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/ROAD/29749/2017
(ii). Name of Project for which Forest Land is required :
Construction of Access road to Retail Outlet of Essar Oil Limited at Bahadurpur Fakira
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
Diversion of 0.074591 Ha. of Forest land for construction of Access road to the proposed retail outlet for Essar Oil Ltd. Situated at Village Bahadurpur Fakira on Patiala - Pehowa road, SH - 8, Between KM Stone No 24 - 25 at RD KM 24.664. L.H.S., Tehsil Dudhan Sadhan Distt. Patiala
(iv). State :
Punjab
(v). Category of the Proposal :
Road
(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.):
0.074591
(ix). Non-forest land required for this project(in ha.):
0.137467
(x). Total period for which the forest land is proposed to be diverted(in years):
15
A-2.
Details of User Agency
(i). Name :
ESSAR OIL LIMITED MOHALI
(ii). Address1 :
Plot No. F-33, 3rd Floor,Phase - III, Industrial Area, Mohali (SAS Nagar)
(iii). Address2 :
NIL
(iv). State :
Punjab
(v). District :
SAS Nagar
(vi). Pin :
160071
(vii). Landmark :
NIL
(viii). Email address :
puran1985@gmail.com
(ix). Landline Telephone No. :
988-8699891
(x). Fax No. :
988-
(xi). Mobile No. :
9888699891
(xii). Website (if any) :
NIL
(xiii). Legal status of User Agency :
Private
A-3.
Details of Person Making Application
(i). First Name:
Sandeep
(ii). Middle Name:
NIL
(iii). Last Name:
Sharma
(iv). Gender:
Male
(v). Designation:
Divisional Engineer
(vi). Address 1:
Plot No. F-33, 3rd Floor, Phase - VIII, Industrial Area, Mohali (SAS NAGAR)
(vii). Address 2:
NIL
(viii). State:
Punjab
(ix). District:
SAS Nagar
(x). Tehsil:
S.A.S.Nagar (Mohali)
(xi). Pin:
160071
(xii). Landmark:
NIL
(xiii). Email Address:
puran1985@gmail.com
(xiv). Landline Telephone No.:
988-8699891
(xv). Fax No.:
NIL
(xvi). Mobile No.:
9888699891
(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
0.074591
0.137467
Total
0.074591
0.137467
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Patiala
0.074591
0.137467
Total
0.074591
0.137467
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Bahadurpur Fakira
0.074591
0.137467
Total
0.074591
0.137467
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
0.137467
2
2. Entry Side - Area of A1
0.008857
0
3
3. Entry Side- Area of A2
0.012489
0
4
4. Entry Side- Area of A3
0.003268
0
5
5. Entry Side- Area of A4
0.000226
0
6
6. Exit Side- Area of B1
0.00825
0
7
7. Exit Side- Area of B2
0.038097
0
8
8. Exit Side- Area of B3
0.003274
0
9
9. Exit Side- Area of B4
0.00013
0
Total
0.074591
0.137467
C.
Maps of forest land proposed to be diverted
Division 1. : Patiala
(i). Area of forest land proposed to be diverted(in ha.) :
0.074591
(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.
0.074591
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):
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? :
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
1
Blue Map
2
Geo Reference Map
3
LOI
4
NOC from Agriculture Dept in English
5
NOC from Agriculture Dept in Punjabi
6
NOC from District Development and Panchayat officer in English
7
NOC from District Development and Panchayat officer in Punjabi
8
NOC from Fire Brigade Officer in English
9
NOC from Fire Brigade Officer in Punjabi
10
NOC from Punjab Polution Control Board in English
11
NOC from Punjab Polution Control Board in Punjabi
12
NOC from PUDA in English
13
NOC from PUDA in Punjabi
14
NOC from SDM in English
15
NOC from SDM in Punjabi
16
NOC from SSP in English
17
NOC from SSP in Punjabi
18
Registry in English
19
Registry in Punjabi
20
Sajra Plan
21
Toposheet
22
NOC from DTP in English
23
NOC from DTP in Punjabi
24
PWD Approved Drawing.
25
PWD NOC in English
26
PWD NOC in Punjabi
27
DTP Final NOC in English
28
DTP Final NOC in Punjabi
29
Schedule Tribe Certificate (FRA 2006)
30
Jmabandi in English
31
Jamabandi in Punjabi
32
Certificate of Name Changing of the company
33
Power of Attorney
34
Covering Letter
35
Application
36
Application 2
37
Annexure A
38
Affidavit
39
Certificate
40
Detail Note of the Project
41
Form A
42
Justification
43
Minimum Use of Forest land
44
Undertaking for Additional NPV
45
Undertaking for CA
46
Undertaking for Cost of trees
47
Undertaking for No High Tension Line
48
Undertaking for NO LPG Godown
49
Undertaking for No Other Retail Outlet and Toll Plaza
50
Undertaking for No Railway Overbridge
51
Undertaking for NPV
52
Undertaking
53
Detail of Non Forest Land
54
Letter
55
Justification for Environment Clearance
56
Doc
57
Name of Village Clarification Doc
58
Name of Village Clarification
59
Letter 2
60
Letter 3
61
Documents
62
Undertaking for FCA 1980
63
Undertaking Reg Change Name of Essar oil to Nayara Energy Limited
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