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/8164/2014   (ii). Name of Project for which Forest Land is required : C/O road From Dummi to Kharechi 0/00 to 10/165   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : C/o Road from Dummi to Kharachi under NABARD RD 0/00 TO 10/165 km to provide connectivity to unconnected villages coming in between the alignment of this road This road will beneficial to the people of the above said panchayat residing in village dummi and another villages It is difficult task fo   (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) : 400   (viii). Area of forest land proposed for diversion(in ha.): 5.6581   (ix). Non-forest land required for this project(in ha.): 1.736   (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: Ayub   (ii). Middle Name: NIL   (iii). Last Name: Chaudhary   (iv). Gender: Male   (v). Designation: Executive Engineer   (vi). Address 1: HPPWD Division No 1 Shimla 171003   (vii). Address 2: NIL   (viii). State: Himachal Pradesh   (ix). District: Shimla   (x). Tehsil: Shimla Urban(T)   (xi). Pin: 171003   (xii). Landmark: NIL   (xiii). Email Address: ee-sml1-hp@nic.in   (xiv). Landline Telephone No.: 177-2658385   (xv). Fax No.: NIL   (xvi). Mobile No.: 9418463331   (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.Shimla(shimla)5.65811.736
Total5.65811.736
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Shimla5.65811.736
Total5.65811.736
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Dummi2.18821.736
2Pawabo1.03650
3Jholo0.54560
4Shira Khurd0.22590
5Shira Kalan0.74250
6Sanog Nichla0.91940
Total 5.6581 1.736
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road5.29811.736
2Dumping0.360
Total 5.6581 1.736
C. Maps of forest land proposed to be diverted
Division 1. : Shimla(shimla)
  (i). Area of forest land proposed to be diverted(in ha.) : 5.6581   (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).
1.5.6581    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): 2   (iii). Temporary Employment(Number of person-days): 25000
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? : 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 NPV both
2certificate of CA
3certificate of non ability non forest land for project
4non ability non forest land for CA
5Approval
6CERTIFICATE REGARDING LENGTH AND WIDTH
7REPLAY OF OBSERVATION
8Financial Estimate copy.
9Revised Joint Inspection Report
10Forwarding letter
11muck plan with certificate
12Reply letter
13Alternative certificate
14Reply letter
15Reply letter
16Observation letter
17observation reply
18Village code