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/142019/2021
(ii). Name of Project for which Forest Land is required :
Approach access road to B-site (kissan sewa kendra) at part of (khasra no. 59//6/1,59//5) RHS Village sandhwal retail outlet of Indian Oil Corporation Limited (IOCL)
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
Diversion area of 0.008 ha of forest land for approach access road to B-site (Kissan Sewa Kendra) at part of (kashra no. 59//6/1,59//5) (RHS) Retail Outlet of Indian Oil Corporation Ltd (Jalandhar Divisional Office) at Village Sandhwal to village saidaon on Hajipur-Manser road Tehsil Hajipur, Distt
(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) :
60
(viii). Area of forest land proposed for diversion(in ha.):
0.008
(ix). Non-forest land required for this project(in ha.):
0.1523
(x). Total period for which the forest land is proposed to be diverted(in years):
15
A-2.
Details of User Agency
(i). Name :
APPROACH ACCESS FOR INDIAN OIL CORPORATION (IOCL)
(ii). Address1 :
Indian Oil Corporation Limited, Suchi Pind, GT Road Byepass Jalandhar
(iii). Address2 :
NIL
(iv). State :
Punjab
(v). District :
Hoshiarpur
(vi). Pin :
144001
(vii). Landmark :
NIL
(viii). Email address :
goyals1@indianoil.in
(ix). Landline Telephone No. :
0-000000
(x). Fax No. :
0-000000
(xi). Mobile No. :
9417299773
(xii). Website (if any) :
NO
(xiii). Legal status of User Agency :
Central PSU
A-3.
Details of Person Making Application
(i). First Name:
Rakesh
(ii). Middle Name:
NIL
(iii). Last Name:
Tikku
(iv). Gender:
Male
(v). Designation:
Senior Manager RS
(vi). Address 1:
Indian Oil Corporation Limiated, Suchi Pind, GT Road Byepass Jalandhar
(vii). Address 2:
NIL
(viii). State:
Punjab
(ix). District:
Jalandhar
(x). Tehsil:
Jalandhar - I
(xi). Pin:
144001
(xii). Landmark:
NIL
(xiii). Email Address:
goyals1@indianoil.in
(xiv). Landline Telephone No.:
0-000000
(xv). Fax No.:
0000000000
(xvi). Mobile No.:
9417299773
(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.
Dasuya
0.008
0.1523
Total
0.008
0.1523
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Hoshiarpur
0.008
0.1523
Total
0.008
0.1523
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Sandhwal
0.008
0.1523
Total
0.008
0.1523
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Forest Area in IOCL
0.008
0
2
Non Forest Area in IOCL
0
0.1523
Total
0.008
0.1523
C.
Maps of forest land proposed to be diverted
Division 1. : Dasuya
(i). Area of forest land proposed to be diverted(in ha.) :
0.008
(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.
0.008
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:
No
(a). Reason for not providing such map:
NA
E.
Employment likely to be generated
(i). Whether the Project is likely to generate employment ?:
Yes
(ii). Permanent/Regular Employment(Number of persons):
2
(iii). Temporary Employment(Number of person-days):
4
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
english fard
2
fard punjabi
3
LOI OF SANDHWAL
4
PWD NOC
5
Application of FRA
6
CHECK LIST SERIAL NUMBER-1 (vi)STATEMENT SHOWING DETAILS OF NON FOREST AREAINVOLVED IN THE PROPOSAL
7
CHECK LIST SERIAL NUMBER-1(i)
8
CHECK LIST SERIAL NUMBER-1(iii) DETAILED NOTE ON THE PROJECT
9
CHECK LIST SERIAL NUMBER-1(v)STATEMENT SHOWING DETAILS OF FOREST AREAPROPOSED FOR DIVERSION
10
CHECK LIST SERIAL NUMBER-10 (i)UNDERTAKING FOR PAYMENT OF COST OF COMPENSATORY AFFORESTATION
11
CHECK LIST SERIAL NUMBER-10 (iii)UNDERTAKING FOR PAYMENT OF NET PRESENT VALUE OF FOREST AREA
12
CHECK LIST SERIAL NUMBER10(iv) Undertaking for Additional amount of NPV of forest area
13
CHECK LIST SERIAL NUMBER-10(vi) Undertaking for the payment of the cost of the standing tree
14
CHECK LIST SERIAL NUMBER-10JUSTIFICATION FOR LOCATING THE PROJECT IN FOREST AREA
15
CHECK LIST SERIAL NUMBER-11 CERTIFICATE FOR MINIMUM USE OF FOREST LAND
16
DFO Application
17
FOR STAGE I APPROVALS FORM A
18
JUSTIFICATION ENVIRONMENT CLEARANCE
19
NO HIGH TENSION
20
NO LPG GODOWN
21
NO RAILWAY OVER BRIDGE
22
NO TOLL PALAZA
23
SELF DECLARATION
24
SITE PLAN
25
UNDERTAKING FOR PROVIDING NON-FOREST LAND OF ITS COST EQUIVALENT TO THE FOREST AREA BEING DIVERTED UNDER FCA,1980 10 (v)
26
UNDERTAKING, Regarding scheduled tribes & other traditional forest dwellersRecognition of forest right act,2006
27
UNDERTAKING
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