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/146634/2021   (ii). Name of Project for which Forest Land is required : Approach Access Road to B-Site IOCL Retail Outlet   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Diversion area of 0.0102 ha of forest land for approach access road to B-Site Retail Outlet at part of Khasra No. 18/8/4/1, 18/90/3/1 of Indian Oil Corporation Limited, (Jalandhar Divisionl Office) at Village Hariana (WML) from SH 24 to Dholwaha Road, (L.H.S.), Tehsil and Distt Hoshiarpur Punjab und   (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.): 0.0102   (ix). Non-forest land required for this project(in ha.): 0.0612   (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.Hoshiarpur0.01020.0612
Total0.01020.0612
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Hoshiarpur0.01020.0612
Total0.01020.0612
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Hariana0.01020.0612
Total 0.0102 0.0612
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Forest Area in IOCL Retail Outlet0.01020
2Non Forest Area in IOCL Retail Outlet00.0612
Total 0.0102 0.0612
C. Maps of forest land proposed to be diverted
Division 1. : Hoshiarpur
  (i). Area of forest land proposed to be diverted(in ha.) : 0.0102   (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).
1.0.0102    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? : 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?: 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
1Application of FRA
2CERTIFICATE FOR MINIMUM USE OF FOREST LAND
3CHECK LIST SERIAL NUMBER-1(i)
4DETAILED NOTE ON THE PROJECT
5DFO Application
6FARD
7FIRE SAFITY
8FOR STAGE I APPROVALS FORM A
9ITEAM WISE BREAKUP
10JUSTIFICATION ENVIRONMENT CLEARANCE
11LOI
12NO HIGH TENSION
13NO LPG GODOWN
14NO OJECTION CERTIFICATE FOR DEVELOPMENT RETAIL OUTLET
15NO RAILWAY OVER BRIDGE
16NO TOLL PALAZA
17PPCB NOC
18SELF DECLARATION
19STATEMENT SHOWING DETAILS OF FOREST AREAPROPOSED FOR DIVERSION
20STATEMENT SHOWING DETAILS OF NON FOREST AREAINVOLVED IN THE PROPOSAL
21Undertaking for Additional amount of NPV of forest area
22UNDERTAKING FOR PAYMENT OF COST OF COMPENSATORY AFFORESTATION
23UNDERTAKING FOR PAYMENT OF NET PRESENT VALUE OF FOREST AREA
24Undertaking for providing cost of non-forest land equivalent.
25UNDERTAKING FOR PROVIDING NON-FOREST LAND OF ITS COST EQUIVALENT TO THE FOREST AREA BEING DIVERTED UNDER FCA,1980 10 (v)
26Undertaking for the payment of the cost of the standing tree
27UNDERTAKING
28LEES PAROPERTY ENGLISH
29LEES PROPERTY PUNJABI
30SITE PLAN
31LAYOUT PLAN
32NOC English
33NOC Punjabi
34REPLY OF OBSERVATION
35NOTIFICATION OF CLU ATTACHED
36UNDERTAKING FOR TOLL PLAZA
37UNDERTAKING FOR TOLL PLAZA
38REPLY OF OBSERCATION ATTACHED
39LETTER FROM DC OFFICE
40REPLY ATTACHED
41LAYOUT PLAN APPROVED
42SANTIONED LETTER
43reply of observation 3