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/MP/ROAD/33615/2018   (ii). Name of Project for which Forest Land is required : 4 laning of Harda -Betul Section of National Highway (NH-47) from Temagav km 30+000 to Chicholi km 81+000 (length-51.000 km) under BHARATMALA Pariyojana Economic Corridor (Phase- I) in three districts of Harda, Hoshangabad and Betul in the State of Madhya Pradesh on Hybrid Annuity Mode.   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : The proposed 4-laning of Harda- Betul Section of National Highway (NH-47) from Temagav to Chicholi length 51 km under BHARATMALA Pariyojana Economic Corridor (Phase-I) traverses through Harda, Hosangabad and Betul Districts. The Proposed project from Km 30.000 to 34.095 is passing through Rehatgaon   (iv). State : Madhya Pradesh   (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) : 66300   (viii). Area of forest land proposed for diversion(in ha.): 56.515   (ix). Non-forest land required for this project(in ha.): 39.607   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : NATIONAL HIGHWAY AUTHORITY OF INDIA PIU CHHINDWARA   (ii). Address1 : H. NO. 84, BESIDE POLYTHENE FACTORY, SWARNA JAYANTI NAGAR, NEW FRIENDS COLONY, KHAJRI ROAD   (iii). Address2 : FRIENDS COLONY KHAJRI ROAD   (iv). State : Madhya Pradesh   (v). District : Chhindwara   (vi). Pin : 480001   (vii). Landmark : BESIDE POLYTHENE FACTORY   (viii). Email address : chhindwara@nhai.org   (ix). Landline Telephone No. : 7162-238120   (x). Fax No. : 7162-238120   (xi). Mobile No. : 9644595969   (xii). Website (if any) : www.nhai.org   (xiii). Legal status of User Agency : Central PSU
A-3. Details of Person Making Application
  (i). First Name: Vipin   (ii). Middle Name: NIL   (iii). Last Name: Mangla   (iv). Gender: Male   (v). Designation: GM PROJECT DIRECTOR   (vi). Address 1: H. NO. 84, BESIDE POLYTHENE FACTORY, SWARNA JAYANTI NAGAR, NEW FRIENDS COLONY, KHAJRI ROAD   (vii). Address 2: NIL   (viii). State: Madhya Pradesh   (ix). District: Chhindwara   (x). Tehsil: Chhindwara   (xi). Pin: 480001   (xii). Landmark: BESIDE POLYTHENE FACTORY   (xiii). Email Address: chhindwara@nhai.org   (xiv). Landline Telephone No.: 7162-238120   (xv). Fax No.: 07162238120   (xvi). Mobile No.: 8447360640   (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.Harda(T)5.3363.924
2.Hoshangabad(T)13.780
3.West Betul37.39935.683
Total56.51539.607
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Harda5.3363.924
1.Hoshangabad13.780
3.Betul37.39935.683
Total56.51539.607
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Temagaon00.106
2Uskalli03.554
3Mahukhal5.3360.265
4Seoni Malwa Range13.780
5Driyaganj13.9170
6Khokrakheda5.7750
7Gawasen13.7090
8Ajai1.6750
9Alamgarh0.0794.676
10Chirapatla0.1747.262
11Bela03.558
12Pathakheda08.026
13Dhaniya Jam03.74
14Chunagosai01.078
15Alampur1.8013.431
16Godhana0.2181.652
17Sitadongri0.0512.259
Total 56.515 39.607
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road56.51539.607
Total 56.515 39.607
C. Maps of forest land proposed to be diverted
Division 1. : West Betul
  (i). Area of forest land proposed to be diverted(in ha.) : 37.399   (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).
1.37.399    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. : Harda(T)
  (i). Area of forest land proposed to be diverted(in ha.) : 5.336   (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).
1.5.336    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 3. : Hoshangabad(T)
  (i). Area of forest land proposed to be diverted(in ha.) : 13.78   (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).
1.13.78    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: Yes   (a). Copy of map indicating location of alternative examined:
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 60   (iii). Temporary Employment(Number of person-days): 80
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
1Receiving letters of FRA application to Harda. Hoshangabad and Betul district Collector
2NPV
3CA Undertaking
4Minimum Use of Forest Land
5Area Calculation Sheet
6Muck Disposal Certificate
7EDS reply for query raised on 16.09.2020 for Wildlife mitigation measure plan. Also FRA certificate of Betul District is attached
8EDS reply for query raised on 29.06.2020
9A Letter issued from DFO, Hoshangabad to CCF, Hoshangabad for CA approval