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/39194/2019   (ii). Name of Project for which Forest Land is required : Residential Property of Mr. Munish Avasthi & Raj Kumar Avasthi   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Diversion of 0.199117 Hec of Forest Land for construction of approach access to Residential Property of Mr. Munish Avasthi & Raj Kumar Avasthi at village Morkarima at KM RD 103.350 R.H.S. on NH - 95, Tehsil Mullanpur Dakha, distt. Ludhiana   (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.): 0.199117   (ix). Non-forest land required for this project(in ha.): 0.25695   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : RESIDENTIAL PROPERTY OF MR. MUNISH AVASTHI AND RAJ KUMAR AVASTHI   (ii). Address1 : Mr. Munish Avasthi & Raj Kumar Avasthi, Village Morkarima Tehshil Mullanpur Dakha, Distt. Ludhiana   (iii). Address2 : NIL   (iv). State : Punjab   (v). District : Ludhiana   (vi). Pin : 141001   (vii). Landmark : NIL   (viii). Email address : munish123987@gmail.com   (ix). Landline Telephone No. : 981-5734177   (x). Fax No. : 981-   (xi). Mobile No. : 9815734177   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : Private
A-3. Details of Person Making Application
  (i). First Name: Munish   (ii). Middle Name: NIL   (iii). Last Name: Avasthi   (iv). Gender: Male   (v). Designation: Owner   (vi). Address 1: Munish Avasthi and Raj Kumar Avasthi, Village Morkarima, Tehsil Mullanpur Dakha, Distt. Ludhiana   (vii). Address 2: NIL   (viii). State: Punjab   (ix). District: Ludhiana   (x). Tehsil: Ludhiana (East)   (xi). Pin: 141001   (xii). Landmark: NIL   (xiii). Email Address: munish123987@gmail.com   (xiv). Landline Telephone No.: 981-5734177   (xv). Fax No.: NIL   (xvi). Mobile No.: 9815734177   (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.Ludhiana0.1991170.25695
Total0.1991170.25695
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Ludhiana0.1991170.25695
Total0.1991170.25695
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Morkarima0.1991170.25695
Total 0.199117 0.25695
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
11. Project Site Area00.256945
22. Area of A0.14850
33. Area of B0.0388520
44. Area of C0.0047250
55. Area of D0.0047020
66. Area of E0.00180
77. Area of 2F0.0005370
Total 0.199116 0.256945
C. Maps of forest land proposed to be diverted
Division 1. : Ludhiana
  (i). Area of forest land proposed to be diverted(in ha.) : 0.199117   (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).
1.0.199117    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): 0   (iii). Temporary Employment(Number of person-days): 10
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
2Application
3Annexure A
4Aks Sajra
5Affidavit
6Calculation Chart
7Certificate
8Detail note of the project
9Detail of non forest land
10Drawing
11Geo Reference Map
12Jamabandi
13Justification
14Minimum Use of Forest Land
15NHAI Drawing
16Toposheet
17Undertaking for Non Forest land
18Undertaking for the payment of Compensatory Afforestation
19Undertaking for the FRA Certificate
20Undertaking for the Payment of Additional amount of Net Present Value
21Undertaking for the Payment of Net Present Value
22NOC from NHAI
23Document
24Form A
25Justification Document
26Break up of Land Annexure-A
27Punjabi Translation of NHAI NOC
28Apply Letter for FRA Certificate
29Undertaking PPCB NOC
30Calculation Sheet with DFO Sign
31Justification Regarding CLU