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/CG/ROAD/29243/2017   (ii). Name of Project for which Forest Land is required : Rehabilitation and upgradation to 2 lane/ 4 lane of NH-930,Jhalmala-Balod-Kusumkasa-Manpur-Kohka in the state of Chhattishgarh.   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Rehabilitation and upgradation to 2 lane/ 4 lane of NH-930   (iv). State : Chhattisgarh   (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) : 63395   (viii). Area of forest land proposed for diversion(in ha.): 73.426   (ix). Non-forest land required for this project(in ha.): 6.5924   (x). Total period for which the forest land is proposed to be diverted(in years): NIL
A-2. Details of User Agency
  (i). Name : NATIONAL HIGHWAY DIVISION PWD CHHATTISHGARH   (ii). Address1 : National Highway Campus, Pension bada, raipur   (iii). Address2 : NIL   (iv). State : Chhattisgarh   (v). District : Raipur   (vi). Pin : 492001   (vii). Landmark : Near Holy Cross School   (viii). Email address : bsrinivasrao265@gmail.com   (ix). Landline Telephone No. : 771-4051036   (x). Fax No. : 771-4051052   (xi). Mobile No. : 8654062032   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: B   (ii). Middle Name: Srinivas   (iii). Last Name: Rao   (iv). Gender: Male   (v). Designation: EE   (vi). Address 1: National Highway Division, PWD, Chhattishgarh   (vii). Address 2: National Highway Campus, Pension bada,Chhattishgarh   (viii). State: Chhattisgarh   (ix). District: Raipur   (x). Tehsil: Raipur   (xi). Pin: 492001   (xii). Landmark: Near Holy Cross School   (xiii). Email Address: bsrinivasrao265@gmail.com   (xiv). Landline Telephone No.: 771-4051036   (xv). Fax No.: 077114051052   (xvi). Mobile No.: 8654062032   (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.Balod26.4715.3052
2.Rajnandgaon46.9551.2872
Total73.4266.5924
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Balod26.4715.3052
1.Rajnandgaon46.9551.2872
Total73.4266.5924
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Balod00.641
2Khairathadih (Amlidih)8.8740
3Vangaon00.34
4Danitola1.050.2
5Daihan8.8980
6Jamhi00.4
7Shikaritola01.0049
8Kusumkasa00.62
9Pathratola00.2
10Khamhartola00.89
11Chikhlakasa00.24
12Bital00.1851
13Jhinkatol1.1460.0511
14Hitkasa6.5030.0815
15Kosmi00.0993
16Dorba1.6760
17Ghodagaon4.6920
18Adjal2.4420
19Khadgaon00.1352
20Bhatgaon00.2214
21Tumdikasa2.090.036
22Umarpaltiju4.3340
23Khairakata8.0440
24Bitejhar0.0910
25Manpur7.9030.2556
26Kande9.3940.0157
27Kohka6.2890.3989
28Boriyamokasa00.4851
29Siwni00.0916
Total 73.426 6.5924
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road73.4266.5924
Total 73.426 6.5924
C. Maps of forest land proposed to be diverted
Division 1. : Balod
  (i). Area of forest land proposed to be diverted(in ha.) : 26.471   (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).
1.26.471    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:
Division 2. : Rajnandgaon
  (i). Area of forest land proposed to be diverted(in ha.) : 46.955   (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).
1.46.955    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: Project for widening and upgradation
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 10000   (iii). Temporary Employment(Number of person-days): 730000
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? : 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?: No   (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) . Reason for not providing Non-Forest Land: Others
Additional information Details
Documents
S.No Documents
Remarks
1Registration Fees
2Processing Fees
3NOC Collector Rajnandgaon
4NOC Collector Balod
5Letter to Collector for FRA
6Form C from Collector for FRA
7Letter to Collector for NOC
8DGPS survey report authentication Balod
9DGPS survey report authentication Rajnandgaon
10DGPS survey report authentication Panabaras project Rajnandgaon
11DGPS Survey Report
12DGPS Report Balod
13Forest Area Balod
14Forest Area Rajnandgaon
15Submission of Proposal to DFO Balod
16Submission of Proposal to DFO Rajnandgaon
17Submission of Proposal to DFO Rajnandgaon 1