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/61501/2014    ii. MoEFCC File No. : 11-1/2014-IA.III    iii.Short narrative of the project: Development of LNG Storage and Regasification Terminal    iv. Project Sector : Infrastructure and Miscellaneous Projects & CRZ    v. Company/Proponent : HSEPL

vi.Details of State of the project

Details of State of the project
S.no.	State Name	District Name	Tehsil Name
1.	Gujarat	Gir Somnath	Kodinar

   vii.Date of TOR Granted 13 Jun 2014 viii.TOR letter issued by Ministry: Annexure-TOR letter ix.Date of Submission for EC: 23 Feb 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: 18 Dec 2016   v. Uploaded Additional Report/Study/Document as desired by Ministry/EAC: None   vi. Uploaded Cover Letter: Annexure-Cover Letter   vii.Remarks: NIL

Additional Attachments, if any
S.no.	Attached File	Date of Submission
1.	CRZ Recommendation Letter	23 Feb 2017
2.	CRZ Maps	23 Feb 2017

3.	Additional Detail Sought

Additional Detail Sought
Sno.	ADS Letter	Remarks	Date of ADS
1.	NA	EAC sought additional information	26 Apr 2017
2.	ADS Letter	Attached is Annexure-1-Queries raised during PH and point wise replies and Annexure-2 copies of representations received in favour of Project	27 Apr 2017

4.	Accredited Consultant Details

   i. Accreditation status : Yes    ii. Accreditation No. : NABET/EIA/RA086/107    iii. Name of Consultant: NEERI (National Environmental Engineering Research Institute)   iv. Address : Council of Scientific and Industrial Research (CSIR) National Environmental Engineering Research Institute (NEERI) Nehru Marg, Nagpur – 440 020 (India)   v. Mobile No.: 9423400470   vi. Landline No.: +91 712 224784   vii. Email Id: vinod.kumar@hsel.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 : VINOD    ii. Designation : manager    iii. Name of Company(Applicant Name should not be given here) : HSEPL    iv. Address : Venus Amadeus, 301-305, 3rd floor, 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