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/TN/ROAD/19579/2016   (ii). Name of Project for which Forest Land is required : Keelur - Vadugammelur Km 0/0 - 23/625   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : The Keelur and Melur villages are located at Keelur panchayat of Rasipuram Taluk in Namakkal district. These villages come under Bodhamalai Mallur Kappukadu Reserved forest area. Name of the Scheme: PMGSY PHASE X (2015-16) Package no : (TN-10-72) Name of the Road : Keelur Vadugammelur road Km.   (iv). State : Tamil Nadu   (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) : 2014   (viii). Area of forest land proposed for diversion(in ha.): 5.96   (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): 999
A-2. Details of User Agency
  (i). Name : DRDA NAMAKKAL   (ii). Address1 : Panchayat union office vennandur Namakkal district   (iii). Address2 : NIL   (iv). State : Tamil Nadu   (v). District : Namakkal   (vi). Pin : 637505   (vii). Landmark : NIL   (viii). Email address : bdovnr.tnnmk@nic.in   (ix). Landline Telephone No. : 4287-264447   (x). Fax No. : 4287-   (xi). Mobile No. : 7402606897   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Indrani   (ii). Middle Name: NIL   (iii). Last Name: S   (iv). Gender: Female   (v). Designation: Block Development Officer(B.P)   (vi). Address 1: Panchayat union office, vennandur namakkal district   (vii). Address 2: NIL   (viii). State: Tamil Nadu   (ix). District: Namakkal   (x). Tehsil: Rasipuram   (xi). Pin: 637505   (xii). Landmark: NIL   (xiii). Email Address: bdovnr.tnnmk@nic.in   (xiv). Landline Telephone No.: 4287-264447   (xv). Fax No.: NIL   (xvi). Mobile No.: 7402606897   (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.Namakkal5.960
Total5.960
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Namakkal5.960
Total5.960
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Keelur,Melur5.960
Total 5.96 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Km 0/100 - 13/0505.95997850
Total 5.9599785 0
C. Maps of forest land proposed to be diverted
Division 1. : Namakkal
  (i). Area of forest land proposed to be diverted(in ha.) : 5.96   (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).
1.5.96    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 alternative route to this project.
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 900   (iii). Temporary Employment(Number of person-days): 20600
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?: Yes   (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). No. of districts involved for raising Compensatory Afforestation: 1   (iv). No. of patches: One
District 1. : Namakkal   
  (a). Village: Mangalapuarm   (b). Area(in ha.): 12.15   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 324/1   (e). Present owner: User Agency   (f). Copy of Ownership proof:
  (v). Scanned copy of the map of the land identified for creation of Compensatory Afforestation prepared by using GPS ot Total Station:   (vi). Copy of Survey of India Toposheet in 1:50,000 scale indicating location of the land identified for creation of Compensatory Afforestation:
Additional information Details
Documents
S.No Documents
Remarks
1CA land Chitta for both proposals 1.FP/TN/ROAD/19579/2016 2.FP/TN/ROAD/19576/2016
2FMB for both proposals 1.FP/TN/ROAD/19579/2016 2.FP/TN/ROAD/19576/2016
3GPS reading of CA land for both proposals 1.FP/TN/ROAD/19579/2016 2.FP/TN/ROAD/19576/2016
4CA land Adangal for both proposals 1.FP/TN/ROAD/19579/2016 2.FP/TN/ROAD/19576/2016
5Certificate for Additional net present value
6Certificate for Alternate route not feasible
7Certificate for Annual lease rent
8Certificate for cost of Cutting Species
9Certificate for excalation of exploitation of trees
10Certificate for Lease rent
11Certificate for net present value
12Certificate for non alternative and technically approved route by Collector
13Certificate for rasing and maintenance cost of saplings
14Certificate for Sapling cost
15Certificate for non violation of Forest ACT
16Certificate for cost of felling trees
17Alignment with GPS reading
18CA land FMB after handover to DFO, Forest namakkal division
19Estimate Abstract
20Forest area statement
21Keelur Forest Rights Committee resolution
22Melur Forest Rights Committee resolution
23DLC Resolution (Tamil)
24DLC Resolution (English)
25SDC Resolution (English)
26SDC Resolution (Tamil)
27Form A Part I
28Melur FRC Resolution (English)
29Keelur FRC Resolution (English)