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 Exploration, Development and Production of Oil and Gas from 11 wells in forest areas of 4 PML blocks in Sepahijala, Gomti, West Tripura, Khowai & South Tripura districts, Tripura
Brief summary of projectAnnexure-Brief summary of project
Proposal Number IA/TR/IND2/113478/2019
Project Cost 55000 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 11 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 projectForest areas of 4 PML blocks in Sepahijala, Gomti, West Tripura, Khowai & South Tripura, Tripura
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.4 PML blocks in Sepahijala, Gomti, West Tripura, Khowai & South Tripura, Tripura
Town / VillageSepahijala, Gomti, West Tripura, Khowai & South Tripura
State of the projectTripura
Details of State of the project
S.no State Name District Name Tehsil Name
(1.)TripuraKhowaiTeliamura
(2.)TripuraWest TripuraHezamara
(3.)TripuraWest TripuraTulashikhar
(4.)TripuraWest TripuraJirania
(5.)TripuraWest TripuraJampuijala
(6.)TripuraWest TripuraBoxanagar
(7.)TripuraSouth TripuraKilla
(8.)TripuraSouth TripuraHrishyamukh
(9.)TripuraSouth TripuraSatchand
(10.)TripuraGomatiTeliamura
(11.)TripuraSepahijalaMelaghar
10.
Nearest railway station along with distance in kms Teliamura, 1 km
Nearest airport along with distance in kms Khowai, 0.42 km
11. Nearest Town/City/District Headquarters along with distance in kms Agartala , 1 km
12. Village Panchayats, Zila Parishad, Muncipal Corporation, Local body (Complete postal address with telephone nos. to be given) Sepahijala, Gomti, West Tripura, Khowai & South Tripura districts
13. Name of the Applicant Rajeeva
14. Registered Address Deendayal Urja Bhavan, 5, Nelson Mandela Marg, Vasant Kunj
15.
Address for correspondance:
Name of the Company OIL AND NATURAL GAS CORPORATION LIMITED
Name of the Applicant Rajeeva
Designation (Owner/ Partner/ CEO) General Manager
Pin code 110070
E-mail head_env@ongc.co.in
Telephone No. 11-26753163
Fax No. 11-01126129067
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?Yes
StatusForest Clearance Under Process(Stage-I)
(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?Yes
Area of Forest land Involved (hectares)25.127 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 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 Temporary drill site is made for each well.
1.2 Clearance of existing land, vegetation and buildings? Yes Site levelling and fencing
1.3 Creation of new land uses? Yes Land will be acquired on lease for drilling wells.
1.4 Pre-construction investigations e.g. bore houses, soil testing? No Generally not required. Surface hardening is done for rig and equipments.
1.5 Construction works? Yes Foundation for drilling rig, surface hardening and chemical shed.
1.6 Demolition works? No
1.7 Temporary sites used for construction works or housing of construction workers? No
1.8 Above ground buildings, structures or earthworks including linear structures, cut and fill or excavations and fill or excavations Yes Temporary sheds will be prepared for security, storage and utilities
1.9 Underground works including mining or tunnelling? Yes Telescopic hole (well) from 26-inch to 8.5-inch in diameter will be drilled from surface to target depths.
1.10 Reclamation works? No
1.11 Dredging? No
1.12 Offshore structures? No
1.13 Production and manufacturing processes? No
1.14 Facilities for storage of goods or materials? Yes Some drilling equipment and mud chemicals,tubulars are stored at well site during drilling and completion of well.
1.15 Facilities for treatment or disposal of solid waste or liquid effluents? Yes Solid waste / drilled rock cuttings will be confined within the waste pit. ETP used for treating water
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 well-site will be prepared from PWD road.
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 Surface water / Bore wells as per requirement.
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 Men and material needed for drilling well will be mobilised.
1.26 Long-term dismantling or decommissioning or restoration works? Yes Site will be restored after its abandonment
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 30-40 working people temporarily move in during drilling/testing phase of well.
