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/141902/2021   (ii). Name of Project for which Forest Land is required : M/S Shagun Resorts (Marriage Palace), Situated at Village Gurdaspura Basti, Distt. Sangrur   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Diversion of 0.00399 HA. of Forest Land for construction of approach access to M/S Shagun Resorts (Marriage Palace), Situated at Village Gurdaspura Basti, on Ludhiana – Malerkotla – Sangrur Road, SH – 11 at RD 75.360 KM (RHS). Tehsil & Distt. Sangrur (PB). Under Forest Division Sangrur.   (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) : 85   (viii). Area of forest land proposed for diversion(in ha.): 0.00399   (ix). Non-forest land required for this project(in ha.): 0.2214   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : M/S SHAGUN RESORTS   (ii). Address1 : M/S Shagun Resorts, Village Gurdaspura Basti, Dhuri Road Sangrur   (iii). Address2 : NIL   (iv). State : Punjab   (v). District : Sangrur   (vi). Pin : 148001   (vii). Landmark : Opp. Indane Gas Godown   (viii). Email address : resortsshagun@gmail.com   (ix). Landline Telephone No. : 921-7990999   (x). Fax No. : 921-   (xi). Mobile No. : 9217990999   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : Private
A-3. Details of Person Making Application
  (i). First Name: Sandeep   (ii). Middle Name: NIL   (iii). Last Name: Kumar   (iv). Gender: Male   (v). Designation: Proprietor   (vi). Address 1: Sandeep Kumar, C/O M/S Shagun Resorts, Dhuri Road Sangrur   (vii). Address 2: NIL   (viii). State: Punjab   (ix). District: Sangrur   (x). Tehsil: Sangrur   (xi). Pin: 148001   (xii). Landmark: NIL   (xiii). Email Address: resortsshagun@gmail.com   (xiv). Landline Telephone No.: 921-7990999   (xv). Fax No.: NIL   (xvi). Mobile No.: 9217990999   (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.Sangrur0.003990.2214
Total0.003990.2214
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Sangrur0.003990.2214
Total0.003990.2214
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Gurdaspura Basti0.003990.2214
Total 0.00399 0.2214
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Project Site Area00.2214
2Area of Gate0.003150
3Area of Left Curve0.000420
4Area of Right Side Curve0.000420
Total 0.00399 0.2214
C. Maps of forest land proposed to be diverted
Division 1. : Sangrur
  (i). Area of forest land proposed to be diverted(in ha.) : 0.00399   (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).
1.0.00399    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): 10   (iii). Temporary Employment(Number of person-days): 0
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
1Authority Letter
2Annexure A
3Affadavit
4Application
5Approved Map
6Certificate
7CLU
8Detail note of the Project
9Detail of Non Forest Land
10forest receipt
11Form A
12FRA Certificate
13Geo Reference Map
14Jamabndi in English
15Jamabandi in Punjabi
16Jamabandi in English
17Justification for NOC from Environment Clearance
18Justification
19Lathha
20Minimum Use of Forest Land
21NOC from PPCB is Applied
22Registry 1 in English
23Registry 1 in Punjabi
24Registry 2 in English
25Registry 2 in Punjabi
26Registry 3 in English
27Registry 3 in Punjabi
28Undertaking for FCA 1980
29Undertaking for Payment of Additional Compensatory Afforestation
30Undertaking for Payment of Additional Net Present Value
31Undertaking for Payment of CLU
32Undertaking for Payment of Compensatory Afforestation
33Undertaking for Payment of Cost of Trees
34Undertaking for Payment of Net Present Value
35Undertaking for Payment of Penal Compensatory Afforestation
36Undertaking for Payment of Penal Net Present Value
37Undertaking for the Project is Private
38Undertaking for the Reserve Price of Trees
39Justification for the Side of the Resort
40Undertaking for the NOC from PPCB
41Correction in PWD NOC for change of Side from LHS to RHS, issued by PWD Dept. (Punjabi & English Translated)
42NOC from PWD Letter No. 5778 in Punjabi and English