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/SK/ROAD/36661/2018   (ii). Name of Project for which Forest Land is required : Diversion of 19.072 ha. Forest Land for non forest use in Dorjila Base to Op Dorjila Border Road Forest Proposal   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Present project road is a high altitude hill road to Indo-China border road in the State of Sikkim. The project road starts from Dorjila base and terminates at Op Dorjila with a design length of 10.54 km.   (iv). State : Sikkim   (v). Category of the Proposal : Road   (vi). Shape of forest land proposed to be diverted : Linear   (vii). Estimated cost of the Project(Rupees in lacs) : 21999   (viii). Area of forest land proposed for diversion(in ha.): 19.072   (ix). Non-forest land required for this project(in ha.): 0   (x). Total period for which the forest land is proposed to be diverted(in years): 100
A-2. Details of User Agency
  (i). Name : ITBP GANGTOK   (ii). Address1 : Sector Head Quarter ITBP   (iii). Address2 : Metro Point Tadong   (iv). State : Sikkim   (v). District : Gangtok   (vi). Pin : 737102   (vii). Landmark : Near Ranka Monastery   (viii). Email address : itcellgtk@itbp.gov.in   (ix). Landline Telephone No. : 3592-252527   (x). Fax No. : 3592-252528   (xi). Mobile No. : 9434760997   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : Central Government
A-3. Details of Person Making Application
  (i). First Name: Rakesh   (ii). Middle Name: Kumar   (iii). Last Name: Jain   (iv). Gender: Male   (v). Designation: ExecutiveEngineer   (vi). Address 1: BRPD- 1, CPWD, Opp- Post Office   (vii). Address 2: S. T. Lama Building, 3rd Floor, Chungthang   (viii). State: Sikkim   (ix). District: Mangan   (x). Tehsil: Chungthang   (xi). Pin: 737120   (xii). Landmark: Opposite Post Office   (xiii). Email Address: eeccdsikkim@gmail.com   (xiv). Landline Telephone No.: 3592-252527   (xv). Fax No.: 03592252528   (xvi). Mobile No.: 9971999755   (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.North Territorial19.0720
Total19.0720
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Mangan19.0720
Total19.0720
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1BOP_Dorjila Base Op Dorjila19.0720
Total 19.072 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road New Alignment18.9720
2Muck Point 10.020
3Muck Point 20.020
4Muck Point 30.020
5Muck Point 40.020
6Muck Point 50.020
Total 19.072 0
C. Maps of forest land proposed to be diverted
Division 1. : North Territorial
  (i). Area of forest land proposed to be diverted(in ha.) : 19.072   (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).
1.19.072    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: No   (a). Reason for not providing such map: This is a new road alignment.
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: No
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? : 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?: Not Applicable   (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 ?: Not Applicable   (iii) . Reason for not providing Non-Forest Land: Not Applicable
Additional information Details
Documents
S.No Documents
Remarks
1This is sanction order of Ministry of Home Affairs, Govt. of India for which CPWD is authorised.
2This is answer of EDS asked by the Nodal Officer.
3This is GR of General Approval for Forest Clearance in Roads of ITBP.
4All Undertakings_Dorjila to Dorjila Base Road
5Area Statement_Dorjila to Dorjila Base Road
6Authorisation Letter_Dorjila to Dorjila Base Road
7Check List_Dorjila to Dorjila Base Road
8Cost Benefit Analysis_Dorjila to Dorjila Base Road
9DPR Cover Page_Dorjila to Dorjila Base Road
10DPR_Dorjila to Dorjila Base Road
11Digital Maps_Dorjila to Dorjila Base Road
12Forest Enumeration List_Dorjila to Dorjila Base Road
13EDS Asked by Nodal Officer_Dorjila to Dorjila Base Road
14Form A_Dorjila to Dorjila Base Road
15FRA Certificate_Dorjila to Dorjila Base Road
16Front Page FCA_Dorjila to Dorjila Base Road
17Georeference Map_Dorjila to Dorjila Base Road
18Forest Joint Inspection Report_Dorjila to Dorjila Base Road
19Justification Letter_Dorjila to Dorjila Base Road
20KML Files_Dorjila to Dorjila Base Road
21Muck Disposal Plan_Dorjila to Dorjila Base Road
22Revenue Department Joint Inspection Report_Dorjila to Dorjila Base Road
23Road Buffer 18m_Dorjila to Dorjila Base Road
24Rough Sketch Map_Dorjila to Dorjila Base Road
25Acknowledgement slip