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/OR/IND/10338/2015   (ii). Name of Project for which Forest Land is required : Tata Steel Special Economic Zone at Gopalpur in Ganjam District, Odisha.   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Proposal for diversion of 3.792 ha of forest land under FC Act,1980 for Development of Industrial Park in SEZ by M/s Tata Steel Ltd. at Gopalpur in Ganjam District, Odisha   (iv). State : Orissa   (v). Category of the Proposal : Industry   (vi). Shape of forest land proposed to be diverted : Non Linear   (vii). Estimated cost of the Project(Rupees in lacs) : 250000   (viii). Area of forest land proposed for diversion(in ha.): 3.792   (ix). Non-forest land required for this project(in ha.): 1189.586   (x). Total period for which the forest land is proposed to be diverted(in years): 30
A-2. Details of User Agency
  (i). Name : Tata Steel Limited, Jamshedpur   (ii). Address1 : Tata Steel Ltd. Gopalpur Project & SEZ 2nd Floor Fortune Tower, Chandrashekherpur Bhubaneswar   (iii). Address2 : NIL   (iv). State : Orissa   (v). District : Khordha   (vi). Pin : 751023   (vii). Landmark : NIL   (viii). Email address : sushanta.mishra@tatasteel.com   (ix). Landline Telephone No. : 674-6651104   (x). Fax No. : 674-   (xi). Mobile No. : 9238087051   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : Private
A-3. Details of Person Making Application
  (i). First Name: Sushanta   (ii). Middle Name: Kumar   (iii). Last Name: Mishra   (iv). Gender: Male   (v). Designation: Chief   (vi). Address 1: Tata Steel Ltd. Gopalpur Project & SEZ 2B Fortune Tower, Chandrashekherpur Bhubaneswar   (vii). Address 2: NIL   (viii). State: Orissa   (ix). District: Khordha   (x). Tehsil: Khordha   (xi). Pin: 751023   (xii). Landmark: NIL   (xiii). Email Address: sushanta.mishra@tatasteel.com   (xiv). Landline Telephone No.: 674-6651104   (xv). Fax No.: NIL   (xvi). Mobile No.: 9238087051   (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.Berhampur3.7921189.586
Total3.7921189.586
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Ganjam3.7921189.586
Total3.7921189.586
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Badapur2.36193.339
2Chamakhandi1.432195.823
3Basanaputi082.094
4Jagannathpur0183.447
5Laxmipur054.928
6Mansurkota0239.348
7Sindhigam0240.607
Total 3.792 1189.586
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Non-processing Zone0.694103.251
2Processing Zone1.328600.997
3Green Belt1.77355.553
4Ferrochrome plant & Rebar Mill0118.267
5Desalination Plant,pipeline & Road011.518
Total 3.792 1189.586
C. Maps of forest land proposed to be diverted
Division 1. : Berhampur
  (i). Area of forest land proposed to be diverted(in ha.) : 3.792   (ii). Nature of the Project: Non Linear   (a). No. of patches : Two
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.
1.2.36    View File
2.1.432    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): 1000   (iii). Temporary Employment(Number of person-days): 8000
F. Displacement of People due to the Project, if any
  (i). Whether Project involves displacement?: Yes   (a). Total Number of families : 656   (b). Number of Scheduled Caste families : 127   (c). Number of Schedule Tribes families : 2   (d). Number of other families : 527   (ii). Copy of Rehabilitation and Resettlement Plan:   (a). Copy of approval to Ministry of Tribal Affairs,Government of India to Rehabilitation and Resettlement:
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 ? : Yes   (a). Status of the Environmental Clearance to the Project: EC application yet to be submitted
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: One
District 1. : Ganjam
  (a). Village: Mahurigada   (b). Area(in ha.): 3.793   (c). Copy of KML file of the patch:     View File   (d). Khasra details: nil   (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
1
2Reply to Querries raised by State Govt.
3Reply in response to Querry raised by RCCF, Berhampur Circle