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/OR/MIS/69960/2017    ii. MoEFCC File No. : 10-31/2017-IA-III    iii.Short narrative of the project: IA/OR/NCP/64762/2017    iv. Project Sector : Infrastructure and Miscellaneous Projects & CRZ    v. Company/Proponent : ODISHA TOURISM

vi.Details of State of the project

Details of State of the project
S.no.	State Name	District Name	Tehsil Name
1.	Orissa	Puri	Brahmagiri

   vii.Date of TOR Granted 10 Aug 2017 viii.TOR letter issued by Ministry: Annexure-TOR letter ix.Date of Submission for EC: 21 Apr 2018 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: 18 May 2017   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: Considered MoEF&CC standard ToR and prepared EIA/EMP report.

Additional Attachments, if any
S.no.	Attached File	Date of Submission
1.	OCZMA recommendation to MoEF & CRZ report	28 Sep 2017

3.	Additional Detail Sought:   NIL

4.	Accredited Consultant Details

   i. Accreditation status : Yes    ii. Accreditation No. : NABET/EIA/1619/RA 0046    iii. Name of Consultant: Ramky Enviro Services Pvt. Ltd.   iv. Address : Ramky Grandiose, Ramky Towers Complex, Gachibowli, Hyderabad   v. Mobile No.: 9949991029   vi. Landline No.: 04023015000   vii. Email Id: banoth.nawin@gmail.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 : PK    ii. Designation : financecontroller    iii. Name of Company(Applicant Name should not be given here) : ODISHA TOURISM    iv. Address : Lewis Road, Bhubaneswar 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