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APPENDIX – I
(See paragraph – 6)
FORM 1
Basic Information:
S.No. Item Details 1 Name of the project/s: 2 S. No. in the schedule 3. Proposed capacity/area/length/tonnage to be
handled/command area/lease area/number of
Wells to be drilled. 4. New/Expansion/Modernization 5. Existing Capacity Area etc. 6. Category of Project i.e. A or B 7. Does it attract the general condition? If yes,
Please specify. 8. Does it attract the specific condition? If yes,
Please specify. 9. Location Plot/Survey/Khasra No. Village Tehsil District State 10. Nearest railway station/airport along with
Distance in kms. 11. Nearest Town, city, District Headquarters
Along with distance in kms. 12. Village Panchayats, Zilla Parishad, Municipal
Corporation, Local body (complete postal
Address with telephone nos. to be given) 13. Name of the applicant 14. Registered Address 15. Address for correspondence: Name Designation (Owner/Partner/CEO) Address Pin Code E-mail Telephone No. Fax No. 16. Details of Alternative Sites examined, if any. Location of these sites should be shown on a
topo sheet. Village-District-State
1.
2.
3. 17. Interlinked Projects 18. Whether separate application of interlinked
Project has been submitted? 19. If yes, date of submission 20. If no, reason 21. Whether the proposal involves approval / clearance under: if yes, Details of the same
and their status to be given.
The Forest (Conservation) Act, 1980?
The Wildlife (Protection) Act, 1972
The C.R.Z. Notification, 1991? 22. Whether there is any Government Order/ Policy relevant/ relating to the site? 23. Forest land involved (hectares) 24. Whether there is any litigation pending against the project and /or land in which
the project is propose to be set up?
Name of the Court
Case No.
Orders/directions of the Court, if any and its
relevance with the proposed project.
Capacity corresponding to sectoral activit
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