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/MH/MIS/66186/2014    ii. MoEFCC File No. : Item No. 21    iii.Short narrative of the project: Matrix Developers Pvt. Ltd.    iv. Project Sector : Infrastructure and Miscellaneous Projects & CRZ    v. Company/Proponent : MATRIX DEVELOPERS PVT LTD

vi.Details of State of the project

Details of State of the project
S.no.	State Name	District Name	Tehsil Name
1.	Maharashtra	Pune	Mulshi

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 15 Jul 2014 x.TOR letter issued by Ministry: Annexure-TOR letter ix.Date of Submission for EC: 13 Jul 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: 15 Jul 2014   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: NIL

3.	Additional Detail Sought:   NIL

4.	Accredited Consultant Details

   i. Accreditation status : Yes    ii. Accreditation No. : Accredited by NABET by it’s vide letter No. QCI/NA    iii. Name of Consultant: Mahabal Enviro Engineers Pvt. Ltd.   iv. Address : F-7, RoadF-7, Road No. 21, Wagale Estate, Thane (W)-400604, Maharashtra   v. Mobile No.: 9323058368   vi. Landline No.: 02221716389   vii. Email Id: dap_24@hotmail.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 : Nidhi    ii. Designation : DGM    iii. Name of Company(Applicant Name should not be given here) : MATRIX DEVELOPERS PVT LTD    iv. Address : PSC House, CTS No. 111+111/2, Anand Colony, Near Suvarnarekha Dining Hall, Off Parbat Road, Pune-411004, Maharashtra. 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