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Form-4

APPLICATION FOR AMENDMENT IN ENVIRONMENTAL CLEARANCE

(To be filled up by User Agency)

1.	Details of Project

Proposal No. : SIA/GJ/IND3/306345/2023
(a) Name of the project : ACCENT BIOSCIENCES PRIVATE LIMITED
(b) Name of Company / Organisation. : M/S. ACCENT BIOSCIENCES PRIVATE LIMITED
(c) Registered Address. : Plot No, T-26/1, T-26/2, Saykha Industrial Estate, dist- bharuch, Gujarat Gujarat 392140
(d) Legal Status of the Company. : Others
(e) Joint Venture (Yes/No) : No

2.	Address for the Correspondence

(a) Name of the Applicant. : Vipul M Patel
(b) Designation (Owner/Partner/CEO) : Director
(c) Address :-
       State : Gujarat
       District : Bharuch
       Town / Village : No
(d) Pin Code : 392140
(e) Email : vmpatel@accentbios.com
(f) Telephone no : No
(g) Fax no : No
(h) Mobile no : 9924140888
(i) Contact Person. : Vipul
(j) Website (if any) : No

3.	Category of the Project/Activity as per Schedule of EIA Notification,2006

(a). Major Activity. : 5(f) Synthetic organic chemicals industry (dyes & dye intermediates; bulk

      Minor Activity : No
      Major Sub Activity. : No
      Minor Sub Activity : No
(b). Category : B1
      Reason for applicant at central level/state level(in case of B1 and B2 ): No
(c). Reason : No
      EAC Concerned (for category A Projects Only ): No

4.	Location of the Project

(a) Plot No/Survey No/Khasra No : Plot No, T-26/1, T-26/2, Saykha Industrial Estate
(b) Village : Saykha Industrial Estate
(c) Tehsil : Bharuch
(d) District : Bharuch
(e) State : Gujarat
(f) Pin Code : 392140
(g) Bounded Latitudes (North) : Yes
        From : Degree:21, Minutes : 46, Seconds :96
        To    : Degree:72, Minutes : 48, Seconds :56
(h) Bounded Longitudes (East) : Yes
        From : Degree:21, Minutes : 46, Seconds :96
        To    : Degree:72, Minutes : 48, Seconds :56
(i) Survey of India Topo Sheet No : F43M2

5	Details of Environmental Clearance

(a) Project Name : ACCENT BIOSCIENCES PRIVATE LIMITED
(b) MoEF&CC / SEIAA File No : SEIAA/GUJ/EC/5(f)/1284/2021 & SEIAA/GUJ/EC/5(f)/2648/2022
(c) Date of issue of EC : 02/07/2021 (d) Uploaded EC letter :

6	Details of Consent to Operate

(i) Whether Consent to operate obtained (Yes/No) ? : No

7	Amendment Sought for

Amendment in Configuration/ Amendments in Clearance condition/ Other (specify) : Given in 5(f) format

8	Details of Product (as per the approved EC)

Details of Products
S.no	Product / Activity (Capacity/ Area).	Quantity	Unit	Mode of Transport/ Transmission of Product
1	API and its Intermediates	1201.2	Tons per Annun(TPA)	Road

9	Details of Configuration (Multiple Entries Allowed)

Details of Configurations
S.no	Plant/ Equipment/ Facility	Existing Configuration	Proposed Configuration	Final configuration after Amendment	Remarks if Any
1	There is no change in proposed condititon	---	---	---	---

10	Reasons for Amendment

Reasons for Amendment : Given in coevring letter

11	Any Other Amendment required

Any Other Amendment Required
S.no	Reference of Approved EC	Description as per Approved EC	Description as per Proposal.	Remarks
1	Given as per 5(f) format	Given as per 5(f) format	Given as per 5(f) format	---

12	Details of EIA Consultant

Have you hired Consultant for preparing document (Yes/No) ? : Yes
(i) Accereditation No : NABET/EIA/2124/SA 0198
(ii) Name of EIA Consultant : Jyoti Om Chemical Research Centre Pvt Ltd
(iii)Address : Shed No K-1, 7705/2-4,
(iv)Mobile No: 8849537915
(v)Landline No : 02624200000
(vi)E-mail Id : staff@jyotiom.com
(vii)Category of Accreditation : A & B
(viii)Sector of Accreditation : 16,17,21,32,36
(ix)Validity of Accreditation : 17.06.2024 (x)Uploaded certificate of Accreditation certified by QCI/NABET :

13.	Documents to be Attached

(a) Uploaded addendum to EIA/EMP Report:

(b) Uploaded Copy of revised -Feasibility Report /Detailed Project Report (DPR) / Detailed Engineering Report / Detailed Conceptual Plan / Approved Mining Plan (in case of mining proposals):

(c) Uploaded Copy of final Layout Plan:

(d)Uploaded Cover Letter duly signed by the project proponent or authorized person:

(e)Uploaded a copy of authorization duly signed by the project proponent in support of the person making this application on behalf of the User Agency:

(f)Uploaded Additional File, If any:

Essential Details Sought

Essential Details Sought
S.no.	EDS Sought Date	EDS Sought	Letter
1.	01/12/2023	Upload addendum EIA report with details that what changes and what impact on air, water and haz. and land and other environment aspects. Addendum should include all details not simply details of air, water and haz.waste.
2.	01/12/2023	Upload addendum EIA report with details that what changes and what impact on air, water and haz. and land and other environment aspects. Addendum should include all details not simply details of air, water and haz.waste.
3.	29/12/2023	The corrections have been made as per the instruction received.
4.	02/03/2024	(1)Uploaded a copy of authorization duly signed by the project proponent in support of the person (Technical/consultant) making this application on behalf of the User Agency.(2) NABET is valid upto only 18.12.2023, upload valid NABET certi (3) SEAC format
5.	04/03/2024	The corrections have been made as per the instruction received.

Additional Detail Sought: NIL

14.	Undertaking

(a): 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 any stage, The project will be rejected and clearance given, If any to the project will be revoked at our risk and cost. In addition to above, I hereby give undertaking that no activity / construction / expansion has since been taken up. (b)Name : Vipul M Patel (c)Designation: Director (d)Company: M/S. ACCENT BIOSCIENCES PRIVATE LIMITED (e)Address: Plot No, T-26/1, T-26/2, Saykha Industrial Estate, dist- bharuch, Gujarat Gujarat 392140