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/NCP/60976/2016    ii. MoEFCC File No. : 21-83/2016-IA-III    iii.Short narrative of the project: Proposed Commercial Building at Survey No 88/A,91/2A,91/2B &92/5 & 6 at village - Achole    iv. Project Sector : INFRA-1    v. Company/Proponent : DEEPAK H. THAKUR

vi.Details of State of the project

Details of State of the project
S.no.	State Name	District Name	Tehsil Name
1.	Maharashtra	Thane	Vasai

   vii.Date of TOR Granted N/A viii.TOR letter issued by Ministry: N/A ix.Date of Submission for EC: 09 Dec 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: 09 May 1993   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 category B project but due to technical difficulties e are submitting it as category A project

3.	Additional Detail Sought:   NIL

4.	Accredited Consultant Details

   i. Accreditation status : Yes    ii. Accreditation No. : 46    iii. Name of Consultant: EAEPL   iv. Address : Enviro Analysts and Engineers Private Limited. B-1003,Enviro House,10th floor| Western Edge-II, W.E Highway|Borivali(E),Mumbai-400066   v. Mobile No.: 9321619749   vi. Landline No.: 22 2854 1647   vii. Email Id: info@ eaepl.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 : Deepak    ii. Designation : owner    iii. Name of Company(Applicant Name should not be given here) : DEEPAK H. THAKUR    iv. Address : Chakradhar nagar, Achole road, Nallasopara West. Near Railway Station, S.T. Depot Road, Nallasopara (W). 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