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 ? : Yes    Type of Violation : Started the work onsite without prior EC under EIA notification,2006.    Details of Violation : we are starting the construction activity because of This project is complete under time limit of government scheme-“Mukhya Mantri Gruh Yojana Scheme” This project is purely base for affordable housing to poor people in prior income.   Upload document of Damage Assessment Report : Annexure-Damage Assessment Report   Upload document of Remediation Plan and Natural & Community augmentation plan : Annexure-Damage Assessment Report   Upload TOR Letter(if issued earlier) : None   Upload EC Letter(if issued earlier) : None

1.	Project Details

   i. Proposal No. : IA/GJ/NCP/63980/2017    ii. MoEFCC File No. : 23-4/2017-IA.III    iii.Short narrative of the project: Gujarat Housing Board (“AFFORDABLE HOUSING PROJECT, GUJARAT”)    iv. Project Sector : INFRA-1    v. Company/Proponent : GUJARAT HOUSING BOARD VALSAD

vi.Details of State of the project

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

   vii.Date of TOR Granted N/A viii.TOR letter issued by Ministry: N/A ix.Date of Submission for EC: 14 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 Apr 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: We hope that you will find all details in proper order and may request you to consider it along with our EC application and grant us the same at the earliest and oblige us.

3.	Additional Detail Sought:   NIL

4.	Accredited Consultant Details

   i. Accreditation status : No    ii. Reason for not hiring the Consultant : Prepare own

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 : Amitbhai    ii. Designation : Executive Engineer GHB Surat    iii. Name of Company(Applicant Name should not be given here) : GUJARAT HOUSING BOARD VALSAD    iv. Address : S. No. 572,573,760/1,760/2,761/p,756,757,759/p,Shanti nagar, Tithal road, bhagdavada, Valsad, Gujarat 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