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/OR/MIN/24116/2011    ii. MoEFCC File No. : J-11015/329/2010-IA.II(M)    iii.Short narrative of the project: M/s natwar lal agrawal    iv. Project Sector : Non-Coal Mining    v. Company/Proponent : Natwar Lal Agrawal

vi.Details of State of the project

Details of State of the project
S.no.	State Name	District Name	Tehsil Name
1.	Orissa	Balangir	Turekela

   vii.Date of TOR Granted 30 Jun 2011 viii.TOR letter issued by Ministry: Annexure-TOR letter ix.Date of Submission for EC: 12 Aug 2014 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 Nov 2012   v. Uploaded Additional Report/Study/Document as desired by Ministry/EAC: None   vi. Uploaded Cover Letter: None   vii.Remarks: M/s Shri Environmental Technology Institute is dully allowed by Hon'ble High Court, New Delhi in LPA No. 23/20/3 vide order dated 17.01.2014 to prepare and present EIA report before all EAC and SEAC.

3.	Additional Detail Sought:   NIL

4.	Accredited Consultant Details

   i. Accreditation status : Yes    ii. Accreditation No. : Nil    iii. Name of Consultant: Dr. A. K. Gupta   iv. Address : Shri Environmental Technology Institute, WZ-679, Nangal Raya, New Delhi - 110046.   v. Mobile No.: 9810166815   vi. Landline No.: 1125572375   vii. Email Id: setinewdelhi@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 : Natwar Lal Agrawal    ii. Designation : Lessee    iii. Name of Company(Applicant Name should not be given here) : Natwar Lal Agrawal    iv. Address : Balibandha, Sambalpur -768001 Odisha 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: NIL