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/KA/MIS/54042/2016    ii. MoEFCC File No. : 10-45/2016-IA-III    iii.Short narrative of the project: Common Hazardous Waste Incineration Facility (CHWIF) and Preparation of Alternate Fuel and Raw Material (AFR) for Co-Processing, for Treatment & Disposal of Hazardous Chemical Waste (liquid, solid and semi-solid)    iv. Project Sector : Infrastructure and Miscellaneous Projects & CRZ    v. Company/Proponent : V TECH WASTE MANAGEMENTS

vi.Details of State of the project

Details of State of the project
S.no.	State Name	District Name	Tehsil Name
1.	Karnataka	Ramanagara	Ramanagar
2.	Karnataka	Ramanagara	Ramanagar

   vii.Date of TOR Granted 14 Jul 2016 viii.TOR letter issued by Ministry: Annexure-TOR letter ix.Date of Submission for EC: 05 Apr 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 Jul 2016   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, Shri Ram Complex, Above Bank of India, Surat-Dumas Road, Piplod, Surat-395 007, Gujarat   v. Mobile No.: 9712986775   vi. Landline No.: (0261) 2223003   vii. Email Id: eiasuratprojects@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 : N Vijaykumar    ii. Designation : Partnner    iii. Name of Company(Applicant Name should not be given here) : V TECH WASTE MANAGEMENTS    iv. Address : No. 67, Jolly Masjid Road, Jolly Mohalla, Bangalure. 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