Report Part 1

APPENDIX I

(See Paragraph-6)

FORM 1

Note : If space provided against any parameter is inadequate, Kindly upload supporting document under 'Additional Attachments if any' at the last part of the Form1. Please note that all such Annexures must be part of single pdf document.

(I) Basic Information

S.No.

Item

Details

Is your project Comes under Notified Industrial Area

	Whether proposal involved violation of EIA notification	N/A
	Weather Consent to Establishment Obtained	N/A
	Upload copy of CTE	N/A

Name of the Project/s	To lay Natural Gas transportation pipeline by GSPL of approx. length 86.615 km & 36” Dia. to connect proposed LNG Terminal of HPCL Shapoorji Energy Pvt. Ltd. (HSEPL) from village- Chhara (dist.: Gir-Somnath) to Gujarat State Petronet Ltd. (GSPL)'s Dispatch terminal at village- Lonthpur (dist.-Amreli) in state of Gujarat with associated facilities of 03 SV Stations, 01 DT & 01 RT.
Brief summary of project	Annexure-Brief summary of project
Proposal Number	IA/GJ/IND2/136431/2020
Project Cost	62200 lacs

S. No. in the schedule	6(a) Oil & gas transportation pipe line (crude and refinery/ petrochemical
Project Sector	Industrial Projects - 2

Proposed capacity/area/length/tonnage to be handled/command area/lease area/number or wells to be drilled

Pipeline length : 86.615 Km, Diameter: 36”, Capacity: 18 MMSCMD ha.

New/Expansion/Modernization

New

Existing Capacity/Area etc.

0 ha.

Category of project i.e. 'A' or 'B'

Does it attract the general condition? If yes, please specify	Yes
c)	Notified Eco-sensitive areas

Does it attract the specific condition? If yes, please specify

Location of the project	Gujarat
Shape of the project land	Block (Polygon)
Uploaded GPS file	Annexure-GPS file
Uploaded copy of survey of India Toposheet	Annexure-Survey of india toposheet
Plot/Survey/Khasra No.	As per route map attached as Annexure I
Town / Village	Jafrabad, Rajula, Una, Kodinar
State of the project	Gujarat

Details of State of the project
S.no	State Name	District Name	Tehsil Name
(1.)	Gujarat	Gir Somnath	Una
(2.)	Gujarat	Gir Somnath	Una
(3.)	Gujarat	Gir Somnath	Una
(4.)	Gujarat	Gir Somnath	Kodinar
(5.)	Gujarat	Gir Somnath	Kodinar
(6.)	Gujarat	Gir Somnath	Kodinar
(7.)	Gujarat	Amreli	Jafrabad
(8.)	Gujarat	Amreli	Jafrabad
(9.)	Gujarat	Amreli	Jafrabad
(10.)	Gujarat	Amreli	Rajula
(11.)	Gujarat	Amreli	Rajula
(12.)	Gujarat	Amreli	Rajula

10.

Nearest railway station along with distance in kms	Gir Ghadhada, 0.707 km
Nearest airport along with distance in kms	Diu, 17 km

11.

Nearest Town/City/District Headquarters along with distance in kms

Village Lonthpur, Taluka-Jafrabad, Distric- Amreli , 0.5 km

12.

Village Panchayats, Zila Parishad, Muncipal Corporation, Local body (Complete postal address with telephone nos. to be given)

As per Annexure IV in additional attachment

13.

Name of the Applicant

VIVEK

14.

Registered Address

Plot No. E-18, GIDC Electronic Estate, Nr. K-7 Circle, Sector-26, Gandhinagar-382 028.

15.

Address for correspondance:
Name of the Company	GUJARAT STATE PETRONET LIMITED
Name of the Applicant	VIVEK
Designation (Owner/ Partner/ CEO)	Assistant General Manager (AGM)
Pin code	382028
E-mail	kanika@gspc.in
Telephone No.	79-23268528
Fax No.	79-7923268506
Copy of documents in support of the competence/authority of the person making this application to make application on behalf of the User Agency .	Annexure-Uploaded Copy of documents in support of the competence/authority

16.

