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/SK/ROAD/115643/2020
(ii). Name of Project for which Forest Land is required :
Rehabilitation and Up-gradation to 2 lane with Paved shoulder of NH-510 (Singtam-Tarku-Rabongla-Legship-Gyalshing) Package - IV (Design Chainage from Km 33+600 to Km 58+840) in the state of Sikkim in
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
Rehabilitation and Up-gradation to 2-Lane with Paved Shoulder of NH-510(Singtam-Tarku-Rabongla-Legship-Gyalshing) (Design Chainage from Km 33+600 to Km 58+840) in the State of Sikkim in EPC Mode-(Package-IV).
(iv). State :
Sikkim
(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) :
24864
(viii). Area of forest land proposed for diversion(in ha.):
13.6755
(ix). Non-forest land required for this project(in ha.):
11.5667
(x). Total period for which the forest land is proposed to be diverted(in years):
NIL
A-2.
Details of User Agency
(i). Name :
MORTH (NHIDCL)
(ii). Address1 :
8th Mile New Gyalshing
(iii). Address2 :
NIL
(iv). State :
Sikkim
(v). District :
Gyalshing
(vi). Pin :
737111
(vii). Landmark :
Near SSB Camp
(viii). Email address :
arbindsingh60@gmail.com
(ix). Landline Telephone No. :
0-
(x). Fax No. :
0-
(xi). Mobile No. :
9615539826
(xii). Website (if any) :
NIL
(xiii). Legal status of User Agency :
Central PSU
A-3.
Details of Person Making Application
(i). First Name:
ARBIND
(ii). Middle Name:
KUMAR
(iii). Last Name:
SINGH
(iv). Gender:
Male
(v). Designation:
General Manager
(vi). Address 1:
8th Mile Gyalshing
(vii). Address 2:
NIL
(viii). State:
Sikkim
(ix). District:
Gyalshing
(x). Tehsil:
Gyalshing
(xi). Pin:
737111
(xii). Landmark:
Near SSB camp
(xiii). Email Address:
arbindsingh60@gmail.com
(xiv). Landline Telephone No.:
0-
(xv). Fax No.:
NIL
(xvi). Mobile No.:
9615539823
(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.
South Territorial
13.6755
11.5667
Total
13.6755
11.5667
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Namchi
13.6755
11.5667
Total
13.6755
11.5667
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Lingzo
1.2
2.2668
2
Legship
1.7712
4.262
3
Bakhim
0.1152
1.4048
4
Rayong
10.5891
3.6331
Total
13.6755
11.5667
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Km 33.600 to Km 58.840
13.6755
11.5667
Total
13.6755
11.5667
C.
Maps of forest land proposed to be diverted
Division 1. : South Territorial
(i). Area of forest land proposed to be diverted(in ha.) :
13.6755
(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.
13.6755
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:
No
(a). Reason for not providing such map:
No data available
E.
Employment likely to be generated
(i). Whether the Project is likely to generate employment ?:
Yes
(ii). Permanent/Regular Employment(Number of persons):
50
(iii). Temporary Employment(Number of person-days):
2500
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?:
Yes
(a). Copy of Cost-Benefit analysis:
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
Scan copy of Joint inspection report
2
Scan copy of Certificate of Undertaking
3
Copy of DPR
4
Scan copy of Form A
5
Joint Inspection Report as per Format PKG IV
6
GPS Polygon Coordinate PKG IV
7
Cost Benefit Analysis PKG IV
8
Certificates of Undertakings for project not falling within 100 Km of LAC
9
Certificates of Undertakings for Payment NPV of Forest Area
10
Certificates of Undertakings for No Wildlife Area
11
Certificates of Undertakings for no starting of any activity without sanction from Competent Authority
12
Certificates of Undertakings for no other Feasible Alternative and Diversion of Barest Minimum Forest Land
13
Certificates of Undertakings for no muck disposal in Forest land without sanction from Competent Authority
14
Certificates of Undertakings for Minimum Use of Forest Land
15
Certificates of Undertakings for Cost of CA
16
Tree enumeration
17
Muck management plan
18
Joint inspection report
19
Sketch of proposed road
20
CA map
21
Village wise breakup
22
Geo-reference Map
23
Toposheet
24
Justification
25
Cost benefit analysis
26
FRA
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