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/48840/2020   (ii). Name of Project for which Forest Land is required : Two laning with hard shoulders of Demwe-Brahmkund section of NH-13 from Km 0.000 Km to 18.464 on EPC Mode in the state of Arunachal Pradesh.   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Proposal for diversion of 49.69 ha forest land for construction of 2 laning with hard shoulder of Demwe-Brahmakund road from km 0.00 to km 18.464 in Lohit District in the state of Arunachal Pradesh.   (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) : 35300   (viii). Area of forest land proposed for diversion(in ha.): 49.69   (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 : NIL   (viii). Email address : cemorth.itanagar@gmail.com   (ix). Landline Telephone No. : 360-2291008   (x). Fax No. : 360-   (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: Tirtha   (ii). Middle Name: NIL   (iii). Last Name: Roy   (iv). Gender: Male   (v). Designation: General Manager   (vi). Address 1: Taye Gumin Building, Near MARK FED, Piyong Road, 2nd Mile, Namsai   (vii). Address 2: NIL   (viii). State: Arunachal Pradesh   (ix). District: Namsai   (x). Tehsil: NIL   (xi). Pin: 792103   (xii). Landmark: NIL   (xiii). Email Address: cemorth.itanagar@gmail.com   (xiv). Landline Telephone No.: 360-2291008   (xv). Fax No.: NIL   (xvi). Mobile No.: 9830899326   (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
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
1ApprovedFP/AR/ROAD/4656/20133-AN C 023/2013-SHI/289-904.54.504 Mar 201527 Apr 2017
2ApprovedFP/AR/ROAD/1659/20093-AN C071/2009-SHI14.4514.4528 Oct 200925 Mar 2014
3InprincipleFP/AR/ROAD/1029/20118-26/2011-FC71.8471.8403 May 2011
Total 90.79 90.79
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.Lohit Forest Division. Tezu49.690
Total49.690
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Lohit49.690
Total49.690
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
NIL
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1ROAD41.280
2MUCK DISPOSAL8.410
Total 49.69 0
C. Maps of forest land proposed to be diverted
Division 1. : Lohit Forest Division. Tezu
  (i). Area of forest land proposed to be diverted(in ha.) : 49.69   (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).
1.49.69    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: Improvement/Construction
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 20   (iii). Temporary Employment(Number of person-days): 11700
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
1MoRTH Entrustment letter
2Authorization letter
3Statement of Case
4Justification
5Gazette of EC
6Muck Disposal plan
7Muck Disposal Component wise breakup
8Muck Disposal area map
9CA Certificate
10NPV Certificate
11Undertaking Certificate
12LAC Certificate
13Cost Benefit analysis
14Executive Summery
15Plan and Profile
16Area Calculation
17Cross Sections