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/125015/2021
(ii). Name of Project for which Forest Land is required :
Construction of 2-lane specification road with Paved shoulder as re-alignment of existing stretch between Legship to Gyalshing of NH-510 (From km 75.000 to km 90.210 PKG-VI)
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
Diversion of Forest land For Construction of 2-lane specification road with Paved shoulder as re-alignment of existing stretch between Legship to Gyalshing of NH-510 (From km 75.000 to km 90.210 PKG-VI) under SARDP-NE Phase ‘A’ on EPC mode in the State of Sikkim.
(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) :
15567
(viii). Area of forest land proposed for diversion(in ha.):
2.6808
(ix). Non-forest land required for this project(in ha.):
18.6244
(x). Total period for which the forest land is proposed to be diverted(in years):
100
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.
West Territorial
2.6808
18.6244
Total
2.6808
18.6244
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Gyalshing
2.6808
18.6244
Total
2.6808
18.6244
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Yangthang
0.3264
1.872
2
Tikjek
0.048
5.355
3
Lingchom
1.3512
6.626
4
Sardong
0.7152
0.8
5
Lungzik
0.144
3.5124
6
Sapung
0.096
0.459
Total
2.6808
18.6244
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Road Ch Km 75.000 to Km 90.210
2.6808
18.6244
Total
2.6808
18.6244
C.
Maps of forest land proposed to be diverted
Division 1. : West Territorial
(i). Area of forest land proposed to be diverted(in ha.) :
2.6808
(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.
2.6808
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):
545000
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
Annexure Part-1
2
Annexure undertaking Non starting of any activity.
3
Annexure undertaking NPV
4
Annexure certificate minimum use
5
Annexure joint inspection
6
Annexure feasible alternative and diversion
7
Annexure detail not on the project
8
Annexure certificate of undertaking
9
Annexure 100 km of LAC
10
Annexure tree enumeration
11
Annexure GPS coordinate of the forest land
12
Annexure no wildlife area
13
Annexure forest area proposed for diversion
14
Annexure cost of CA
15
Annexure no muck disposal
16
Annexure justification
17
Annexure detail project report
18
Annexure aerial distance map
19
Annexure authorization letter
20
Geo-reference map with coordinate
21
Certificate of CS
22
Muck management plan with GPS coordinate
23
Sketch of propose road with justification
24
3 Alternate route with justification
25
Right of way (ROW)
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