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/WATER/42977/2019
(ii). Name of Project for which Forest Land is required :
CWSS to Villupuram District Beneficiaries with 60 MLD DSP as source
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
Drinking water supply to Villupuram district beneficiaries with setting up desalination plant at Koonimedu as source
(iv). State :
Tamil Nadu
(v). Category of the Proposal :
Drinking Water
(vi). Shape of forest land proposed to be diverted :
Hybrid
(vii). Estimated cost of the Project(Rupees in lacs) :
150000
(viii). Area of forest land proposed for diversion(in ha.):
16
(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):
30
A-2.
Details of User Agency
(i). Name :
TAMILNADU WATER SUPPLY AND DRAINAGE BOARD
(ii). Address1 :
O/o Executive Engineer, TWAD Board, P.F Division
(iii). Address2 :
no.3, GST Road, Tindivanam Po, Villupuram District
(iv). State :
Tamil Nadu
(v). District :
Viluppuram
(vi). Pin :
604001
(vii). Landmark :
Opp. to Tindivanam Railway Station
(viii). Email address :
eepftdm@gmail.com
(ix). Landline Telephone No. :
4147-223259
(x). Fax No. :
4147-
(xi). Mobile No. :
9994013391
(xii). Website (if any) :
NIL
(xiii). Legal status of User Agency :
State PSU
A-3.
Details of Person Making Application
(i). First Name:
Susheela
(ii). Middle Name:
NIL
(iii). Last Name:
T
(iv). Gender:
Female
(v). Designation:
Executive Engineer
(vi). Address 1:
No.3, GST Road, Tindivanam Po, Villupuram District
(vii). Address 2:
Tindivanam Po, Villupuram District
(viii). State:
Tamil Nadu
(ix). District:
Viluppuram
(x). Tehsil:
Tindivanam
(xi). Pin:
604001
(xii). Landmark:
Opp. to Tindivanam Railway Station
(xiii). Email Address:
eepftdm@gmail.com
(xiv). Landline Telephone No.:
4147-223259
(xv). Fax No.:
NIL
(xvi). Mobile No.:
9487750259
(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.
Villupuram
16
0
Total
16
0
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Viluppuram
16
0
Total
16
0
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
koonimedu
16
0
Total
16
0
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
sea water intake chamber and PH
0.02
0
2
Receiving chamber
0.004
0
3
Flash mixing tank
0.001
0
4
Flocculation tank
0.02
0
5
Lamella clarifier
0.02
0
6
Sludge Holding tank
0.011
0
7
Thickener
0.071
0
8
Dual media filter
0.006
0
9
Filter house
0.223
0
10
Filtrate collection tank
0.185
0
11
UF permeate tank
0.185
0
12
SWRO Permeate tank
0.025
0
13
Product water storage tank
0.458
0
14
Product water pump house
0.025
0
15
Reject tank
0.096
0
16
Backwash waste collection tank
0.053
0
17
Plant security gate complex
0.006
0
18
Fecl3 storage dyke wall
0.009
0
19
NaOCl storage dyke wall
0.011
0
20
H2So4
0.003
0
21
Antiscalant dosing shed
0.004
0
22
Chemical storage room
0.005
0
23
Conference room
0.006
0
24
Lab
0.006
0
25
Membrane storage room
0.004
0
26
Lime stone feed pump shed
0.003
0
27
Co2 storage area
0.01
0
28
Lime handling building
0.016
0
29
Administration building
0.02
0
30
Canteen building
0.015
0
31
Parking area
0.036
0
32
Sewage treatment plant
0.015
0
33
Offset OTS area
2.593
0
34
Access & internal roads and Hard paved area
1.483
0
35
Green belt area ( as per MoEF & CC requirement ))
3.18
0
36
Area required for future expansion
4.32
0
37
Caustic storage dyke wall
0.002
0
38
Blower room
0.003
0
39
Instrument Compressor room
0.005
0
40
Workshop
0.01
0
41
Outdoor switch yard
2.024
0
42
MRSS 11 KV substation
0.042
0
43
Electrical control building
0.042
0
44
UF building
0.378
0
45
RO building
0.335
0
46
UF feed pump shed
0.003
0
47
SWRO feed pump shed
0.004
0
48
SMBS dosing shed
0.004
0
Total
16
0
C.
Maps of forest land proposed to be diverted
Division 1. : Villupuram
(i). Area of forest land proposed to be diverted(in ha.) :
16
(ii). Nature of the Project:
Hybrid
(a). No. of patches :
One
Patch wise details
Patch No.
Area of Patch(in ha.)
Kml File of Patches
To view KML file on google the same may be downloaded and then open if in google earth install in your computer.
1.
0
View File
(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.
16
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:
non availability of alternative land
E.
Employment likely to be generated
(i). Whether the Project is likely to generate employment ?:
Yes
(ii). Permanent/Regular Employment(Number of persons):
50
(iii). Temporary Employment(Number of person-days):
365
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:
Three
District 1. : Viluppuram
(a). Village:
Karattai
(b). Area(in ha.):
11.055
(c). Copy of KML file of the patch:
View File
(d). Khasra details:
Karattai SF.No 107/2,108,109/1,109/2,110/3,110/4,119,120/1,120/2,127,128/3,128/4,135/2,136/1,136/2
(e). Present owner:
Others
(f). Copy of ownership proof:
(g). Copy of Mou/agreement executed between the Present owner and the User Agency:
(h). Copy of non encumberence certificate for the forest land:
District 2. : Viluppuram
(a). Village:
Kattalai
(b). Area(in ha.):
7.09
(c). Copy of KML file of the patch:
View File
(d). Khasra details:
Kattalai SF.No 5/1,5/2,5/3,7/1
(e). Present owner:
Others
(f). Copy of ownership proof:
(g). Copy of Mou/agreement executed between the Present owner and the User Agency:
(h). Copy of non encumberence certificate for the forest land:
District 3. : Viluppuram
(a). Village:
Kattalai
(b). Area(in ha.):
14.325
(c). Copy of KML file of the patch:
View File
(d). Khasra details:
Kattalai SF.No.8/1,8/2,12,36/1,37/1
(e). Present owner:
Others
(f). Copy of ownership proof:
(g). Copy of Mou/agreement executed between the Present owner and the User Agency:
(h). Copy of non encumberence certificate for the forest land:
(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
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
Map clearly depicting the proposed DSP component wise details is furnished
19
Undertaking to effect that the desalinated water will be utilized for drinking water purpose
20
additional information/ documents/ clarifications are provided vide The Deputy Inspector General of Forests (Central), Chennai to The Principal Chief Conservator of Forests / Forest Department Chennai Lr.No. F.No.4-TNC061/ 2020 - CHN/ 632, Dated :05.08.2020
21
detailed report on quantity of water allocation for each purpose under this scheme / proposal
22
Certificate regarding free from encroachment and litigation
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