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/HP/ROAD/24362/2017   (ii). Name of Project for which Forest Land is required : C/o Dhadu (Dhatrog) to Bholala Road   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : C/o Dhadu (Dhatrog) to Bholala Road KM 0/0 to 9/0 under PMGSY is very important road to connect the village.   (iv). State : Himachal 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) : 30   (viii). Area of forest land proposed for diversion(in ha.): 3.432   (ix). Non-forest land required for this project(in ha.): 1.64   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : PUBLIC WORK DEPARTMENT   (ii). Address1 : CHOPAL DIVISION HPPWD CHOPAL   (iii). Address2 : TEHSIL CHOPAL DISTRICT SHIMLA HP   (iv). State : Himachal Pradesh   (v). District : Shimla   (vi). Pin : 171211   (vii). Landmark : NEAR CIVIL HOSPITAL CHOPAL   (viii). Email address : ee-cho-hp@nic.in   (ix). Landline Telephone No. : 91-260033   (x). Fax No. : 91-91   (xi). Mobile No. : 9418812344   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Er Jagdish   (ii). Middle Name: Chand   (iii). Last Name: Kanungo   (iv). Gender: Male   (v). Designation: EXECUTIVE ENGINEER   (vi). Address 1: CHOPAL DIVISION HPPWD CHOPAL   (vii). Address 2: VPO and Tehsil Chopal   (viii). State: Himachal Pradesh   (ix). District: Shimla   (x). Tehsil: NIL   (xi). Pin: 171211   (xii). Landmark: NEAR CIVIL HOSPITAL CHOPAL   (xiii). Email Address: ee-cho-hp@nic.in   (xiv). Landline Telephone No.: 91-260033   (xv). Fax No.: 91260262   (xvi). Mobile No.: 9418812344   (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.Chopal3.4321.64
Total3.4321.64
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Shimla3.4321.64
Total3.4321.64
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Kanahal0.49440
2Garah0.29220
3Bholala2.03920
4Ghala0.290
5Shalania0.31621.64
Total 3.432 1.64
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road3.4321.64
2Duming00
Total 3.432 1.64
C. Maps of forest land proposed to be diverted
Division 1. : Chopal
  (i). Area of forest land proposed to be diverted(in ha.) : 3.432   (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).
1.3.432    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): 4000
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 ?: No   (iii) . Reason for not providing Non-Forest Land: Others
Additional information Details
Documents
S.No Documents
Remarks
1Certificate of non ability non forest land for ca
2Certificate of non ability non forest land for project
3joint inspection report
4Check list 10 minimum use of forest land
5Check list 11 Undertaking regarding payment of Compensatory Afforestation
6Check list 12 Undertaking regarding payment of Net Present Value
7Check list 12 A Undertaking regarding payment of Additional Amount Net Present Value
8Administrative Approval
9Length Width
10Reclamation plan for dumping with dumping plan
11Name of forest including in the Project
12Certificate regarding population to be benefited
13Reply of Objection
14Justification for Violation Reply
15Observation Reply of As per instruction received