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/150083/2021   (ii). Name of Project for which Forest Land is required : Retail Outlet of IOCL at Village Alawalpur, Distt. Jalandhar.   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Diversion of 0.0119 HA. of Forest Land for construction of approach access to the proposed Retail Outlet of Indian Oil Corporation Limited Situated at Village Alawalpur, on Adampur – Alawalpur Road, Tehsil Adampur Distt. Jalandhar (PB). Under Forest Division Jalandhar at Phillaur.   (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) : 100   (viii). Area of forest land proposed for diversion(in ha.): 0.0119   (ix). Non-forest land required for this project(in ha.): 0.1148   (x). Total period for which the forest land is proposed to be diverted(in years): 15
A-2. Details of User Agency
  (i). Name : INDIAN OIL CORPORATION LTD. JALANDHAR   (ii). Address1 : Indian Oil Corp. Ltd. Jalandhar Divisional Office, Suchi Pind, Jalandhar   (iii). Address2 : NIL   (iv). State : Punjab   (v). District : Jalandhar   (vi). Pin : 144009   (vii). Landmark : NIL   (viii). Email address : iocljalandhar1@gmail.com   (ix). Landline Telephone No. : 181-2421948   (x). Fax No. : 181-   (xi). Mobile No. : 9417217951   (xii). Website (if any) : NIL   (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: Sr Manager   (vi). Address 1: Rakesh Tikku, Sr. Manager Indian Oil Corp. Ltd. Jalandhar Divisional Office, suchi Pind Jalandhar   (vii). Address 2: NIL   (viii). State: Punjab   (ix). District: Jalandhar   (x). Tehsil: Jalandhar - I   (xi). Pin: 144009   (xii). Landmark: NIL   (xiii). Email Address: iocljalandhar1@gmail.com   (xiv). Landline Telephone No.: 181-2421948   (xv). Fax No.: NIL   (xvi). Mobile No.: 9417217918   (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.Jalandhar0.01190.1148
Total0.01190.1148
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Jalandhar0.01190.1148
Total0.01190.1148
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Alawalpur0.01190.1148
Total 0.0119 0.1148
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Project Site Area00.1148
2Entry Side0.0049230
3Entry Side Curve0.0010190
4Exit Side0.0049230
5Exit Side Curve0.0010190
Total 0.011884 0.1148
C. Maps of forest land proposed to be diverted
Division 1. : Jalandhar
  (i). Area of forest land proposed to be diverted(in ha.) : 0.0119   (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).
1.0.0119    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): 8   (iii). Temporary Employment(Number of person-days): 2
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
1Drawing
2Application
3Annexure A
4Affidavit
5Certificate
6DC Rate
7Detail note of the Project
8Detail of Non Forest Land
9Form A
10Geo Reference Map
11Jamabandi in English
12Jamabandi in Punjabi
13Justification for the NOC of Environment Clearance
14Justification
15LOI
16Minimum Use of forest Land
17NOC from PPCB
18NOC from PWD
19Non Encombrance certificate in English
20Non Encombrance certificate in Punjabi
21Processing Fee
22Range Officer Report in English
23Range Officer Report in Punjabi
24Sajra Plan
25Sale Deed in English
26Sale Deed in Punjabi
27Undertaking for FCA 1980
28Undertaking for FRA 2006
29Undertaking for No High Tension Line
30Undertaking for No LPG Godown
31Undertaking for No Other Retail outlet and Toll Plaza
32Undertaking for No Railway Over bridge
33Undertaking for the Payment of Additional Compensatory Afforestation
34Undertaking for the Payment of Additional Net Present Value
35Undertaking for the Payment of CLU
36Undertaking for the Payment of Compensatory Afforestation
37Undertaking for the Payment of Cost of Trees
38Undertaking for the Payment of Net Present Value
39Undertaking for the Payment of Penal Compensatory Afforestation
40Undertaking for the Payment of Penal Net Present Value
41Undertaking for the Project is Govt
42Undertaking for the Reserve Price of Trees
43Power of Attorney
44FRA Application
45LOI
46Toposheet