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 25.127 hactares of forest land for 11 wells
2.2 Water (expected source & competing users) unit: KLD Yes 25 KL per day.
2.3 Minerals (MT) Yes Bentonite (50 MT) Barites (200MT), Oil Well Cement (150 MT).
2.4 Construction material – stone, aggregates, sand / soil (expected source – MT) Yes Sand / Stone / Cement 100 Tonnes from nearby dealers
2.5 Forests and timber (source – MT) No
2.6 Energy including electricity and fuels (source, competing users) Unit: fuel (MT),energy (MW) Yes 5-6 KLD of HSD
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 Usage of water based Drilling fluid with Bentonite as base component and barites as weighing material is used. Material Safety Data Sheet (MSDS), which prescribe safe handling will be available at site.
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
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 Yes Approximately 300-500 cubic metres/well of drill cuttings depending on the target depth of the well.
4.2 Municipal waste (domestic and or commercial wastes) No Septic tank will be provided for toilets in the drill site (Sewage about 10 m3/day)
4.3 Hazardous wastes (as per Hazardous Waste Management Rules) Yes 300 litres of spent oil/well will be generated which is transported to base in drums.
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 No
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 Emissions from Captive Gensets (Rating: 6 x 750 KW) Only 3 units will be normally operated for drilling rig.
5.2 Emissions from production processes Yes If the well is hydrocarbon bearing during production testing, flaring of well fluids. This process will be for one/two days only.
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 Noise levels within permissible limits (Personal Protective Equipment will be provided if required)
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 No
6.6 From lighting or cooling systems No
6.7 From any other sources No
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 EMP is in place and implemented. All effluents will be confined within impermeable waste pits
7.2 From discharge of sewage or other effluents to water or the land (expected mode and place of discharge) No Waste water and sewage will be generated during drilling operation. Waste water will be discharged to HDPE lined evaporation pit and Sewage will be discharged to Soak/Septic tank system.
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 No
8.2 From any other causes Yes Accidental Blow Out may cause well fluids thrown out. However adequate precautions are taken and contingency plan is kept ready to deal with the situation.
8.3 Could the project be affected by natural disasters causing environmental damage (e.g. floods, earthquakes, landslides, cloudburst etc)? No Not envisaged
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 the drilling is successful supporting infrastructure (road, power supply etc.) will be developed.
9.2 Lead to after-use of the site, which could have an impact on the environment No
9.3 Set a precedent for later developments No
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 Yes West Tripura PML: Khowai, Dondra, Haora, Gomati, Muhuri & Fenirivers are flowing through the Block. Gojalia PML: Open forest are present in this block. Manikyanagar-Sonamura Extn-1 PML: Bijoy River and Gomati River. Open forest are also there in the middle of the block.
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 1. West Tripura PML: Northern boundary is limited by India-Bangladesh International Boundary 2. Gojalia PML: 750m from India-Bangladesh International Boundary 3. Manikyanagar-Sonamura Extn-1 PML: 70m from India-Bangladesh International Boundary 4. Baramura Extn-IV PML: 18-25 km from India-Bangladesh International Boundary
6 Routes or facilities used by the public for access to recreation or other tourist, pilgrim areas No
7 Defence installations No
8 Densely populated or built-up area No
9 Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship, community facilities) Yes All the blocks have primary health centres, worship places and community facilities. However, during selection of drill site, all these places will be avoided.
10 Areas containing important, high quality or scarce resources.(ground water resources,surface resources,forestry,agriculture,fisheries,tourism,minerals) Yes Open forests are present in all the blocks.
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 ApplicantRajeeva
DesignationGeneral Manager
Name of Company (Applicant Name should not be given here)OIL AND NATURAL GAS CORPORATION LIMITED
AddressDeendayal Urja Bhavan, 5, Nelson Mandela Marg, Vasant Kunj
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