Details of Alternative Sites examined, if any. Location of these sites should be shown on a toposheet	Yes
Uploaded details	Annexure-Uploaded details

17.

Whether part of Interlinked projects?

18.

Whether separate application of Interlinked project has been submitted?

N/A

19.

If Yes, MoEF file number	N/A
Date of submission	N/A

20.

If No, Reason

N/A

21.

Whether the proposal involves Approval/ Clearance under: if yes, details of the same and their status to be given
(i) Whether the proposal involves approval/clearance under the Forest (Conservation) Act,1980?	Yes
Status	Forest Clearance Under Process(Stage-I)
(ii) Whether the proposal involves approval/clearance under the wildlife (Protection) Act,1972?	Yes
Status	Wildlife Clearance Under Process
MoEF file number	FP/GJ/Pipeline/4212/2019
(iii) Whether the proposal involves approval/clearance under the C.R.Z notification, 2011?	No

22.

Whether there is any Government Order/Policy relevant/relating to the site?	Yes
Uploaded Order/Policy	Annexure-Uploaded order/policy

23.

Whether any Forest Land Involved?	Yes
Area of Forest land Involved (hectares)	0.14Ha( 0.08Ha in Gir Somnath +0.06Ha in Amreli) ha.

24.

Whether there is any litigation pending against the project and/or land in which the project is proposed to be set up?	No
(a) Name of the Court	N/A
(b) Name of the Sub court	N/A
(c) Case No.	N/A
(d) Orders/directions of the court, if any and relevance with the proposed project	N/A

(II) Activity

1	Construction, operation or decommissioning of the Project involving actions, which will cause physical changes in the locality (topography, land use, changes in water bodies, etc.)

S.No

Information/Checklist confirmation

Yes/No

Details there of (with approximate quantities/rates, wherever possible) with source of information data

1.1

Permanent or temporary change in land use, land cover or topography including increase in intensity of land use (with respect to local land use plan)

Yes

Temporary Change in land use will take place due to development of preliminary site preparation, underground laying of pipeline, campsites etc. Land will be reinstated to its near original position once pipeline laying is completed. Thus, impact on land use will be temporary, marginal and reversible. Permanent Changes at associate facilities as per PNGRB regulations will be constructed that include SV station (02 new, 01 existing), 01-Dispatch terminal (existing) & 01- Receiving Terminal.

1.2

Clearance of existing land, vegetation and buildings?

Yes

Clearing of vegetation in ROU along the pipeline route will be avoided to the maximum extent possible. Clearance of vegetation will be required for construction of associated facilities at SV / DT/RT stations only.

1.3

Creation of new land uses?

Yes

No change in land use pattern along the pipeline route is envisaged as the land will be restored to its near original condition after laying the pipeline. However, Construction activities will be carried out at Sectionized Valve(SV) stations, Dispatch Terminal(DT) & Receiving Terminal(RT) which is mandatory as per PNGRB regulations.

1.4

Pre-construction investigations e.g. bore houses, soil testing?

Yes

The soil investigations such as resistivity, temperature etc. will be undertaken during/before commencement of construction work of station and along the Pipe line route.

1.5

Construction works?

Yes

Laying of Underground Pipeline and associated facilities along the route including associated facilities at SV/DT/RT Stations.

1.6

Demolition works?

Not Applicable

1.7

Temporary sites used for construction works or housing of construction workers?

Yes

Temporary camp site will be developed within the existing land and accommodated within the area with complete amenities and sanitation facilities.

1.8

Above ground buildings, structures or earthworks including linear structures, cut and fill or excavations and fill or excavations

Yes

The proposed surface structures include associated facilities like control room, electrical room, DG room, administrative building, and signboards along the pipeline route etc.

1.9

Underground works including mining or tunnelling?

