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/67298/2017    ii. MoEFCC File No. : 11-25/2017-IA.III    iii.Short narrative of the project: Improvement of water supply for slum inMbPT area situated at NewTank Bunder Road, Coal Bunder, Lakhri Bunder & Darukhana, Mazgaon, Mumbai, Maharashtra.    iv. Project Sector : INFRA-2    v. Company/Proponent : MUNICIPAL CORPORATION OF GREATER MUMBAI

vi.Details of State of the project

Details of State of the project
S.no.	State Name	District Name	Tehsil Name
1.	Maharashtra	Mumbai City	Mumbai

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 N/A ix.Date of Submission for EC: 08 Aug 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: 27 Mar 2012   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 : No    ii. Reason for not hiring the Consultant : Proposed work is of laying water pipe line for 4.4 km length quantum of this work is less hence as per Administration directions consultant is not hired.

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 : Sanjay    ii. Designation : Assistant Engineer    iii. Name of Company(Applicant Name should not be given here) : MUNICIPAL CORPORATION OF GREATER MUMBAI    iv. Address : EEWW(C)City, Hydraulic Engg Dept, Hub Building, 1st floor, Dr.E.Moses Road, Worli 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