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/GJ/IND2/62032/2017    ii. MoEFCC File No. : IA-J-11011/82/2017-IA-II(I)    iii.Short narrative of the project: PROPOSED EXPANSION OF PESTICIDE INTERMEDIATES & TECHNICALS WITHIN EXISTING PREMISES    iv. Project Sector : Industrial Projects-2    v. Company/Proponent : GUJARAT AGROCHEM LIMITED

vi.Details of State of the project

Details of State of the project
S.no.	State Name	District Name	Tehsil Name
1.	Gujarat	Bharuch	Anklesvar
2.	Gujarat	Bharuch	Anklesvar
3.	Gujarat	Bharuch	Anklesvar

vii. Uploaded EC Compliance report by rigional office of MoEFCC: Annexure-Uploaded EC Compliance report viii. Certified Monitoring report by RoMoEF: Annexure-Uploaded Monitoring report    ix.Date of TOR Granted 31 May 2017 x.TOR letter issued by Ministry: Annexure-TOR letter ix.Date of Submission for EC: 29 Jan 2018 x.Project Type: Expansion

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: 22 Jun 2017   v. Uploaded Additional Report/Study/Document as desired by Ministry/EAC: None   vi. Uploaded Cover Letter: Annexure-Cover Letter   vii.Remarks: NIL

3.	Additional Detail Sought:   NIL

4.	Accredited Consultant Details

   i. Accreditation status : Yes    ii. Accreditation No. : Stay Order    iii. Name of Consultant: Aqua-Air Environmental Engineers Pvt. Ltd.   iv. Address : 403, Centre Point, 4th Floor, Nr. Kadiwala School, Ring Road, Surat 395002   v. Mobile No.: 9099069611   vi. Landline No.: 02612460854   vii. Email Id: aqua_eia@yahoo.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 : Sunish    ii. Designation : Director    iii. Name of Company(Applicant Name should not be given here) : GUJARAT AGROCHEM LIMITED    iv. Address : Plot No. 2901 to 2906, GIDC Panoli, Dist. Bharuch 394116, Gujarat 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