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/JH/FVC/46701/2020   (ii). Name of Project for which Forest Land is required : Diversion of forest land of Polpol Kalan PF of Kundri Range, Medininagar Forest Division for Relocation of Kujrum, Latu & other Villages from Palamau Tiger Reserve, Daltonganj, Jharkhand   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Rehabilitation after Relocation of forest villages situated in the Baresanr Forest Compartment of the core area of Palamau Tiger Reserve in order to improve the tiger habitat of Palamau Tiger Reserve.   (iv). State : Jharkhand   (v). Category of the Proposal : Forest Village Conversion   (vi). Shape of forest land proposed to be diverted : Non Linear   (vii). Estimated cost of the Project(Rupees in lacs) : 650   (viii). Area of forest land proposed for diversion(in ha.): 133.64   (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 : DEPUTY DIRECTOR, PALAMAU TIGER PROJECT, SOUTH DIVISION, MEDININAGAR   (ii). Address1 : Office of Deputy Director, Palamau Tiger Project, South Division, Medininagar   (iii). Address2 : NIL   (iv). State : Jharkhand   (v). District : Palamu   (vi). Pin : 822101   (vii). Landmark : Jailhata   (viii). Email address : ddpalamau@gmail.com   (ix). Landline Telephone No. : 6562-295573   (x). Fax No. : 6562-   (xi). Mobile No. : 8987790042   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Mukesh   (ii). Middle Name: NIL   (iii). Last Name: Kumar   (iv). Gender: Male   (v). Designation: DD   (vi). Address 1: Office of Deputy Director, Palamau Tiger Project, South Division, Medininagar   (vii). Address 2: NIL   (viii). State: Jharkhand   (ix). District: Palamu   (x). Tehsil: Daltonganj   (xi). Pin: 822101   (xii). Landmark: Jailhata   (xiii). Email Address: ddpalamau@gmail.com   (xiv). Landline Telephone No.: 0-   (xv). Fax No.: NIL   (xvi). Mobile No.: 8987790042   (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.Medininagar133.640
Total133.640
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Palamu133.640
Total133.640
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Polpol Kalan133.640
Total 133.64 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Relocation of Villages from Core Area133.640
Total 133.64 0
C. Maps of forest land proposed to be diverted
Division 1. : Medininagar
  (i). Area of forest land proposed to be diverted(in ha.) : 133.64   (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.
1.133.64    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): 5000
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 : Application yet to be submitted
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: Central Govt. Project
Additional information Details
Documents
S.No Documents
Remarks
1EDS Reply
2Reply of 2nd EDS.
3EDS Reply- Cost Benefit Analysis.
4Regarding Submission of Hard Copy of Proposal.
5Revised Land schedule 133.64
6Documents- Certificate for non- applicability of Compensatory Afforestation & NPV, Component- wise break up of land use, Certificate for non- applicability of EC/ EIA/ Wildlife clearances,
7Check list
8FRA Certificate of Deputy Commissioner, Palamu with proceeding of Gram Sabha has been uploaded.
9Signed copy of Form A, Part I has been uploaded.
10Compliance of query by FC Division, GoI- Dated 16.02.2022