Dolphin Energy Limited | Natural Gas Suppliers in UAE and …



REQUESTER COMPANY NAMEREQUESTER POSTAL ADDRESSREQUESTER OFFICE NUMBERREPRESENTATIVE MOBILE NUMBERREQUESTER FAX NUMBER P.O. Box +971 +971 REQUESTER EMAIL ADDRESSPROJECT NAMEPROJECT OWNER'S NAMEPROJECT CONSULTANT NAMECONTRACTOR’S NAME BRIEF WORK DESCRIPTION PROJECT START DATEPROJECT END DATEREPRESENTATIVE NAMEREPRESENTATIVE POSITION TYPE OF NOC REQUESTREQUESTER'S LETTER REFERENCE NO. or DMAT REFERENCE NUMBER (Department of Municipal Affairs & Transport of Abu Dhabi )LETTER DATE/ DMAT APPLICATION DATEREQUESTER'S DRAWING NUMBER It is mandatory that Contractor requiring NOC from Dolphin shall fill-out this form, select the type of noc request and attach all required documents as listed below: ?For Construction NOC:Official Request LetterContract Award LetterMethod StatementTask Risk AssessmentLocation map KML google earth format Drawings (AUTOCAD & PDF)QRA (for commercial or residential development)Signed Trial Pit Survey Form for Pipeline Crossing?For Design NOC:Official Request LetterContract Award LetterLocation map KML google earth formatDrawings (AUTOCAD/ PDFQRA (for commercial or Residential development)Confidentiality Declaration (For request for information) ?For O.H. Power Line NOC:Official LetterContract Award LetterLocation map KML google earth formatMethod StatementTask Risk AssessmentDrawings (AUTOCAD & PDF)?For Trial Pit NOC:Official LetterLocation map KML google earth format & other in Drawings (AUTOCAD & PDF)?For Blasting NOC:Official Request LetterContract Award LetterLocation map KML google earth formatMethod Statement(Detailed Blast Plan)Task Risk Assessment Drawings (AUTOCAD & PDF)?For Farmer NOC:Official Request LetterLocation map KML google earth format Method StatementProcessing time will be approximately 15 working days. All NOC requests shall be in digital format and submitted by email if size is below 8 MB. Documents exceeding 8 MB must be submitted in a CD to Dolphin HQ in 19th Floor Al Maqam Tower, Sowwah Square, Al Maryah Island, Abu Dhabi and addressed to the following: Senior Manager OperationsDownstream OperationsDolphin Energy LtdP. O. Box 33777Abu Dhabi, UAENOC Email Add: DOLPHIN-NOC@Tel. No.:+971 2 5137 777Fax No.:+971 2 5137 801Fax No.:+971 2 6446 090II. NOC Request Registration[For Dolphin Use Only]NRQ No: DOP-NRQ- NRQ Date:. Registered by:Choose an item. Signature : Date: INITIAL REVIEWSr. NOC Inspector: Signature:Date: Distribution:?NOC TeaM ?Operations.?Ops. Safety ?TSD ?Others: FINAL REVIEW RESULT ? NOC with NO CONDITIOND NOC ?objection ?preliminary design noc release of information?noc with conditions?condition to issue noc?final design nocReply Ref. No.: Date: ................
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