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/Others/18536/2016   (ii). Name of Project for which Forest Land is required : 6 TRUNK PIPELIE REPLACEMENT PROJECT   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : ONGC proposes to build a 4 inch pipeline to transmit well fluids from KSAB ( KASOMARI ARAKAN BASIN) at Kasomarigaon to T Point at Borholla- Khoraghat Pipeline of Assam Assets in Golaghat District of Assam. The Length of Pipeline is 13.837 km and pipeline will be buried at a depth of 1.2 mts from gro   (iv). State : Assam   (v). Category of the Proposal : Others   (vi). Shape of forest land proposed to be diverted : Linear   (vii). Estimated cost of the Project(Rupees in lacs) : 17328   (viii). Area of forest land proposed for diversion(in ha.): 20.72   (ix). Non-forest land required for this project(in ha.): 0   (x). Total period for which the forest land is proposed to be diverted(in years): 25
A-2. Details of User Agency
  (i). Name : ONGC   (ii). Address1 : HES, ROB-III, ONGC, NAZIRA DIST - SIVASAGAR ASSAM   (iii). Address2 : NIL   (iv). State : Assam   (v). District : Sibsagar   (vi). Pin : 785685   (vii). Landmark : NIL   (viii). Email address : 54282@ongc.co.in   (ix). Landline Telephone No. : 3772-252089   (x). Fax No. : 3772-   (xi). Mobile No. : 9435715024   (xii). Website (if any) : www.ongcindia.com   (xiii). Legal status of User Agency : Central PSU
A-3. Details of Person Making Application
  (i). First Name: Jyotsna   (ii). Middle Name: NIL   (iii). Last Name: Pegu   (iv). Gender: Female   (v). Designation: Chief Engineer (E)   (vi). Address 1: E&P Section, ES, ROB-II, ONGC, Nazira   (vii). Address 2: NIL   (viii). State: Assam   (ix). District: Sibsagar   (x). Tehsil: NIL   (xi). Pin: 785685   (xii). Landmark: NIL   (xiii). Email Address: pegu_jyotsna@ongc.co.in   (xiv). Landline Telephone No.: 3772-241688   (xv). Fax No.: NIL   (xvi). Mobile No.: 9435715193   (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
1ApprovedAG/19/ONGC/386-87 Dt 09.04.20123-AS B108/2013-SHI3.1443.14414 Oct 201320 Feb 2014
Total 3.144 3.144
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.Golaghat20.720
Total20.720
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Golaghat20.720
Total20.720
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
NIL
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1KSAB TO T POINT20.71950
Total 20.7195 0
C. Maps of forest land proposed to be diverted
Division 1. : Golaghat
  (i). Area of forest land proposed to be diverted(in ha.) : 20.72   (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).
1.20.72    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 ?: No
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-11011/563/2011-IA-II
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?: 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
1MOEF LETTER FOR EXEMPTION
2STATUS ONLINE SUBMISSION TO EC
3NEAREST WILD LIFE
4BARE MINIMUM AREA
5ROUTE SELECTION
6MINING LEASE LETTER
7FOREST BREAK UP DETAILS
8REASON FOR JIG JAG SURVEY
9UNDERTAKING FOR DGPS SURVEY
10UNDERTAKING FOR NPV
11FRA CERTIFICATE FROM DC
12PROJECT ARAE IN RF JUSTIFICATION
13CLARIFICATION REGARDING KSAB WELL SITE
14APPROVAL LETTER FOR DIVERSION OF 1.8 HA KSAB SITE UNDER DYANG RF
15FOREST CLEARANCE LETTER OF T POINT IN KHORAGHAT BORHOLLA PIPELINE
16COVERING LETTER FOR FOREST CLEARANCE LETTER OF T POINT IN KHORAGHAT BORHOLLA PIPELINE
17Acknowledge for submission of hard copy to Deputy Commissioner office