1U18tN16 Report Part 1

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Form for seeking prior approvat of Centrat Government under section 2 of the Forest(Conservation) Act,1980 for
Diversion of fresh forest area

PART. I
(To be fitted up by User Agency)

A* General Details

f't.i"* Detaits

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(i). Proposal No. : FPITN/WATER/20031/2016

(ii). Name of Project for uhich Forest Land is required : Water Suppty lmprovement Scheme to
Musiri Town Panchayat in Trichy District

(iii). Short narrative of the proposal and Project/scheme for which the forest land is required : To
provide Cauvery drinking Water Suppty lmprwement scheme to Musiri Town Panchayat of Trichy
District

(iv). State : Tamil Nadu

(v). Category of the Project : Drinking Water

(vi). Shape of forest land proposed to be diverted : Linear

(vli). Estimated cost of the Project(Rupees in lacg : 2107

(viii). Total Area of Forest Land proposed for diversion(in ha.): 0.16

(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-
it. oetalts of User Agency

(i). Name : TWAD BOARD

(ii ). Addressl : Urban Division,JK Nagar,Kajamalai,Trichy

(iii). Address2 : NIL

(iv). State : Tamil Nadu

(v). District : Trichy

(vi). Pin : 620023

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Mi). Landmar* : Trichy

(viii). Emait,address, : mkkarthil98Z@gmait

(ix). Landllne Tetephone No. :4i1.2420122

(xi). Mobile No. :9578940408

(xii). Website (if any) : NIL

(iiii), Legal status of User Agency : State PSU

A-
,J. Oetaits of Person Aiaking Apptication

(i). First Nanre: kuppusamy

(ii). Middte tlame: NIL

(lii). Last Name: karthikeyan

(iv). Crender: Mate

(v). Designatior: Assistant Engineer

(vi). Address 1: Urban sub Division,JK Nagar,Kajamatai,Trichy

(vii). Address 2: NIL

(viii). State: Tamit Nadu

(ix). District: Trichy

(x). Tehsil: NIL

(xi). Pin: 620023

(xii). Landmark: Trichy

(xiii ). Ernar'l Address: mkkarth i1 982@gmai[.com

(xiv). Landline Telephone No.: 431-2420122

(xv). Fax No.: NIL

(xvi). llobile No,: 957894O408

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10t18/2016 Report Part 1
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(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: 1t

B. Detaits of tand required for the Project

B' Detaits of proposal seeking prior approvat of Central Government under the Act for
l. diversion of forest land for the Project atready submitted in the past

List of proposal submitted in Past

Date of
In-
Principh
Approval

R_
Il_. Oetaits of forest land proposed to be diverted

B-2.1 Oetaits of Divisions involved

Details of DMsions involved

S.no Division Name Forest tand(ha.) Non-Forest

tand(ha.)
1 Trichy 0.16 0

B-2.2 Detaits of Districts involved

District wise breakup

S.no District Name Forest Land(ha.) Non-Forest

Land(ha.)
1. Trichy 0.16 0

B-2.3 Vittage wise breakup

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Villages wise breakup

S.no Village Forest tand(ha.) Non-Forest

Land(ha.)
1 Ayyampalayam2006 0.16 0

B-2.4 Component wise breakup

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C.omponent wise brea kup

S,no Component Forest tand(ha.) Non-Forest

tand(ha.)
1 Footbridge 0.16 0

C. Maps of forest tand orooosed to be diverted

Division 1. : Trichy

(i). Area offorest land proposed to be diverted(in ha.):0.16

(ii). : Linear

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10t18/2u6 Report Part 1
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(b). No. of Segments : One

Segment wise details

Segments Segment Area(in ha.) Kml File of Segments
I 0.16
W view Fite

(iii). Copy of Survey of lndia Toposheet indicating boundary of forest land

proposed to be diverted: fu]

(iv). Scanned copy of the Geo-referenced map of the forest land proposed to
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be diverted prepared by using GPS or Total Station, IHI

Justification for locating the Project in forest land and detaits of alternatives
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examlned:
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(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 considering Al.l. alternatives ,this is the onty a

E. Emptoyment likelv 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): t{
25
1

, F. Displacement of Peoote due to the Pro'iect. if anv

(i). Whether Project involveS displacement?: No

G. Details of Cost-Benefit anaLysis for the Proiect

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(i). Whether the Project requires Cost-Benefit analysis?: No

H. Status of Environmental Ctearance

(i). Whether the Project requires Clearance under the Environment (Protection) Act 1986 ? : No

!. Status of WitdeLife Ctearance

(i). Whether the Project or a part thereof is located in any Protected Area or their Eco sensitive
zone?: No

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10t18t20't6 Report Part 1
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Aoplicabitity of special provisions governing Scheduted Areas

(i).Whether the Project or a part thereof is located in a Scheduled Area? : No

of setttement of riehts under the Forest Riehts Act.2006 on the forest

:n Status
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. Detaits of land identified for Compensatory Afforestation

(i). Whether non-forest or Revenue forest land is required to be provided by User Agency?: Not
Appticabte

(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 Appticabte

(iii). Reason for not providing Non-Forest Land: Not Appticabte

Additionat information Detaits

Documents

S.No Documents
Remarks
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