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FOREST Form A

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sikanmaharana
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21 views1 page

FOREST Form A

Uploaded by

sikanmaharana
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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APPENDIX

Form for seeking prior approval for diversion of forest land for non-forest purposes
for the facilities managed by the Government under sub-section (2) of Section 3 of the
Scheduled Tribes and Other Traditional Forest Dwellers (Recognition of Forest Rights) Act,
2006.

FORM-A
[See para 2.2(i)]
(To be filled up by the User Agency)
1. Project details:
(i) Short narrative of the proposed project / scheme for which the forest
land is required.
(ii) Details of the forest land required (two options to be indicated)
a. Location – Survey No./ Compartment No.
b. Extent of the area (in hectare)
c. Forest Division
d. Map showing the required forest land, boundary of adjoining forest
on a 1:50,000 scale map.
(iii) Justification for locating the project in proposed forest land(s)

(iv) Number of trees to be felled (per hectare) and number that will be kept
standing

2. Detailed, purpose-wise break-up of the total forest land required with proposed
building/activity area map.

3. Confirmation that User Agency will plant at least twice the number of trees to
be felled, in the project or adjacent area and the amount to be provided annually for
protection and maintenance of these plants for at least five years (Details to be
enclosed).

4. Recommendation of the Gram Sabha – Accepted/Rejected


[Please tick ( √ ), as the case may be]. [Copy of the Gram Sabha resolution to be
attached.]

Signature of the authorized person for the User Agency

(Name in Block letters)

Address

Date:
Place:

Serial No. of proposal


(To be filled up by the Range Forest Officer with date of receipt)

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