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)
5.336
3.924
2.
Hoshangabad(T)
13.78
0
3.
West Betul
37.399
35.683
Total
56.515
39.607
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Harda
5.336
3.924
1.
Hoshangabad
13.78
0
3.
Betul
37.399
35.683
Total
56.515
39.607
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Temagaon
0
0.106
2
Uskalli
0
3.554
3
Mahukhal
5.336
0.265
4
Seoni Malwa Range
13.78
0
5
Driyaganj
13.917
0
6
Khokrakheda
5.775
0
7
Gawasen
13.709
0
8
Ajai
1.675
0
9
Alamgarh
0.079
4.676
10
Chirapatla
0.174
7.262
11
Bela
0
3.558
12
Pathakheda
0
8.026
13
Dhaniya Jam
0
3.74
14
Chunagosai
0
1.078
15
Alampur
1.801
3.431
16
Godhana
0.218
1.652
17
Sitadongri
0.051
2.259
Total
56.515
39.607
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Road
56.515
39.607
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
1
Receiving letters of FRA application to Harda. Hoshangabad and Betul district Collector
2
NPV
3
CA Undertaking
4
Minimum Use of Forest Land
5
Area Calculation Sheet
6
Muck Disposal Certificate
7
EDS reply for query raised on 16.09.2020 for Wildlife mitigation measure plan. Also FRA certificate of Betul District is attached
8
EDS reply for query raised on 29.06.2020
9
A Letter issued from DFO, Hoshangabad to CCF, Hoshangabad for CA approval
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