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/Others/32216/2018   (ii). Name of Project for which Forest Land is required : Permission for Laynig 8" DIA / 6" DIA Steel Steel and 125 mm Dia PE Gas Pipeline to develop city Gas Distribution Network in Mandi Gobindgarh and its Surrounding Areas of Fatehgarh Sahib.   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Diversion of 1.0542 Ha of forest Land Permission for Laynig 8" DIA / 6" DIA Steel Steel and 125 mm Dia PE Gas Pipeline to develop city Gas Distribution Network in Mandi Gobindgarh and its Surrounding Areas of Fatehgarh Sahib.   (iv). State : Punjab   (v). Category of the Proposal : Others   (vi). Shape of forest land proposed to be diverted : Linear   (vii). Estimated cost of the Project(Rupees in lacs) : 3000   (viii). Area of forest land proposed for diversion(in ha.): 1.0542   (ix). Non-forest land required for this project(in ha.): 0   (x). Total period for which the forest land is proposed to be diverted(in years): 100
A-2. Details of User Agency
  (i). Name : IRM ENERGY PRIVATE LIMITED   (ii). Address1 : IRM House, Kalpana Society, Nr. Sardar Sewa Samaj, Off. C.G. Road, Navrangpura, Ahmedabad-380009   (iii). Address2 : NIL   (iv). State : Gujarat   (v). District : Ahmedabad   (vi). Pin : 380009   (vii). Landmark : NIL   (viii). Email address : prashant.sagar@irmenergy.com   (ix). Landline Telephone No. : 79-26562615   (x). Fax No. : 79-   (xi). Mobile No. : 9512490051   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : Private
A-3. Details of Person Making Application
  (i). First Name: Prashant   (ii). Middle Name: NIL   (iii). Last Name: Sagar   (iv). Gender: Male   (v). Designation: Executive Vice President - Projects   (vi). Address 1: IRM Energy Limited, 4th Floor, 8th Block, Magnet Corporate Park, Near Sola Bridge, S.G. Highway, Thaltej, Ahmedabad - 380054   (vii). Address 2: NIL   (viii). State: Gujarat   (ix). District: Ahmedabad   (x). Tehsil: Ahmedabad City   (xi). Pin: 380054   (xii). Landmark: NIL   (xiii). Email Address: prashant.sagar@irmenergy.com   (xiv). Landline Telephone No.: 79-26562615   (xv). Fax No.: NIL   (xvi). Mobile No.: 9512490051   (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.Patiala1.05420
Total1.05420
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Fatehgarh Sahib1.05420
Total1.05420
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Mandi Gobindgarh and Its Surrounding Area1.05420
Total 1.0542 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1NH-44 Km 260/4430.00480
2Along Service road NH-44 Km 260/443 to 265/868 R/S0.27140
3Along service road Nh-44 Km 260/443 to 253/608 R/S0.34190
4Along Service road NH-44 Km 260/443 to 259/825 L/S0.03090
5Across Nh-44 Km 256/5550.00460
6Along service road Nh-44 Km 256/555 to 256/470 R/S0.00430
7Along Service road of 1R Distry RD 5450 to 98000.07220
81R Distry RD 54500.00190
9Alonh SH-12A Mandi Gobindgarh to Amloh0.15730
10Across Sh-12A0.00090
11Across 1 R Distry RD 78500.00090
12Across Amloh Minor RD 30500.00160
13Along Sh-12A Gobindgarh to Amloh0.16150
Total 1.0542 0
C. Maps of forest land proposed to be diverted
Division 1. : Patiala
  (i). Area of forest land proposed to be diverted(in ha.) : 1.0542   (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).
1.1.0542    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: No Data   (ii). Whether a copy of map indicating location of alternative examine is required to be provided: No   (a). Reason for not providing such map: No Other Alternate
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): 50
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?: No   (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 ?: No   (iii) . Reason for not providing Non-Forest Land: Others
Additional information Details
Documents
S.No Documents
Remarks
1Form-1
2Anexure A
3Map with Forest Calculation
4Approved Map irrigation Devigarh Division
5Approved map State Highway 12A Nabha PWD division
6Approved map National highway-44
7Detail Note on Project
8Detail of Non Forest Land
9under Finicial and Social welfare
10Authorization
11Govt and Public Welfare
12Map Cross sections
13Survey Of India Map
14Justification for use forest Land
15Minimum Land Use
16undertaking of CA
17undertaking of NPV
18undertaking of Addl NPV
19undertaking of reserve Price of Trees
20undertaking of Private project
21undertaking of Non Forest Land
22Noc of National Highways-44
23Noc of PWD SH-12A
24Noc of Irrigation Deparment
25revised DGPS map