Form-4
APPLICATION FOR AMENDMENT IN ENVIRONMENTAL CLEARANCE
(To be filled up by User Agency)
1.
Details of Project
Proposal No. :
SIA/GJ/MIS/308006/2024
(a) Name of the project :
United Artemis
(b) Name of Company / Organisation. :
BHARATKUMAR PATEL
(c) Registered Address. :
UNITED ARTEMIS,F.P.NO 63 OF T.P.S.NO.109(muthiya-bilasiya-hasnpura),R.sur.no86/a/1,86/a/2,86/b,moje:hanspura,tal:asarwa Gujarat 382330
(d) Legal Status of the Company. :
Individual
(e) Joint Venture (Yes/No) :
No
2.
Address for the Correspondence
(a) Name of the Applicant. :
BHARATKUMAR PATEL
(b) Designation (Owner/Partner/CEO) :
No
(c) Address
:-
State :
Gujarat
District :
Ahmedabad
Town / Village :
No
(d) Pin Code :
382330
(e) Email :
umangp25@gmail.com
(f) Telephone no :
No
(g) Fax no :
No
(h) Mobile no :
9825380708
(i) Contact Person. :
BHARATKUMAR PATEL
(j) Website (if any) :
No
3.
Category of the Project/Activity as per Schedule of EIA Notification,2006
(a). Major Activity. :
8(a) Building and Construction projects
Minor Activity :
No
Major Sub Activity. :
No
Minor Sub Activity :
No
(b). Category :
B2
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 :
S.P. No. 1 Of F.P. No. 63 Of T.P.S.No. 109 ( Muthiya-Hanspura-Bilasiya) Final Sanction [ Revenue Block No. 86/A/1 , 86/A/2 , 86/B ( O. P. No. 63 ) Of Moje :- Hanspura , Taluka:- Asarwa , District :- Ahmedabad
(b) Village :
HANSPURA
(c) Tehsil :
Ahmedabad City
(d) District :
Ahmedabad
(e) State :
Gujarat
(f) Pin Code :
382330
(g) Bounded Latitudes (North) :
Yes
From :
Degree:23, Minutes : 4, Seconds :10
To :
Degree:23, Minutes : 4, Seconds :15
(h) Bounded Longitudes (East) :
Yes
From :
Degree:72, Minutes : 41, Seconds :12
To :
Degree:72, Minutes : 41, Seconds :15
(i) Survey of India Topo Sheet No :
F43
5
Details of Environmental Clearance
(a) Project Name :
United Artemis
(b) MoEF&CC / SEIAA File No :
SIA/GJ/INFRA2/422688/2023
(c) Date of issue of EC :
15/07/2023
(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) :
we are required to obtain the amendment in environment clearance for change in building scope. we ar
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
Built up area
54657.86
Others
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
Built up area
54657.86
61916.15
61916.14
building construction project
10
Reasons for Amendment
Reasons for Amendment :
we have obtained EC for 54657.86 sqm built-up area. now, we have revise plan and apply for Built up area of 61916.15 sqm.
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
FSI Area
32944.00
32894.72
After amendment FSI is 32894.72sqm
12
Details of EIA Consultant
Have you hired Consultant for preparing document (Yes/No) ? :
No
(i)Reason for not engaging the Consultant :
B2 Project
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 :
No Data
Essential Details Sought
Essential Details Sought
S.no.
EDS Sought Date
EDS Sought
Letter
NIL
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 :
BHARATKUMAR PATEL
(c)Designation:
No
(d)Company:
BHARATKUMAR PATEL
(e)Address:
UNITED ARTEMIS,F.P.NO 63 OF T.P.S.NO.109(muthiya-bilasiya-hasnpura),R.sur.no86/a/1,86/a/2,86/b,moje:hanspura,tal:asarwa Gujarat 382330