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/MP/WATER/50101/2020   (ii). Name of Project for which Forest Land is required : CONSTRUCTION OF DAM   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Construction of pipe line and water tank to facilitate local villagers for drinking water supply. Forest land proposed because no any other land available in this area and water source establish in forest area.   (iv). State : Madhya 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) : 350   (viii). Area of forest land proposed for diversion(in ha.): 17.418   (ix). Non-forest land required for this project(in ha.): 7.858   (x). Total period for which the forest land is proposed to be diverted(in years): 50
A-2. Details of User Agency
  (i). Name : URBAN ADMINISTRATION & DEVELOPMENT   (ii). Address1 : ward no 11 near shanti kutir main rosd nagar parishad amarkanatak   (iii). Address2 : NIL   (iv). State : Madhya Pradesh   (v). District : Anuppur   (vi). Pin : 484886   (vii). Landmark : nagar parishad amarkanat   (viii). Email address : cmoamarkantak@mpurban.gov.in   (ix). Landline Telephone No. : 7629-269441   (x). Fax No. : 7629-   (xi). Mobile No. : 9407832424   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Chain   (ii). Middle Name: Singh   (iii). Last Name: Paraste   (iv). Gender: Male   (v). Designation: cmo   (vi). Address 1: nagar parishad amarkantak   (vii). Address 2: NIL   (viii). State: Madhya Pradesh   (ix). District: Anuppur   (x). Tehsil: NIL   (xi). Pin: 484886   (xii). Landmark: nagar parishad amarkantak   (xiii). Email Address: cmoamarkantak@mpurban.gov.in   (xiv). Landline Telephone No.: 7629-2694419   (xv). Fax No.: NIL   (xvi). Mobile No.: 8966901141   (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
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
1Under Processing at State GovernmentFP/MP/WATER/50101/202018.6050
Total 18.605 0
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.Anuppur(T)3.4187.858
2.Dindori(T)140
Total17.4187.858
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Anuppur3.4187.858
1.Dindori140
Total17.4187.858
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1KAPILDHARA3.4187.858
2KHURKHURI DADAR140
Total 17.418 7.858
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1ROAD00.9
2INTAKE WELL00.5
3RAW WATER PUMP HOUSE00.1
4MUCK YARD00.25
5SUBMERGENCE17.4186.108
Total 17.418 7.858
C. Maps of forest land proposed to be diverted
Division 1. : Dindori(T)
  (i). Area of forest land proposed to be diverted(in ha.) : 14   (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.
1.14    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. : Anuppur(T)
  (i). Area of forest land proposed to be diverted(in ha.) : 3.418   (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.
1.3.418    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): 150
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?: Yes   (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). No. of districts involved for raising Compensatory Afforestation: 1   (iv). No. of patches: Two
District 1. : Anuppur
  (a). Village: baghar   (b). Area(in ha.): 5   (c). Copy of KML file of the patch:     View File   (d). Khasra details: PF 190   (e). Present owner: Others   (f). Copy of ownership proof:   (g). Copy of Mou/agreement executed between the Present owner and the User Agency:   (h). Copy of non encumberence certificate for the forest land:
District 2. : Anuppur
  (a). Village: Amarkantak   (b). Area(in ha.): 15.419   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 394/1/1,391/1,392/1   (e). Present owner: Others   (f). Copy of ownership proof:   (g). Copy of Mou/agreement executed between the Present owner and the User Agency:   (h). Copy of non encumberence certificate for the forest land:
  (v). Scanned copy of the map of the land identified for creation of Compensatory Afforestation prepared by using GPS ot Total Station:   (vi). Copy of Survey of India Toposheet in 1:50,000 scale indicating location of the land identified for creation of Compensatory Afforestation:
Additional information Details
Documents
S.No Documents
Remarks
1Socio Cultural importance
2Reply letter Against query raised by MoEF&CC
3Attachment for Query no 3
4Attachment for Query no 4
5Attachment for Query no 10
6Attachment for Query no 5
7Attachment for Query no 1
8Attachment for Query no 11
9Attachment for Query no 9
10Attachment for Query no 12
11Attachment for Query no 4
12Attachment for Query no 6
13Attachment for Query no 7
14Attachment for Query no 7
15Attachment for query no 1 Bio-Divercity recommendation
16APPROVED CAT PLAN
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