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/63177/2017    ii. MoEFCC File No. : 11-8/2018-IA.III    iii.Short narrative of the project: proposed reconstruction of school buildingon plot bearing C.T.S. no 918 B of Alibag, Tal-Alibag, Dist-Raigad by Konkan Education Society.    iv. Project Sector : INFRA-2    v. Company/Proponent : KONKAN EDUCATION SOCIETY

vi.Details of State of the project

Details of State of the project
S.no.	State Name	District Name	Tehsil Name
1.	Maharashtra	Raigad	Alibag

   vii.Date of TOR Granted N/A viii.TOR letter issued by Ministry: N/A ix.Date of Submission for EC: 26 Mar 2018 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: 15 Mar 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: Project was submitted on 23.03.2017 and query sought on 20/06/2017 stating, "For further consideration in the Ministry kindly upload the following documents:- 1. Dully signed Form-1 2. Rapid EIA/Risk Management 3. HTL/LTL Demarcation report and Map(1:4000 scale" All required document has been uploaded in additional attachment.

Additional Attachments, if any
S.no.	Attached File	Date of Submission
1.	Proposed reconstruction of school building on plot bearing C.T.S. no 918 B of Alibag, Tal-Alibag, Dist-Raigad, Maharashtra, 402201, for Konkan education society	22 May 2017
2.	Covering letter	22 Mar 2018
3.	CRZ map	23 Mar 2018
4.	Form I	23 Mar 2018

3.	Additional Detail Sought:   NIL

4.	Accredited Consultant Details

   i. Accreditation status : Yes    ii. Accreditation No. : 1720    iii. Name of Consultant: MITCON Consultancy & Engineering Services Ltd.   iv. Address : Environment Management and engineering division Behind DIC Office, Agri College Campus, Shivajinagar, Pune – 411 005, Maharashtra (INDIA)   v. Mobile No.: 9665043400   vi. Landline No.: 020-66289400   vii. Email Id: mohitearchitects@gmail.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 : Manajit    ii. Designation : Architect    iii. Name of Company(Applicant Name should not be given here) : KONKAN EDUCATION SOCIETY    iv. Address : Opp- Gen. Arukumar vaidya highschool, Court road, alibag, Raigad 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: Annexure-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