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/KA/IND2/67245/2017    ii. MoEFCC File No. : IA-J-11011/406/2017-IA-II(I)    iii.Short narrative of the project: Proposed Green Field POL Terminal at Nandur Kesartagi Industrial Area, 2nd Phase, Kalaburagi District, Karnataka by M/s Bharat Petroleum Corporation Limited    iv. Project Sector : Industrial Projects-2    v. Company/Proponent : MS BPCL

vi.Details of State of the project

Details of State of the project
S.no.	State Name	District Name	Tehsil Name
1.	Karnataka	kalaburagi	Gulbarga
2.	Karnataka	kalaburagi	Gulbarga

   vii.Date of TOR Granted 29 Sep 2017 viii.TOR letter issued by Ministry: Annexure-TOR letter ix.Date of Submission for EC: 31 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: 29 Sep 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. : NABET/EIA/1417/RA010    iii. Name of Consultant: M/s Ultra Tech   iv. Address : 224, 225, 206 Jai Commercial Complex, Eastern Express Highway, Khopat, Thane West 400601   v. Mobile No.: 9867898844   vi. Landline No.: 02225380198   vii. Email Id: timirshah@ultratech.in

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 : Paul    ii. Designation : HeadTaskForceSouth    iii. Name of Company(Applicant Name should not be given here) : MS BPCL    iv. Address : Ranganathan Gardens Off to 11th Main Road Annanagar West Chennai 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