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/OR/MIS/62179/2017    ii. MoEFCC File No. : 21-95/2017-IA-III    iii.Short narrative of the project: Shamukha Beach Project    iv. Project Sector : INFRA-2    v. Company/Proponent : DEPARTMENT OF TOURISM GOVERNMENT OF ODISHA

vi.Details of State of the project

Details of State of the project
S.no.	State Name	District Name	Tehsil Name
1.	Orissa	Puri	Sadar

   vii.Date of TOR Granted N/A viii.TOR letter issued by Ministry: N/A ix.Date of Submission for EC: 15 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: 01 Mar 2013   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: We are seeking Environmental Clearance under 8(b), for CRZ Clearance Separate Application Will be made after getting necessary clearances from state

Additional Attachments, if any
S.no.	Attached File	Date of Submission
1.	Covering Letter for Essential Details Sought by MS	15 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

4.	Accredited Consultant Details

   i. Accreditation status : Yes    ii. Accreditation No. : NABET/EIA/1316/SA 005    iii. Name of Consultant: Ramky Enviro Engineers Ltd   iv. Address : 2nd Floor, Ramky Grandiose, Ramky Towers Complex, Gachibowli, Hyderabad   v. Mobile No.: 9949991029   vi. Landline No.: 04023015000   vii. Email Id: pkchand65@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 : Pranab    ii. Designation : FinanceController    iii. Name of Company(Applicant Name should not be given here) : DEPARTMENT OF TOURISM GOVERNMENT OF ODISHA    iv. Address : Paryatan Bhawan, Lewis Road, Bhubaneswar. 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