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/42144/2019
(ii). Name of Project for which Forest Land is required :
Ajuba Marriage Palace of M/S Ajuba Hotel & Residency Pvt. Ltd.
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
Diversion of 0.011574 HA of Forest Land for construction of approach access to Ajuba Marriage Palace of M/S Ajuba Hotels & Residency Pvt. Ltd., situated in Village Haji Majra, at Sangrur - Patiala Road, abutting on Old NH – 64 (RD 62.568 L.H.S.) & New ODR at RD KM 12.568 L.H.S., Tehsil & Distt. Pati
(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) :
250
(viii). Area of forest land proposed for diversion(in ha.):
0.011574
(ix). Non-forest land required for this project(in ha.):
0.689176
(x). Total period for which the forest land is proposed to be diverted(in years):
99
A-2.
Details of User Agency
(i). Name :
HOTEL AJUBA RESIDENCY
(ii). Address1 :
Gurumukh Singh Hotel Ajuba residency Village Haji Mazra Tehsil Patiala
(iii). Address2 :
NIL
(iv). State :
Punjab
(v). District :
Patiala
(vi). Pin :
147001
(vii). Landmark :
NIL
(viii). Email address :
hotelajubaresidency@gmail.com
(ix). Landline Telephone No. :
175-2677635
(x). Fax No. :
175-
(xi). Mobile No. :
1752677636
(xii). Website (if any) :
NIL
(xiii). Legal status of User Agency :
Private
A-3.
Details of Person Making Application
(i). First Name:
Gurumukh
(ii). Middle Name:
NIL
(iii). Last Name:
Singh
(iv). Gender:
Male
(v). Designation:
Owner
(vi). Address 1:
Gurumukh singh Hotel Ajuba residency Village Haji Mazra Tehsil Patiala
(vii). Address 2:
NIL
(viii). State:
Punjab
(ix). District:
Patiala
(x). Tehsil:
Patiala
(xi). Pin:
147001
(xii). Landmark:
NIL
(xiii). Email Address:
hotelajubaresidency@gmail.com
(xiv). Landline Telephone No.:
175-2677635
(xv). Fax No.:
NIL
(xvi). Mobile No.:
1752677636
(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.
Patiala
0.011574
0.689176
Total
0.011574
0.689176
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Patiala
0.011574
0.689176
Total
0.011574
0.689176
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Haji Majra
0.011574
0.689176
Total
0.011574
0.689176
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
1. Project Site Area
0
0.689176
2
2. Area of Gate
0.0105
0
3
3. Area of Curves
0.001072
0
Total
0.011572
0.689176
C.
Maps of forest land proposed to be diverted
Division 1. : Patiala
(i). Area of forest land proposed to be diverted(in ha.) :
0.011574
(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.
0.011574
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
1
Resolution
2
Application
3
Affidavit
4
Application for FRA
5
Certificate
6
CLU
7
Copy of Lathha
8
Detail Note of the Project
9
Detail of Non Forest Land
10
EC Notification for Area
11
Form A
12
Geo Reference Map
13
Jamabandi in English
14
Jamabandi in Punjabi
15
Justification for Environment Clearance
16
Justification
17
Memorandum
18
Minimum Use of Forest Land
19
PWD NOC in English
20
PWD NOC in Punjabi
21
Range Officer Report
22
Toposheet
23
Undertaking for Cost of Trees
24
Undertaking for FRA Certificate
25
Undertaking for Non Forest Land
26
Undertaking for Payment of Additional Net Present Value
27
Undertaking for Payment of Net Present Value
28
Undertaking for the Project is Private
29
Annexure A
30
Layout Plan
31
Application for FRA
32
Undertaking for Payment of Cost of Penal Compensatory Afforestation
33
Undertaking for Payment of Reserve Price of Trees
34
Undertaking for FCA
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