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/IND2/67309/2017    ii. MoEFCC File No. : IA-J-11011/408/2017-IA-II(I)    iii.Short narrative of the project: JAYA SAKETH CHEMICALS    iv. Project Sector : Industrial Projects-2    v. Company/Proponent : JAYA SAKETH CHEMICALS

vi.Details of State of the project

Details of State of the project
S.no.	State Name	District Name	Tehsil Name
1.	Karnataka	Bellary	Bellary

   vii.Date of TOR Granted 29 Sep 2017 viii.TOR letter issued by Ministry: Annexure-TOR letter ix.Date of Submission for EC: 03 Aug 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: 31 Dec 2017   v. Uploaded Additional Report/Study/Document as desired by Ministry/EAC: None   vi. Uploaded Cover Letter: Annexure-Cover Letter   vii.Remarks: NIL

Additional Attachments, if any
S.no.	Attached File	Date of Submission
1.	Covering Letter	18 Jun 2018
2.	Reply to EDS dated 25.06.2018	03 Aug 2018

3.	Additional Detail Sought:   NIL

4.	Accredited Consultant Details

   i. Accreditation status : Yes    ii. Accreditation No. : NABET/EIA/1518/SA 038    iii. Name of Consultant: Rightsource Industrial Solutions Pvt. Ltd   iv. Address : Plot No: 203, H.No:5-36/203, Prashanthi Nagar, IDA, Kukatpally, Hyderabad – 500072.   v. Mobile No.: 9885560011   vi. Landline No.: 23070602   vii. Email Id: jayasakethchemicals30@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 : SambiReddy    ii. Designation : ManagingPartner    iii. Name of Company(Applicant Name should not be given here) : JAYA SAKETH CHEMICALS    iv. Address : Plot No. 189, KIADB, 3 rd Stage, Mundargi Industrial Area, Bangalore Road, Bellary Karnataka 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