FORM - B
Form for seeking prior approval under Section-2 of the proposals by the State Governments and other authorities, in respect of renewal of leases,
which have been earlier granted clearance under Forest (Conservation) Act,1980
PART - I
(To be filled up by User Agency)
A. General Details
A-1. Project Details
  (i). Proposal No. : FP/OR/ROAD/148087/2021   (ii). Name of Project for which Forest Land is required : Rehabilitation and Upgradation to Four laning of 7.6 km stretch (km 229.00 to km 236.600) inside buffer zone of Similipal Tiger Reserve of Baharagora to Singhara Section (km 199.200 to km 310.806) of NH-6 in the State of Odisha under NHDP Phase- IV, on EPC mode   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : National Highways Authority of India has decided to widen the 7.6 km stretch from km. 229.00 to Km. 236.600 passing through the buffer zone of Simplipal Tiger Reserve in the Bangriposi Ghat section from existing 2-lane to 4-lane considering the safety aspects. Earlier Stage I was granted.   (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) : 13105   (viii). Area of forest land proposed for diversion(in ha.): 32.225   (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): 99
A-2. Details of User Agency
  (i). Name : NATIONAL HIGHWAY AUTHORITY OF INDIA PIU BALASORE   (ii). Address1 : O.T. Road, Near White House Clinic   (iii). Address2 : Balasore   (iv). State : Orissa   (v). District : Balasore   (vi). Pin : 756001   (vii). Landmarks : NIL   (viii). Email address : nhaibalasore@gmail.com   (ix). Landline Telephone No. : 2361670   (x). Fax No. : 2361770   (xi). Mobile No. : 9682172071   (xii). Website (if any) : www.nhai.org   (xiii). Details of Proposals seeking prior approval of Central Government under the Act for diversion of forest land submitted by the User Agency 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
  (xiv). Legal status of User Agency : Central Government
A-3. Details of Person Making Application
  (i). First Name: J   (ii). Middle Name: P   (iii). Last Name: Verma   (iv). Gender: Male   (v). Designation: Project Director   (vi). Address 1: Plot No. 1086, Chandmari Padia Road, Sahadevkhunta   (vii). Address 2: Balasore   (viii). State: Orissa   (ix). District: Balasore   (x). Tehsil: NIL   (xi). Pin: 756001   (xii). Landmarks: NIL   (xiii). Email Address: nhaibalasore@gmail.com   (xiv). Landline Telephone No.: 263366   (xv). Fax No.: 06782263366   (xvi). Mobile No.: 9682172071   (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:
A-7. Details of the forest land returned back to the State Forest Department or any other Authority from the forest land diverted in favour of the user agency
A-9. Details of Transfer of Lease
Serial No Name of person Address of person Date of transfer MMDR File Transfer Deed Conservation MoEF_file No Date of approval MoEF file
NIL
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
  (i). Whether any proposal seeking prior approval of Central Government under the Act for diversion of forest land required for the project has been submitted in the past?. : No
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.Rairangpur32.2250
Total32.2250
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Mayurbhanj32.2250
Total32.2250
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Bidubhandar PRF17.7950
17.795 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Highway Widening17.7950
Total 17.795 0
C. Maps of forest land proposed to be diverted
Division 1. : Rairangpur
  (i). Area of forest land proposed to be diverted(in ha.) : 32.225   (ii).Shape of forest land proposed to be diverted : Linear   (b). No. of Segments : One
Segments wise details
Segmenst Segment Area(in ha.) Kml File of SegmentsTo view KML file on google the same may be downloaded and then open if in google earth install in your computer.
1.17.795    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 DGPS 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: The project road is the expansion of existing NH-6
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 10   (iii). Temporary Employment(Number of person-days): 36500
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? : Yes   (a). Whether Project or a part thereof is located within a Protected Area ? : No   (ii). Status of approval of the Standing Committee of National Board for the Wildlife(NBWL) to the Project : Application under process   (a). Date of submission of proposals : 24 Jan 2022   (b). Current status : NIL
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?: NIL   (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 ?: NIL   (iii) . Reason for not providing Non-Forest Land: NIL
Additional information Details
Documents
S.No Documents
Remarks
1The area statement with changed name of the village as per EDS raised by DFO dated 17.09.2022
2Undertaking on CA land
3NHAI Reply to EDS raised by DFO dated 19.07.2022: Details of CA land & undertaking enclosed
4NHAI Reply to EDS raised by DFO dated 09.06.2022
5Compliance to EDS raised by DFO dated 26.10.2022-Changed maps with respect to chainage points as recommended by the P.C.C.F Wildlife and Chief Wildlife Warden, Odisha,
6NHAI Reply to EDS by DFO dated 19.07.2022 & 29.07.2022
7Compliance to EDS raised by DFO on 14.11.2022. Kindly communicate with OFDC Ltd. for species-wise, girth-wise abstract of trees as this is Part of Online Part II and has to be submitted by the Forest Department.
8NHAI letter stating reason fresh submission of application for forest clearance of 7.6 km stretch
9Project Note elaborating the necessity of widening of the 7.6 km stretch passing through the buffer zone of Similipal Tiger Reserve
10Reply DFO's observations 07 July 2022: Authenticated map by ORSAC uploaded
11Area Statement details of forest land of 17.795 ha uploaded
12Four sets of of species-wise abstract of 20262 trees submitted as per Compliance to EDS raised by DFO on 23.11.2022
13Compliance to observations raised by DFO and signed hard copies submitted to the DFO Office
14Signed Proposal has been uploaded which was submitted to DFO and DC.