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/CG/ROAD/151953/2022
(ii). Name of Project for which Forest Land is required :
MEGHA - SINGPUR - DUGLI ROAD
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
Upgradation Renewal and widening work of Megha - singpur - dugli Road. i/e culvert and bridge work. Total length 35 km. within is proposed 23.715 km. length. Forest land diversion.
(iv). State :
Chhattisgarh
(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) :
7062.11
(viii). Area of forest land proposed for diversion(in ha.):
37.973
(ix). Non-forest land required for this project(in ha.):
20.721
(x). Total period for which the forest land is proposed to be diverted(in years):
99
A-2.
Details of User Agency
(i). Name :
PWD (B&R) DIVISION DHAMTARI
(ii). Address1 :
Executive Engineer, PWD (B&R) Division Dhamtari
(iii). Address2 :
NIL
(iv). State :
Chhattisgarh
(v). District :
Dhamtari
(vi). Pin :
493773
(vii). Landmark :
NIL
(viii). Email address :
eepwd.dhamtari@gmail.com
(ix). Landline Telephone No. :
0--
(x). Fax No. :
0-
(xi). Mobile No. :
9826134797
(xii). Website (if any) :
NIL
(xiii). Legal status of User Agency :
State Government
A-3.
Details of Person Making Application
(i). First Name:
Shri Santosh Kumar Netam
(ii). Middle Name:
NIL
(iii). Last Name:
NIL
(iv). Gender:
NIL
(v). Designation:
Executive Engineer
(vi). Address 1:
Executive Engineer, PWD (B&R) Division Dhamtari
(vii). Address 2:
NIL
(viii). State:
Chhattisgarh
(ix). District:
Dhamtari
(x). Tehsil:
NIL
(xi). Pin:
493773
(xii). Landmark:
NIL
(xiii). Email Address:
eepwd.dhamtari@gmail.com
(xiv). Landline Telephone No.:
0-
(xv). Fax No.:
NIL
(xvi). Mobile No.:
9406241378
(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.
Dhamtari
37.973
20.721
Total
37.973
20.721
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Dhamtari
37.973
20.721
Total
37.973
20.721
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Megha
0
6.591
2
Chhipli
0
6.798
3
Mohandi
7.706
0
4
Kusumkhuta
1.477
3.019
5
Birjhuli
1.527
0.873
6
Aalekhuta
10.53
2.27
7
Singpur
14.247
1.17
8
Dugli
2.486
0
Total
37.973
20.721
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Upgradation and Widening of Existing Road
37.973
20.721
Total
37.973
20.721
C.
Maps of forest land proposed to be diverted
Division 1. : Dhamtari
(i). Area of forest land proposed to be diverted(in ha.) :
37.973
(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.
37.973
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:
Upgradation and widening of the Existing route
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):
488871
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:
Three
District 1. : Dhamtari
(a). Village:
AMLIDIH
(b). Area(in ha.):
27.9
(c). Copy of KML file of the patch:
View File
(d). Khasra details:
1649, 1651/3
(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:
District 2. : Dhamtari
(a). Village:
AMLIDIH
(b). Area(in ha.):
6
(c). Copy of KML file of the patch:
View File
(d). Khasra details:
1651/1
(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:
District 3. : Dhamtari
(a). Village:
AMLIDIH
(b). Area(in ha.):
6.9
(c). Copy of KML file of the patch:
View File
(d). Khasra details:
1527, 1528, 1529, 1530
(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
Demand Draft
2
Letter For Online Registration
3
Point No_ 8(III) No Revenue Forest Land Aquired
4
Point No_ A1(III) Forest Land Acquired
5
Point No_ B-1 Promissory Note
6
Point No_7 Certificate of CA Land Plantation
7
Query Point No_8 .5 Approval Letter
8
Land Schedule Dhamtari
9
Reply of DFO Letter Dt. 30.06.2023
10
Reply Letter Dt 08.042024
11
12
13
GEOREFRENCED MAP
14
TOPOSHEET MAP
15
CADASTRAL MAP
16
17
WILD LIFE PLAN
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