Pipeline will be buried underground at least approximate cover of 1-1.2 meter from natural contour level.

1.10

Reclamation works?

Not applicable as no reclamation work is involved.

1.11

Dredging?

Not applicable

1.12

Offshore structures?

Not applicable

1.13

Production and manufacturing processes?

Not applicable. No production and manufacturing is involved as the project is for the transportation of Natural Gas.

1.14

Facilities for storage of goods or materials?

Yes

Temporary Storage Yard for storage of Pipe and associated material.

1.15

Facilities for treatment or disposal of solid waste or liquid effluents?

Yes

Solid Waste: Marginal amount may be generated and same will be disposed as per SPCB / CPCB guideline. Liquid Effluents: The domestic waste from the labour camp will be generated. It will be treated in septic tanks & soak pits.

1.16

Facilities for long term housing of operational workers?

Temporary labour camp or porta cabin will be used for the officials of GSPL, whereas the unskilled or semi-skilled labourers for various activities within the camp sites will be hired & transported from the local area. Hence, No permanent colony or township will be developed.

1.17

New road, rail or sea traffic during construction or operation?

Existing road network will be used for mobilization of man and construction materials.

1.18

New road, rail, air water borne or other transport infrastructure including new or altered routes and stations, ports, airports etc?

It is intended to make maximum use of the existing infrastructure and augment/ strengthen existing roads, wherever required.

1.19

Closure or diversion of existing transport routes or infrastructure leading to changes in traffic movements?

Not Required

1.20

New or diverted transmission lines or pipelines?

Not Required

1.21

Impoundment, damming, culverting, realignment or other changes to the hydrology of watercourses or aquifers?

Not Required

1.22

Stream crossings?

Yes

Details attached as Annexure II

1.23

Abstraction or transfers of water from ground or surface waters?

Yes

The water requirement for pipeline construction is minimum, which will be met through Road tankers from available municipal/panchayat sources in the nearby area. However, during operations water will be sourced from bore or dug wells inside the SV stations for domestic and tree plantation depending upon the requirements.

1.24

Changes in water bodies or the land surface affecting drainage or run-off?

All major rivers/Canals crossing will be carried out by Horizontal Directional Drilling method. Hence there will be no effect on permanent bodies. There will not be any change in the water flow, as the top surface will not be disturbed. There will not be any change in the drainage pattern, as the top surface will not be disturbed.

1.25

Transport of personnel or materials for construction, operation or decommissioning?

Yes

Vehicles will be used for carrying equipment and required manpower.

1.26

Long-term dismantling or decommissioning or restoration works?

Not Applicable

1.27

Ongoing activity during decommissioning which could have an impact on the environment?

Not Applicable

1.28

Influx of people to an area in either temporarily or permanently?

Local population will be hired during construction phases of project like site preparation & pipeline laying activities.

1.29

Introduction of alien species?

The green belt as per the requirements of MoEF & CC will be developed. Only native species will be planted.

1.30

Loss of native species or genetic diversity?

Not envisaged significantly or minimized by strictly observing and executing EMP as suggested in EIA.

1.31

Any other actions?

Not Envisaged

2	Use of Natural resources for construction or operation of the Project (such as land, water, materials or energy, especially any resources which are non-renewable or in short supply):

S.No

Information/Checklist confirmation

Yes/No

Details thereof (with approximate quantities/rates, wherever possible) with source of information data

2.1

Land especially undeveloped or agricultural land (ha)

Yes

Approximately Lothpur - Chhara : Total 173.228 Ha Agricultural Land (RoU) will be used temporarily for laying of pipeline. After laying of pipeline, land will be restored back and handed over to land owners for agricultural purpose.

2.2

Water (expected source & competing users) unit: KLD

Yes

• Water requirement during construction phase will be approximately 25-30 KLD. • The domestic water required during operation will be 3.3 KLD per station.

