge & belief. I am aware that if any part of the Data & information submitted is found to be false or misleading at any stage, the Project will be rejected & clearance gives, if any to the project will be revoked at our risk & cost”.

Signature of Proponent:-

Dr. D.P SreekumarK.V Mr.Kabeer A DMG/KERALA/RQP/06/2016 Puthen Veed Raghunathapuram Varkala P.O Date: 05.10.2018 Thiruvananthapuram - 4 -

Place:Varkkala