FORM - A
Form for seeking prior approval of Central Government under section 2 of the Forest(Conservation) Act,1980 for Diversion of fresh forest area
PART - I
(To be filled up by User Agency)
A. General Details
A-1. Project Details
  (i). Proposal No. : FP/TR/Others/18888/2016   (ii). Name of Project for which Forest Land is required : Proposal for diversion of 1.368 Hact.(3.379 Acre) forest land for construction of Drill Site,Waste pit,Drill Site Accommodation,TSR Camp and its approach road for location called Dev2A.   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Construction of Drill Site,Waste pit,Drill Site Accommodation,TSR Camp and its approach road for location called Dev2A where drilling has been planned for exploration of Hydrocarbon. The area has been found geologically prospective on the basis of seismic and geophysical survey.   (iv). State : Tripura   (v). Category of the Proposal : Others   (vi). Shape of forest land proposed to be diverted : Non Linear   (vii). Estimated cost of the Project(Rupees in lacs) : 5700   (viii). Area of forest land proposed for diversion(in ha.): 1.368   (ix). Non-forest land required for this project(in ha.): 0.93   (x). Total period for which the forest land is proposed to be diverted(in years): 50
A-2. Details of User Agency
  (i). Name : JUBILANT OIL AND GAS PVT LTD   (ii). Address1 : Jubilant Oil and Gas Pvt Ltd, Shree Niketan Guest House, Nutan nagar, Airport Road, Agartala, Tripura-799009.   (iii). Address2 : Jubilant Oil and Gas Pvt Ltd, Plot No.-15, Knowledge Park-II, Greater Noida, Dist-Gautam Budh nagar, U.P. 201306.   (iv). State : Tripura   (v). District : District West   (vi). Pin : 799009   (vii). Landmark : Near Nutan Nagar Market.   (viii). Email address : dinesh_sawan@jubilantenergy.com   (ix). Landline Telephone No. : 381-2342491   (x). Fax No. : NIL   (xi). Mobile No. : 8974036116   (xii). Website (if any) : www.jubilantenergy.com   (xiii). Legal status of User Agency : Joint Venture(Pvt+Govt.)
A-3. Details of Person Making Application
  (i). First Name: Dinesh   (ii). Middle Name: Kumar   (iii). Last Name: Sawan   (iv). Gender: Male   (v). Designation: Base Manager   (vi). Address 1: Jubilant Oil and Gas Pvt Ltd, Shree Niketan Guest House, Nutan nagar, Airport Road, Agartala, Tripura-799009.   (vii). Address 2: Jubilant Oil and Gas Pvt Ltd, Plot No.-15, Knowledge Park-II, Greater Noida, Dist-Gautam Budh nagar, U.P. 201306.   (viii). State: Tripura   (ix). District: District West   (x). Tehsil: NIL   (xi). Pin: 799009   (xii). Landmark: Near Nutan Nagar Market.   (xiii). Email Address: dinesh_sawan@jubilantenergy.com   (xiv). Landline Telephone No.: 91-3812342491   (xv). Fax No.: 911207186240   (xvi). Mobile No.: 8974036116   (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 proposal seeking prior approval of Central Government under the Act for diversion of forest land for the Project already submitted in the past
Proposal Submitted in Past
S.no Proposal Status. Proposal No. Moef File No. Area Proposed for Diversion(Ha.) Area Diverted(Ha.) Date of In-Principle Approval Date of Final Approval
1ApporvedState Sl. No.2007/25 Dated 13/06/2007No.3-TR B 113/2007-SHI/1388-900.2380.23804 Dec 200707 Jul 2008
2Under Processing in MoEFFP/TR/MIN/4/2014 Dated 27.11.2014No.3-TR B 027/2015-SHI/631-327.7570
3Under Processing in MoEFState Sl. No. 2014/10 of Dated 11.08.2014No.3-TR B 025/2015-SHI/524-254.260
4Under Processing in MoEFState Sl. No. 2014/09 of Dated 05.08.2014No.3-TR B 030/2015-SHI/842-4340
5Under Processing in MoEFState Sl. No. 2014/08 of Dated 30.07.2014No.3-TR B 024/2015-SHI/520-213.860
Total 20.115 0.238
B-2. Details of forest land proposed to be diverted
B-2.1 Details of Divisions involved
Details of Divisions involved
S.no Division Name Forest Land(ha.) Non-Forest Land(ha.)
