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/IND2/61613/2017    ii. MoEFCC File No. : IA-J-11011/12/2017-IA-II(I)    iii.Short narrative of the project: M/s. Sandhya Organic Chemicals Pvt. Ltd.    iv. Project Sector : Industrial Projects-2    v. Company/Proponent : SANDHYA ORGANIC CHEMICALS PVT LTD

vi.Details of State of the project

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

   vii.Date of TOR Granted 17 Feb 2017 viii.TOR letter issued by Ministry: Annexure-TOR letter ix.Date of Submission for EC: 05 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: 26 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.	Annexure-Additional document	21 Nov 2017
2.	Annexure-Additional document	12 Feb 2018
3.	Annexure-Additional document	06 Mar 2018
4.	Annexure-Additional document	05 Apr 2018

3.	Additional Detail Sought:   NIL

4.	Accredited Consultant Details

   i. Accreditation status : Yes    ii. Accreditation No. : NABET/EIA/1518/SA 023    iii. Name of Consultant: Precitech Laboratories Pvt Ltd   iv. Address : 1st Floor, Bhanujyot Complex, Plot No C5/27, Nr. GIDC Char rasta, Vapi 396195   v. Mobile No.: 9925008673   vi. Landline No.: 02602425542   vii. Email Id: adminwork@sandhya-group.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 : Rajendra    ii. Designation : GM    iii. Name of Company(Applicant Name should not be given here) : SANDHYA ORGANIC CHEMICALS PVT LTD    iv. Address : Plot no. 1249 & 1250, GIDC Sarigam- 396155, Taluka- Umbergaon, District- Valsad, State- Gujarat 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