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/GJ/MIS/60716/2016    ii. MoEFCC File No. : 11-8/2017-IA-III    iii.Short narrative of the project: Wind Power Project Mahuva    iv. Project Sector : INFRA-2    v. Company/Proponent : Parmar Dhavalsinh B

vi.Details of State of the project

Details of State of the project
S.no.	State Name	District Name	Tehsil Name
1.	Gujarat	Bhavnagar	Mahuva

   vii.Date of TOR Granted N/A viii.TOR letter issued by Ministry: N/A ix.Date of Submission for EC: 14 Feb 2017 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: 15 Oct 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: This is a Renewable Energy Project which is otherwise exempted from Environment Clearance notification

3.	Additional Detail Sought:   NIL

4.	Accredited Consultant Details

   i. Accreditation status : Yes    ii. Accreditation No. : 17    iii. Name of Consultant: Bhagwati Enviro Care Private Limited   iv. Address : 28, 29, 30, Parmeshwar Estate II, Opp. AMCO Bank, Phase I, GIDC Estate, Vatva, Ahmedabad – 382445   v. Mobile No.: 9824051541   vi. Landline No.: 079 40083052   vii. Email Id: dhaval.parmar@kpgroup.co

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 : Ashish Mithani    ii. Designation : Director    iii. Name of Company(Applicant Name should not be given here) : Parmar Dhavalsinh B    iv. Address : A-1/2, Firdaus Tower, Behind Fazal Shoping Center, Adajan Patia, Surat-395009 Gujarat 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