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/MH/ROAD/32153/2018   (ii). Name of Project for which Forest Land is required : 4/6 Lanning of Adilabad - Korpana - Vansadi - Gadchandur - Rajura(353B)   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : The Detailed Project Report study deals with the Rajura to M.S. Border to a total length of 56.6 km under Contract Package No. 3. The project road serves as a main connecting corridor for many religious places and also serves as the connecting road between the states of Maharashtra and Telengana.   (iv). State : Maharashtra   (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) : 84430   (viii). Area of forest land proposed for diversion(in ha.): 36.038   (ix). Non-forest land required for this project(in ha.): 148.516   (x). Total period for which the forest land is proposed to be diverted(in years): 100
A-2. Details of User Agency
  (i). Name : NATIONAL HIGHWAYS AUTHORITY OF INDIA PIU II NAGPUR   (ii). Address1 : Regional Office: Bungalow No 1, Shubhankar Appartments, Plot No. 159, Ambazari Hill Top, Ramnagar Nagpur   (iii). Address2 : Nagpur   (iv). State : Maharashtra   (v). District : Nagpur   (vi). Pin : 440033   (vii). Landmark : Hill top Water tank   (viii). Email address : piunagpur2@nhai.org   (ix). Landline Telephone No. : 712-2244492   (x). Fax No. : 712-2244493   (xi). Mobile No. : 9326938881   (xii). Website (if any) : www.nhai.org   (xiii). Legal status of User Agency : Central Government
A-3. Details of Person Making Application
  (i). First Name: Manojkumar   (ii). Middle Name: NIL   (iii). Last Name: Dhirajlal   (iv). Gender: Male   (v). Designation: Managing Director   (vi). Address 1: 2/6, Ranganathar Avenue,Prumalmalai Main road, Narasothipatty, Salem   (vii). Address 2: NIL   (viii). State: Tamil Nadu   (ix). District: Salem   (x). Tehsil: Salem   (xi). Pin: 636004   (xii). Landmark: Perumal Malai Main Road   (xiii). Email Address: cskr.civil@gmail.com   (xiv). Landline Telephone No.: 427-2330395   (xv). Fax No.: 04272330209   (xvi). Mobile No.: 8903200395   (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.Central Chanda36.038148.516
Total36.038148.516
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Chandrapur36.038148.516
Total36.038148.516
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Govindpur1.4637.112
2Kothoda4.5854.23
3Mehandi1.0083.78
4Pardi3.1532.975
5Akola4.8180
6Hardona Bu.2.1965.808
7Channai Kh.2.9492.958
8Arvi1.598.76
9Pendhari4.051.334
10Kapangaon4.6413.075
11Rajura5.5850
12Kanhalgaon04.188
13Korpana03.384
14Ganeshmod Rith04.161
15Devghat Rith09.512
16Loni01.6
17Wansadi05.947
18Dahegaon04.03
19Paramba00.048
20Sonurli05.724
21Asan Kh05.069
22Wadgaon04.109
23Nanda01.9
24Khirdi04.8
25Damangaon07.63
26Gadchandur08.4
27Thutra08.385
28Hardona Kh01.742
29Hardona Bk02.412
30Chandanwahi07.7
31Muthara06.75
32Pandharpauni04.59
33Khamona06.403
Total 36.038 148.516
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1MEDIAN2.616515014052.1483990924
2MAIN CARRIAGEWAY25.9880116409922.6208103
3SERVICE ROAD0.400959634747.7395804596
4UTILITY CORRIDOR6.9527076932688.3766023866
5EMBAKMENT FUTURE WETINING018.2104977483
Total 35.95819398304 139.0958899869
C. Maps of forest land proposed to be diverted
Division 1. : Central Chanda
  (i). Area of forest land proposed to be diverted(in ha.) : 36.038   (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).
1.36.038    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: Proposed NH is being constructed on existing Stat
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 15000   (iii). Temporary Employment(Number of person-days): 5200000
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? : 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?: Not Applicable   (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 Applicable   (iii) . Reason for not providing Non-Forest Land: Not Applicable
Additional information Details
Documents
S.No Documents
Remarks
1All maps
2All maps 1
3Certificate of Project Agency Outside TA
4Certificate of Project Agency reg Minimum demand
5Certificate of Project Agency reg Alternative land
6Certificate of Project Agency reg FRA
7Certificate of Project Agency reg lat long
8Certificate of Project Agency reg NPV
9Certificate of Project Agency reg PA
10Certificate of Project Agency reg violation/non voilation
11Letter Of Authority
12Gazette Notification of Road
13Certificate of Project Agency reg cul histor
14Certificate of Project Agency reg Env cl.