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/MIN/51192/2014    ii. MoEFCC File No. : J-11015/85/2014-IA.II(M)    iii.Short narrative of the project: Silica Samd Mine by M/s C.V. Mahadik    iv. Project Sector : Mining Projects    v. Company/Proponent : C V MAHADIK

vi.Details of State of the project

Details of State of the project
S.no.	State Name	District Name	Tehsil Name
1.	Maharashtra	Sindhudurg	Kankavli

   vii.Date of TOR Granted 16 Jun 2014 viii.TOR letter issued by Ministry: Annexure-TOR letter ix.Date of Submission for EC: 04 May 2016 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: 13 Oct 2015   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: Mine Plan Uploaded as per EDS Letter

3.	Additional Detail Sought

Additional Detail Sought
Sno.	ADS Letter	Remarks	Date of ADS
1.	ADS Letter	Additional Letter	22 Sep 2016
2.	ADS Letter	NA	24 Jan 2017
3.	ADS Letter	Additional Information	30 Jan 2017
4.	ADS Letter	NA	30 Jan 2017

4.	Accredited Consultant Details

   i. Accreditation status : Yes    ii. Accreditation No. : Rev 38/ 8th Feb., 2016 at S.No-119    iii. Name of Consultant: Perfact Enviro Solutions Pvt. Ltd   iv. Address : 5th Floor|Front Wing|NN Mall|Sector-3|Rohini|New Delhi-110085|   v. Mobile No.: 9818346370   vi. Landline No.: 01147021086   vii. Email Id: preshitmahadik@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 : Kashmira    ii. Designation : Owner (authorized signatory)    iii. Name of Company(Applicant Name should not be given here) : C V MAHADIK    iv. Address : M/s C.V. Mahadik Post-Kasarde, Opp. Petrol Pump, Tehsil/Taluka-Kankavali, District-Sindhudurg Maharastra - 416801 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