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 NA
Whether proposal involved violation of EIA notificationN/A
Weather Consent to Establishment ObtainedN/A
Upload copy of CTE N/A
1.
Name of the Project/s Onshore Oil & Gas Exploration, Development and Production in two OALP Blocks viz. RJ-ONHP-2017/9 (Siyasar) & RJ-ONHP-2017/8 (South Baghewala) in the state of Rajasthan, under Rajasthan Project of Oil India Limited
Brief summary of projectAnnexure-Brief summary of project
Proposal Number IA/RJ/IND2/90972/2019
Project Cost 7500 lacs
2.
S. No. in the schedule1(b) Offshore and onshore oil and gas exploration, development & production
Project Sector Industrial Projects - 2
3. Proposed capacity/area/length/tonnage to be handled/command area/lease area/number or wells to be drilled 5 wells ha.
4.
New/Expansion/ModernizationNew
5. Existing Capacity/Area etc. 0 ha.
6. Category of project i.e. 'A' or 'B' A
7.
Does it attract the general condition? If yes, please specify No
8.
Does it attract the specific condition? If yes, please specify No
9.
Location of the projectJaisalmer, Bikaner & Sri Ganganagar district of Rajasthan
Shape of the project landBlock (Polygon)
Uploaded GPS fileAnnexure-GPS file      
Uploaded copy of survey of India ToposheetAnnexure-Survey of india toposheet
Plot/Survey/Khasra No.Ravla, Anandgarh, DKD, Chattarharh, Poogal, Bikampur 4 KLM, 10 KPD, 4 DKD, 3KMTM, 6PB
Town / VillageBikampur, Poogal, Anandgarh
State of the projectRajasthan
Details of State of the project
S.no State Name District Name Tehsil Name
(1.)RajasthanSri GanganagarGharsana
(2.)RajasthanBikanerKolayat
(3.)RajasthanJaisalmerPokaran
10.
Nearest railway station along with distance in kms Bikaner from OALP Block RJ-ONHP-2017/9 (Siyasar) & Phalodi from OALP Block RJ-ONHP-2017/8 (South Bag, 60 km
Nearest airport along with distance in kms Bikaner, 40 km
11. Nearest Town/City/District Headquarters along with distance in kms Bikaner from OALP Block RJ-ONHP-2017/9 (Siyasar) & Phalodi from OALP Block RJ-ONHP-2017/8 (South Bag , 60 km
12. Village Panchayats, Zila Parishad, Muncipal Corporation, Local body (Complete postal address with telephone nos. to be given) Bikampur in OALP Block RJ-ONHP-2017/8 (South Baghewala) & Poogal in OALP Block RJ-ONHP-2017/9
13. Name of the Applicant Tabrez Akhtar Ansari
14. Registered Address 2A-District Shopping Centre, Saraswati Nagar, Basni, Jodhpur
15.
Address for correspondance:
Name of the Company OIL INDIA LTD RAJASTHAN PROJECT
Name of the Applicant Tabrez Akhtar Ansari
Designation (Owner/ Partner/ CEO) Dy. General Manager (ES & HSE)
Pin code 342005
E-mail siddharth_singh@oilindia.in
Telephone No. 291-2729429
Fax No. 291-
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 No
17. Whether part of Interlinked projects? No
18. Whether separate application of Interlinked project has been submitted? N/A
19.
If Yes, MoEF file numberN/A
Date of submissionN/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?No
(ii) Whether the proposal involves approval/clearance under the wildlife (Protection) Act,1972?No
(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?No
23.
Whether any Forest Land Involved?No
Area of Forest land Involved (hectares)N/A
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 CourtN/A
(b) Name of the Sub courtN/A
(c) Case No.N/A
(d) Orders/directions of the court, if any and relevance with the proposed projectN/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 There might be temporary change in land cover for an area of 2.5 ha (approx.) for each drilling well during the project execution period.
1.2 Clearance of existing land, vegetation and buildings? Yes Nearly 2.5 ha (approx.) of land for each drilling well need to be acquired for drilling and associated activities. Field staff will stay at base camp near drilling site in mobile bunk houses /temporary camps.
1.3 Creation of new land uses? Yes There might be temporary change in land cover for an area of 2.5 ha (approx.) for each drilling well during the project execution period.
