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/KL/MIS/64261/2017    ii. MoEFCC File No. : NIL    iii.Short narrative of the project: Ayurvedic Resort Project by M/s Rajah Island at Re-Survey No. 47 / 3 / 49, 54 / 1, 47 / 3 / 15, 47 / 3 / 25 & 48 / 11 of Punnayur Village, Chavakkad, Thrissur District, Kerala    iv. Project Sector : INFRA-2    v. Company/Proponent : RAJAH ISLANDS

vi.Details of State of the project

Details of State of the project
S.no.	State Name	District Name	Tehsil Name
1.	Kerala	Thrissur	Chavakkad

   vii.Date of TOR Granted N/A viii.TOR letter issued by Ministry: N/A ix.Date of Submission for EC: 28 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: 15 May 2013   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: Ayurvedic Resort Project by M/s Rajah Island at Re-Survey No. 47 / 3 / 49, 54 / 1, 47 / 3 / 15, 47 / 3 / 25 & 48 / 11 of Punnayur Village, Chavakkad, Thrissur District, Kerala in Plot area 18.2186 ha and with built-up area 2,327.30 sq. m.

3.	Additional Detail Sought:   NIL

4.	Accredited Consultant Details

   i. Accreditation status : Yes    ii. Accreditation No. : NABET/EIA/1518/RA010    iii. Name of Consultant: M/s Environmental Engineers & Consultants Pvt. Ltd.   iv. Address : A1-198, Janak Puri, New Delhi - 58   v. Mobile No.: 9350873385   vi. Landline No.: 25507190   vii. Email Id: eecnewdelhi@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 : Sreeraj    ii. Designation : CEO    iii. Name of Company(Applicant Name should not be given here) : RAJAH ISLANDS    iv. Address : Rajah Manzil, Post Box No. 2, Chavakkad, Thrissur, Kerala-680506 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