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/73387/2018    ii. MoEFCC File No. : 11-10/2018-IA.III    iii.Short narrative of the project: CONSTRUCTION OF PROPOSED HOLIDAY RESORT IN CRZ III AREA Gat. No.146 & 153/2 VILLAGE AWAS, TAL. ALIBAG, DIST. RAIGAD    iv. Project Sector : INFRA-2    v. Company/Proponent : HOLIDAY RESORT AT AAWAS VILLAGE DISTRICT RAIGAD

vi.Details of State of the project

Details of State of the project
S.no.	State Name	District Name	Tehsil Name
1.	Maharashtra	Raigad	Alibag

   vii.Date of TOR Granted N/A viii.TOR letter issued by Ministry: N/A ix.Date of Submission for EC: 29 Mar 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: 08 Mar 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.	EDS Reply	29 Mar 2018

3.	Additional Detail Sought:   NIL

4.	Accredited Consultant Details

   i. Accreditation status : Yes    ii. Accreditation No. : NABET/EIA/1720/RA 0075    iii. Name of Consultant: MITCON Consultancy & Engineering Services Ltd.   iv. Address : 1st floor, "Kubera Chambers" Shivajinagar, Pune 411 005, Maharashtra (INDIA)   v. Mobile No.: 9665043400   vi. Landline No.: 02066289400   vii. Email Id: aejazkhancrz@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 : Farokh    ii. Designation : Owner    iii. Name of Company(Applicant Name should not be given here) : HOLIDAY RESORT AT AAWAS VILLAGE DISTRICT RAIGAD    iv. Address : Gat No. 146 & 153/2, Village Aawas 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