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/GJ/IND2/63043/2016    ii. MoEFCC File No. : J-11011/36/2016-IA II (I)    iii.Short narrative of the project: M/s. Maple Panels Pvt. Ltd.    iv. Project Sector : Industrial Projects - 2    v. Company/Proponent : MS MAPLE PANELS PVT LTD

vi.Details of State of the project

Details of State of the project
S.no.	State Name	District Name	Tehsil Name
1.	Gujarat	kutch	Gandhidham

   vii.Date of TOR Granted 13 May 2016 viii.TOR letter issued by Ministry: Annexure-TOR letter ix.Date of Submission for EC: 08 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: 14 Feb 2017   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/1417/IA 003    iii. Name of Consultant: Envision Enviro Technologies Pvt Ltd   iv. Address : 2nd Floor, Shree Ram Complex, Above Bank of India, Near Kargil Chowk, Surat Dumas Road, Piplod, Surat Gujarat   v. Mobile No.: 9428001875   vi. Landline No.: 02612223003   vii. Email Id: bkk@treelogy.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 : Mr Binod kumar    ii. Designation : General Manager & Company Secr    iii. Name of Company(Applicant Name should not be given here) : MS MAPLE PANELS PVT LTD    iv. Address : Survey No. 173/1, Village Padadana, Padana-Bhimsar Road, Taluka Gandhidham, District Kutch, Gujarat -370 240 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