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/HP/MIN/59320/2015    ii. MoEFCC File No. : File No. J-11015/189/2015-IA-II (M) Dated: - 29.06    iii.Short narrative of the project: BANOUR LIMESTONE MINE(KHASRA NO.1927/1904)    iv. Project Sector : Mining Projects    v. Company/Proponent : M/S BALBIR SINGH SUPA RAM

vi.Details of State of the project

Details of State of the project
S.no.	State Name	District Name	Tehsil Name
1.	Himachal Pradesh	Sirmaur	Paonta Sahib(T)

   vii.Date of TOR Granted 29 Jun 2015 viii.TOR letter issued by Ministry: Annexure-TOR letter ix.Date of Submission for EC: 29 Sep 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: 25 Apr 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. : 137    iii. Name of Consultant: M/s UDAIPUR MIN-TECH PVT. LTD.   iv. Address : APEKSHA COMPLEX. SEC-11. HIRAN MAGRI, UDAIPUR (Raj.) – 313002.   v. Mobile No.: 9414167672   vi. Landline No.: 02942489672   vii. Email Id: ssbist@udrmintech.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 : Balbir    ii. Designation : owner    iii. Name of Company(Applicant Name should not be given here) : M/S BALBIR SINGH SUPA RAM    iv. Address : M/s Balbir Singh Supa Ram V & P Kamroo, Tehsil Paonta Sahib, Dist- Sirmour (Himachal pradesh) 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