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/35147/2018   (ii). Name of Project for which Forest Land is required : Widening & Strenghtening Four lane of Navsari -Gandevi Road km 36/00 to 54/00   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Widening & Strenghtening Four lane of Navsari -Gandevi Road km 36/00 to 54/00   (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) : 670   (viii). Area of forest land proposed for diversion(in ha.): 15.345   (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): 00
A-2. Details of User Agency
  (i). Name : NAVSARI RNB DIVISION   (ii). Address1 : DY. EXECUTIVE ENGINEER RNB SUB DIVISION JUNA THANA NAVSARI   (iii). Address2 : NIL   (iv). State : Gujarat   (v). District : Navsari   (vi). Pin : 396445   (vii). Landmark : NAVSARI   (viii). Email address : rbsubdivisionnavsari@yahoo.in   (ix). Landline Telephone No. : 2637-258042   (x). Fax No. : 2637-   (xi). Mobile No. : 9824629702   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Jagdish   (ii). Middle Name: k   (iii). Last Name: kher   (iv). Gender: Male   (v). Designation: deputy executive engineer   (vi). Address 1: dy. executive engineer rnb sub division juna thana, navsari   (vii). Address 2: NIL   (viii). State: Gujarat   (ix). District: Navsari   (x). Tehsil: Navsari   (xi). Pin: 396445   (xii). Landmark: navsari   (xiii). Email Address: rbsubdivisionnavsari@yahoo.in   (xiv). Landline Telephone No.: 2637-258042   (xv). Fax No.: NIL   (xvi). Mobile No.: 9824629702   (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.Navsari SF15.3450
Total15.3450
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Navsari15.3450
Total15.3450
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Chapra1.43550
2Itava0.866250
3Pratapor0.420750
4Mogar0.14850
5Adada1.658250
6Chandravasan Supa1.262250
7Salej2.301750
8Sonwadi0.420750
9Gadat0.767250
10Khakhwada1.014750
11Pathri0.272250
12Ajrai1.509750
13Rahej0.965250
14Gandevi2.301750
Total 15.345 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Chhapra1.43550
2Itava0.866250
3Pratapor0.420750
4Mogar0.14850
5Adada1.658250
6Chandravasan Supa1.262250
7Salej2.301750
8Sonawadi0.420750
9Gadat0.767250
10Khakhwada1.014750
11Pathri0.272250
12Ajrai1.509750
13Rahej0.965250
14Gandevi2.301750
Total 15.345 0
C. Maps of forest land proposed to be diverted
Division 1. : Navsari SF
  (i). Area of forest land proposed to be diverted(in ha.) : 15.345   (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).
1.15.345    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: No Data   (ii). Whether a copy of map indicating location of alternative examine is required to be provided: No   (a). Reason for not providing such map: not fibible
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 200   (iii). Temporary Employment(Number of person-days): 50
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: No Data
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 ?: Not Applicable   (iii) . Reason for not providing Non-Forest Land: Others
Additional information Details
Documents
S.No Documents
Remarks
1justification certificate uploaded here.
2FRA certificate
3Cost benefit certificate