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/AP/NCP/30390/2015    ii. MoEFCC File No. : 21-137/2015-IA-III    iii.Short narrative of the project: Proposed Industrial Park, Gollapuram (V), Hindupur (M), Anantapur (D) by Andhra Pradesh Industrial Infrastructure Corporation (APIIC).    iv. Project Sector : New Construction Projects and Industrial Estates    v. Company/Proponent : ANDHRA PRADESH INDUSTRIAL INFRA STRUCTURE CORPORATION

vi.Details of State of the project

Details of State of the project
S.no.	State Name	District Name	Tehsil Name
1.	Andhra Pradesh	Anantapur	Hindupur

   vii.Date of TOR Granted 15 Dec 2015 viii.TOR letter issued by Ministry: Annexure-TOR letter ix.Date of Submission for EC: 10 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: 28 Jul 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/1316/SA 005    iii. Name of Consultant: Ramky Enviro Engineers Limited   iv. Address : 2nd Floor, Ramky Grandiose, Ramky Towers Complex, Gachibowli, Hyderabad   v. Mobile No.: 9949991029   vi. Landline No.: 04023015000   vii. Email Id: apiicempcell@gmail.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 : Vice Chairman and Managing Director    ii. Designation : VCMD    iii. Name of Company(Applicant Name should not be given here) : ANDHRA PRADESH INDUSTRIAL INFRA STRUCTURE CORPORATION    iv. Address : ANDHRA PRADESH INDUSTRIAL INFRASTRUCTURE CORPORATION, 4th FLOOR, PARISRAMA BHAVAN, 5-9-58/B, FATEH MAIDAN ROAD. 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