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/GJ/ROAD/23754/2017   (ii). Name of Project for which Forest Land is required : 2/4 laning of Dhanera-Zerda Section from km 0+000 to km 11+000 of Dhanera Bypass and from km 42+300 to km 55+030 of NH-168A in the State of Gujarat - Package IV   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Ministry of Road Transport & Highways (MoRTH), Government of India has decided to take up the up-gradation of newly declared NH 168A (declared as National Highway vide Gazette Notification SO No- 2232 (E) dated 5th September 2014). Package IV has two sections i.e. proposed Dhanera Bypass and exist   (iv). State : Gujarat   (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) : 37066   (viii). Area of forest land proposed for diversion(in ha.): 20.6508   (ix). Non-forest land required for this project(in ha.): 76.0065   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : MINISTRY OF ROAD TRANSPORT & HIGHWAYS   (ii). Address1 : Parivahan Bhawan 1 Parliament Street   (iii). Address2 : NIL   (iv). State : Delhi   (v). District : New Delhi   (vi). Pin : 110001   (vii). Landmark : Parliament of India   (viii). Email address : indresh.pandey@nic.in   (ix). Landline Telephone No. : 11-2372480   (x). Fax No. : 11-   (xi). Mobile No. : 9427660321   (xii). Website (if any) : www.morh.nic.in   (xiii). Legal status of User Agency : Central Government
A-3. Details of Person Making Application
  (i). First Name: RajendraKumar   (ii). Middle Name: B   (iii). Last Name: Damor   (iv). Gender: Male   (v). Designation: EE   (vi). Address 1: National Highways Division Plot No 1 Ward 3B Tagore Road   (vii). Address 2: Adipur Gandhidham District Kutch   (viii). State: Gujarat   (ix). District: kutch   (x). Tehsil: Gandhidham   (xi). Pin: 370205   (xii). Landmark: NIL   (xiii). Email Address: nhdgandhidham@gmail.com   (xiv). Landline Telephone No.: 2836-260304   (xv). Fax No.: 02836260304   (xvi). Mobile No.: 9427660321   (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.Banaskantha SF20.650876.0065
Total20.650876.0065
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Banaskantha20.650876.0065
Total20.650876.0065
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Thawar0.45563.9924
2Dhanera030.5118
3Asiya00.0153
4Samarwada6.367517.5796
5Chora3.21476.0591
6Ramun4.38996.7641
7Tetoda3.79778.224
8Jherda2.42542.8602
Total 20.6508 76.0065
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Thawar-RHS-P400.33791.9962
2Thawar-LHS-P410.11771.9962
3Dhanera030.5118
4Asiya00.0153
5Samarwada-RHS-P423.27138.7898
6Samarwada-LHS-P432.74228.7898
7Samarwada-RHS-P440.19720
8Samarwada-LHS-P450.15680
9Chora-RHS-P461.03773.02955
10Chora-LHS-P470.11753.02955
11Chora-LHS-P480.95020
12Chora-RHS-P490.59580
13Chora-RHS-P500.48660
14Chora-RHS-P510.02690
15Ramun-RHS-P521.17243.38205
16Ramun-LHS-P530.17363.38205
17Ramun-LHS-P540.30130
18Ramun-RHS-P550.28770
19Ramun-RHS-P562.1680
20Ramun-LHS-P570.080
21Ramun-LHS-P580.02750
22Ramun-LHS-P590.05250
23Ramun-LHS-P600.1160
24Ramun-LHS-P610.01090
25Tetoda-LHS-P620.31524.112
26Tetoda-RHS-P631.82424.112
27Tetoda-LHS-P640.04390
28Tetoda-LHS-P650.01360
29Tetoda-LHS-P660.17330
30Tetoda-RHS-P671.1040
31Tetoda-LHS-P680.32350
32Jherda-LHS-P690.13291.4301
33Jherda-RHS-P700.88811.4301
34Jherda-LHS-P711.18920
35Jherda-RHS-P720.21520
Total 20.6508 76.0065
C. Maps of forest land proposed to be diverted
Division 1. : Banaskantha SF
  (i). Area of forest land proposed to be diverted(in ha.) : 20.6508   (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).
1.20.6508    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: No alternative feasible as the project involves wi
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 70   (iii). Temporary Employment(Number of person-days): 51100
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? : No
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
1Payments made. Copy of Challan attached.
2