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/61267/2016    ii. MoEFCC File No. : 11-1/2017-IA-III    iii.Short narrative of the project: Setting of LiDAR based offshore structure at Gulf of Khambat Off Gujarat coast    iv. Project Sector : INFRA-2    v. Company/Proponent : NATIONAL INSTITUTE OF WIND ENERGY

vi.Details of State of the project

Details of State of the project
S.no.	State Name	District Name	Tehsil Name
1.	Gujarat	Amreli	Rajula

   vii.Date of TOR Granted N/A viii.TOR letter issued by Ministry: N/A ix.Date of Submission for EC: 02 Jan 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: Applying for CRZ clearance

Additional Attachments, if any
S.no.	Attached File	Date of Submission
1.	Recommendation from GCZMA	02 Jan 2017

3.	Additional Detail Sought:   NIL

4.	Accredited Consultant Details

   i. Accreditation status : Yes    ii. Accreditation No. : 123    iii. Name of Consultant: SV Enviro Labs & Consultants   iv. Address : Enviro House, Block-B, B-1, IDA, autonagar, Visakhapatnam-12   v. Mobile No.: 9440338628   vi. Landline No.: Andhra Pradesh   vii. Email Id: katyal.niwe@nic.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 : Rajesh    ii. Designation : Deputy Director General    iii. Name of Company(Applicant Name should not be given here) : NATIONAL INSTITUTE OF WIND ENERGY    iv. Address : Velachery-Tambaram Main Road, Pallikaranai 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