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/AN/MIS/54013/2015    ii. MoEFCC File No. : 11-16/2015-IA.III    iii.Short narrative of the project: Extension and Widening of the Jetty at Neil Island in A&N Islands    iv. Project Sector : Infrastructure and Miscellaneous Projects & CRZ    v. Company/Proponent : ALHW

vi.Details of State of the project

Details of State of the project
S.no.	State Name	District Name	Tehsil Name
1.	Andaman and Nicobar	South Andaman	No Data

vii. Uploaded EC Compliance report by rigional office of MoEFCC: NIL viii. Certified Monitoring report by RoMoEF: Annexure-Uploaded Monitoring report    ix.Date of TOR Granted 29 Dec 2015 x.TOR letter issued by Ministry: Annexure-TOR letter ix.Date of Submission for EC: 14 Jul 2016 x.Project Type: Expansion

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: 20 Feb 2016   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

3.	Additional Detail Sought:   NIL

4.	Accredited Consultant Details

   i. Accreditation status : Yes    ii. Accreditation No. : 61 of NABET List dated 09.05.2016    iii. Name of Consultant: Environmental System Consultants & Ambiente Lab Solutions Pvt Ltd   iv. Address : Ensyscon, Chennai-78   v. Mobile No.: 9444990516   vi. Landline No.: 04423643663   vii. Email Id: alhw.and@nic.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 : Mamta    ii. Designation : Executive Engineer(Civil)    iii. Name of Company(Applicant Name should not be given here) : ALHW    iv. Address : ALHW Ministry of Shipping, Phoenix Bay, Port Blair 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