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/OR/ROAD/37636/2018   (ii). Name of Project for which Forest Land is required : Widening and Strengthening from two lane to two lane with paved shoulder from 269/300km to 328/200km including Kuchinda Bypass of N.H.-49 (Jharsuguda – Bhojpur Section)   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Widening and Strengthening from two lane to two lane with paved shoulder from 269/300km to 328/200km including Kuchinda Bypass of N.H.-49 (Jharsuguda – Bhojpur Section)   (iv). State : Orissa   (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) : 19916   (viii). Area of forest land proposed for diversion(in ha.): 20.269   (ix). Non-forest land required for this project(in ha.): 88.724   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : Prasanta Kumar Pradhan   (ii). Address1 : Executive Engineer N. H. Division, Jharsuguda Kali Mandir Road Jharsuguda   (iii). Address2 : NIL   (iv). State : Orissa   (v). District : Sambalpur   (vi). Pin : 768202   (vii). Landmark : Near Telephone Bhawan   (viii). Email address : eenhjsg@gmail.com   (ix). Landline Telephone No. : 6645-271179   (x). Fax No. : NIL   (xi). Mobile No. : 9437088837   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Biranchi   (ii). Middle Name: Kumar   (iii). Last Name: Mohanty   (iv). Gender: Male   (v). Designation: Executive Engineer   (vi). Address 1: Executive Engineer N. H. Division, Jharsuguda Kali Mandir Road Jharsuguda   (vii). Address 2: NIL   (viii). State: Orissa   (ix). District: Jharsuguda   (x). Tehsil: Jharsuguda   (xi). Pin: 768202   (xii). Landmark: Near Telephone Bhawan   (xiii). Email Address: eenhjsg@gmail.com   (xiv). Landline Telephone No.: 6645-271179   (xv). Fax No.: NIL   (xvi). Mobile No.: 9437015415   (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.Bamra WL14.34245.929
2.Jharsuguda5.92742.795
Total20.26988.724
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Sambalpur14.34245.929
1.Jharsuguda5.92742.795
Total20.26988.724
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Bhojpur0.0854.064
2Boxama01.384
3Dimirimunda0.1490
4Ghosa3.4080.271
5Jamankira00.094
6Jharmunda0.4931.116
7Kankadakhol0.020.288
8Kochinda0.9360
9Kundapasi3.3995.583
10Lada5.3366.808
11Patrapali-1404.606
12Saeda09.597
13Tabalakata0.5165.746
14Barabahal0.6352.912
15Dandabuda00.068
16Gamhapali00.237
17Kolabira0.8054.508
18Kumudapali01.997
19Kundurisingha0.5792.744
20Lariapali0.4052.94
21Ludunga02.994
22Parmanpur02.117
23Patrapali-8805.094
24Pukhurasale0.1974.581
25Raghunathpali0.982.266
26Sanyasipali00.904
27Siriapali05.971
28Siriapali R.F.1.7150
29Junani0.6113.565
30Kelipadar01.579
31Khandokata04.69
Total 20.269 88.724
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Construction of the Road20.26988.724
Total 20.269 88.724
C. Maps of forest land proposed to be diverted
Division 1. : Bamra WL
  (i). Area of forest land proposed to be diverted(in ha.) : 14.342   (ii). Nature of the Project: Linear   (b). No. of Segments : Two
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).
1.4.839    View File
2.9.503    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. : Jharsuguda
  (i). Area of forest land proposed to be diverted(in ha.) : 5.927   (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).
1.5.927    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: This is the barest minimum land required.
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 50   (iii). Temporary Employment(Number of person-days): 200
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? : Yes
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?: 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: Central Govt. Project
Additional information Details
Documents
S.No Documents
Remarks
1EPC SANCTION LETTER
2EDS has been complied vide this office Letter No. 142 dated 17.01.2019.
3Diversion Proposal has been submitted vide this office letter No. 144 dated 17.01.2019.