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/37176/2018   (ii). Name of Project for which Forest Land is required : Thimmalanmedu to Kotturmalai road   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Thimmalanmedu to kotturmalai road   (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) : 300   (viii). Area of forest land proposed for diversion(in ha.): 5   (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 : BLOCK DEVELOPMENT OFFICER BP   (ii). Address1 : Block Development Officer (BP),Pennagaram,Dharmapuri   (iii). Address2 : NIL   (iv). State : Tamil Nadu   (v). District : Dharmapuri   (vi). Pin : 636801   (vii). Landmark : BDO Office   (viii). Email address : eedpidrda@gmail.com   (ix). Landline Telephone No. : 4342-233208   (x). Fax No. : 4342-233208   (xi). Mobile No. : 7402606991   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: BDO Pennagaram   (ii). Middle Name: NIL   (iii). Last Name: Krishnan   (iv). Gender: Male   (v). Designation: BDO   (vi). Address 1: Block Development Officer BP   (vii). Address 2: Pennagaram Dharmapuri   (viii). State: Tamil Nadu   (ix). District: Dharmapuri   (x). Tehsil: Pennagaram   (xi). Pin: 636801   (xii). Landmark: BDO Office   (xiii). Email Address: eedpidrda@gmail.com   (xiv). Landline Telephone No.: 4342-233208   (xv). Fax No.: 04342233208   (xvi). Mobile No.: 7402606991   (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.Dharmapuri50
Total50
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Dharmapuri50
Total50
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Kesariguli RF1.6020
2Thirumalvadi RL1.3080
Total 2.91 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road in Kesariguli RF1.6020
2Road in Thirumalvadi RL1.3080
Total 2.91 0
C. Maps of forest land proposed to be diverted
Division 1. : Dharmapuri
  (i). Area of forest land proposed to be diverted(in ha.) : 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).
1.2.91    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: No other ways to be examined
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): 650
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? : Yes   (a). Whether Project or a part thereof is located within a Protected Area ? : Yes   (b). Status of approval of the Supreme Court : Application yet to b   (ii). Status of approval of the Standing Committee of National Board for the Wildlife(NBWL) to the Project : Application yet to be submitted
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: One
District 1. : Dharmapuri
  (a). Village: KAMMAMPATTY   (b). Area(in ha.): 5.82   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 692/5   (e). Present owner: User Agency   (f). Copy of Ownership proof:
  (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
1AREA BREAKUP STATEMENT
2Cost of CA land
3Cost of Felling Trees
4Employment Generation
5Firka Details
6Lease Rent
7Minimum Use of Land
8No Alternative land
9No alternative road certificate by Collector
10Not Violated
11NPV statement
12Collector CA Land Order
13Block Development Officer Justification Letter
14GPS reading of CA land
15Bod Cover Letter dated 04.01.2023
16BDO Covering letter on 06.01.2023
17BDo cover letter 09.1.2023
18GPS reading of Diverted Land