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/MH/CMIN/71601/2017    ii. MoEFCC File No. : J-11015/106/2009-IA.II(M)    iii.Short narrative of the project: GONDEGAON EXTENSION OPENCAST COAL MINE EXPANSION PROJECT (AMALGAMATED GONDEGAON GHATROHANA OC MINE)    iv. Project Sector : Coal Mining    v. Company/Proponent : Western Coalfields Limited

vi.Details of State of the project

Details of State of the project
S.no.	State Name	District Name	Tehsil Name
1.	Maharashtra	Nagpur	Parseoni

   vii.Date of TOR Granted N/A viii.TOR letter issued by Ministry: N/A ix.Date of Submission for EC: 14 Dec 2017 x.Project Type: Expansion under para 7(ii)

2.	Uploaded Documents of EIA/EMP,Risk Assessment,Public Hearing etc.

i. Uploaded EC Compliance report by rigional office of MoEFCC: Annexure-Uploaded EC Compliance report ii. Certified Monitoring report by RoMoEF: Annexure-Uploaded Monitoring report iii. Uploaded Form I: Annexure-Uploaded Form I   iv. Uploaded Additional Report/Study/Document as desired by Ministry/EAC: Annexure-Additional Report/Study/Document   v. Uploaded Cover Letter: Annexure-Cover Letter   vi.Remarks: NIL

3.	Additional Detail Sought:   NIL

4.	Accredited Consultant Details

   i. Accreditation status : Yes    ii. Accreditation No. : EIA/01/12/002 Dt. 31.01.2012. Re-accredited dt. 13    iii. Name of Consultant: CENTRAL MINE PLANNING AND DESIGN INSTITUTE LIMITED   iv. Address : Jaripatka Rd, Kasturba Nagar, Jaripatka, Nagpur, Maharashtra 440014   v. Mobile No.: 9421995394   vi. Landline No.: 0712 2807209   vii. Email Id: wclenv@yahoo.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 : KAUSHIK    ii. Designation : G.M (MINING)/ ENVIRONMENT.    iii. Name of Company(Applicant Name should not be given here) : Western Coalfields Limited    iv. Address : Coal Estate Civil lines, Nagpur-440001 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