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Form-10

APPLICATION FOR CORRIGENDUM IN ENVIRONMENTAL CLEARANCE

(To be filled up by User Agency)

1.	Details of Project

Proposal No. : SIA/TG/IND3/263967/2022
(a) Name of the project : Corrigendum in Existing EC issued to M/s. S.R. Laboratories Pvt Ltd.
(b) Name of Company / Organisation. : M/S. S R LABORATORIES PVT. LTD.,
(c) Registered Address. : Sy. No. 180, Jaikesaram (V), Choutuppal (M), Yadadri Bhuvanagiri District, Telangana Telangana 508252
(d) Legal Status of the Company. : Private
(e) Joint Venture (Yes/No) : No

2.	Address for the Correspondence

(a) Name of the Applicant. : Suryanarayana Kamma
(b) Designation (Owner/Partner/CEO) : Managing Director
(c) Address :-
       State : Telangana
       District : Nalgonda
       Town / Village : No
(d) Pin Code : 500070
(e) Email : srlaboratories@gmail.com
(f) Telephone no : No
(g) Fax no : No
(h) Mobile no : 9848899588
(i) Contact Person. : Suryanarayana
(j) Website (if any) : No

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

(a). Major Activity. : 5(f)-API

      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 : Sy.no. 180
(b) Village : Jaikesaram
(c) Tehsil : Choutuppal
(d) District : Yadadri Bhuvanagiri
(e) State : Telangana
(f) Pin Code : 508252
(g) Bounded Latitudes (North) : Yes
        From : Degree:17, Minutes : 18, Seconds :37
        To    : Degree:17, Minutes : 18, Seconds :40
(h) Bounded Longitudes (East) : Yes
        From : Degree:78, Minutes : 58, Seconds :44
        To    : Degree:78, Minutes : 58, Seconds :49
(i) Survey of India Topo Sheet No : E44M15,16

5	Details of Environmental Clearance

(a) Project Name : Expansion of Active Pharma Ingredients (Bulk drug and intermediates) manufacturing unit by M/s. S. R. Laboratories Pvt. Ltd.,
(b) MoEF&CC / SEIAA File No : SIA/TG/IND3/244636/2021
(c) Date of issue of EC : 09/03/2022 (d) Uploaded EC letter :

6	Details of Consent to Operate

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

7	Corrigendum Sought for

Corrigendum in Configuration/ Corrigendums in Clearance condition/ Other (specify) : Change in Utility capacities like Boilers and DG Sets

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 (Bulk drug and intermediates manufacturing) unit	180	Others	Road

9	Details of Configuration (Multiple Entries Allowed)

Details of Configurations
S.no	Plant/ Equipment/ Facility	Existing Configuration	Proposed Configuration	Final configuration after Corrigendum	Remarks if Any
1	Coal Fired Boiler	2 x 3 TPH and 1 x 2 TPH	--	3 x 5 TPH and 1 x 2 TPH , 1 x 3 TPH	* 1 x 2TPH and 1 x 3 TPH will be replaced by 1 x 5TPH after expansion
2	DG Sets	1 x 380 KVA and 2 x 500 KVA	1 x 500 KVA	1 x 380 KVA and 3 x 500 KVA	1 x 380 KVA and 3 x 500 KVA
3	Thermic Fluid Heaters	2 x 2 lakh K.cal/hr	--	2 x 2 lakh K.cal/hr	2 x 2 lakh K.cal/hr

10	Reasons for Corrigendum

Reasons for Corrigendum : Change in Utility capacities like Boilers and DG Sets

11	Any Other Corrigendum required

Any Other Corrigendum Required
S.no	Reference of Approved EC	Description as per Approved EC	Description as per Proposal.	Remarks
1	DG Sets	1 x 380 KVA and 2 x 500 KVA	1 x 380 KVA and 3 x 500 KVA
2	Thermic Fluid Heaters	2 x 2 lakh K.cal/hr	2 x 2 lakh K.cal/hr
3	Coal Fired Boiler	2 x 3 TPH and 1 x 2 TPH	3 x 5 TPH and 1 x 2 TPH , 1 x 3 TPH	* 1 x 2 TPH and 1 x 3 TPH will be replaced by 1 x

12	Details of EIA Consultant

Have you hired Consultant for preparing document (Yes/No) ? : Yes
(i) Accereditation No : NABET/EIA/1821/ SA 0114
(ii) Name of EIA Consultant : Team Labs and Consultants
(iii)Address : B-115,116,117 & 509,ANNAPURNA BLOCK,ADITYA ENCLAVE,AMEERPET,HYDERABAD-38
(iv)Mobile No: 4023748555
(v)Landline No : 4023748555
(vi)E-mail Id : teamlabs@gmail.com
(vii)Category of Accreditation : A
(viii)Sector of Accreditation : 5(F)
(ix)Validity of Accreditation : 04/04/2022 (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
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 : Suryanarayana Kamma (c)Designation: Managing Director (d)Company: M/S. S R LABORATORIES PVT. LTD., (e)Address: Sy. No. 180, Jaikesaram (V), Choutuppal (M), Yadadri Bhuvanagiri District, Telangana Telangana 508252