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/AR/ROAD/21257/2016   (ii). Name of Project for which Forest Land is required : Two Laning of Road from Km 71 to Km 95 of Akajan-Likabari-Bame Road in Along Forest Division in West Siang District of Arunachal Pradesh   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : This is a proposal for diversion of 52.45 Ha of forest land (USF) for widening Two laning of Akajan-Likabli-Bame road from existing Km 71 to KM 95 to NHDL specification. The new alignment with ROW 24-45 meter follows the existing alignment (ROW 15 meter) in Along Forest Division.   (iv). State : Arunachal Pradesh   (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) : 30000   (viii). Area of forest land proposed for diversion(in ha.): 52.45   (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): 99
A-2. Details of User Agency
  (i). Name : NHIDCL   (ii). Address1 : Taye Gumin Building,Near MARK FED,Piyong Road,2nd Mile,Namsai   (iii). Address2 : NIL   (iv). State : Arunachal Pradesh   (v). District : Namsai   (vi). Pin : 792103   (vii). Landmark : Namsai Helipad   (viii). Email address : br.bishwa@yahoo.com   (ix). Landline Telephone No. : 3806-2291654   (x). Fax No. : 3806-   (xi). Mobile No. : 9910031267   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : Central Government
A-3. Details of Person Making Application
  (i). First Name: VIVEK   (ii). Middle Name: NIL   (iii). Last Name: SRIVASTAVA   (iv). Gender: Male   (v). Designation: GM   (vi). Address 1: TAYE GUMIN BUILDING,NEAR MARK,PIYONG ROAD,2ND MILE ,NAMSAI   (vii). Address 2: NIL   (viii). State: Arunachal Pradesh   (ix). District: Namsai   (x). Tehsil: NIL   (xi). Pin: 792103   (xii). Landmark: NAMSAI HELIPAD   (xiii). Email Address: cemorthitanagar@gmail.com   (xiv). Landline Telephone No.: 3806-2291654   (xv). Fax No.: NIL   (xvi). Mobile No.: 9910031267   (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.Aalo Forest Division, Aalo52.450
Total52.450
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.West Siang52.450
Total52.450
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Padi1.20
2Dali1.20
3Nicra1.20
4Kamdak1.20
5Ego1.20
Total 6 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Muck Disposal Plan20.20
2Widening of Road32.250
Total 52.45 0
C. Maps of forest land proposed to be diverted
Division 1. : Aalo Forest Division, Aalo
  (i). Area of forest land proposed to be diverted(in ha.) : 52.45   (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).
1.52.45    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 Road widinig project
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 2000   (iii). Temporary Employment(Number of person-days): 5000
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?: Yes   (a). Copy of Cost-Benefit analysis:
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
1Statement of Case
2Area Calculation Sheet
3Undertaking NPV
4Undertaking CA
5Muck Disposal Plan
6Muck Disposal Layout Plan
7Muck Disposal on Topo Sheet map
8Executive Summary
9Layout Plan