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/PB/Approach/116842/2020
(ii). Name of Project for which Forest Land is required :
Permission For Proposed Hotel On NH 44 Delhi To Amritsar At Village Saidpura , Teh & Distt Fatehgarh Sahib , Punjab.
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
Diversion of 0.0076 hec. of forest land for the Permission for approach road to the Proposed Hotel on NH 44 Delhi to Amritsar Road KM 248-249 R/S at village Saidpura , Teh & Distt. Fatehgarh Sahib , Punjab .
(iv). State :
Punjab
(v). Category of the Proposal :
Approach Access
(vi). Shape of forest land proposed to be diverted :
Linear
(vii). Estimated cost of the Project(Rupees in lacs) :
20
(viii). Area of forest land proposed for diversion(in ha.):
0.0076
(ix). Non-forest land required for this project(in ha.):
0.47
(x). Total period for which the forest land is proposed to be diverted(in years):
99
A-2.
Details of User Agency
(i). Name :
PROPOSED HOTEL AT SAIDPURA
(ii). Address1 :
Proposed Hotel on NH 44 Delhi To Amritsar Road KM 248-249 R/S At Village SaidPura , Teh & Distt Fategarh Sahib .
(iii). Address2 :
NIL
(iv). State :
Punjab
(v). District :
Fatehgarh Sahib
(vi). Pin :
140406
(vii). Landmark :
NIL
(viii). Email address :
ravinderkumarhotel123@gmail.com
(ix). Landline Telephone No. :
0-123
(x). Fax No. :
0-
(xi). Mobile No. :
9888777294
(xii). Website (if any) :
NIL
(xiii). Legal status of User Agency :
Private
A-3.
Details of Person Making Application
(i). First Name:
Ravinder
(ii). Middle Name:
NIL
(iii). Last Name:
kumar
(iv). Gender:
Male
(v). Designation:
Owner
(vi). Address 1:
Sh. Ravinder Kumar S/o Sh. Jeet Ram R/O 66 B Basant Vihar , Palm Colony , Karnal , Haryana
(vii). Address 2:
NIL
(viii). State:
Haryana
(ix). District:
Karnal
(x). Tehsil:
Karnal
(xi). Pin:
132001
(xii). Landmark:
NIL
(xiii). Email Address:
ravinderkumarhotel123@gmail.com
(xiv). Landline Telephone No.:
0-
(xv). Fax No.:
NIL
(xvi). Mobile No.:
9888777294
(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.
Patiala
0.0076
0.47
Total
0.0076
0.47
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Fatehgarh Sahib
0.0076
0.47
Total
0.0076
0.47
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
saidpura
0.0076
0.47
Total
0.0076
0.47
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
approch area
0.0076
0
2
project area
0
0.47
Total
0.0076
0.47
C.
Maps of forest land proposed to be diverted
Division 1. : Patiala
(i). Area of forest land proposed to be diverted(in ha.) :
0.0076
(ii). Nature of the Project:
Linear
(b). No. of Segments :
One
Segment wise details
Segments
Segment Area(in ha.)
Kml File of Segments
(To view KML file on google the same may be downloaded and then open if in google earth install in your computer).
1.
0.0076
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:
(ii). Whether a copy of map indicating location of alternative examine is required to be provided:
Yes
(a). Copy of map indicating location of alternative examined:
E.
Employment likely to be generated
(i). Whether the Project is likely to generate employment ?:
Yes
(ii). Permanent/Regular Employment(Number of persons):
5
(iii). Temporary Employment(Number of person-days):
5
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?:
Not Applicable
(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:
Not Applicable
Additional information Details
Documents
S.No
Documents
Remarks
1
Form A
2
Affidavit
3
Certificate on agree to bear Cost of Compensatory Afforestation and NPV
4
Certificate on PLP Act 1900
5
Brief Note On Project Checklist No 4
6
Justification On Project Checklist No 10
7
Minimum use of forest land Checklist No 11
8
Undertaking Of Payment of Cost of Compensatory Afforestation Checklist No 12
9
Undertaking of NPV Checklist No 13
10
Environment Clerartificate Checklist No 24
11
Part 1
12
Undertaking Add NPV
13
Undertaking Environment clearance
14
Undertaking Non Forest land
15
Undertaking of Reserve price of trees
16
Undertaking of private works
17
CLU
18
Zamabandi Fard Translation
19
Sale Deed
20
Self Declaration
21
Schdule Tribes Certificate
22
Survey Map Of India
23
Collector Rate Tehsildaar Attested
24
Processing Fees 1000
25
Fard Punjabi
26
Greening Punjab Mission Fees
27
Anexure 1
28
NH Approved Map
29
Undertaking of non forest land area FCA 1980
30
Cheklist Serial NO.-08
31
Reply For justification of Access As per approved Map
32
Cheklist seriol No. 23
33
DGPS Map
34
nh noc
35
PPCB noc
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