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/UP/TRANS/29629/2017   (ii). Name of Project for which Forest Land is required : Protected Forest Land Proposed to be diverted for 11 KV Transmission line on NH-76(Allhabad-Banda) Road from km.349 to 332(RHS) in Chitrakoot District   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Construction of 11 KV Transmission line on NH-76(Allhabad-Banda) Road from km.349 to 332(RHS) in Chitrakoot Distric for power supply to Mau Drinking water Scheme in Chitrakoot District   (iv). State : Uttar Pradesh   (v). Category of the Proposal : Transmission Line   (vi). Shape of forest land proposed to be diverted : Linear   (vii). Estimated cost of the Project(Rupees in lacs) : 374.20865   (viii). Area of forest land proposed for diversion(in ha.): 25.5   (ix). Non-forest land required for this project(in ha.): 1.636   (x). Total period for which the forest land is proposed to be diverted(in years): 30
A-2. Details of User Agency
  (i). Name : ELECTRICITY DISTRIBUTION DIVISION CHITRAKOOT   (ii). Address1 : Patel Chauraha Radha Lodge Karvi Chitrakoot   (iii). Address2 : NIL   (iv). State : Uttar Pradesh   (v). District : Chitrakoot   (vi). Pin : 210205   (vii). Landmark : NIL   (viii). Email address : eddkarvichitrakoot@gmail.com   (ix). Landline Telephone No. : 5198-236883   (x). Fax No. : 5198-   (xi). Mobile No. : 9415909215   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State PSU
A-3. Details of Person Making Application
  (i). First Name: Mahendra   (ii). Middle Name: Kumar   (iii). Last Name: Kureel   (iv). Gender: Male   (v). Designation: SDO   (vi). Address 1: Patel Chauraha Radha Lodge,Karvi,Chitrakoot   (vii). Address 2: NIL   (viii). State: Uttar Pradesh   (ix). District: Chitrakoot   (x). Tehsil: Karwi   (xi). Pin: 210205   (xii). Landmark: NIL   (xiii). Email Address: eddkarvichitrakoot@gmail.com   (xiv). Landline Telephone No.: 5198-136883   (xv). Fax No.: NIL   (xvi). Mobile No.: 9415909215   (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.Forest Division Chitrakoot (Karvi)25.51.636
Total25.51.636
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Chitrakoot25.51.636
Total25.51.636
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Mau2.60.86
2Chivlaha2.40
3Jamira2.80
4Kalchiha2.20
5Mahraja2.850
6Bojh2.920
7Mukra2.30
8Karaundi Khurd3.10
9Bargarh Mod2.80
10Murka1.530
Total 25.5 0.86
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Construction of Transmission Line25.51.636
Total 25.5 1.636
C. Maps of forest land proposed to be diverted
Division 1. : Forest Division Chitrakoot (Karvi)
  (i). Area of forest land proposed to be diverted(in ha.) : 25.5   (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).
1.25.5    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): 5   (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?: 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? : No
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: For laying of transmission lines
Additional information Details
Documents
S.No Documents
Remarks
1Project Sanction Letter
2Layout Plan
3Joint Inspection Report
4Undertaking NHAI Road NOC
5Undertaking for CA
6Undertaking for NPV
7Standard Conditions
8Area Calculation
9Forest Notification
10Objection Reply Letter
11Muck Disposal Certificate