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/WATER/148410/2021
(ii). Name of Project for which Forest Land is required :
Construction of LWSS PC Habitation to Village Haripur & Multi Village Piped Water Supply Scheme of Dehra Block in Tehsil Haripur, District Kangra
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
The Govt. of Himachal Pradesh has approved the construction of LWSS PC Habitation to Village Haripur & Multi Village Piped Water Supply Scheme of Dehra Block in Tehsil Haripur, District Kangra. Accordingly, the present proposal involves 1.2948 ha total land comprising of 1.0041 ha of forest land and
(iv). State :
Himachal Pradesh
(v). Category of the Proposal :
Drinking Water
(vi). Shape of forest land proposed to be diverted :
Non Linear
(vii). Estimated cost of the Project(Rupees in lacs) :
110
(viii). Area of forest land proposed for diversion(in ha.):
1.0041
(ix). Non-forest land required for this project(in ha.):
0.2907
(x). Total period for which the forest land is proposed to be diverted(in years):
99
A-2.
Details of User Agency
(i). Name :
IRRIGATION AND PUBLIC HEALTH GOVT OF HP
(ii). Address1 :
IPH Division Dehra
(iii). Address2 :
NIL
(iv). State :
Himachal Pradesh
(v). District :
Kangra
(vi). Pin :
177101
(vii). Landmark :
NIL
(viii). Email address :
xeniphdehrahp@gmail.com
(ix). Landline Telephone No. :
1970-233118
(x). Fax No. :
1970-
(xi). Mobile No. :
9418073912
(xii). Website (if any) :
NIL
(xiii). Legal status of User Agency :
State Government
A-3.
Details of Person Making Application
(i). First Name:
Rajesh
(ii). Middle Name:
NIL
(iii). Last Name:
Kanungo
(iv). Gender:
Male
(v). Designation:
Executive Engineer
(vi). Address 1:
IPH Division Dehra
(vii). Address 2:
NIL
(viii). State:
Himachal Pradesh
(ix). District:
Kangra
(x). Tehsil:
Dera Gopipur(T)
(xi). Pin:
177101
(xii). Landmark:
NIL
(xiii). Email Address:
xeniphdehrahp@gmail.com
(xiv). Landline Telephone No.:
1970-233118
(xv). Fax No.:
NIL
(xvi). Mobile No.:
9418073912
(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.
D/sala
0.2731
0
2.
Dehra
0.731
0.2907
Total
1.0041
0.2907
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Kangra
1.0041
0.2907
Total
1.0041
0.2907
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Rajaur
0.2731
0
2
Kuthar
0.0458
0.0762
3
Gareru
0.0711
0.0466
4
Balsun
0.0005
0.0753
5
Bhati
0
0.0517
6
Gagehr
0.024
0.0395
7
Dhar Panyali
0.0306
0.0014
8
Bagrot
0.399
0
9
Chelian
0.16
0
Total
1.0041
0.2907
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Pump House Area 60 m x 40 m
0.24
0
2
Pipe Line 2441 m x 1 m in Forest and 2907 m x 1 m
0.2441
0.2907
3
Water Tank I 60 m x 60 m
0.36
0
4
Water Tank II 40 m x 40 m
0.16
0
Total
1.0041
0.2907
C.
Maps of forest land proposed to be diverted
Division 1. : D/sala
(i). Area of forest land proposed to be diverted(in ha.) :
0.2731
(ii). Nature of the Project:
Non Linear
(a). No. of patches :
One
Patch wise details
Patch No.
Area of Patch(in ha.)
Kml File of Patches
To view KML file on google the same may be downloaded and then open if in google earth install in your computer.
1.
0.2731
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:
Division 2. : Dehra
(i). Area of forest land proposed to be diverted(in ha.) :
0.731
(ii). Nature of the Project:
Non Linear
(a). No. of patches :
One
Patch wise details
Patch No.
Area of Patch(in ha.)
Kml File of Patches
To view KML file on google the same may be downloaded and then open if in google earth install in your computer.
1.
0.731
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:
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):
7200
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? :
No
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
1
Check List 2 Form A Part I
2
Check List 3 Detail Note
3
Check List 6 Statement of Forest Land
4
Check List 7 Statement of Non Forest Land
5
Check List 8 DC Certificate No Alternative
6
Check List 10 Certificate Minimum Use
7
Check List 11 Undertaking to Pay Cost of CA
8
Check List 12 Undertaking to Pay Cost of NPV
9
Check List 12 Undertaking to Pay Cost of Additional NPV
10
Check List 13 Undertaking to Submit FRA Certificate
11
Check List 15 Joint Inspection Report
12
Check List 19 Undertaking Non Violation
13
Check List 20 DC Certificate Non Availability CA Land
14
Check List 21 Approval Letter
15
Check List 22 NOC PWD Department
16
Check List 23 NOC HPSEBL
17
Check List 32 Reclamation Plan
18
Check List 32 Undertaking for Disposal of Muck
19
Check List 34 Dimension Wise Detail of Land
20
Check List 34 Certificate Beneficiaries
21
Check List 34 Certificate Eco Sensitive Zone
22
Check List 10 Alternative Details
23
Check List 4 Layout Plan
24
Reply to Observations DFO Office
25
Reply to the Observations Nodal Office
26
Complete Scanned Proposal
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