View Form A Part 1

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/JH/Pipeline/152551/2022 (ii). Name of Project for which Forest Land is required : Paradip - Numaligarh Crude Oil Pipeline (PNCPL) Project (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : NRL is expanding its refining capacity from existing 3.0 MMTPA to 9.0 MMTPA to cater to the growing demand of petroleum products namely Petrol, Diesel, LPG, Kerosene etc. in the East-ern and North eastern States and parts of West Bengal, Bihar and Jharkhand. The additional Crude Oil required for the (iv). State : Jharkhand (v). Category of the Proposal : Pipeline (vi). Shape of forest land proposed to be diverted : Linear (vii). Estimated cost of the Project(Rupees in lacs) : 225940000 (viii). Area of forest land proposed for diversion(in ha.): 6.206 (ix). Non-forest land required for this project(in ha.): 251.0584 (x). Total period for which the forest land is proposed to be diverted(in years): 99

A-2.	Details of User Agency

(i). Name : NUMALIGARH REFINERY LIMITED (ii). Address1 : Numaligarh Refinery Limited, 122A, G.S Road, Christianbasti, Guwahati - 781005 (iii). Address2 : NIL (iv). State : Assam (v). District : Kamrup (vi). Pin : 781005 (vii). Landmark : NIL (viii). Email address : hemjyoti.das@nrl.co.in (ix). Landline Telephone No. : 91-361-2203140 (x). Fax No. : 91- (xi). Mobile No. : 9957316013 (xii). Website (if any) : nrl.co.in (xiii). Legal status of User Agency : Central PSU

A-3.	Details of Person Making Application

(i). First Name: Indrajit (ii). Middle Name: NIL (iii). Last Name: Kaman (iv). Gender: Male (v). Designation: Chief Manager (Project - Pipel (vi). Address 1: Numaligarh Refinery Limited, 122A, G.S Road, Christianbasti, Guwahati - 781005 (vii). Address 2: NIL (viii). State: Assam (ix). District: Kamrup (x). Tehsil: NIL (xi). Pin: 781005 (xii). Landmark: NIL (xiii). Email Address: indrajit.kaman@nrl.co.in (xiv). Landline Telephone No.: 3776-26541 (xv). Fax No.: NIL (xvi). Mobile No.: 8254930044 (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.	Dumka	6.101	96.9884
2.	Godda	0.105	154.07
Total		6.206	251.0584

B-2.2

Details of Districts involved

District wise breakup
S.no	District Name	Forest Land(ha.)	Non-Forest Land(ha.)
1.	Dumka	6.101	96.9884
1.	Godda	0.105	154.07
Total		6.206	251.0584

