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/45847/2020
(ii). Name of Project for which Forest Land is required :
Proposal for Upgradation of Road and Bridge at Km 3/434 - 4/074 in Thandavankulam to Nadukottayamedu Road
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
Proposal for Upgradation of Road and Bridge at Km 3/434 - 4/074 in Thandavankulam to Nadukottayamedu Road/Construction of Bridge in Nabard XXV 2019-20 Scheme and Upgradation of Road which in PMGSY 2020-21 Scheme.
(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) :
339.8
(viii). Area of forest land proposed for diversion(in ha.):
0.48
(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):
2
A-2.
Details of User Agency
(i). Name :
ASSISTANT ENGINEER RURAL DEVELOPMENT PANCHAYAT UNION KOLLIDAM
(ii). Address1 :
Kollidam ,near union Office
(iii). Address2 :
NIL
(iv). State :
Tamil Nadu
(v). District :
Nagapattinam
(vi). Pin :
609102
(vii). Landmark :
near PWD office
(viii). Email address :
bdokom.tnngp@nic.in
(ix). Landline Telephone No. :
4364-277424
(x). Fax No. :
4364-
(xi). Mobile No. :
7402607461
(xii). Website (if any) :
NIL
(xiii). Legal status of User Agency :
State Government
A-3.
Details of Person Making Application
(i). First Name:
Siva
(ii). Middle Name:
Siva kumar
(iii). Last Name:
Kumar
(iv). Gender:
Male
(v). Designation:
Engineer
(vi). Address 1:
Kollidam, near union office
(vii). Address 2:
NIL
(viii). State:
Tamil Nadu
(ix). District:
Nagapattinam
(x). Tehsil:
Sirkali
(xi). Pin:
609102
(xii). Landmark:
near Pwd office
(xiii). Email Address:
bdokom.tnngp@nic.in
(xiv). Landline Telephone No.:
4364-277424
(xv). Fax No.:
NIL
(xvi). Mobile No.:
7402607461
(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
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
1
Inprinciple
FP/TN/ROAD/29107/2017
FP/TN/ROAD/29107/2017
0.48
0
29 Jul 2019
Total
0.48
0
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.
Nagapattinam WL
0.48
0
Total
0.48
0
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Nagapattinam
0.48
0
Total
0.48
0
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Nadukottayamedu
0.48
0
Total
0.48
0
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Thandavankulam - Nadukottayamedu Road & Bridge
0.48
0
Total
0.48
0
C.
Maps of forest land proposed to be diverted
Division 1. : Nagapattinam WL
(i). Area of forest land proposed to be diverted(in ha.) :
0.48
(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.
0.48
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 other ways to Examined
E.
Employment likely to be generated
(i). Whether the Project is likely to generate employment ?:
Yes
(ii). Permanent/Regular Employment(Number of persons):
565
(iii). Temporary Employment(Number of person-days):
250
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?:
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
Justification for locating the Project in forest land and detail
2
additional net present value
3
Area Breakup Details
4
Certificate for Employement Generated
5
Certificate for Lease rent
6
Certificate for No alternate route
7
Certificate for Road Land & Lying
8
Consent letter for compensatory Afforestation area
9
No suitable for alternate non forest land
10
Non violated any provision of the forest
11
Undertaking cost of trees to be removed
12
Undertaking for along any escalation for exploitation of trees
13
Undertaking for Payment of Cost of Compensatory afforestation
14
Undertaking for Payment of net Present Value of Forest Area
15
User Agency Certificate
16
Undertaking for compensatory Afforestation area
17
Undertaking for Cost of Compensatory afforestation
18
Undertaking for Payment of net Present Value of Forest Area
19
Undertaking of Felling of Trees and Transportation Cost
20
Road Locating GPS Map
21
Toposheet Map Indicating Boundary
22
Toposheet Map
23
settlement of rights under the Forest Rights Act,2006
24
Forest Land Proposed by District Collector
25
Certificate for District Collect No Alternative Suitable Non forest Land
26
Barest Minimum
27
Forest Land Proposed to be Diverted
28
Forest Land for the Project is minimum
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