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/61233/2016    ii. MoEFCC File No. : 21-92/2016-IA-III    iii.Short narrative of the project: Avaanti, C.T.S. NO. 431/195 & 431/196, F.P. NO. 37/B1 + B2, Shukrawar Peth, Haveli, Pune    iv. Project Sector : INFRA-1    v. Company/Proponent : MS OLYMPIA

vi.Details of State of the project

Details of State of the project
S.no.	State Name	District Name	Tehsil Name
1.	Maharashtra	Pune	Haveli

   vii.Date of TOR Granted N/A viii.TOR letter issued by Ministry: N/A 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: 03 Nov 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: --

3.	Additional Detail Sought:   NIL

4.	Accredited Consultant Details

   i. Accreditation status : Yes    ii. Accreditation No. : NABET/EIA/1417/RA010    iii. Name of Consultant: Ultra-Tech   iv. Address : Saudamini Commercial Complex, Building C-3, 2nd Floor , Right Bhusari Colony, Paud Road, Kothrud, Pune-411038   v. Mobile No.: 9322815867   vi. Landline No.: 02025286106   vii. Email Id: sampadashidid@ultratech.in

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 : Nikhil    ii. Designation : POA    iii. Name of Company(Applicant Name should not be given here) : MS OLYMPIA    iv. Address : ABIL House, Plot no. 2, Ganesh Khind Road, Range Hill corner, Pune 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