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/TR/REHAB/153041/2022   (ii). Name of Project for which Forest Land is required : Settlement and Rehabilitation of Bru migrant families along with approach road in Paschim Kalajhari RF Mouja under Karbook Sub division of Gomati District in Tripura   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : This project proposal for settlement and rehabilitation of Bru migrant families in Karbook Sub division of Gomati District in Tripura. The Bru-Reang quadrilateral agreement was signed among the Government of India, Government of Tripura, and Government of Mizoram and Bru-Reang representative.   (iv). State : Tripura   (v). Category of the Proposal : Rehabilitation   (vi). Shape of forest land proposed to be diverted : Non Linear   (vii). Estimated cost of the Project(Rupees in lacs) : 552.944   (viii). Area of forest land proposed for diversion(in ha.): 20.10889   (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 : SDM KARBOOK   (ii). Address1 : Office of the SDM Karbook, Gomati District   (iii). Address2 : NIL   (iv). State : Tripura   (v). District : Gomati   (vi). Pin : 799104   (vii). Landmark : NIL   (viii). Email address : sdmkarbook@gmail.com   (ix). Landline Telephone No. : 0--   (x). Fax No. : 0-   (xi). Mobile No. : 8119813234   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Lalringhneta   (ii). Middle Name: NIL   (iii). Last Name: Darlong   (iv). Gender: NIL   (v). Designation: SDM Karbook   (vi). Address 1: Office of the SDM Karbook, Gomati District   (vii). Address 2: NIL   (viii). State: Tripura   (ix). District: Gomati   (x). Tehsil: NIL   (xi). Pin: 799104   (xii). Landmark: NIL   (xiii). Email Address: sdmkarbook@gmail.com   (xiv). Landline Telephone No.: 0-   (xv). Fax No.: NIL   (xvi). Mobile No.: 9436904704   (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.Gumti District Forest20.108890
Total20.108890
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Gomati20.108890
Total20.108890
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Paschim Kalajhari RF20.108890
Total 20.10889 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Dwelling houses for 300 nos. Bru migrants families7.30
2Anganwadi centre0.030
3Health Sub-Centre0.020
4Animal husbandry centre0.020
5Agri-Horti Sub-Centre0.030
6School and Play ground0.40
7Community Hall0.20
8Rural Haat0.30
9DTW and Electricity Sub-Station0.040
10Water body0.810
11Road development/plantation/farming practices and6.50
12Road connectivity to main road3.8080
13Market Stalls0.650
Total 20.108 0
C. Maps of forest land proposed to be diverted
Division 1. : Gumti District Forest
  (i). Area of forest land proposed to be diverted(in ha.) : 20.10889   (ii). Nature of the Project: Non Linear   (a). No. of patches : One
Patch wise details
Patch No. Area of Patch(in ha.) Kml File of PatchesTo view KML file on google the same may be downloaded and then open if in google earth install in your computer.
1.20.10889    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:
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 400   (iii). Temporary Employment(Number of person-days): 30000
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?: Yes   (a). Copy of Cost-Benefit analysis:
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 ?: Not Applicable   (iii) . Reason for not providing Non-Forest Land: Certificate from Chief Secretary regarding non-availability of suitable non-forest/ revenue forest land
Additional information Details
Documents
S.No Documents
Remarks
1Certificate from Chief Secretary regarding non-availability of land Compensatory Afforestation
2Land Statement
3Attachment 01 resolution of New Gomti VC
4Attachment 01 resolution of Sub Divisional level
5Lay out Map
6Purpose wise land breakup
7Certificate of Bare minimum use of Forest land
8Undertaking for payment of cost of Compensatory Afforestation
9Free from Encumbrance Certificate
10Certificate on Bio Diversity impact assessment report
11Undertaking for Payment of NPV of Forest area
12Undertaking for Payment of Addl NPV of Forest area
13Undertaking for Payment of CA
14Undertaking for Payment of Addl. CA
15Undertaking for payment of demarcation fees of Forest area
16Undertaking for payment of Tree extraction
17Bru migrant settlement
18FHQ verify shape file
19GPS coordinates of the proposed location.