2.3

Minerals (MT)

Not Required

2.4

Construction material – stone, aggregates, sand / soil (expected source – MT)

Yes

Considering the construction of SV / TOP / IP / Dispatch / Receiving /stations and associated facilities quantities are not likely to be significant. The construction materials such as cement, steel, sand, soil, diesel oil etc. will be procured from local sources as required.

2.5

Forests and timber (source – MT)

Not Applicable

2.6

Energy including electricity and fuels (source, competing users) Unit: fuel (MT),energy (MW)

Yes

Required power for SV /Dispatch / Receiving stations shall be drawn from nearest local power source of the state Electricity Boards. However, 1 no. of 40 KVA DG sets with acoustic enclosure will be kept as stand by for back up power at each station during power failure in case of emergency.

2.7

Any other natural resources (use appropriate standard units)

Not Applicable

3	Use, storage, transport, handling or production of substances or materials, which could be harmful to human health or the environment or raise concerns about actual or perceived risks to human health

S.No

Information/Checklist confirmation

Yes/No

Details thereof (with approximate quantities/rates, wherever possible) with source of information data

3.1

Use of substances or materials, which are hazardous (as per MSIHC rules) to human health or the environment (flora, fauna, and water supplies

Yes

Hazardous materials namely Diesel in marginal Quantity will be temporarily stored and used onsite for DG set. However, it will be handled as per Hazardous management rules and proper storage arrangements of the hazardous materials will be ensured to prevent and control any possible risk arising from such accidental spillage of materials.

3.2

Changes in occurrence of disease or affect disease vectors (e.g. insect or water borne diseases)

Not Envisaged

3.3

Affect the welfare of people e.g. by changing living conditions?

Yes

Presence of Natural gas pipeline would contribute growth of City Gas Distribution (CGD) networks in the cities along the pipeline route which would promote usage of CNG for transport sector and lead to reduction in pollution levels. Being underground buried pipeline of natural gas transportation, it falls under green category and is a clean gas and also help in improvement of the existing socioeconomic status.

3.4

Vulnerable groups of people who could be affected by the project e.g. hospital patients, children, the elderly etc.

Not Applicable

3.5

Any other causes

Not Applicable

4	Production of solid wastes during construction or operation or decommissioning (MT/month)

S.No

Information/Checklist confirmation

Yes/No

Details thereof (with approximate quantities/rates, wherever possible) with source of information data

4.1

Spoil, overburden or mine wastes

Top soil will be stored separately and will be restored back to its original position after completion of Pipeline laying activities.

4.2

Municipal waste (domestic and or commercial wastes)

Yes

During construction phase Toilets will be connected to septic tank through soak pit for disposal of human waste. Solid wastes generated from the temporary campsites and other wastes like plastics, paper, cardboard, pigging waste etc. will be properly collected, segregated and reused / disposed off appropriately. During Operation phase Toilets will be connected to septic tank through soak pit for disposal of domestic waste or joined with municipal drains as practicable.

4.3

Hazardous wastes (as per Hazardous Waste Management Rules)

Yes

Recyclable hazardous waste may be generated in the form of spent oil from DG sets, equipments & pigging waste etc. and will be stored & disposed of to the SPCB / CPCB approved recycler.

4.4

Other industrial process wastes

Not Applicable

4.5

Surplus product

Not Applicable

4.6

Sewage sludge or other sludge from effluent treatment

Not Applicable

4.7

Construction or demolition wastes

Vegetation clearance and Construction waste will be used for leveling purposes. Small quantity of metallic scrap waste and packing waste are expected and the same will be disposed as per SPCB / CPCB requirements.

4.8

Redundant machinery or equipment

Not envisaged. Site will be left clean after laying of pipeline is completed.