1.4 Pre-construction investigations e.g. bore houses, soil testing? No
1.5 Construction works? Yes Construction of cellar pit and foundation for heavy drilling rig equipment will be done within the drilling site on receipt of Environmental Clearance (EC).
1.6 Demolition works? No
1.7 Temporary sites used for construction works or housing of construction workers? Yes Temporary sites will be used for construction of temporary camps/placement of mobile bunk houses for the workers.
1.8 Above ground buildings, structures or earthworks including linear structures, cut and fill or excavations and fill or excavations No
1.9 Underground works including mining or tunnelling? Yes The wells will be drilled upto a depth of 2000m (approx.) in RJ-ONHP-2017/9 (Siyasar Block)and 1200m (approx.) in RJ-ONHP-2017/8 (South Baghewala) from the surface.
1.10 Reclamation works? No
1.11 Dredging? No
1.12 Offshore structures? No
1.13 Production and manufacturing processes? Yes Production testing for about 30 days will be carried out.
1.14 Facilities for storage of goods or materials? Yes Temporary Facilities for storage of goods and materials like oilfield chemicals, drilling and testing consumables etc. will be stored in the site.
1.15 Facilities for treatment or disposal of solid waste or liquid effluents? Yes Drilling waste water and drill cuttings shall be collected in HDPE lined effluent pit. Disposal of hazardous liquid effluent & solid waste, if any, will be disposed off/treated under provision of Solid Waste and Hazardous Management Rules.
1.16 Facilities for long term housing of operational workers? No
1.17 New road, rail or sea traffic during construction or operation? Yes Approach road to the drilling well- site will be required.
1.18 New road, rail, air water borne or other transport infrastructure including new or altered routes and stations, ports, airports etc? No
1.19 Closure or diversion of existing transport routes or infrastructure leading to changes in traffic movements? No
1.20 New or diverted transmission lines or pipelines? No
1.21 Impoundment, damming, culverting, realignment or other changes to the hydrology of watercourses or aquifers? No
1.22 Stream crossings? No
1.23 Abstraction or transfers of water from ground or surface waters? Yes Water requirement for the drilling operation will be met by transporting water from near by sources.
1.24 Changes in water bodies or the land surface affecting drainage or run-off? No
1.25 Transport of personnel or materials for construction, operation or decommissioning? Yes Periodic transportation of oil field personnel and materials will be involved during project execution period.
1.26 Long-term dismantling or decommissioning or restoration works? No
1.27 Ongoing activity during decommissioning which could have an impact on the environment? No
1.28 Influx of people to an area in either temporarily or permanently? Yes Periodic transportation of oil field personnel and materials will be involved during project execution period.
1.29 Introduction of alien species? No
1.30 Loss of native species or genetic diversity? No
1.31 Any other actions? No
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 Nearly 2.5 ha (approx.) of land will be required temporarily for drilling of 1 no. of well.
2.2 Water (expected source & competing users) unit: KLD Yes Approx. 45KLPD water will be required for each drilling well. Requirement of water will be met by transporting water from near by sources.
2.3 Minerals (MT) No
2.4 Construction material – stone, aggregates, sand / soil (expected source – MT) Yes Small quantity of building materials will be required for preparing plinth, foundations of rig & its accessories, cutting retainer pit, toilet & urinals and cellar.
2.5 Forests and timber (source – MT) No
2.6 Energy including electricity and fuels (source, competing users) Unit: fuel (MT),energy (MW) Yes Mobile DG sets will be used to meet the power requirement of 12 KW and nearly 2.5 KLPD of HSD will be used for drilling and other operations.
2.7 Any other natural resources (use appropriate standard units) No
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 No
3.2 Changes in occurrence of disease or affect disease vectors (e.g. insect or water borne diseases) No
3.3 Affect the welfare of people e.g. by changing living conditions? No Temporary job opportunities for local unskilled workers will arise during drilling of wells.
3.4 Vulnerable groups of people who could be affected by the project e.g. hospital patients, children, the elderly etc. No
3.5 Any other causes No
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 No
4.2 Municipal waste (domestic and or commercial wastes) Yes Domestic wastes generated by nearly 50 persons working at the drilling site per well will be discharged in septic tanks and soak pits.
