1.	Project Details

   Whether it is a violation case and application is being submitted under Notification No. S.O.804(E) dated 14.03.2017 ? : No

1.	Project Details

   i. Proposal No. : IA/AP/MIS/72012/2018    ii. MoEFCC File No. : 11-15/2018-IA.III    iii.Short narrative of the project: Setting of 4 MLD Desalination Plant for Pearl Distillery Limited    iv. Project Sector : INFRA-2    v. Company/Proponent : PEARL DISTILLERY LIMITED

vi.Details of State of the project

Details of State of the project
S.no.	State Name	District Name	Tehsil Name
1.	Andhra Pradesh	Prakasam	Singarayakonda

   vii.Date of TOR Granted N/A viii.TOR letter issued by Ministry: N/A ix.Date of Submission for EC: 18 May 2018 x.Project Type: New

2.	Uploaded Documents of EIA/EMP,Risk Assessment,Public Hearing etc.

i.EIA/EMP: Annexure-EIA/EMP ii.Risk Assessment: Annexure-Risk Assessment iii.Public Hearing: Annexure-Public Hearing    iv. Date of Public Hearing: 02 Jan 2018   v. Uploaded Additional Report/Study/Document as desired by Ministry/EAC: None   vi. Uploaded Cover Letter: Annexure-Cover Letter   vii.Remarks: No public hearing for proposed project.

Additional Attachments, if any
S.no.	Attached File	Date of Submission
1.	Form I for CRZ Clearance	02 Jan 2018
2.	CRZ Map	18 May 2018
3.	Recommendation letter of APCZMA	18 May 2018
4.	No objection certificate APCB	18 May 2018

3.	Additional Detail Sought:   NIL

4.	Accredited Consultant Details

   i. Accreditation status : Yes    ii. Accreditation No. : NABET/EIA/1417/SA 009    iii. Name of Consultant: Indomer Coastal Hydraulics (P) Ltd   iv. Address : No. 63, Gandhi Road, Alwarthirunagar, Chennai - 87   v. Mobile No.: 9940141650   vi. Landline No.: 04424862482   vii. Email Id: mails@pearldistillery.com

5.	Undertaking

I hereby give undertaking that the data and information given in the application and enclosures are true to be best of my knowledge and belief and I am aware that if any part of the data and information found to be false or misleading at at any stage, the project will be rejected and clearance given, if any to the project will be revoked at our risk and cost.

   i. Name of Applicant : Mani    ii. Designation : GM    iii. Name of Company(Applicant Name should not be given here) : PEARL DISTILLERY LIMITED    iv. Address : Pearl Distillery Limited, Plot No: 791, Old Singarayakonda, Prakasam District (Off NH 16) v. Uploaded copy of documents in support of the competence/authority of the person making this application to make application on behalf of the User Agency: Annexure-Uploaded copy of documents in support of the competence/authority of the person making this application to make application on behalf of the User Agency