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/53276/2020
(ii). Name of Project for which Forest Land is required :
Construction of 6 lane Highway, Greenfield corridor from Chittoor – Thatchur road (NH 716B)
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
Construction of 6 lane Highway, Greenfield corridor from Chittoor – Thatchur road (NH 716B)
(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) :
384000
(viii). Area of forest land proposed for diversion(in ha.):
14.029
(ix). Non-forest land required for this project(in ha.):
294.7696
(x). Total period for which the forest land is proposed to be diverted(in years):
99
A-2.
Details of User Agency
(i). Name :
National Highways Authority of India
(ii). Address1 :
National Highways Authority of India, "Sri Towers" 3rd floor, DP 34 (SP) Industrial Estate, Guindy Chennai
(iii). Address2 :
NIL
(iv). State :
Tamil Nadu
(v). District :
Chennai
(vi). Pin :
600032
(vii). Landmark :
Sri Towers
(viii). Email address :
kancheepurampiu@gmail.com
(ix). Landline Telephone No. :
44-22251885
(x). Fax No. :
44-
(xi). Mobile No. :
9444476854
(xii). Website (if any) :
NIL
(xiii). Legal status of User Agency :
Central Government
A-3.
Details of Person Making Application
(i). First Name:
P
(ii). Middle Name:
T
(iii). Last Name:
Mohan
(iv). Gender:
Male
(v). Designation:
PD
(vi). Address 1:
National Highways Authority of India, Sri Towers 3rd Floor, DP 34 SP Industrial Estate, Guindy, Chennai
(vii). Address 2:
NIL
(viii). State:
Tamil Nadu
(ix). District:
Chennai
(x). Tehsil:
Mambalam Guindy
(xi). Pin:
600032
(xii). Landmark:
Sri Towers
(xiii). Email Address:
kancheepurampiu@gmail.com
(xiv). Landline Telephone No.:
44-22251885
(xv). Fax No.:
NIL
(xvi). Mobile No.:
9444476854
(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.
Tiruvallur
14.029
294.7696
Total
14.029
294.7696
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Tiruvallur
14.029
294.7696
Total
14.029
294.7696
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Venkatarajakuppam
0
24.033
2
Thirumalrajpettai
3.4186
6.1181
3
Kumarajapettai
0
14.275
4
Perumanallur
0
16.3989
5
Mallpudi
0
12.9965
6
Kellpudi
3.1763
9.5512
7
Samanthawada
5.4685
18.2913
8
Puniyam
1.9656
8.5386
9
Sennakesavapuram
0
1.6484
10
Pennaluripet
0
9.4503
11
Puducheri
0
14.0944
12
Pondavakkam
0
18.1624
13
Peruttivakkam
0
5.4612
14
Mambakkam
0
10.1299
15
Vadathillai
0
4.0736
16
Tharakshi
0
0.7671
17
Perandur Bit I
0
10.4109
18
Panapakkam
0
14.1
19
Sennankaranai
0
10.7634
20
Tholavedu
0
19.2809
21
Paruttimenikuppam
0
4.4791
22
Sengathakulam
0
17.6143
23
Vadamadurai
0
16.2461
24
Alappakkam
0
7.6308
25
Athivakkam
0
2.0251
26
Kannigaipair
0
16.706
27
Krishnapuram Kandigai
0
1.0806
Total
14.029
294.3271
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Carriageway
4.9954
127.1969
2
Shoulders
1.0696
24.5233
3
Drain
0.2692
5.5122
4
ROW
7.6948
137.5372
Total
14.029
294.7696
C.
Maps of forest land proposed to be diverted
Division 1. : Tiruvallur
(i). Area of forest land proposed to be diverted(in ha.) :
14.029
(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.
14.029
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):
100
(iii). Temporary Employment(Number of person-days):
2000
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 ? :
Yes
(a). Status of the Environmental Clearance to the Project:
EC under process
(ii). Environmental Clearance File No.:
10-49/2018-IA.III
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
Certificate for no Violation of Forest Act
2
Certificate Of User Agency For Use of Fly ASH
3
Document Verification
4
No Objection from Gram Sabha
5
Note On Project
6
Project Traffic Details
7
Undertaking for Cost Benefit Analysis
8
Undertaking for the Cost of Felling of Trees
9
Undertaking for the Payment of Compensatory
10
Undertaking for the Payment of Rent or Lease for the Forest Area
11
Undertaking for Unqulified Commitment
12
Undertaking of the Payment of NPV
13
Undertaking of the Additional Cost
14
Villagewise land details
15
GPS Coordinates
16
Reply of PCCF Letter
17
Forest Area Statement
18
SOI Maps
19
DGPS Coordinates
20
Certificate for Minimum Forest land
21
TCS
22
Status of Environment Clerance
23
Survey numberwise detail
24
GPS of Proposed Forest
25
Reply of PCCF Letter dated 22-02-2021
26
Letter of DC for Non-availability of Forest land
27
EC and CRZ Clearance Status
28
Structure details
29
Intimation of Competion of DGPS Survey
30
31
Compliance report of UA on SG
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