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/43930/2020   (ii). Name of Project for which Forest Land is required : Augmentation of various Water Supply Schemes in GP Tandi, Saroa, Tharjoon, Musrani, Bassi, Devdhar, Kharshi and Kotla in Gohar Block Tehsil Chachiot District Mandi.   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : The area to be covered under this scheme hfalls under Gram Panchayat Tandi, Saroa, Tharjoon, Mushrani, Bassi, Devdhar, Kharsi & Kotla Khanula in Gohar Block Tehsil Chachiot District Mandi (H. P.). There are 190 Nos partially covered (PC) Habitation of 29 Nos Census villages under these Panchayats.   (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) : 3752   (viii). Area of forest land proposed for diversion(in ha.): 3.6   (ix). Non-forest land required for this project(in ha.): 0.4   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : EXECUTIVE ENGINEER IPH DIVISION THUNAG   (ii). Address1 : IPH Division Thunag, PO and Thunag District Mandi Himachal Pradesh   (iii). Address2 : NIL   (iv). State : Himachal Pradesh   (v). District : Mandi   (vi). Pin : 175048   (vii). Landmark : NIL   (viii). Email address : eeiphthunag@gmail.com   (ix). Landline Telephone No. : 1907-257845   (x). Fax No. : 1907-257844   (xi). Mobile No. : 9418071260   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Ajay   (ii). Middle Name: Kumar   (iii). Last Name: Gupta   (iv). Gender: Male   (v). Designation: Assistant Engineer   (vi). Address 1: IPH Sub Division Thunag, Tehsil Thunag District Man di HP   (vii). Address 2: NIL   (viii). State: Himachal Pradesh   (ix). District: Mandi   (x). Tehsil: Thunag(T)   (xi). Pin: 175048   (xii). Landmark: opp IPH Division   (xiii). Email Address: eeiphthunagfca@gmail.com   (xiv). Landline Telephone No.: 1907-257512   (xv). Fax No.: NIL   (xvi). Mobile No.: 9418153587   (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.Nachan3.60.4
Total3.60.4
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Mandi3.60.4
Total3.60.4
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1TIKKAR0.0240
2DPF BASSI FUNGAR0.040
3NAOGRAO0.110.038
4BATASER0.10.032
5DPF BHALOUT0.10
6THARJOON0.110.038
7PARWADA0.0740
8PANSEER0.070
9BARA0.130.012
10SADAN0.030
11KHEYOG0.050
12DPF KAJIUDI0.050
13KANDHI0.130.033
14SAROA0.0520.046
15TANDI0.0410.028
16ANAAH0.6520.036
17MUSRANI0.2260.048
18FANGWAR0.0680
19DPF PRALA0.0460
20DPF GADHIMAN0.070
21MANDAP0.0850
22KOTLA KHANOLA0.0870.024
23DADOH0.120.015
24DPF DHAROT0.150
25DPF HALEENU0.30
26BATANDH0.0260
27BAH0.0720.026
28MAJHOTHI0.030
29THACHI0.0520
30SALAHAR0.160
31GADIMAN0.2650.024
32DPF KAPADI0.080
Total 3.6 0.4
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1PIPE LINE2.620.4
2INTAKE0.020
3WTP0.40
4MBR-1 & PUMP HOUSE0.020
5MBR-2 & PUMP HOUSE0.020
6STORAGE TANK0.080
7SR TANK (22 Nos)0.440
Total 3.6 0.4
C. Maps of forest land proposed to be diverted
Division 1. : Nachan
  (i). Area of forest land proposed to be diverted(in ha.) : 3.6   (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 PatchesTo view KML file on google the same may be downloaded and then open if in google earth install in your computer.
1.3.6    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): 0   (iii). Temporary Employment(Number of person-days): 500376
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
1CL 06 (FOREST LAND DETAIL OF PROJECT)
2CL 07 (PRIVATE LAND DETAIL OF PROJECT)
3CL 10 (CERTIFICATE FOR MINIMUM USE OF FOREST LAND)
4CL-11 (UNDERTAKING FOR PAYMENT OF COST OF COMPENSATORY AFFORESTATION)
5CL-12 (UNDERTAKING FOR THE PAYMENT OF NET PRESENT VALUE OF FOREST AREA)
6CL-19 (DETAILED REPORT ON VIOLATION OF PROVISIONS OF FOREST ACTS )
7CL-20 (JOINT CERTIFICATE REGARDING NON-AVAILABILITY OF NON-FOREST LAND FOR RAISING COMPENSATORY PLANTATION)
8CL-21 (PROJECT SECTION REPORT)
9CL-23(LENGTH & WIDTH OF THE SCHEME PASSING THROUGH FOREST AND PRIVATE LAND )
10Detail of Employment Generated
11Detail of Project
12History of Project
13ITEM WISE BREAKUP
14LINE PLAN
15NAC
16Undertaking to pay the differential amount of NPV on the revision of rate of NPV by the Hon’ble Supreme Court of India
17DETAIL OF POPULATION BENEFITED
18ALTERNATIVE PLAN
19CERTIFICATE INDICATING AERIAL DISTANCE OF DIVERSION AREA