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/41255/2019   (ii). Name of Project for which Forest Land is required : Improvement work of Theni Byepass road connecting Dindigul-Theni Road and Madurai-Cochin Road across Valkaradu R.F.   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Widening from Double Lane to Multi Lane and improvements @ Km.0/0-2/8 of Theni Byepass road including improvements @ Km.0/2 constructions of drain @Km.0/2, widening the slab culvert @ Km.0/4.   (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) : 353   (viii). Area of forest land proposed for diversion(in ha.): 2.839   (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): 99
A-2. Details of User Agency
  (i). Name : DIVISIONAL ENGINEER HIGHWAYS CONSTRUCTION AND MAINTENANCE THENI   (ii). Address1 : BANGALA MEDU MADURAI ROAD THENI   (iii). Address2 : NIL   (iv). State : Tamil Nadu   (v). District : Theni   (vi). Pin : 625531   (vii). Landmark : TRAVLERS BANGLOW   (viii). Email address : byepas7799@gmail.com   (ix). Landline Telephone No. : 4546-290934   (x). Fax No. : 4546-   (xi). Mobile No. : 9443024300   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: KANNAN   (ii). Middle Name: NIL   (iii). Last Name: T   (iv). Gender: Male   (v). Designation: Assistant_Divisional_Engineer   (vi). Address 1: BANGLA MEDU THENI   (vii). Address 2: NIL   (viii). State: Tamil Nadu   (ix). District: Theni   (x). Tehsil: Theni   (xi). Pin: 625531   (xii). Landmark: BANGLA MEDU   (xiii). Email Address: tndehtheni@gmail.com   (xiv). Landline Telephone No.: 4546-290934   (xv). Fax No.: NIL   (xvi). Mobile No.: 9443024300   (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.Theni2.8390
Total2.8390
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Theni2.8390
Total2.8390
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Theni-Allinagaram2.8390
Total 2.839 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1LINEAR 10.6120
2LINEAR 22.2270
Total 2.839 0
C. Maps of forest land proposed to be diverted
Division 1. : Theni
  (i). Area of forest land proposed to be diverted(in ha.) : 2.839   (ii). Nature of the Project: Linear   (b). No. of Segments : Two
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).
1.0.612    View File
2.2.227    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: NIL
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 10   (iii). Temporary Employment(Number of person-days): 1200
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?: No   (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) . Reason for not providing Non-Forest Land: Others
Additional information Details
Documents
S.No Documents
Remarks
1No catchment area treatment plan in the project
2Non violation of FCA
3No alternative routes available
4Certificate regarding compensatory afforestation
5Letter of DFO regarding Compensatory Afforestation Land
6Net Present Value
7Addl. Net Present Value
8Cost along with any escalation for trees
9Lease Rent
10Barest minimum
11CA land map
12CA letter from District Collector
13District Collector Certificate
14Key Maps
15Land Records relate to CA
16GO for executing this work
17Certificate of Minimum land as per PCCF instruction
18No alternate non forest land certificate by District Collector as per PCCF instruction
19Reply to Query made by PCCF
20Form I Certificate by District Collector as per PCCF instructions
21Location in google earth
22Revised area requirement as per DFO instruction
23Revised competent authority
24Revised DGPS map with coordiantes
25Revised SI Map
26Revised Google Map
27Revised Competent Authority
28Additional Details with certificate
29Earth retaining wall
30Estimate
31Municipal administration letter
32vulnerable area map
33No felling of trees involved certificate