B-2.3

Village wise breakup

Villages wise breakup
S.no	Village	Forest Land(ha.)	Non-Forest Land(ha.)
1	Baredih-775	0	2.1204
2	Ghat Gamheria-767	0	2.1222
3	Nunajor-750	0	1.8522
4	Bhogan-751	0	1.179
5	Kaithia-752	0	0.5148
6	Lakhipur-725-733	0	1.2798
7	Durgapur-726	0	0.8496
8	Maniamor-724	0	0.6966
9	Karnu-688	0	2.637
10	Tewarijor-599	0	0.6336
11	Beltikri-600	0	0.2412
12	Tetaria -597	0	0.495
13	Hazara Chak- 586	0	0.3528
14	Lilambar-588	0	0.6084
15	Rahimkita- 585	0	0.387
16	Sirsa Kalan- 571	0	0.7974
17	Bhaluchak- 573	0	0.4554
18	Moharaghat- 574	0	0.3708
19	Mahuara-575	0	1.3554
20	Chaujora Ghat-523	0	0.3114
21	Chaujora Mal-522	0	0.7254
22	Kamargawan-524	0	0.72
23	Chainpur-544	0	0.1188
24	Gosain Chak-527	0	0.6606
25	Majhona-530	0	0.648
26	Daniala-531	0	0.135
27	Gokula-529-418-422	0	0.1656
28	Kaira-532	0	0.405
29	Sarbhanga-421	0	1.7568
30	Baswara-506	0	0.4518
31	Sarautia-426	0	1.881
32	Khaira Natkia-396	0	0.603
33	Rajaun-397	0	0.3618
34	Madhura-398	0	3.7188
35	Baniadih-404	0	1.0818
36	Marpa-405	0	0.468
37	Jorawar Kita-381	0	1.3374
38	Barajol-2/41	0	1.5138
39	Pakhuria-2/39	0	2.3058
40	Tilabani-37	0	0.7866
41	Patharadah-29	0.04	1.3082
42	Kadma-27	0.099	2.4678
43	Hatkadma-28	0	1.2132
44	Asna-13	0.484	4.2158
45	Palasi-15	0.069	3.054
46	Jogi Khop-16	0.03	2.5638
47	Parbatpur-8	0.213	3.4914
48	Latbedha-2	0.229	0.5702
49	Saraidaha-30	0	1.2888
50	Rambani-29	0.258	1.5924
51	Kesragarh-16	0	0.2646
52	Pokharia-15	0	2.2968
53	Dhopahar-13	0.082	3.8708
54	Simla-12	0.065	3.5746
55	Lakhanpur-3	0	1.035
56	Dudhani-2	0	2.097
57	Mudbhanga-37	0	2.2842
58	Sidpahari-35	0	2.4894
59	Amradum-27	0.133	1.19
60	Dhagria-26	0.365	2.5618
61	Baghapathar-20	0.137	1.528
62	Murlidum-23	0.212	1.6168
63	Kurwa-22	0.094	0.6512
64	Kadma-19	0.069	1.209
65	Kodal Chhola-18	0.225	3.0258
66	Lakhanpur-17	0.031	1.517
67	Paharpur-16	0.039	2.1228
68	Astajora-15	0.562	2.6114
69	Aluada-10	0.172	0.683
70	Pipra-2	0.634	2.8328
71	Bhandaro-22	0.583	2.9144
72	Ledapathar-21	0.339	1.605
73	Jhagrahi-20	0.032	1.2586
74	Raibandh-18	0.099	0
75	Dahujor-29	0	1.2402
76	Milanpahari-23	0.164	1.312
77	Chhota Simalpahari-24	0.056	1.0384
78	Bara Simalpahari-25	0.057	1.0248
79	Siltha-30	0.041	0.9526
80	Basduma-28	0.401	2.2162
81	Duar Pahari-27	0	1.206
82	Baliakhora-22	0	2.7792
83	Pandniduma-14	0	1.3518
84	Rajamara-13	0	1.71
85	Dando-8	0	2.2914
86	Mahuapathar-9	0	1.4418
87	Kusbedia-6	0	0.7524
88	Raiadih-5	0	0.6228
89	Damudih-4	0	1.8936
90	Kushdiha-3	0	1.5858
91	Asna-210	0	2.9286
92	Kairasol-207	0	3.3606
93	Sidhbank- 206	0.061	5.5442
94	Boha-204	0.044	2.6164
95	Dulu-574	0	1.5372
96	Budhikura-572	0	4.0104
97	Siyarkatiya-571	0	2.4462
98	Danga-569	0	0.7524
99	Jamkudar-570	0	2.3544
100	Malmala - 567	0	0.038
101	Shahari - 565	0	5.6016
102	Kundadah - 562	0	1.0188
103	Amjora-560	0	0.567
104	Hijaljor-561	0	1.89
105	Rajdaha-553	0	2.2536
106	Jainagar Piparjoria-550	0	1.845
107	Birbal Tola-551	0	1.521
108	Nandupahari-549	0	1.953
109	Dhokal Tola- 548	0	1.8936
110	Nonbatta-538	0	2.2644
111	Makhni-533	0	5.0076
112	Majhdiha-532	0	0.963
113	Lachhmi-531	0	1.2888
114	Daldali-495	0	4.8276
115	Banka Ghat-540	0	0.018
116	Ranidih-442	0	2.7576
117	Kubjighat-450	0	1.7802
118	Karhariya Mal-449-454	0	0.6714
119	Ratrati-448	0	0.9972
120	Mahugariya-447	0	0.013
121	Amghata-455	0	0.3762
122	Dhopahari-457	0	0.7578
123	Kajradah-458/445	0	0.7614
124	Chinadhab-436	0	3.0042
125	Koadhab-434	0	0.4032
126	Gaychhand-435	0	1.5318
127	Sabaijora-432	0	2.8818
128	Paraspani-430	0	3.3372
129	Badalpur-428	0	2.1258
130	Barhara-189	0	2.241
131	Kharhiani-188	0	1.863
132	Saranda-186	0	1.7514
133	Bargama-184	0	1.341
134	Baredih -175	0	1.2402
135	Barmasia-182	0	0.026
136	Kasturiya-176	0	2.3346
137	Tengar-168	0	1.7496
138	Dharmapur-380	0	1.1376
139	Gousi Chak-369	0	1.116
140	Bhairo Nagar-364	0	0.1476
141	Indarman Kita-368	0	0.4752
142	Dhankuria-354	0	2.1888
143	Choura-340	0	1.0422
144	Phadulia Kita-341	0	0.0828
145	Lakramara-342	0	2.2932
146	Nima-344	0	1.0476
147	Amor-13	0	1.7676
148	Doi-321	0	1.53
149	Sudin-16	0	1.0062
150	Doarika Kita-319	0	0.63
151	Meharma- 18	0	3.5028
152	Sankarpur-23	0	2.9916
153	Hira Kita-25	0	0.5418
154	Patichak Pirojpur-30	0	1.4904
155	Dhamri Gopalram-33	0	1.0206
156	Itahari-34	0	2.313
157	Masuria-35	0	0.7992
158	Mahulbana-30	0.087	1.9576
Total		6.206	251.0584

