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/MIS/26130/2014    ii. MoEFCC File No. : 10-31/2014-IA-III    iii.Short narrative of the project: Setting up of Floating Storage Unit ( FSRU) in Mumbai Harbour    iv. Project Sector : Infrastructure and Miscellaneous Projects & CRZ    v. Company/Proponent : MUMBAI PORT TRUST

vi.Details of State of the project

Details of State of the project
S.no.	State Name	District Name	Tehsil Name
1.	Maharashtra	Mumbai City	Mumbai
2.	Maharashtra	Raigad	Uran

   vii.Date of TOR Granted 19 Mar 2015 viii.TOR letter issued by Ministry: Annexure-TOR letter 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: 22 Jul 2016   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: LTL,HTL study done by IRS Chennai enclosed with Questionaire

3.	Additional Detail Sought:   NIL

4.	Accredited Consultant Details

   i. Accreditation status : Yes    ii. Accreditation No. : 90    iii. Name of Consultant: L&T Infrastructure Engineering Limited   iv. Address : 3-11921,5th Floor,Block No.3,White House,Kundan Bagh Begumpet,Hyderabad-500016   v. Mobile No.: 9491035051   vi. Landline No.: 04040354444   vii. Email Id: smanna@mbptmail.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 : SANTANU    ii. Designation : EXECUTIVE ENGINEER    iii. Name of Company(Applicant Name should not be given here) : MUMBAI PORT TRUST    iv. Address : CHIEF ENGINEER,MUMBAI PORT TRUST,PORT HOUSE,SHOORJI VALLABHDAS MARG,BALLARD ESTATE,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