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/157310/2022   (ii). Name of Project for which Forest Land is required : Proposal for diversion of 30 ha of forest land for resettlement of BRU Migrants and approach road of mouja Kala lawgang in favour of SDM Santirbazar   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : The proposed forest land is suitable and selected for resettlement of Bru migrants families   (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) : 9712.53   (viii). Area of forest land proposed for diversion(in ha.): 30   (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 : GOVERNMENT   (ii). Address1 : OFFICE OF THE SDM , SANTIRBAZAR , SOUTH TRIPURA   (iii). Address2 : NIL   (iv). State : Tripura   (v). District : South Tripura   (vi). Pin : 799144   (vii). Landmark : NIL   (viii). Email address : sdm.stb@gmail.com   (ix). Landline Telephone No. : 0--   (x). Fax No. : 0-   (xi). Mobile No. : 9436473162   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: ABHEDANANDA   (ii). Middle Name: NIL   (iii). Last Name: BAIDYA   (iv). Gender: NIL   (v). Designation: SDM , SANTIRBAZAR   (vi). Address 1: OFFICE OF THE SDM , SANTIRBAZAR , SOUTH TRIPURA   (vii). Address 2: NIL   (viii). State: Tripura   (ix). District: South Tripura   (x). Tehsil: NIL   (xi). Pin: 799144   (xii). Landmark: NIL   (xiii). Email Address: a.baidya080@gmail.com   (xiv). Landline Telephone No.: 0-   (xv). Fax No.: NIL   (xvi). Mobile No.: 9436473162   (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.South District Forest300
Total300
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.South Tripura300
Total300
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1LAWGANGSOM ADC VILLAGE300
Total 30 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Dwelling houses for 750 nos BRU migrants families12.0960
2Anganwadi Centre0.1290
3Health Sub-Centre0.0650
4Animal husbandry , Agri , Horti Sub-Centre0.130
5School , Play Ground & EKlavya Model Residential S8.4240
6Community Hall0.3240
7Rural haat with 03 Nos Market shed and 60 Nos mark3.5640
8DTW & Electricity Sub-Station0.4020
9Water Body1.7120
10Road connectivity to main road/Plantation/Farming3.0780
11F.P Shop0.0320
12Approach Road0.0440
Total 30 0
C. Maps of forest land proposed to be diverted
Division 1. : South District Forest
  (i). Area of forest land proposed to be diverted(in ha.) : 30   (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.
1.30    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): 1500   (iii). Temporary Employment(Number of person-days): 112500
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? : Yes
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
1NOTIFICATION
2GEO REFERENCED MAP
3LAND STATUS
4TOPO MAP
5JUSTIFICATION FOR LOCATION THE PROJECT IN FOREST AREA
6REJECTED 1,2,3
7COST BENEFIT ANALYSIS
8DM & C CERTIFICATE FORM -III WITH DLC
9MINUTES OF SDLFRC WITH RESOLUTION
10MEMO OF SDLFRC
11VC LEVEL RESOLUTION WITH BDO FORWARDING
12CHIEF SECRETARY CERTIFICATE
13LAND STATEMENT OF PROPOSED BRU SETTLEMENT LOCATION
14LAYOUT MAP
15PURPOSE WISE BREAKUP OF FOREST LAND REQUIRED
16FREE FROM ENCUMBRANCE CERTIFICATE
17CERTIFICATE FOR BARE MINIMUM OF FOREST LAND
18CERTIFICATE ON BIO-DIVERSITY IMPACT ASSESSMENT REPORT
19UNDERTAKING FOR PAYMENT OF NPV OF FOREST AREA
20UNDERTAKING FOR PAYMENT OF ADDITIONAL NPV
21UNDERTAKING FOR PAYMENT OF COST COMPENSATORY AFFORESTATION
22UNDERTAKING PAYMENT OF ADDITIONAL COST OF CA
23UNDERTAKING FOR PAYMENT OF EXTRACTION OF TRESS
24UNDERTAKING FOR PAYMENT OF DEMARCATION FEES
25TO WHOM SO EVER IT MAY CONCERN SDM
26BRIEF NOTE
27GIS LAB MAP BY TFD
28CONCERN OF LOCAL PEOPLE BY SDM
29BRU LETTER RESPONSE