4.3 Hazardous wastes (as per Hazardous Waste Management Rules) No
4.4 Other industrial process wastes No
4.5 Surplus product No
4.6 Sewage sludge or other sludge from effluent treatment No
4.7 Construction or demolition wastes No
4.8 Redundant machinery or equipment No
4.9 Contaminated soils or other materials No
4.10 Agricultural wastes No
4.11 Other solid wastes Yes Drill cuttings of underground rocks and solids in water based mud used for drilling will be stored in impervious pits and will be covered by thick layer of soil to seal the pit on completion of drilling.
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 Exhaust gases generated due to combustion of nearly 2.5 KLPD of HSD will be discharged from mobile DG sets with stacks of appropriate heights.
5.2 Emissions from production processes Yes Natural gas generated during testing of well will be flared for a very short period of time.
5.3 Emissions from materials handling including storage or transport No
5.4 Emissions from construction activities including plant and equipment No
5.5 Dust or odours from handling of materials including construction materials, sewage and waste No
5.6 Emissions from incineration of waste No
5.7 Emissions from burning of waste in open air (e.g. slash materials, construction debris) No
5.8 Emissions from any other sources No
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 DG sets will have acoustic enclosure to control the Noise level as per prescribed standards.
6.2 From industrial or similar processes No
6.3 From construction or demolition No
6.4 From blasting or piling No
6.5 From construction or operational traffic Yes Transportation of Equipment by trucks and operation of the equipment will generate minimal noise on the route and at drill sites.
6.6 From lighting or cooling systems No
6.7 From any other sources Yes Flaring of Natural gases produced during testing of the well will be routed through flare system. Flare pit will have enclosure for containing heat radiation and light outside.
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 No
7.2 From discharge of sewage or other effluents to water or the land (expected mode and place of discharge) Yes Drilling discharges will be stored in impervious pits within the drilling site.
7.3 By deposition of pollutants emitted to air into the land or into water No
7.4 From any other sources No
7.5 Is there a risk of long term build up of pollutants in the environment from these sources? No
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 1. Minor spillage of HSD from Tanker unloading and leaking valves, lines and storage tanks. Precaution will be taken to prevent it. 2. Blow out resulting in violent escape of hydrocarbons during drilling. Blow out Preventor (BOP) will be used to prevent Blow out.
8.2 From any other causes No
8.3 Could the project be affected by natural disasters causing environmental damage (e.g. floods, earthquakes, landslides, cloudburst etc)? Yes The project might be affected by natural disasters. Adequate measures will be taken for safety of men and material and protection of environment during and after the occurrence of the disaster.
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 If commercially viable hydrocarbons production is established, then subsequent production of oil/gas will contribute in meeting energy needs and development of India and especially the surrounding areas will be directly benefitted in terms of economic development.
9.2 Lead to after-use of the site, which could have an impact on the environment Yes If techno-economic viability is established, then early production set up system need to be constructed during production phase with suitable mitigative and control measures to avoid adverse impact on environment.
9.3 Set a precedent for later developments Yes During production phase, if considered necessary, more wells may be drilled within the block area. If commercial viability of hydrocarbon production is established, then production of oil/ gas will help in meeting energy needs in the country and will lead directly to socio-economic development of the nearby areas.
9.4 Have cumulative effects due to proximity to other existing or planned projects with similar effects No
(III) Environmental Sensitivity
S.No Areas Name/Identity Aerial distance (within 15km.) Proposed project location boundary
1 Areas protected under international conventions, national or local legislation for  their ecological, landscape, cultural or other related value
No
2 Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests No
3 Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration No
4 Inland, coastal, marine or underground waters No
5 State, National boundaries No Part of the Proposed block boundary of OALP Block RJ-ONHP-2017/9 (Siyasar) is approx. 7-10 kms from international border.
6 Routes or facilities used by the public for access to recreation or other tourist, pilgrim areas No
7 Defence installations No Part of the Proposed block boundary of OALP Block RJ-ONHP-2017/9 (Siyasar) is approx. 7-10 kms from international border. The international border is guarded by Border Security Force.
8 Densely populated or built-up area No
9 Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship, community facilities) No
10 Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) No
11 Areas already subjected to pollution or environmental damage.(those where existing legal environmental standards are exceeded) No
12 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 No
(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) NIL
      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 ApplicantTabrez Akhtar Ansari
DesignationDy. General Manager (ES & HSE)
Name of Company (Applicant Name should not be given here)OIL INDIA LTD RAJASTHAN PROJECT
Address2A-District Shopping Centre, Saraswati Nagar, Basni, Jodhpur
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