4.9

Contaminated soils or other materials

Not Envisaged

4.10

Agricultural wastes

Not Envisaged

4.11

Other solid wastes

Not Envisaged

5	Release of pollutants or any hazardous, toxic or noxious substances to air(Kg/hr)

S.No

Information/Checklist confirmation

Yes/No

Details thereof (with approximate quantities/rates, wherever possible) with source of information data

5.1

Emissions from combustion of fossil fuels from stationary or mobile sources

Yes

The DG Sets, will be primarily contributing to point source air pollutant emissions. However, the DG sets will be kept as standby and will release emission only temporarily during power failure if any. Fugitive emissions sources include moving vehicles and construction machineries/ equipments.

5.2

Emissions from production processes

Not Applicable

5.3

Emissions from materials handling including storage or transport

Yes

Temporary fugitive emissions sources include moving vehicles and construction machineries/equipments in marginal amount.

5.4

Emissions from construction activities including plant and equipment

Yes

Temporary emissions are likely to occur during site preparation due to operation of construction equipments.

5.5

Dust or odours from handling of materials including construction materials, sewage and waste

Yes

Dust is likely to be generated from the handling of construction materials viz. cement, sand, aggregates etc. No odour is envisaged. Dust will be suppressed by sprinkling of water during construction.

5.6

Emissions from incineration of waste

Not Applicable

5.7

Emissions from burning of waste in open air (e.g. slash materials, construction debris)

Not Applicable

5.8

Emissions from any other sources

Not Applicable

6	Generation of Noise and Vibration, and Emissions of Light and Heat:

S.No

Information/Checklist confirmation

Yes/No

Details thereof (with approximate quantities/rates, wherever possible) with source of information data

6.1

From operation of equipment e.g. engines, ventilation plant, crushers

Yes

The noise generation sources from the proposed activities include: Construction: Construction and transport equipment. The expected noise levels will be in the range of 70-85 dB (A). There will not be any increase in noise during operation phase of the pipeline project.

6.2

From industrial or similar processes

Not applicable

6.3

From construction or demolition

Yes

Noise levels will be within standards stipulated by CPCB and will be temporary in nature; hence it will not cause any significant impact.

6.4

From blasting or piling

Not Applicable

6.5

From construction or operational traffic

Yes

Vehicle movement etc. during construction. The noise levels will be less than 75 dB(A)

6.6

From lighting or cooling systems

Not Envisaged

6.7

From any other sources

Not Envisaged

7	Risks of contamination of land or water from releases of pollutants into the ground or into sewers, surface waters, groundwater, coastal waters or the sea:

S.No

Information/Checklist confirmation

Yes/No

Details thereof (with approximate quantities/rates, wherever possible) with source of information data

7.1

From handling, storage, use or spillage of hazardous materials

Not Applicable

7.2

From discharge of sewage or other effluents to water or the land (expected mode and place of discharge)

The domestic sewage will be treated in septic tanks and soak pits.

7.3

By deposition of pollutants emitted to air into the land or into water

The DG set will be provided with adequate stack height as per CPCB req. to disperse the pollutants effectively; hence any resultant contamination of land/ water would be unlikely.

7.4

From any other sources

Not Applicable

7.5

Is there a risk of long term build up of pollutants in the environment from these sources?

No long term cumulative impact is envisaged given the temporary nature of project activities.

8	Risk of accidents during construction or operation of the Project, which could affect human health or the environment

S.No

Information/Checklist confirmation

Yes/No

Details thereof (with approximate quantities/rates, wherever possible) with source of information data

8.1

From explosions, spillages, fires etc from storage, handling, use or production of hazardous substances

Yes

During construction there is no storage of any explosive at the construction site that are hazardous except the Diesel which is required for construction equipments and stored carefully in close system in limited quantities. All the construction personnel are well aware of safety hazardous and all the personnel shall be trained through an induction program before deputing on site which prevents the risk of accidents during construction.

8.2

From any other causes

Yes

Third party damages during operation, The company maintain proper signage to identify the boundary of RoU as well as the pipeline route to avoid any unintentional damage to pipeline. The pipelines are buried at a depth of 1 to 1.2 meters below the ground level which restricts the direct damage to the pipeline by any external sources.

