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/MIS/49446/2016    ii. MoEFCC File No. : 10-17/2016-IA-III    iii.Short narrative of the project: Proposed Common Hazardous Waste Treatment, Storage and Disposal Facility (CHWTSDF)    iv. Project Sector : Infrastructure and Miscellaneous Projects & CRZ    v. Company/Proponent : SMS ENVOCARE LIMITED

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	Satari
2.	Goa	North Goa	Satari

   vii.Date of TOR Granted 04 May 2016 viii.TOR letter issued by Ministry: Annexure-TOR letter ix.Date of Submission for EC: 09 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: 09 Mar 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

Additional Detail Sought
Sno.	ADS Letter	Remarks	Date of ADS
1.	NA	EAC sought additional information	26 Apr 2017
2.	ADS Letter	Respected Sir, As desired we are attaching additional information sought as per MOM of meeting point wise.	05 May 2017

4.	Accredited Consultant Details

   i. Accreditation status : Yes    ii. Accreditation No. : NABET/EIA/1617/RA/0032    iii. Name of Consultant: Aditya Environmental Services Pvt. Ltd.   iv. Address : 107/110, Hiren Light Industrial Estate, Mogul Lane, Mahim West, 400016   v. Mobile No.: 9821513367   vi. Landline No.: 02242127500   vii. Email Id: rajiv@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 : Asif    ii. Designation : Director    iii. Name of Company(Applicant Name should not be given here) : SMS ENVOCARE LIMITED    iv. Address : Plot No. 5, Pissurlem Industrial Estate Phase I, Pissurlem village, tehsil Satari, Dist. North Goa, Goa 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