FORM - A
Form for seeking prior approval of Central Government under section 2 of the Forest(Conservation) Act,1980 for Diversion of fresh forest area
PART - I
(To be filled up by User Agency)
A. General Details
A-1. Project Details
  (i). Proposal No. : FP/OR/IRRIG/25941/2017   (ii). Name of Project for which Forest Land is required : UPPER LANTH MEDIUM IRRIGATION PROJECT   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : The proposed Upper Lanth irrigation project is located near village Chikili in Belpara and khaprakhol block in Patnagarh Sub-division of Bolongir district in the state of Odisha. It envisages construction of earth dam with central concrete spillway across Lanth, a tributary of river Tel in Mahanadi   (iv). State : Orissa   (v). Category of the Proposal : Irrigation   (vi). Shape of forest land proposed to be diverted : Hybrid   (vii). Estimated cost of the Project(Rupees in lacs) : 4899   (viii). Area of forest land proposed for diversion(in ha.): 341.23   (ix). Non-forest land required for this project(in ha.): 535.973   (x). Total period for which the forest land is proposed to be diverted(in years): 100
A-2. Details of User Agency
  (i). Name : UPPER LANTH MEDIUM IRRIGATION PROJECT   (ii). Address1 : At/po-Padampur,Dist-Bargarh   (iii). Address2 : NIL   (iv). State : Orissa   (v). District : Bargarh   (vi). Pin : 768036   (vii). Landmark : NIL   (viii). Email address : upperlanthmedium@gmail.com   (ix). Landline Telephone No. : 6683-223442   (x). Fax No. : 6683-223442   (xi). Mobile No. : 9437154714   (xii). Website (if any) : www.dowrorissa.gov.in   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Manoranjan   (ii). Middle Name: NIL   (iii). Last Name: Mohapatra   (iv). Gender: Male   (v). Designation: EE   (vi). Address 1: Padampur Investigation Division At/po-Padampur, Dist- Bargarh   (vii). Address 2: NIL   (viii). State: Orissa   (ix). District: Bargarh   (x). Tehsil: Padmapur   (xi). Pin: 768036   (xii). Landmark: Near Anchala College   (xiii). Email Address: upperlanthmedium@gmail.com   (xiv). Landline Telephone No.: 6683-223442   (xv). Fax No.: 6683223442   (xvi). Mobile No.: 9437154714   (xvii). Copy of documents in support of the competence/authority of the person making this application to make application on behalf of the User Agency:
B. Details of land required for the Project
B-1. Details of proposal seeking prior approval of Central Government under the Act for diversion of forest land for the Project already submitted in the past
List of proposal submitted in Past
S.no Proposal Status. Proposal No. Moef File No. Area Proposed for Diversion(Ha.) Area Diverted(Ha.) Date of In-Principle Approval Date of Final Approval
NIL
B-2. Details of forest land proposed to be diverted
B-2.1 Details of Divisions involved
Details of Divisions involved
S.no Division Name Forest Land(ha.) Non-Forest Land(ha.)
1.Bolangir341.23535.973
Total341.23535.973
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Balangir341.23535.973
Total341.23535.973
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Bender1.05841.731
2Badimal029.63
3Bhaluchuan12.10953.408
4Chikhili08.012
5Dumerbahal020.125
6Chuinara0.9540.739
7Dhungiamunda01.036
8Dunermunda02.076
9Ghagra03.537
10Ghagruli2.1415.596
11Kapani1.5014.847
12Kumbharkhun0.6723.217
13Malijhar0.185.134
14Munapalli0.5752.727
15Mundagaon2.2463.671
16Parlimal2.12810.324
17Patrapali0.4064.926
18Jamujhari22.32165.299
19Pandakimal9.681169.938
Total 55.971 535.973
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Right Main Canal3.98214.762
2Left Main Canal8.69837.909
3Dam11.84717.976
4Reservoir316.7146.39
Total 341.227 217.037
C. Maps of forest land proposed to be diverted
Division 1. : Bolangir
  (i). Area of forest land proposed to be diverted(in ha.) : 341.23   (ii). Nature of the Project: Hybrid   (a). No. of patches : One
Patch wise details
Patch No. Area of Patch(in ha.) Kml File of PatchesTo view KML file on google the same may be downloaded and then open if in google earth install in your computer.
