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 : Changed the product mix without obtaining prior EC under EIA notification,2006.    Details of Violation : PP taken over the Plot No. 54P in the year 2007 which was established in 1991 with valid consents from KSPCB for manufacturing bulk drug. Later obtained CFE for Change of Products with No Increase in Pollution Load from KSPCB in 2014 and CFO in 2016   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/KA/IND2/64872/2016    ii. MoEFCC File No. : SEIAA 31 IND 2016    iii.Short narrative of the project: M/s. Vivimed Labs Limited, Unit-I    iv. Project Sector : Industrial Projects - 2    v. Company/Proponent : VIVIMED LABS LIMITED

vi.Details of State of the project

Details of State of the project
S.no.	State Name	District Name	Tehsil Name
1.	Karnataka	Bidar	Bidar

vii. Uploaded EC Compliance report by rigional office of MoEFCC: Annexure-Uploaded EC Compliance report viii. Certified Monitoring report by RoMoEF: Annexure-Uploaded Monitoring report    ix.Date of TOR Granted 18 Nov 2016 x.TOR letter issued by Ministry: Annexure-TOR letter ix.Date of Submission for EC: 23 May 2017 x.Project Type: Expansion

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: 21 Nov 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/1619/RA 0035    iii. Name of Consultant: KKB Envirocare Consultants Private Limited   iv. Address : M/s. KKB Envirocare Consultants Pvt. Ltd., Tarun Plaza, 1st Floor, #3-5-244, NFC Main Road, Krishna Nagar Colony, Moula-Ali, Hyderabad-500040, Telangana State   v. Mobile No.: 9391013686   vi. Landline No.: 04065547107   vii. Email Id: satya.prasad@vivimedlabs.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 : S Raghunandan    ii. Designation : Director - Operations    iii. Name of Company(Applicant Name should not be given here) : VIVIMED LABS LIMITED    iv. Address : M/s. Vivimed Labs Limited, 2nd Floor, Veernag Towers, 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