Form-4

APPLICATION FOR AMENDMENT IN ENVIRONMENTAL CLEARANCE

(To be filled up by User Agency)
1. Details of Project
 
Proposal No. : SIA/AS/IND2/307995/2024  
(a) Name of the project : Onshore Exploration of Oil and Gas from 02 Wells (KHBD & NRAD)in forest area in 3 ML blocks ,Golaghat district ,Assam  
(b) Name of Company / Organisation. : OIL AND NATURAL GAS CORPORATION LIMITED  
(c) Registered Address. : NAMBAR-1 BUILDING HSE-BASIN, 2ND FLOOR ONGC D-TYPE COLONY CINNAMARA, JORHAT PIN:-785704 Assam 785704  
(d) Legal Status of the Company. : Central PSU  
(e) Joint Venture (Yes/No) : No
2. Address for the Correspondence
 
(a) Name of the Applicant. : LILY P CHAWANG  
(b) Designation (Owner/Partner/CEO) : No  
(c) Address :-  
       State : Assam  
       District : Jorhat  
       Town / Village : No  
(d) Pin Code : 785704  
(e) Email : CHAWANG_LILY@ONGC.CO.IN  
(f) Telephone no : No  
(g) Fax no : No  
(h) Mobile no : 9968282242  
(i) Contact Person. : LILY P CHAWANG  
(j) Website (if any) : No
3. Category of the Project/Activity as per Schedule of EIA Notification,2006
 
(a). Major Activity. : 1(b) Offshore and onshore oil and gas exploration, development & production
                               
 
      Minor Activity : No  
      Major Sub Activity. : Onshore oil & Gas Exploration  
      Minor Sub Activity : No  
(b). Category : B2  
      Reason for applicant at central level/state level(in case of B1 and B2 ): No  
(c). Reason : No  
      EAC Concerned (for category A Projects Only ): No
4. Location of the Project
 
(a) Plot No/Survey No/Khasra No : Toposheet No.83  
(b) Village : Dhupguri  
(c) Tehsil : Sarupathar  
(d) District : Golaghat  
(e) State : Assam  
(f) Pin Code : 785601  
(g) Bounded Latitudes (North) : Yes  
        From : Degree:26, Minutes : 38, Seconds :00  
        To    : Degree:93, Minutes : 48, Seconds :00  
(h) Bounded Longitudes (East) : Yes  
        From : Degree:25, Minutes : 56, Seconds :00  
        To    : Degree:94, Minutes : 18, Seconds :00  
(i) Survey of India Topo Sheet No : 83
5 Details of Environmental Clearance
 
(a) Project Name : Onshore Exploration of Oil and Gas from 02 Wells (KHBD & NRAD)in forest area in 3 ML blocks ,Golaghat district ,Assam  
(b) MoEF&CC / SEIAA File No : SEIAA.1295/2020/EC/47/1422  
(c) Date of issue of EC : 27/04/2021   (d) Uploaded EC letter :
6 Details of Consent to Operate
 
(i) Whether Consent to operate obtained (Yes/No) ? : No
7 Amendment Sought for
 
Amendment in Configuration/ Amendments in Clearance condition/ Other (specify) : KHBD needs to be shifted by 84.33m from original position
8 Details of Product (as per the approved EC)
Details of Products
S.no Product / Activity (Capacity/ Area). Quantity Unit Mode of Transport/ Transmission of Product
1Two nos. of Exploratory Forest location KHBD and NRADNASelectSelect
9 Details of Configuration (Multiple Entries Allowed)
Details of Configurations
S.no Plant/ Equipment/ Facility Existing Configuration Proposed Configuration Final configuration after Amendment Remarks if Any
1KHBD and NRADKHBD and NRADKHBD needs to be shifted from original position byNew amended coordinates for the location KHBD is 2
10 Reasons for Amendment
 
Reasons for Amendment : Due to LAQ problem ,the present position of location KHBD needs to be shifted by 84.33m
11 Any Other Amendment required
Any Other Amendment Required
S.no Reference of Approved EC Description as per Approved EC Description as per Proposal. Remarks
1Due to LAQ problem, the present position of location KHBD needs to be shifted by 84.33 mEC is approved for locations KHBD and NRAD.
12 Details of EIA Consultant
 
Have you hired Consultant for preparing document (Yes/No) ? : No  
(i)Reason for not engaging the Consultant : For B2 category project EIA exempted.
13. Documents to be Attached
  (a) Uploaded addendum to EIA/EMP Report:   (b) Uploaded Copy of revised -Feasibility Report /Detailed Project Report (DPR) / Detailed Engineering Report / Detailed Conceptual Plan / Approved Mining Plan (in case of mining proposals):   (c) Uploaded Copy of final Layout Plan:   (d)Uploaded Cover Letter duly signed by the project proponent or authorized person:   (e)Uploaded a copy of authorization duly signed by the project proponent in support of the person making this application on behalf of the User Agency:   (f)Uploaded Additional File, If any:
Essential Details Sought
Essential Details Sought
S.no. EDS Sought Date EDS Sought Letter
NIL
 
Additional Detail Sought:   NIL
14. Undertaking
(a): 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. In addition to above, I hereby give undertaking that no activity / construction / expansion has since been taken up. (b)Name : LILY P CHAWANG (c)Designation: No (d)Company: OIL AND NATURAL GAS CORPORATION LIMITED (e)Address: NAMBAR-1 BUILDING HSE-BASIN, 2ND FLOOR ONGC D-TYPE COLONY CINNAMARA, JORHAT PIN:-785704 Assam 785704