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/MP/IND/50963/2016    ii. MoEFCC File No. : J-11011/86/2012-IA-II(I)    iii.Short narrative of the project: Enhancement in production capacity of Integrated Cement Project - Clinker (2.0 to 4.5 MTPA), Cement (2.5 to 5.2 MTPA), CPP (40 MW), WHRS (10 to 12 MW) and D.G. Set (2 x 6 MW) at Villages - Tonki, Temarni, Sondul and Golpura, Tehsil - Manawar, District - Dhar (Madhya Pradesh) by M/s. UltraTech Cement Ltd.    iv. Project Sector : Industrial Projects-1    v. Company/Proponent : M/s. UltraTech Cement Ltd.

vi.Details of State of the project

Details of State of the project
S.no.	State Name	District Name	Tehsil Name
1.	Madhya Pradesh	Dhar	Manawar

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 24 May 2016 x.TOR letter issued by Ministry: Annexure-TOR letter ix.Date of Submission for EC: 13 Dec 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: 29 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: NIL

Additional Attachments, if any
S.no.	Attached File	Date of Submission
1.	Certified EC Compliance by RO, MoEFCC	13 Dec 2017

3.	Additional Detail Sought:   NIL

4.	Accredited Consultant Details

   i. Accreditation status : Yes    ii. Accreditation No. : 89    iii. Name of Consultant: J.M. EnviroNet Pvt. Ltd.   iv. Address : 202-A, ABW Tower, MG Road, IIFCO Chowk, Sector - 25, Gurugram - 122 001   v. Mobile No.: 1244343146   vi. Landline No.: 01244343146   vii. Email Id: kvijender.reddy@adityabirla.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 : Dr. K.V. Reddy    ii. Designation : Joint President & Corporate Head    iii. Name of Company(Applicant Name should not be given here) : M/s. UltraTech Cement Ltd.    iv. Address : Ahura Centre, 1st Floor, ‘A’ Wing , Mahakali Caves Road, Andheri (E), Mumbai- 400 093 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