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/AS/ROAD/48518/2020
(ii). Name of Project for which Forest Land is required :
Diversion of forest land for improvement and upgradation of Hamren to Howrahghat Section of SH-19 under Axom Mala roads in the state of Assam
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
This project is an improvement and upgradation of existing road from single lane to 2 lanes with paved shoulder from Hamren to Howrahghat Section of SH-19 in West Karbi Anglong and Hojai districts in the state of Assam. The project road is passing through the suburb of Hamren, Dongkamukam, Satgaon,
(iv). State :
Assam
(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) :
58653
(viii). Area of forest land proposed for diversion(in ha.):
4.193
(ix). Non-forest land required for this project(in ha.):
46.197
(x). Total period for which the forest land is proposed to be diverted(in years):
99
A-2.
Details of User Agency
(i). Name :
ASSAM PWRD
(ii). Address1 :
Block B, Ground Floor, Janata Bhawan, dispur, Guwahati
(iii). Address2 :
NIL
(iv). State :
Assam
(v). District :
Kamrup
(vi). Pin :
781006
(vii). Landmark :
NIL
(viii). Email address :
as-guw1@nic.in
(ix). Landline Telephone No. :
361-2237378
(x). Fax No. :
361-
(xi). Mobile No. :
9954024240
(xii). Website (if any) :
https://pwdroads.assam.gov.in
(xiii). Legal status of User Agency :
State Government
A-3.
Details of Person Making Application
(i). First Name:
Diganta
(ii). Middle Name:
NIL
(iii). Last Name:
Goswami
(iv). Gender:
Male
(v). Designation:
AEE and OSD
(vi). Address 1:
PWRD, EAP, ASSAM, FATASIL AMBARI, GUWAHATI
(vii). Address 2:
NIL
(viii). State:
Assam
(ix). District:
Kamrup
(x). Tehsil:
Guwahati
(xi). Pin:
781025
(xii). Landmark:
NIL
(xiii). Email Address:
diganta5000@gmail.com
(xiv). Landline Telephone No.:
361-2237378
(xv). Fax No.:
NIL
(xvi). Mobile No.:
9954024240
(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.
Nagaon South Division, Hojai
4.193
46.197
Total
4.193
46.197
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Hojai
4.193
46.197
Total
4.193
46.197
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Somupong
0
3.641
2
Linchika
0
9.865
3
Mulokbong
0
3.991
4
Taralangso Bl No 4
0
1.675
5
Taralangso Bl No 2
0
0.314
6
Taralangso BL no 1
0
0.298
7
Phankari Gaon Block No.4
0
0.265
8
Phankari Gaon Block No.3
0
0.022
9
Phankri Gaon Sheet No. 2
0
0.031
10
Donka No 1
0
0.825
11
Donka No. 2
0
0.176
12
Pub Ghilani
0
0.119
13
Bhelapara
0
0.022
14
Mugasong
0
0.01
15
Tumpreng No. 1
0
0.013
16
Tumpreng
0
0.335
17
Kumurokata RF Village
4.193
0
18
Uttar Kumorakata Part 1
0
1.138
19
Uttar Kumorakata
0
0.06
20
Dakhin Kumurakata
0
0.802
21
Maina Pathar
0
0.393
22
Matikhola
0
0.045
23
Singari Basti
0
0.072
24
Dakhin Bidyanagar
0
0.014
25
Hojai town No. 3
0
0.11
26
Hojai town 2
0
0.378
27
Dimrupar
0
0.055
28
Fatehpur
0
0.023
29
Islampur
0
0.021
30
Jayantia Basti
0
1.748
31
Nilbagan
0
1.958
32
Mathigaon
0
1.977
33
Singi Par
0
0.371
34
Sowpur
0
0.043
35
Rohini Pathar
0
1.324
36
Sabajpur
0
3.082
37
Dighal Jarani
0
3.135
38
Barhawar
0
1.461
39
Moudanga Pathar
0
0.581
40
Howraghat Town
0
1.259
41
Dakhin Borbil Gaon
0
0.141
42
Beloguri 2 sheet-1
0
0.027
43
Gorokhia Pukuri Part 2
0
0.068
44
Kospukhuri
0
0.193
45
Cheng Biri Block No 1
0
0.347
46
Sutarpur
0
0.007
47
Debasthan
0
3.724
48
Pachim Dhaniram pather
0
0.038
Total
4.193
46.197
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Road
4.193
46.197
Total
4.193
46.197
C.
Maps of forest land proposed to be diverted
Division 1. : Nagaon South Division, Hojai
(i). Area of forest land proposed to be diverted(in ha.) :
4.193
(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.
4.193
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:
Yes
(a). Copy of map indicating location of alternative examined:
E.
Employment likely to be generated
(i). Whether the Project is likely to generate employment ?:
Yes
(ii). Permanent/Regular Employment(Number of persons):
0
(iii). Temporary Employment(Number of person-days):
391500
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?:
Yes
(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 ?:
No
(iii). No. of districts involved for raising Compensatory Afforestation:
1
(iv). No. of patches:
One
District 1. : Hojai
(a). Village:
Baliram Pathar
(b). Area(in ha.):
5.6
(c). Copy of KML file of the patch:
View File
(d). Khasra details:
117
(e). Present owner:
Others
(f). Copy of ownership proof:
(g). Copy of Mou/agreement executed between the Present owner and the User Agency:
(h). Copy of non encumberence certificate for the forest land:
(v). Scanned copy of the map of the land identified for creation of Compensatory Afforestation prepared by using GPS ot Total Station:
(vi). Copy of Survey of India Toposheet in 1:50,000 scale indicating location of the land identified for creation of Compensatory Afforestation:
Additional information Details
Documents
S.No
Documents
Remarks
1
Ariel distance of wildlife sanctuary and Proposed Road
2
NoC of DFO Hamren ie. no forest area involve in Hamren division
3
UT Conservation of flora fauna
4
UT for Cost of CA
5
UT for FRA Certificate
6
UT for Labour camp
7
UT for No change in statutory position of Forest land
8
UT for No other feasible alternative
9
UT for No use of forest material
10
UT for Other cost and condition
11
UT for survey using DGPS/Total station
12
UT for use of forest land
13
UT for waste management
14
EDS Reply 19th Sept 2020
15
EDS Compliance PWRD Letter No. 37 dated 02.09.2021
16
Area Change Letter
17
EDS reply letter 140921
18
NPV Undertaking
19
Layout Plan
20
EDS Reply letter 06052022
21
CA Land MoU
22
CA Land circle officer letter
23
CA Land Land suitability certificate
24
CA Land Non Encumberance certificate
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