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/KA/RIV/27139/2015    ii. MoEFCC File No. : J-12011/6/2015-IA-1>    iii.Short narrative of the project: Proposed expansion of Upper Bhadra Lift Irrigation Scheme near Muttinakoppa Village, NR Pura Taluk, Chickmagalur District in Karnataka by M/s Karnataka Neeravari Nigam Limited    iv. Project Sector : River Valley and Hydroelectric Projects    v. Company/Proponent : KARNATAKA NEERAVARI NIGAM LTD

vi.Details of State of the project

Details of State of the project
S.no.	State Name	District Name	Tehsil Name
1.	Karnataka	Chikmagalur	N R Pura

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 26 May 2015 x.TOR letter issued by Ministry: Annexure-TOR letter ix.Date of Submission for EC: 09 Dec 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: 19 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: Kindly issue EC at en earliest

3.	Additional Detail Sought:   NIL

4.	Accredited Consultant Details

   i. Accreditation status : Yes    ii. Accreditation No. : 51    iii. Name of Consultant: Environmental Health and safety consultants private limited   iv. Address : Environmental Health & Safety Consultants Pvt.Ltd., [QCI-NABET ACCREDITED & ISO 9001:2008 Certified Organization] No.13/2, 1st Main Road, Near Fire Station, Industrial Town, Rajajinagar Bangalore - 56   v. Mobile No.: 9886599677   vi. Landline No.: 08023012100   vii. Email Id: ubpchief@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 : Chief Engineer    ii. Designation : Chief Engineer    iii. Name of Company(Applicant Name should not be given here) : KARNATAKA NEERAVARI NIGAM LTD    iv. Address : 4th floor, coffee board building, Dr. Ambedkar Veedhi, Bangalore 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