8.3

Could the project be affected by natural disasters causing environmental damage (e.g. floods, earthquakes, landslides, cloudburst etc)?

Since it is buried it will not affect due to floods, earthquake, cloud burst.

9	Factors which should be considered (such as consequential development) which could lead to environmental effects or the potential for cumulative impacts with other existing or planned activities in the locality

S.No

Information/Checklist confirmation

Yes/No

Details thereof (with approximate quantities/rates, wherever possible) with source of information data

9.1

Lead to development of supporting utilities, ancillary development or development stimulated by the project which could have impact on the environment e.g.:

Supporting infrastructure (roads, power supply,waste or waste water treatment, etc.)
housing development
extractive industries
supply industries
Other

Yes

While designing the pipelines the developmental plans enroute of the pipeline has been considered accordingly the wall thickness and the depths of pipelines are maintained to avoid any hindrances for the future development in the vicinity. Any utilities like roads, transmission towers, and other pipeline can easily cross the pipeline without any shutdown or damage to the existing network.

9.2

Lead to after-use of the site, which could have an impact on the environment

Nil

9.3

Set a precedent for later developments

Yes

The pipeline will definitely bring lot of development due to the availability of Natural Gas which will be beneficial for social welfare of people, government and environment.

9.4

Have cumulative effects due to proximity to other existing or planned projects with similar effects

Not Envisaged

(III)

Environmental Sensitivity

S.No

Areas

Name/Identity

Aerial distance (within 15km.) Proposed project location boundary

Areas protected under international conventions, national or local legislation for their ecological, landscape, cultural or other related value

Yes

Proposed pipeline passes through the draft notified ecologically sensitive area for 51.632 Ha. of Gir WLS & GSPL has already applied for the WLS permission

Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests

Yes

As per above point no. 1

Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration

As per above point no. 1

Inland, coastal, marine or underground waters

Not Applicable

State, National boundaries

Yes

The proposed pipeline is intra state pipeline.

Routes or facilities used by the public for access to recreation or other tourist, pilgrim areas

Nil

Defence installations

Not applicable

Densely populated or built-up area

Summary of Population density index is give as AnnexureII shows proposed 62/614.37 km length of Pipeline passes through Class-I & 24/000.00 km passes through Class-II.

Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship, community facilities)

The detail study will be carried out during EIA and will be incorporated in EIA report.

Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals)

The detail study will be carried out during EIA and will be incorporated in EIA report.

Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded)

The detail study will be carried out during Environmental Impact Assessment Study and will be incorporated in EIA report.

Areas susceptible to natural hazard which could cause the project to present environmental problems (earthquakes, subsidence, landslides, erosion, flooding or extreme or adverse climatic conditions) similar effects

The detail study will be carried out during Environmental Impact Assessment — Risk Assessment and will be incorporated in EIA report.

(IV)

Proposed Terms of Reference for EIA studies

1	Uploaded Proposed TOR File	Annexure-TOR file
2	Uploaded scanned copy of covering letter	Annexure-scanned copy of covering letter
3	Uploaded Pre-Feasibility report(PFR)	Annexure-PFR
4	Uploaded additional attachments(only single pdf file)	Annexure-Additional attachments

Additional Attachments, if any
Attached File
Attachment 1 to 2
Attachment 3 to 5
Form - I duly signed

Essential Detail Sought : NIL

Additional Detail Sought : NIL

(V)	Undertaking
	I hereby give undertaking that the data and information given in the application and enclosures are true to be best of my knowledge and belief and I am aware that if any part of the data and information found to be false or misleading at any stage, the project will be rejected and clearance given, if any to the project will be revoked at our risk and cost.

V.(i)

Name of Applicant	VIVEK
Designation	Assistant General Manager (AGM)
Name of Company (Applicant Name should not be given here)	GUJARAT STATE PETRONET LIMITED
Address	Plot No. E-18, GIDC Electronic Estate, Nr. K-7 Circle, Sector-26, Gandhinagar-382 028.