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/UP/IND2/48115/2016    ii. MoEFCC File No. : J-11011/62/2016- IA II(I)    iii.Short narrative of the project: Proposed 200 KLPD Molasses Based Distillery along with 6.0 MW Co-generation Power Plant    iv. Project Sector : Industrial Projects-2    v. Company/Proponent : DCM SHRIRAM LIMITED

vi.Details of State of the project

Details of State of the project
S.no.	State Name	District Name	Tehsil Name
1.	Uttar Pradesh	Hardoi	Hardoi
2.	Uttar Pradesh	Hardoi	Hardoi

   vii.Date of TOR Granted 21 Jun 2016 viii.TOR letter issued by Ministry: Annexure-TOR letter ix.Date of Submission for EC: 23 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: 15 Nov 2016   v. Uploaded Additional Report/Study/Document as desired by Ministry/EAC: None   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. : NABET/EIA/1417/RA028    iii. Name of Consultant: J. M. Environet Pvt. Ltd.   iv. Address : 1 st& 2nd Floor, SCO 16, Sector 10-A, Pace City, Gurgaon-122001   v. Mobile No.: 9910494521   vi. Landline No.: 0124-4141926   vii. Email Id: jmenviron@hotmail.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 : Rajeev Krishna Bharati    ii. Designation : Addl General Manager    iii. Name of Company(Applicant Name should not be given here) : DCM SHRIRAM LIMITED    iv. Address : 5th Floor, Kanchenjunga Building, 18, Barakhamba Road, New Delhi 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