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/62689/2017    ii. MoEFCC File No. : 21-80/2017-IA-III    iii.Short narrative of the project: Proposed Slum Rehabilitation Scheme on Plot bearing CTS No.265, 266, 266/1-172, Village-Prakashwadi, Gundavali, Taluka-Andheri, Mumbai, by M/s. Omkar Realtors and Developers Pvt. Ltd.    iv. Project Sector : INFRA-1    v. Company/Proponent : OMKAR GROUP

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

vii. Uploaded EC Compliance report by rigional office of MoEFCC: NIL viii. Certified Monitoring report by RoMoEF: Annexure-Uploaded Monitoring report    ix.Date of TOR Granted N/A ix.Date of Submission for EC: 21 Feb 2017 x.Project Type: Expansion

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: 21 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.	Form 1 A	21 Feb 2017
2.	Letter of Intent (Project Scheme Approval)	21 Feb 2017
3.	Project brief Summary	21 Feb 2017
4.	Comparative Statement	21 Feb 2017
5.	Comparative Statement	21 Feb 2017

3.	Additional Detail Sought:   NIL

4.	Accredited Consultant Details

   i. Accreditation status : Yes    ii. Accreditation No. : 46    iii. Name of Consultant: H.K.Desai   iv. Address : B1003, Enviro House,10th floor. Western EdgeII, W.E Highway. Borivali(E),Mumbai400066   v. Mobile No.: 9321619745   vi. Landline No.: 022 2854 1647   vii. Email Id: moef.omkar@omkar.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 : Madan    ii. Designation : Authorized Signatory    iii. Name of Company(Applicant Name should not be given here) : OMKAR GROUP    iv. Address : Omkar House, Off Eastern Express Highway, Opp SIon chunnabhatti signal, Sion East, Mumbai -400022. 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