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/61507/2017    ii. MoEFCC File No. : 21-7/2017-IA-III    iii.Short narrative of the project: PYRAMID 1- RESIDENTIAL BUILDING    iv. Project Sector : INFRA-1    v. Company/Proponent : KISHAN KUMAR KEDIA

vi.Details of State of the project

Details of State of the project
S.no.	State Name	District Name	Tehsil Name
1.	Maharashtra	Raigad	Khalapur

   vii.Date of TOR Granted N/A viii.TOR letter issued by Ministry: N/A ix.Date of Submission for EC: 03 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: 02 Jan 2017   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: PLEASE REFER TO 144 MINUTES OF MEETING OF INITIAL ACCREDITATION OF NABET & QCI

3.	Additional Detail Sought

Additional Detail Sought
Sno.	ADS Letter	Remarks	Date of ADS
1.	NA	The project proponent did not attend the meeting.	07 Mar 2017

4.	Accredited Consultant Details

   i. Accreditation status : Yes    ii. Accreditation No. : 12    iii. Name of Consultant: AQURA ENVIRO PROJECTS PVT LTD   iv. Address : 301, MARATHON ICON, VEER SANTAJI LANE, OFF GANPATRAO KADAM MARG, LOWER PAREL(WEST), MUMBAI-400013   v. Mobile No.: 9029309195   vi. Landline No.: 24924433   vii. Email Id: aqura@aquragroup.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 : KISHAN    ii. Designation : CHAIRMAN    iii. Name of Company(Applicant Name should not be given here) : KISHAN KUMAR KEDIA    iv. Address : 501/531,LAXMI MALL,LAXMI INDUSTRIAL ESTATE,NEW LINK ROAD, ABOVE AXIS BANK, ANDHERI WAST, MUMBAI 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