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/21621/2016   (ii). Name of Project for which Forest Land is required : Two Laning of Joram – Koloriang section of NH 713 from Km 138.000 to Km 158.000 in Kurung Kumey District of 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 addition forest land of 18.270 ha for two laning of Joram – Koloriang section of NH 713 from Km 138.000 to Km 158.000 in the districts of Kurung Kumey.   (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) : 21023.55   (viii). Area of forest land proposed for diversion(in ha.): 18.27   (ix). Non-forest land required for this project(in ha.): 0.06   (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 Division18.270.06
Total18.270.06
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Kurung Kumey18.270.06
Total18.270.06
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Kurung Kumey00.06
Total 0 0.06
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Area required for Reconstruction and Widening13.870
2Area Required for Muck Disposl4.40
Total 18.27 0
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.) : 18.27   (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).
1.18.27    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 Lane
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 60   (iii). Temporary Employment(Number of person-days): 18000
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? : 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?: 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
1NOC from BRTF
2Change of User Agency from BRTF to NHIDCL
3Area Calculation Sheet
4Statement of Case
5LAP for diversion of additional forest land
6Executive Summary
7Point Wise geo-reference map of Muck Disposal Sites
8Muck Disposal Sites on Survey of India Topo-Sheet
9Muck Disposal Sites on Google Earth
10Muck Disposal Plan for Km 138.00-Km 158.00
11Certificate of Distance from LAC
12Undertaking for Payment for Compensatory Afforestation
13Undertaking for Payment of Net Present Value (NPV) of Forest Land
14Undertaking for Minimum Use of Forest Land
15Undertaking for Payment for the Cost of Trees
16The Gazette of India for Environmental Clearance
17Linear Plan Km 138.00-Km 158.00
18Typical Cross Section for Km 138.00-Km 158.00
19Stage I Forest Clearance Km 138.00-Km 158.00
20Stage II Forest Clearance Km 138.00-Km 158.00