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/GA/NCP/62188/2017    ii. MoEFCC File No. : 21-89/2017-IA-III    iii.Short narrative of the project: Proposed Commercial Project at Patto village, Goa    iv. Project Sector : INFRA-1    v. Company/Proponent : DLF LTD

vi.Details of State of the project

Details of State of the project
S.no.	State Name	District Name	Tehsil Name
1.	Goa	North Goa	Tiswadi

   vii.Date of TOR Granted N/A viii.TOR letter issued by Ministry: N/A ix.Date of Submission for EC: 01 Mar 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 Feb 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: NIL

Additional Attachments, if any
S.no.	Attached File	Date of Submission
1.	Concepltual Plan	03 Feb 2017
2.	Signed Form and plan	01 Mar 2017

3.	Additional Detail Sought

Additional Detail Sought
Sno.	ADS Letter	Remarks	Date of ADS
1.	NA	Pl. see the 15th EAC Infra-2 MOM. The proposal was deferred till the desired information is submitted. The above information shall be provided with the uploading of minutes on the website.	03 May 2017
2.	ADS Letter	Reply of queries raised in 15th EAC meeting.	09 Jun 2017

4.	Accredited Consultant Details

   i. Accreditation status : Yes    ii. Accreditation No. : NABET Letter dated 27th July 2016    iii. Name of Consultant: Aditya Environmental Services Pvt. Ltd.   iv. Address : Aditya Environmental Services Pvt. Ltd., 107/110, Hiren Light Industrial Estate, Mogul Lane, Mahim (w), Mumbai - 400016   v. Mobile No.: 9821513440   vi. Landline No.: 02242147500   vii. Email Id: zulfa_goa@aespl.co.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 : Prakash    ii. Designation : Manager    iii. Name of Company(Applicant Name should not be given here) : DLF LTD    iv. Address : Landscape Excelsior, Opposite to Kala Academy, DB Road, Panjim. 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