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/AS/IND/16231/2015   (ii). Name of Project for which Forest Land is required : Dirok Field Development Project   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : As part of the Dirok Field Development Project, following discovery of gas, Consortium has planned development activities to transport the extracted gas from Dirok field to existing Kusijan Gas Gathering station, through an underground gas pipeline.   (iv). State : Assam   (v). Category of the Proposal : Industry   (vi). Shape of forest land proposed to be diverted : Linear   (vii). Estimated cost of the Project(Rupees in lacs) : 9000   (viii). Area of forest land proposed for diversion(in ha.): 4.8444   (ix). Non-forest land required for this project(in ha.): 2.99   (x). Total period for which the forest land is proposed to be diverted(in years): 40
A-2. Details of User Agency
  (i). Name : OIL INDIA LIMITED   (ii). Address1 : OIL INDIA LIMITED DULIAJAN District : Dibrugarh   (iii). Address2 : NIL   (iv). State : Assam   (v). District : Dibrugarh   (vi). Pin : 786602   (vii). Landmark : Adjacent to Police Station   (viii). Email address : safety@oilindia.in   (ix). Landline Telephone No. : 374-2800542   (x). Fax No. : 374-2801796   (xi). Mobile No. : 9435039020   (xii). Website (if any) : www.oilindia..com   (xiii). Legal status of User Agency : Central PSU
A-3. Details of Person Making Application
  (i). First Name: Ajit   (ii). Middle Name: Chandra   (iii). Last Name: Haloi   (iv). Gender: Male   (v). Designation: CGM(HSE)   (vi). Address 1: Safety & Environment Department , Oil India Limited, Duliajan   (vii). Address 2: NIL   (viii). State: Assam   (ix). District: Dibrugarh   (x). Tehsil: NIL   (xi). Pin: 786602   (xii). Landmark: Near Union Office   (xiii). Email Address: safety@oilindia.in   (xiv). Landline Telephone No.: 374-2800542   (xv). Fax No.: 03742801796   (xvi). Mobile No.: 9435185558   (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
List of 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
NIL
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.Digboi4.84442.99
Total4.84442.99
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Tinsukia4.84442.99
Total4.84442.99
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Borapowai Tea Garden02.798
2Golai Gaon No-100.192
3Digboi and Upper Dihing Reserve Forest (west block4.84440
Total 4.8444 2.99
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1underground gas pipeline in forest area4.84440
2u/g gas pipeline in Non forest area of paddy field00.405
3u/g gas pipeline in non forest area of tea garden01.052
4u/g gas pipeline in non forest area at paddy field01.53
Total 4.8444 2.987
C. Maps of forest land proposed to be diverted
Division 1. : Digboi
  (i). Area of forest land proposed to be diverted(in ha.) : 4.8444   (ii). Nature of the Project: Linear   (b). No. of Segments : One
Segment wise details
Segments Segment Area(in ha.) Kml File of Segments
(To view KML file on google the same may be downloaded and then open if in google earth install in your computer).
1.4.8444    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:   (ii). Whether a copy of map indicating location of alternative examine is required to be provided: Yes   (a). Copy of map indicating location of alternative examined:
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 25   (iii). Temporary Employment(Number of person-days): 100
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-11011/245/2014-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? : Yes   (a). Whether Project or a part thereof is located within a Protected Area ? : No   (ii). Status of approval of the Standing Committee of National Board for the Wildlife(NBWL) to the Project : Application under process   (a). Date of submission of proposals : 17 Jul 2015   (b). Current status : NIL
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?: Not Applicable   (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 ?: Not Applicable   (iii) . Reason for not providing Non-Forest Land: Not Applicable
Additional information Details
Documents
S.No Documents
Remarks
1List and Description of Annexure
2Intimation letter to Principal Chief Conservator of Forests, Wildlife regarding changes in pipeline route
3Data and information against the column L of the application regarding Compensatory Afforestation with signature of authorized officer
4Explanation letter regarding role of HOEC in proposed project and consideration of HOEC for submission of Environmental and Wildlife clearance application
5Certification for minimum use of forest land in Non-Judicial stamp paper
6Undertaking for payment of cost of compensatory afforestation in Non- Judicial stamp paper
7Undertaking for payment of Net Present Value(NPV) of forest area in Non-Judicial stamp paper
8Undertaking for pipeline route survey in Non-Judicial stamp paper
9Extract of pages from Production Sharing Contract signed with Government of India and Joint Venture Consortium
10Copy of Environmental Clearance obtained by M/s Hindustan Oil Exploration Company Ltd on behalf of Consortium for the Exploratory phase of the project
11Copy of the National Board for Wildlife (NBWL ) minutes - recommending M/s Hindustan Oil Exploration Company Ltd on behalf of Consortium for drilling appraisal well in the Block
12Copy of the State Board for Wildlife (SBWL) minutes - recommending M/s Hindustan Oil Exploration Company Ltd on behalf of Consortium for Development phase of the project in the same Block
13Intimation letters to Director General of Mines Safety by Operator M/s Hindustan Oil Exploration Company Ltd on behalf of Consortium for opening of Mines and appointment of responsible persons
14Copy of Consent obtained from State Pollution Control Board by M/s Hindustan Oil Exploration Company Ltd on behalf of Consortium for establishing and operating in the Block
15Copy of the Environmental Clearance application submitted for the proposal
16Copy of the Wildlife Clearance application submitted for the proposal
17Pointwise reply submitted - query raised on 5th March 2016
18Details of proposal submitted by user agency in past - information as per section A-2 (xiii) and B (ii) of the application