Application for approval under section 2 (iii) of Forest conservation Act 1980 for signing of lease agreement
PART - I
(To be filled up by User Agency)
A. General Details
A-1. Project Details
  (i). Proposal No. : FP/AR/MIN/35810/2018   (ii).Have your proposal accorded stage-I clearance under section 2(ii) : No   (iii). Name of Project for which Forest Land is required : KHEREM AA/ONDSF/Kherem/2016 Development Proposal   (iv). State : Arunachal Pradesh   (v). Category of the Proposal : Mining   (vi). Shape of forest land proposed to be diverted : Hybrid   (vii). Forest Area involved in proposed Lease(in ha.): 200   (viii). Non-Forest Area involved in proposed Lease(in ha.): 1300   (ix).Whether mining in non-forest area is in progress : No   (x). Whether mining in part forest area is in progress : No
A-2. Details of User Agency
  (i). Name : Hindustan Oil Exploration Company Ltd   (ii). Address1 : "HOEC House" Tandaljia Road, Vadodara -390020, Gujarat   (iii). Address2 : "HOEC House" Tandaljia Road, Vadodara -390020, Gujarat   (iv). State : Tamil Nadu   (v). District : Chennai   (vi). Pin : 600018   (vii). Landmark : 192, St.Mary's Road   (viii). Email address : gjanakiraman@hoec.com   (ix). Landline Telephone No. : 9144-66229000   (x). Fax No. : 9144-66229011   (xi). Mobile No. : 9840900717   (xii). Website (if any) : www.hoec.com   (xiv). Legal status of User Agency : Joint Venture(Pvt+Govt.)
A-3. Details of Person Making Application
  (i). First Name: G.JANAKIRAMAN   (ii). Middle Name: NIL   (iii). Last Name: NIL   (iv). Gender: NIL   (v). Designation: HSE MANAGER   (vi). Address 1: HOEC House Tandaljia Road, Vadodara -390020, Gujarat   (vii). Address 2: HOEC House Tandaljia Road, Vadodara -390020, Gujarat   (viii). State: Tamil Nadu   (ix). District: Chennai   (x). Tehsil: NIL   (xi). Pin: 600018   (xii). Landmark: 192, St.Mary's Road   (xiii). Email Address: gjanakiraman@hoec.com   (xiv). Landline Telephone No.: 9144-66229000   (xv). Fax No.: 66229011   (xvi). Mobile No.: 9840900717   (xvii). Copy of documents in support of the competence/authority of the person making this application to make application on behalf of the User Agency:
B. Details of Land required for the project
B-1 Details of forest land proposed to be diverted
Details of Divisions involved
S.no Division Name Forest Land(ha.) Non-Forest Land(ha.)
1.Nampong Forest Division,Jairampur2001300
B-2 District wise breakup
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Changlang2001300
B-3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Bordumsa2001300
C. Maps of forest land proposed to be leased
Division 1. : Nampong Forest Division,Jairampur
  (i). Area of forest land proposed to be leased(in ha.) : 200   (ii). Nature of the Project: Hybrid   (a). No. of patches : One
Patch wise details
Patch No. Area of Patch(in ha.) Kml File of Patches
1.200    View File
  (b). No. of Segments : One
Segment wise details
Segments Segment Area(in ha.) Kml File of Segments
1.0    View File
  (iii). Copy of Survey of India Toposheet indicating boundary of forest land proposed to be diverted:   (iv). Scanned copy of the Geo-referenced map of the forest land proposed to be diverted prepared by using GPS or Total Station:   (v).Uploaded a file of the project area outer boundary:     View File
D. Displacement of People due to the project
  (i). Whether the project involved displacement: No
E. Details of Mining Plan
  (i). Is mining plan approved: Yes   (ii). Date of approval of mining plan: 02 Jun 2017   (iii). Uploaded a copy of approved mining plan:   (iv). Nature of mining (underground/opencast): Underground
Additional information Details
Documents
S.No Documents
Remarks
1
2
I fully understand that the permission under Section 2 (iii) of Forest Conservation Act, 1980 do not confer upon me any right to claim for physical diversion of forest and under section 2 (ii) of Forest Conservation Act, 1980.