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/MH/MIS/72334/2018    ii. MoEFCC File No. : NIL    iii.Short narrative of the project: Proposed construction of Resort on plot bearing gut No. 31/1, 30/2/3(C+E), Mauje Chandranagar, Tal: Dapoli, Dist: Ratnagiri.    iv. Project Sector : INFRA-2    v. Company/Proponent : AMIT KAMAT

vi.Details of State of the project

Details of State of the project
S.no.	State Name	District Name	Tehsil Name
1.	Maharashtra	Ratnagiri	Dapoli

   vii.Date of TOR Granted N/A viii.TOR letter issued by Ministry: N/A ix.Date of Submission for EC: 23 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: 01 Jan 2018   v. Uploaded Additional Report/Study/Document as desired by Ministry/EAC: Annexure-Additional Report/Study/Document   vi. Uploaded Cover Letter: Annexure-Cover Letter   vii.Remarks: NIL

Additional Attachments, if any
S.no.	Attached File	Date of Submission
1.	Compliance of MCZMA MOM	23 Jan 2018
2.	IRS results & CRZ demarcation	23 Jan 2018

3.	Additional Detail Sought:   NIL

4.	Accredited Consultant Details

   i. Accreditation status : Yes    ii. Accreditation No. : Rev 57, September 05 2017- Rev 01    iii. Name of Consultant: Building Environment India Pvt Ltd   iv. Address : 4th Floor, Plot No.2, Dakshina Building, Sector 11, C.B.D Belapur, Navi Mumbai, Maharashtra 400614 Contact Number – 022-27578554/41237072   v. Mobile No.: 8108851810   vi. Landline No.: 02227578554   vii. Email Id: resort1dapo@gmail.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 : Amit    ii. Designation : Architect    iii. Name of Company(Applicant Name should not be given here) : AMIT KAMAT    iv. Address : Amit Kamat, Principal Architect, Plot No 110/1, RK Nagar, Kolhapur, Maharashtra 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