1.South District Forest1.3680.93
Total1.3680.93
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.South Tripura1.3680.93
Total1.3680.93
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Birendranagar1.3680.93
Total 1.368 0.93
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Internal Road0.2690.228
2Drivers Rest Room00.012
3Control Room00.015
4Offices00.03
5Medical Room00.015
6Chemical Shed00.015
7ETP00.015
8Vehicle and Trailor Parking00.13
9Cement Shed0.0010.0514
10Pipe Racks0.060
11Misc Stores00.015
12Safety Stores00.015
13Fuel Oil Lube Store00.015
14Drilling Platform0.26290.0971
15Waste Pit0.05730.0552
16Mud Pit0.11250
17Flare Pit0.0420
18VSP Pit0.0420
19Water Pit0.0420
20Generator Sets00.015
21Loging Unit00.015
22TSR Camp0.11970
23Drill Site Accomodation0.17190
24Open Area0.1780.189
25Approach Road0.0080
Total 1.3663 0.9277
C. Maps of forest land proposed to be diverted
Division 1. : South District Forest
  (i). Area of forest land proposed to be diverted(in ha.) : 1.368   (ii). Nature of the Project: Non Linear   (a). No. of patches : One
Patch wise details
Patch No. Area of Patch(in ha.) Kml File of PatchesTo view KML file on google the same may be downloaded and then open if in google earth install in your computer.
1.1.368    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:
D. Justification for locating the Project in forest land and details of alternatives examined:
  (i). Copy of note containing justification for locating the Project in forest land:
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 6   (iii). Temporary Employment(Number of person-days): 20
F. Displacement of People due to the Project, if any
  (i). Whether Project involves displacement?: No
G. Details of Cost-Benefit analysis for the Project
  (i). Whether the Project requires Cost-Benefit analysis?: No
H. Status of Environmental Clearance
  (i). Whether the Project requires Clearance under the Environment (Protection) Act 1986 ? : Yes   (a). Status of the Environmental Clearance to the Project: EC under process   (ii). Environmental Clearance File No.: J-11011/248/2013-IAII(I)
I. Status of Wildelife Clearance
  (i). Whether the Project or a part thereof is located in any Protected Area or their Eco sensitive zone? : No
J. Applicability of special provisions governing Scheduled Areas
  (i).Whether the Project or a part thereof is located in a Scheduled Area? : No
K. Status of settlement of rights under the Forest Rights Act,2006 on the forest land proposed to be diverted
  (i). Whether the process for settlement of Rights under the Forest Rights Acts 2006 on the forest land proposed to be diverted has been completed? : Yes   (a). Copy of documentry evidence in support of settlement of rights under the Forest Rights Act,2006 on the forest land proposed to be diverted:
L. Details of land identified for Compensatory Afforestation
  (i). Whether non-forest or Revenue forest land is required to be provided by User Agency?: No   (ii). Whether the area of non-forest land or Revenue forest land required to be provided by User Agency for raising Compensatory Afforestation is less than area of forest land proposed to be diverted ?: No   (iii) . Reason for not providing Non-Forest Land: Others
Additional information Details
Documents
S.No Documents
Remarks
1Certificate for payment of cost of Compensatory Afforestation
2Certificate for Payment of Net Present Value (NPV)
3Certificate for Minimum requirement of Area
4Certificate for Justification of the area required
5Certificate for Selection of proposed site for Drillsite Drillsite Accommodation Wastepit TSR CAMP and approach road location called Dev2A
6Land Statement of Drillsite Accommodation Wastepit TSR CAMP and approach road location called Dev2A
7Certificate for Purpose wise Breakup of utilization of proposed land
8Certificate for Short Narrative of Proposal and project scheme
9Environmental Clearance Certificate
10Layout Plan of proposed site Dev2A
11Mauja Map of proposed site Dev2A
12Undertaking for Sufficient of Land parcel for Proposed Drillsite Drillsite Accommodation Wastepit TSR Camp and approach road for proposed site Dev2A
13Letter of Intent
14Certificate in connection competence authority of preson making application
15Certificate for Alternative examine
16Undertaking for Justification for Extension
17Prospecting Activities undertaken samples report
18Communication letter with Survey of India in connection Toposheet
19Certificate in connection online submission of proposal
20Undertaking for forest area required in future for exploration activities
21Undertaking in connection with GAIL,Jubilant and Govt of India (MoPNG)
22Undertaking to pay extraction charges of trees removed from the forest land involved
23Certificate for distance from Wild Life Sanctuary
24Acknowledgement copy of Letter to concern DM Collector to issue the RFR Certificate
25Georeferenced Map of Proposed site
26Response to Forest letter dated 6 Feb 2021
27Response to DFO letter 30.05.2022