FORM-3 APPLICATION FOR AMENDMENT IN TOR 1 Name of the Project: Proposed Expansion of Synthetic Organic Chemicals (Disinfectant Intermediates) Manufacturing Facility at Plot No. B- 52/3, MIDC Lote Parshuram, Taluka Khed, Dist. Ratnagiri, Maharashtra by Dorf Ketal Chemicals India Pvt. Ltd. Details of Project a) Name of the Project (s) Proposed Expansion of Synthetic Organic Chemicals (Disinfectant Intermediates) Manufacturing Facility at Plot No. B- 52/3, MIDC Lote Parshuram, Taluka Khed, Dist. Ratnagiri, Maharashtra by Dorf Ketal Chemicals India Pvt. Ltd. b) Name of the Company / Dorf Ketal Chemicals India Pvt. Ltd. Organization c) Registered Address Plot No. B- 52/3, MIDC Lote Parshuram, Taluka Khed, Dist. Ratnagiri, Maharashtra d) Legal Status of the Company Private Limited e) Joint Ventre (Yes/No) No If Yes, (i) No. of JV Partners -- (Multiple Entries Allowed) Name of the JV Share of the JV Address of the Email Id of JV Mobile No. of JV Partner Partner JV Partner Partner Partner -- -- -- -- -- 2 Address for the correspondence Name of the applicant Vishwas Pralhad Khadilkar Designation (Owner / Manager HSE Partner / CEO) Address Plot No. B- 52/3, MIDC Lote Parshuram, Taluka Khed, Dist. Ratnagiri, Maharashtra Pincode 415 722 E-mail
[email protected] Telephone No. -- Fax No. -- 3 Category of the Project/Activity as per Schedule of EIA. Notification, 2006 a Project / Activity[1 (a) (i) / I (a)(ii) / 1 (b) / 1(c) / 5(f) 1(d) / 1 (e) / 2(a) / 2(b) 3(a) / 3(b) / 4(a) / 4(b)(i)/ 4(b) (ii) / 4(c) / 4(d) / 4(e) / 4(f) / 5(a) / 5(b) / 5(c) / 5(d) ! 5(e) / 5(f) / 5(g) / 5(h) / 5(i) / 5(j) / 6(a)/ 6(b)/ 7(a) ,' 7(b)/ 7 (c) / 7 (d) / 7 (da) / 7 (e) / 7 (f) / 7 (g) / 7 (h) / 7 (i) / 8 (a) / 8 (b)] b Category (A/BI/B2) B1 If B1 or B2 Reason for application at Central Level / State level (in Proposed project is within case of B2 projects notified industrial area.