1.285.259    View File
  (b). No. of Segments : One
Segment wise details
Segments Segment Area(in ha.) Kml File of Segments
(To view KML file on google the same may be downloaded and then open if in google earth install in your computer).
1.55.971    View File
  (iii). Copy of Survey of India Toposheet indicating boundary of forest land proposed to be diverted:   (iv). Scanned copy of the Geo-referenced map of the forest land proposed to be diverted prepared by using GPS or Total Station:
D. Justification for locating the Project in forest land and details of alternatives examined:
  (i). Copy of note containing justification for locating the Project in forest land:   (ii). Whether a copy of map indicating location of alternative examine is required to be provided: Yes   (a). Copy of map indicating location of alternative examined:
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 30   (iii). Temporary Employment(Number of person-days): 350
F. Displacement of People due to the Project, if any
  (i). Whether Project involves displacement?: Yes   (a). Total Number of families : 342   (b). Number of Scheduled Caste families : 22   (c). Number of Schedule Tribes families : 110   (d). Number of other families : 210   (ii). Copy of Rehabilitation and Resettlement Plan:   (a). Copy of approval to Ministry of Tribal Affairs,Government of India to Rehabilitation and Resettlement:
G. Details of Cost-Benefit analysis for the Project
  (i). Whether the Project requires Cost-Benefit analysis?: Yes   (a). Copy of Cost-Benefit analysis:
H. Status of Environmental Clearance
  (i). Whether the Project requires Clearance under the Environment (Protection) Act 1986 ? : Yes   (a). Status of the Environmental Clearance to the Project: EC application yet to be submitted
I. Status of Wildelife Clearance
  (i). Whether the Project or a part thereof is located in any Protected Area or their Eco sensitive zone? : No
J. Applicability of special provisions governing Scheduled Areas
  (i).Whether the Project or a part thereof is located in a Scheduled Area? : No
K. Status of settlement of rights under the Forest Rights Act,2006 on the forest land proposed to be diverted
  (i). Whether the process for settlement of Rights under the Forest Rights Acts 2006 on the forest land proposed to be diverted has been completed? : Yes   (a). Copy of documentry evidence in support of settlement of rights under the Forest Rights Act,2006 on the forest land proposed to be diverted:
L. Details of land identified for Compensatory Afforestation
  (i). Whether non-forest or Revenue forest land is required to be provided by User Agency?: Yes   (ii). Whether the area of non-forest land or Revenue forest land required to be provided by User Agency for raising Compensatory Afforestation is less than area of forest land proposed to be diverted ?: No   (iii). No. of districts involved for raising Compensatory Afforestation: 1   (iv). No. of patches: One
District 1. : Balangir
  (a). Village: Baguadar,Bileimara,Bindhanapthara,Dahimal,DamkipalliJailia,Karlabahal,Karlamal,Khalipathara,Parlimal   (b). Area(in ha.): 341.562   (c). Copy of KML file of the patch:     View File   (d). Khasra details: Patita   (e). Present owner: Others   (f). Copy of ownership proof:   (g). Copy of Mou/agreement executed between the Present owner and the User Agency:   (h). Copy of non encumberence certificate for the forest land:
  (v). Scanned copy of the map of the land identified for creation of Compensatory Afforestation prepared by using GPS ot Total Station:   (vi). Copy of Survey of India Toposheet in 1:50,000 scale indicating location of the land identified for creation of Compensatory Afforestation:
M. Hydel/Irrigation/Multipurpose Project
  (i). Installed power generation capacity of the Project(in MW): 0   (ii). Total command area of the Project(in ha.): 4700   (a). Copy of the approval of competent authority to the Catchment Area Treatment Plan (CAT Plan):   (b). Copy of the approved CAT plan:
Additional information Details
Documents
S.No Documents
Remarks
1EDS has been complied.
2