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/AN/MIS/67724/2017    ii. MoEFCC File No. : 10-38/2015-IA.III    iii.Short narrative of the project: Construction of 2-lane Bridge over Middle Strait Creek (at Km. 107) of NH-223 connecting South Andaman Island & Baratang Island in the Andaman & Nicobar Islands(F.No. 10-38/2015-IA.III)    iv. Project Sector : INFRA-2    v. Company/Proponent : CHIEF ENGINEER APWD

vi.Details of State of the project

Details of State of the project
S.no.	State Name	District Name	Tehsil Name
1.	Andaman and Nicobar	Andamans	Port Blair

   vii.Date of TOR Granted N/A viii.TOR letter issued by Ministry: N/A ix.Date of Submission for EC: 30 Aug 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: 24 Aug 2016   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

Additional Attachments, if any
S.no.	Attached File	Date of Submission
1.	Toposheet	28 Aug 2017
2.	CRZ Report	28 Aug 2017
3.	Approval from A&NCZMA	28 Aug 2017
4.	CRZ Map	28 Aug 2017

3.	Additional Detail Sought:   NIL

4.	Accredited Consultant Details

   i. Accreditation status : Yes    ii. Accreditation No. : NABET/EIA/1316/IA001    iii. Name of Consultant: Vardan Environet   iv. Address : D-142, Sushant Lok-III, Sector-57,Golf Course Extension Road,Gurgaon,Haryana   v. Mobile No.: 9899651342   vi. Landline No.: 0124-4291036   vii. Email Id: ceapwd.and@nic.in

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 : A    ii. Designation : NodalOfficer    iii. Name of Company(Applicant Name should not be given here) : CHIEF ENGINEER APWD    iv. Address : Andaman Public Works Department,Nirman Bhawan,Port Blair,Andaman and Nicobar Island 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