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/THE/8413/2014   (ii). Name of Project for which Forest Land is required : Construction of Water Intake Pump House at Dilli River, near to existing Intake pump house   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : The proposed project is construction of an offshore raw water intake pump house at Dilli river near the existing intake pump house to meet water requirement for the existing power plant, on-going new thermal 1x100Mw Namrup Replacement power project (Ph-I), future expansion of the thermal project (P   (iv). State : Assam   (v). Category of the Proposal : Thermal   (vi). Shape of forest land proposed to be diverted : Non Linear   (vii). Estimated cost of the Project(Rupees in lacs) : 2200   (viii). Area of forest land proposed for diversion(in ha.): 0.069   (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): 25
A-2. Details of User Agency
  (i). Name : ASSAM POWER GENERATION CORPORATION LIMITED   (ii). Address1 : BIJULEE BHAWAN, 3RD FLOOR, PALTAN BAZAR, GUWAHATI   (iii). Address2 : NIL   (iv). State : Assam   (v). District : Kamrup   (vi). Pin : 781001   (vii). Landmark : BIJULEE BHAWAN   (viii). Email address : cgm-g@apgcl.com   (ix). Landline Telephone No. : 361-2739546   (x). Fax No. : 361-2739546   (xi). Mobile No. : 9435332156   (xii). Website (if any) : www.apgcl.org   (xiii). Legal status of User Agency : State PSU
A-3. Details of Person Making Application
  (i). First Name: JAJNESWAR   (ii). Middle Name: NIL   (iii). Last Name: SARMA   (iv). Gender: Male   (v). Designation: ASSTT GENERAL MANAGER   (vi). Address 1: OFFICE OF THE CHIEF GENERAL MANAGER (GEN), BIJULEE BHAWAN, 3RD FLOOR, PALTAN BAZAR, GUWAHATI   (vii). Address 2: NIL   (viii). State: Assam   (ix). District: Kamrup   (x). Tehsil: Guwahati   (xi). Pin: 781001   (xii). Landmark: BIJULEE BHAWAN   (xiii). Email Address: nrpp@apgcl.com   (xiv). Landline Telephone No.: 361-2739546   (xv). Fax No.: 03612739546   (xvi). Mobile No.: 9435332156   (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.Dibrugarh0.0690
Total0.0690
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Dibrugarh0.0690
Total0.0690
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.)
1Intake0.0110
2Pipe Bridge0.0280
3SWGR Building0.0170
4Road0.0130
Total 0.069 0
C. Maps of forest land proposed to be diverted
Division 1. : Dibrugarh
  (i). Area of forest land proposed to be diverted(in ha.) : 0.069   (ii). Nature of the Project: Non Linear   (a). No. of patches : Four
Patch wise details
Patch No. Area of Patch(in ha.) Kml File of PatchesTo view KML file on google the same may be downloaded and then open if in google earth install in your computer.
1.0.011    View File
2.0.028    View File
3.0.017    View File
4.0.013    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:
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): 36500
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? : Yes   (a). Whether Project or a part thereof is located within a Protected Area ? : No   (ii). Status of approval of the Standing Committee of National Board for the Wildlife(NBWL) to the Project : Application under process   (a). Date of submission of proposals : 02 Jan 2015   (b). Current status : NIL
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
1Plan, Section and details of Intake Pump House
2Swithyard Gear Building Plan
3Project Layout Plan
4Duly signed and sealed undertaking for bearing cost of comensation admissible under forest act on stamp paper attached
5Duly signed undertaking to pay NPV in stamp paper attached
6Undertaking for minimum use of land duly signed and sealed in stamp paper
7Undertaking for DGPS survey duly signed and sealed in stamp paper
8Form-A duly signed and sealed
9Appendix-I duly signed and sealed
10Appendix-II duly signed and sealed
11Annexure-I duly signed and sealed
12DGPS layout map
13DGPS Intake patch
14DGPS Pipe bridge patch
15DGPS SWGR Bldg patch
16DGPS road patch
17Sketch map
18Application to PCCF (WL), GoA requesting clearance under Protection (1972) Act
19Justification for locating in forest area