B-2.4

Component wise breakup

Component wise breakup
S.no	Component	Forest Land(ha.)	Non-Forest Land(ha.)
1	26" dia Crude Oil Pipeline (Forest Division Godda)	0.105	154.07
2	26" dia Crude Oil Pipeline (Forest Division Dumka)	6.101	96.9884
Total		6.206	251.0584

C.	Maps of forest land proposed to be diverted

Division 1. : Dumka

(i). Area of forest land proposed to be diverted(in ha.) : 6.101 (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.	6.101	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:

Division 2. : Godda

(i). Area of forest land proposed to be diverted(in ha.) : 0.105 (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.	0.105	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): 20 (iii). Temporary Employment(Number of person-days): 40

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?: Yes (a). Copy of Cost-Benefit analysis:

H.	Status of Environmental Clearance

(i). Whether the Project requires Clearance under the Environment (Protection) Act 1986 ? : No

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
1		Dumka Proposal Letter
2		Godda Proposal Letter
3		EVALUATION OF LOSS OF FOREST
4		UNDERTAKING FOR PAYMENT OF COST OF COMPENSATORY AFFORESTATION
5		BRIEF DESCRIPTION OF PARADIP- NUMALIGARH CRUDE OIL PIPELINE
6		UNDERTAKING FOR COMPLETE COMPLIANCE OF FRA, 2006
7		Non Forest Area Statement
8		DUMKA DISTRICT FOREST LAND ROR
9		GODDA DISTRICT FOREST LAND ROR
10		Anchal-Dumka Sadar C.O Plot Verify
11		Anchal Kathikund CO Plot Verify
12		Anchal Ramgarh CO Plot Verify
13		Anchal Ranishwar CO Plot Verify 1
14		Anchal Ranishwar CO Plot Verify 2
15		Anchal Shikaripara CO Plot Verify
16		Anchal-Godda Sadar C.O Plot Verify
17		Anchal Mahagama C O Plot Verify
18		Anchal Meharma C O Plot Verify
19		Anchal Pathargama C O Plot Verify
20		Anchal Porayahat C O Plot Verify
21		Forest Land demarcation letter
22		Undertaking for Jangle Jhari NOC
23		Deemed Forest Letter, Godda
24		Undertaking for NPV
25		Forest Area Statement
26		Forest Area StatCERTIFICATE FOR MINIMUM USE OF FOREST LANDement