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/43587/2019   (ii). Name of Project for which Forest Land is required : Rehabilitation & Upgrading of Dharamjaigarh Kapu road.   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Dharamjaigarh-Kapu Road   (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) : 14071   (viii). Area of forest land proposed for diversion(in ha.): 10.465   (ix). Non-forest land required for this project(in ha.): 35.441   (x). Total period for which the forest land is proposed to be diverted(in years): NIL
A-2. Details of User Agency
  (i). Name : PROJECT DIRECTOR CSRSP PWD RAIPUR   (ii). Address1 : Project Director, CSRSP, PWD,   (iii). Address2 : Sirpur Bhawan, Raipur   (iv). State : Chhattisgarh   (v). District : Raipur   (vi). Pin : 492001   (vii). Landmark : NIL   (viii). Email address : pdadb.raipur.cg@gov.in   (ix). Landline Telephone No. : 771-4031102   (x). Fax No. : 771-   (xi). Mobile No. : 9425229555   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: A K   (ii). Middle Name: NIL   (iii). Last Name: Diwan   (iv). Gender: Male   (v). Designation: ProjectManager   (vi). Address 1: ADB Project CGRSP PWD C/O Chief Engineer PWD Bilaspur Zone Campus   (vii). Address 2: Infront of Civil Court   (viii). State: Chhattisgarh   (ix). District: Bilaspur   (x). Tehsil: Bilaspur   (xi). Pin: 495001   (xii). Landmark: NIL   (xiii). Email Address: eemp.bilaspur.cg@gov.in   (xiv). Landline Telephone No.: 7752-409870   (xv). Fax No.: NIL   (xvi). Mobile No.: 9425258708   (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.Dharamjaigarh10.46535.441
Total10.46535.441
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Raigarh10.46535.441
Total10.46535.441
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Dharamjaigarh3.481.609
2Miriguda2.5025.849
3Nakna02.975
4Khamaar0.9486.671
5Bhojpur04.466
6Bakalo03
7Sonpur3.5355.915
8Bandhanpur02.394
9Kapu02.562
Total 10.465 35.441
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road10.46535.441
Total 10.465 35.441
C. Maps of forest land proposed to be diverted
Division 1. : Dharamjaigarh
  (i). Area of forest land proposed to be diverted(in ha.) : 10.465   (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).
1.10.465    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: Project is for widening of existing road
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 100   (iii). Temporary Employment(Number of person-days): 279900
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?: No   (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: Certificate from Chief Secretary regarding non-availability of suitable non-forest/ revenue forest land
Additional information Details
Documents
S.No Documents
Remarks
1Request letter written to Collector , Raigarh to start process for FRA.
2Request letter written to Collector , Raigarh to to provide CA area.
3Request letter written to Collector , Raigarh to provide Historical place certificate.
4NOC, Revenue forest land
5Registration and Processing Fee
6Submission of proposal in 6 hard copies
7DGPS Survey Report
8Compliance to EDS
9Reply of query no.-1 & 2
10Reply of query no.-1 & 2 (Page-1)
11Reply of query no.-1 & 2 (Page-2)
12Reply of query no.-1 & 2 (Page-3)
13Reply of query no.-1 & 2 (Page-4)
14Reply of query no.-1 & 2 (Page-5)
15Reply of query no.-1 & 2 (Page-6A)
16Reply of query no.-1 & 2 (Page-6B)
17Reply of query no.-1 & 2 (Page-7)
18Reply of query no.-1 & 2 (Page-8)
19Reply of query no.-1 & 2 (Page-9)
20Reply of query no.-1 & 2 (Page-10)
21Reply of query no.-1 & 2 (Page-11)
22Reply of query no.-1 & 2 (Page-12)
23Reply of query no.-1 & 2 (Page-13)
24Reply of query no.-1 & 2 (Page-14)
25Reply of query no.-1 & 2 (Page-15)
26Reply of query no.-1 & 2 (Page-16)
27Reply of query no.-1 & 2 (Page-17)
28Reply of query no.-1 & 2 (Page-18)
29Reply of query no.-1 & 2 (Page-19)
30Reply of query no.-1 & 2 (Page-20)
31Reply of query no.-1 & 2 (Page-21)
32Reply of query no.-1 & 2 (Page-22)
33Reply of query no.-1 & 2 (Page-23)
34Reply of query no.-1 & 2 (Page-24)
35Reply of query no.-1 & 2 (Page-25)
36Reply of query no.-1 & 2 (Page-26)
37Reply of query no.-1 & 2 (Page-27)
38Reply of query no.-1 & 2 (Page-28)
39Reply of query no.-1 & 2 (Page-29)
40Reply of query no.-1 & 2 (Page-30)
41Reply of query no.-1 & 2 (Page-31)
42Reply of query no.-1 & 2 (Page-32)
43Reply of query no.-1 & 2 (Page-33)
44Reply of query no.-1 & 2 (Page-34)
45Reply of query no.-1 & 2 (Page-35)
46Reply of query no.-1 & 2 (Page-36)
47Reply of query no.-1 & 2 (Page-37)
48Reply of query no.-1 & 2 (Page-38)
49Reply of query no.-1 & 2 (Page-39)
50Reply of query no.-1 & 2 (Page-40)
51Reply of query no.-1 & 2 (Page-41)
52Reply of query no.-1 & 2 (Page-42)
53Reply of query no.-1 & 2 (Page-43)
54Reply of query no.-1 & 2 (Page-44)
55Reply of query no.-1 & 2 (Page-45)