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/36476/2018   (ii). Name of Project for which Forest Land is required : CONSTRUCTION OF MUD ROAD (Attargoo Sangam Mudh Bhawa road)   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : The proposed road to village Dhar Chhorak, Dhar ChhoChho Pan, Dhar Lararng, Dhar Tarpak and Mud villages at present mule transport is only mode available for transporting the goods etc., the area is quit rich in the production of cash crops and agriculture production such as Maize, Potato, Apple an   (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) : 378   (viii). Area of forest land proposed for diversion(in ha.): 15.94   (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): 99
A-2. Details of User Agency
  (i). Name : HIMACHAL PRADESH PUBLIC WORK DEPARTMENT   (ii). Address1 : Engineer-in-Chief HPPWD Nirman Bhawan Nigam Vihar Shimla   (iii). Address2 : Engineer-in-Chief HPPWD Nirman Bhawan Nigam Vihar Shimla   (iv). State : Himachal Pradesh   (v). District : Shimla   (vi). Pin : 171002   (vii). Landmark : Near Police Head Quarter   (viii). Email address : pwd-hp@nic.in   (ix). Landline Telephone No. : 177-2621401   (x). Fax No. : 177-177   (xi). Mobile No. : 9418003060   (xii). Website (if any) : www.hppwd.gov.in   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Vireder   (ii). Middle Name: NIL   (iii). Last Name: kumar   (iv). Gender: Male   (v). Designation: Executive Engineer   (vi). Address 1: HPPWD Kaza   (vii). Address 2: NIL   (viii). State: Himachal Pradesh   (ix). District: Lahul and Spiti   (x). Tehsil: Spiti       (T)   (xi). Pin: 172114   (xii). Landmark: NIL   (xiii). Email Address: hp-lsp1@nic.in   (xiv). Landline Telephone No.: 1906-222252   (xv). Fax No.: NIL   (xvi). Mobile No.: 9418458474   (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.WL Spiti15.940
Total15.940
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Lahul and Spiti15.940
Total15.940
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1DHAR CHHORAK50
2DHAR CHHCHHO PAN1.90
3DHAR LARANG1.910
4DHAR TARPAK7.130
Total 15.94 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1ROAD14.2150
2DUMPING1.7250
Total 15.94 0
C. Maps of forest land proposed to be diverted
Division 1. : WL Spiti
  (i). Area of forest land proposed to be diverted(in ha.) : 15.94   (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).
1.15.94    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): 1   (iii). Temporary Employment(Number of person-days): 50400
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?: Yes   (a). Copy of Cost-Benefit analysis:
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 : Approval obtained   (a). MoEF File No : 6-175/2017 WL   (b). Copy of approval of Standing of the NBWL:   (c). Date of Approval : 29 Jul 2017
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
1COPY OF NAC
2UNDER TAKING OF CA
3UNDER TAKING OF NPV
4UNDER TAKING OF CENTRAL VERGE
5UNDER TAKING OF IMPOSED PAYMEMNT
6MAP OF LAND USE
7MUCK MANAGEMENT PLAN
8PURPOSE WISE BREAKUP
9LINEAR MAP OF ROAD
10Certificate of c/o of Mud road (SH : C/o Attargu Sangam Mudh Bhawa road) since the road is same
11The detail of Non Forest land is attached
12The undertaking regarding reclamation of dumping sites
13Copy of village code
14Copy of form A
15COPY OF ADMINISTRATIVE AND FINANCIAL APPROVAL
16COPY OF VIOLATION CASE
17COPY OF UNDER TAKING FOR ANIMAL PASSAGE PLAN
18COPY OF JOINT INSPECTION REPORT
19COPY OF FORWARDING LETTER
20Copy of Cost benefit Analysis