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/UP/MIS/64738/2017    ii. MoEFCC File No. : 21-188/2017-IA-III    iii.Short narrative of the project: Construction of Proposed Group Housing and Staff Quarters at UPSRTC Campus, Vikas Nagar, Kanpur, Uttar Pradesh state    iv. Project Sector : INFRA-2    v. Company/Proponent : KANPUR DEVELOPMENT AUTHORITY

vi.Details of State of the project

Details of State of the project
S.no.	State Name	District Name	Tehsil Name
1.	Uttar Pradesh	Kanpur Nagar	Kanpur

   vii.Date of TOR Granted N/A viii.TOR letter issued by Ministry: N/A ix.Date of Submission for EC: 17 May 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: 04 May 2017   v. Uploaded Additional Report/Study/Document as desired by Ministry/EAC: None   vi. Uploaded Cover Letter: Annexure-Cover Letter   vii.Remarks: Public Hearing is not applicable – It is a Building and Construction project

3.	Additional Detail Sought:   NIL

4.	Accredited Consultant Details

   i. Accreditation status : Yes    ii. Accreditation No. : NABET/EIA/1619/RA 0046    iii. Name of Consultant: Ramky Enviro Services pvt. ltd.   iv. Address : 2nd floor, Ramky Grandiose, Ramky Towers, Gachibowli, Hyderabad-500032   v. Mobile No.: 9949991029   vi. Landline No.: 04023015406   vii. Email Id: kdaemp@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 : sarvat    ii. Designation : Chief Engineer    iii. Name of Company(Applicant Name should not be given here) : KANPUR DEVELOPMENT AUTHORITY    iv. Address : Kanur Development Authority, Moti Jheel Campus, KANPUR (U.P) 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