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/146764/2021   (ii). Name of Project for which Forest Land is required : DIVERSION OF 10.6759 HA FOREST LAND FOR WIDENING OF EXISTING ROAD (NH 310A) TO NHDL SPECIFICATION WITH PAVED SHOULDER FROM MANGAN OF DESIGN KM 0+000 TO CHUNGTHANG OF DESIGN KM 27+476 IN MANGAN FOREST DIVISION IN THE STATE OF SIKKIM BY BRO   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Package-I falls under Mangan Forest Division & Chungthang Forest Division. This Project area start from Rafom Khola (Mangan) of 0.00 km to Toong Bridge of 17.870 km under Mangan Forest Division & financial Package-I. It is widening of exiting road mainly for vehicle movement of Defence to the Intern   (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) : 290.37   (viii). Area of forest land proposed for diversion(in ha.): 10.6759   (ix). Non-forest land required for this project(in ha.): 21.153   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : BRO/758 BRTF   (ii). Address1 : HQ 758 BRTF (GREF) C/o 99 APO Near Forest check Post Chandmari   (iii). Address2 : NIL   (iv). State : Sikkim   (v). District : Gangtok   (vi). Pin : 737103   (vii). Landmark : Near Forest Check Post, Chandmari   (viii). Email address : bro-758brtf@nic.in   (ix). Landline Telephone No. : 3592-201060   (x). Fax No. : 3592-204066   (xi). Mobile No. : 8826866867   (xii). Website (if any) : www.bro.gov.in   (xiii). Legal status of User Agency : Central Government
A-3. Details of Person Making Application
  (i). First Name: VISHAL   (ii). Middle Name: NIL   (iii). Last Name: SHARMA   (iv). Gender: Male   (v). Designation: COMMANDER   (vi). Address 1: HQ 758 BRTF Near Forest Check Post Chandmari gangtok   (vii). Address 2: NIL   (viii). State: Sikkim   (ix). District: Gangtok   (x). Tehsil: Gangtok   (xi). Pin: 737103   (xii). Landmark: Near forest check post   (xiii). Email Address: bro-758brtf@nic.in   (xiv). Landline Telephone No.: 3592-201060   (xv). Fax No.: 03592204066   (xvi). Mobile No.: 8826866867   (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.North Territorial10.675921.153
Total10.675921.153
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Mangan10.675921.153
Total10.675921.153
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Singhik to Toong (widening of exiting road)10.675921.153
Total 10.6759 21.153
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Widening of exiting road10.675921.153
Total 10.6759 21.153
C. Maps of forest land proposed to be diverted
Division 1. : North Territorial
  (i). Area of forest land proposed to be diverted(in ha.) : 10.6759   (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).
1.10.6759    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: Project is widening of existing road alignment.
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): 500
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? : 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
1Undertaking for cost of Compensatory Afforestation
2Undertaking for cost of Net Present Value (NPV)
3Undertaking for cost of additional Net Present Value (NPV)
4joint Site Inspection Report signed by the concerned DFO(North), Govt. of Sikkim
5Aerial distance map from the nearest Protected Area boundary signed by the concerned DFO(North)
6Tree enumeration Report signed by the concerned DFO(North)
7FORM A
8Muck Disposal Report in Private land.
9Non-Availability of Muck Disposal Land in Forest Land Declaration
10GPS coordinate of the affected Forest land
11Cost benefit analysis
12Acknowledgement letter signed by Nodal officer
13Diversion MAP
14Compliance of User Agency for EDS by RO-Kolkata, MoEF