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/21619/2016   (ii). Name of Project for which Forest Land is required : Two Laning of Joram–Koloriang section of NH 713 from Km. 50.000 to Km. 70.000 in the state of Arunachal Pradesh on EPC mode.   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Proposal for diversion of forest land for two laning of Joram – Koloriang section of NH 713 from Km. 50.000 to Km 70.000 in Kurung Kumey Forest Division of District of Kra Daadi.   (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) : 19669.77   (viii). Area of forest land proposed for diversion(in ha.): 48.92   (ix). Non-forest land required for this project(in ha.): 4.15   (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.Kurung Kumey Forest Division48.924.15
Total48.924.15
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Kra Daadi48.924.15
Total48.924.15
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1SHAKTI VILLAGE1.9340
2PALIN VILLAGE1.8730
3NEW PALIN VILLAGE04.15
Total 3.807 4.15
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Area required for Reconstruction and Widening43.464.15
2Area Required for Muck Disposal5.460
Total 48.92 4.15
C. Maps of forest land proposed to be diverted
Division 1. : Kurung Kumey Forest Division
  (i). Area of forest land proposed to be diverted(in ha.) : 48.92   (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).
1.48.92    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: Widening of Existing Road
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 10   (iii). Temporary Employment(Number of person-days): 16500
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
1Area Calculation Sheet Km 50.00-Km 70.00
2Statement of Case (Km 50.00-Km 70.00)
3Chainage wise Geo-Reference Map of the Project Road Stretch (Km 50.00-Km 70.00)
4Executive Summary(Km 50.00-Km 70.00)
5Muck Disposal Sites on Survey of India Toposheet(Km 50.00-Km 70.00)
6Point-Wise Geo-Reference Map of Muck Disposal Sites (Km 50.00-Km 70.00)
7Location of Muck Disposal Sites on Google Earth (Km 50.00-Km 70.00)
8Muck Disposal Plan (Km 50.00-Km 70.00)
9Undertaking for Payment for the Cost of CA (Km 50.00-Km 70.00)
10Undertaking for Payment for the NPV (Km 50.00-Km 70.00)
11Location of Project Road from LAC (Km 50.00-Km 70.00)
12Linear Plan of Project Road (Km 50.00-Km 70.00)
13Typical Cross-Sections of the Project Road (Km 50.00-Km 70.00)
14EIA Notification, August, 2013