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/GJ/IND/26428/2012    ii. MoEFCC File No. : J-11011/304/2012 IA II(I)    iii.Short narrative of the project: Application for obtaining Environmental Clearance for proposed expansion project for increasing the    iv. Project Sector : Industrial Projects-2    v. Company/Proponent : Mr. Mihir Patel

vi.Details of State of the project

Details of State of the project
S.no.	State Name	District Name	Tehsil Name
1.	Gujarat	Valsad	Pardi

vii. Uploaded EC Compliance report by rigional office of MoEFCC: NIL viii. Certified Monitoring report by RoMoEF: Annexure-Uploaded Monitoring report    ix.Date of TOR Granted 20 Mar 2013 x.TOR letter issued by Ministry: Annexure-TOR letter ix.Date of Submission for EC: 22 May 2015 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: 20 Mar 2013   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: We had submitted the EIA report addressing the awarded TORs (in hard copy as well as soft copy in CD), on 24th September, 2013. An acknowledged copy of the forwarding letter is enclosed herewith as

3.	Additional Detail Sought

Additional Detail Sought
Sno.	ADS Letter	Remarks	Date of ADS
1.	NA	Kindly apply to industry - 2 sector for further processing of proposal	22 Jul 2015
2.	ADS Letter	Needful done	28 Jan 2016
3.	NA	Kindly apply to industry - 2 sector for further processing of proposal	14 Jun 2016
4.	NA	NA	14 Jun 2016

4.	Accredited Consultant Details

   i. Accreditation status : Yes    ii. Accreditation No. : Provisional Accreditation    iii. Name of Consultant: Precitech Laboratories Pvt. Ltd.   iv. Address : Commercial Plot No C5/27 GIDC Bhanujyot Complex, 1st Floor Opp Oriental Insurance Company Near GIDC Char Rasta Vapi 396195 Gujarat.   v. Mobile No.: 9825121185   vi. Landline No.: 2602424901   vii. Email Id: mipatel@vertellus.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 : Mr. Mihir Patel    ii. Designation : Site Director (Occupier)    iii. Name of Company(Applicant Name should not be given here) : Mr. Mihir Patel    iv. Address : Vertellus Specialty Materials (India) Pvt. Ltd. Plot No. 287/1 & 2A, IInd Phase,GIDC, Vapi Dist: 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: NIL