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/TRANS/42103/2019   (ii). Name of Project for which Forest Land is required : Construction of power transmission line of 132 KV between 132/33 KV GIS Substation , Khuntuni OPTCL and MRSS ( Main receiving sub station ) of M/s Odisha Cement Plant ( A unit of Shree Cement Ltd.) at Chandrabalishyampur, Athagarh, Cuttack.   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : The project will connect power transmission line of 132 KV betwwen 132/33 KV GIS Substation , Khuntuni OPTCL and MRSS ( Main receiving sub station ) of M/s Odisha Cement Plant ( A unit of Shree Cement Ltd.) at Chandrabalishyampur, Athagarh, Cuttack.   (iv). State : Orissa   (v). Category of the Proposal : Transmission Line   (vi). Shape of forest land proposed to be diverted : Linear   (vii). Estimated cost of the Project(Rupees in lacs) : 2000   (viii). Area of forest land proposed for diversion(in ha.): 4.495   (ix). Non-forest land required for this project(in ha.): 12.404   (x). Total period for which the forest land is proposed to be diverted(in years): 50
A-2. Details of User Agency
  (i). Name : ODISHA CEMENT PLANT A UNIT OF SHREE CEMENT LTD   (ii). Address1 : Chandrabalishyampur Block- Athagarh   (iii). Address2 : NIL   (iv). State : Orissa   (v). District : Cuttack   (vi). Pin : 754029   (vii). Landmark : Near Arti Steels   (viii). Email address : sclenv@shreecement.com   (ix). Landline Telephone No. : 146-228101   (x). Fax No. : 146-   (xi). Mobile No. : 9214337571   (xii). Website (if any) : www.shreecement.in   (xiii). Legal status of User Agency : Private
A-3. Details of Person Making Application
  (i). First Name: Madhu   (ii). Middle Name: Kant   (iii). Last Name: Joshi   (iv). Gender: Male   (v). Designation: AVP   (vi). Address 1: Chandrabalishyampur Block - Athagarh Dist-Cuttack PIN 754029   (vii). Address 2: NIL   (viii). State: Orissa   (ix). District: Cuttack   (x). Tehsil: Athagad   (xi). Pin: 305901   (xii). Landmark: Near Aarti steel   (xiii). Email Address: joshimk@shreecement.com   (xiv). Landline Telephone No.: 146-228101   (xv). Fax No.: NIL   (xvi). Mobile No.: 9214037431   (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.Athagarh4.49512.404
Total4.49512.404
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Cuttack4.49512.404
Total4.49512.404
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1champia00.642
2chandrabalishyampur1.8040.451
3Dalabagh04.856
4Mathurapur01.722
5Totapara02.348
6Vogara0.0062.385
7Subasi Reserve Forest2.6850
Total 4.495 12.404
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Transmission Line4.49512.404
Total 4.495 12.404
C. Maps of forest land proposed to be diverted
Division 1. : Athagarh
  (i). Area of forest land proposed to be diverted(in ha.) : 4.495   (ii). Nature of the Project: Linear   (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).
1.4.495    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): 178   (iii). Temporary Employment(Number of person-days): 229
F. Displacement of People due to the Project, if any
  (i). Whether Project involves displacement?: No
G. Details of Cost-Benefit analysis for the Project
  (i). Whether the Project requires Cost-Benefit analysis?: No
H. Status of Environmental Clearance
  (i). Whether the Project requires Clearance under the Environment (Protection) Act 1986 ? : No
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? : No
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. : Cuttack
  (a). Village: Khandauli   (b). Area(in ha.): 5.168   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 617, 617/1220, 625, 625/1221, 626 & 626/1223   (e). Present owner: User Agency   (f). Copy of Ownership proof:
  (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:
Additional information Details
Documents
S.No Documents
Remarks
1DFO to Range & Tahasildar for allotment and joint verification
2Joint report of CA LAnd with RI , tahsildar & Ranger
3Joint Verification Letter Ranger office to DFO dated 31.07.19
4ORSAC to Ms Maptech for coordinates dated 22.06.19
5Status Certificate CA Land
6Joint Report
7Status certificate Rev Land
8Industrial Entrepreneurs Memorandum
9Wildlife Conservation Plan Approval Letter
10MoEF&CC circular regarding EC exempt for Transmission line project
11Undertaken
12EDS compliance Letter 06.03.2020 against the compliance of DFO, Athgarh Letter No. 6484, Dated 19.12.19
1315 MVA Power release letter
14132 KV Permission Letter
15Consent to Establish from SPCB, Odisha