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/CG/CMIN/20270/2013    ii. MoEFCC File No. : J-11015/410/2013-IA-II(M)    iii.Short narrative of the project: Proposed 5 MTPA Coal Washery project    iv. Project Sector : Coal Mining    v. Company/Proponent : M/s Hind Multi Services Pvt. Ltd.

vi.Details of State of the project

Details of State of the project
S.no.	State Name	District Name	Tehsil Name
1.	Chhattisgarh	Bilaspur	Masturi
2.	Chhattisgarh	Bilaspur	Masturi

   vii.Date of TOR Granted 30 Dec 2014 viii.TOR letter issued by Ministry: Annexure-TOR letter ix.Date of Submission for EC: 08 Jan 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: 28 Aug 2015   v. Uploaded Additional Report/Study/Document as desired by Ministry/EAC: None   vi. Uploaded Cover Letter: Annexure-Cover Letter   vii.Remarks: Not Required

3.	Additional Detail Sought:   NIL

4.	Accredited Consultant Details

   i. Accreditation status : Yes    ii. Accreditation No. : NABET Sr. No. 111    iii. Name of Consultant: Pollution and Ecology Control Services   iv. Address : Near Dhantoli Police Station, Dhantoli, Nagpur - 440012   v. Mobile No.: 9373128182   vi. Landline No.: 07122293225   vii. Email Id: hmspl@hindenergy.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 : PAWAN    ii. Designation : DIRECTOR    iii. Name of Company(Applicant Name should not be given here) : HIND MULTI SERVICES PVT. LTD.    iv. Address : Sai Parisar Commercial Complex, Srikant Verma Marg, Bilaspur (C.G.) 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