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/AP/ROAD/49639/2020   (ii). Name of Project for which Forest Land is required : Rehabilitation and Upgradation to two lane with paved shoulder configuration of Koyyuru to Paderu section from Km 120/000 to Km 260/100(Design chainage Km Km 120+000 To Km 253+974) of NH-516Ein the state of Andhra Pradesh   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Rehabilitation and Upgradation to 2L+PS configuration of Koyyuru - Chaprathipalem - Lambasingi - Paderu section (Km 120+000 to Km 253+974) of NH-516E in the state of Andhra Pradesh under Green National Highways Corridor Project (GNHCP) with the loan assistance of World Bank on EPC Mode   (iv). State : Andhra 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) : 800   (viii). Area of forest land proposed for diversion(in ha.): 65.95   (ix). Non-forest land required for this project(in ha.): 256.998   (x). Total period for which the forest land is proposed to be diverted(in years): 100
A-2. Details of User Agency
  (i). Name : REGIONAL OFFICER,MINISTRY OF ROAD TRANSPORT AND HIGHWAYS, VIJAYAWADA   (ii). Address1 : Regional office, Ministry of Transport and Highways , Door no.38-2-3/12,Gorledalapanna veedhi,Near American Hospital, Punnammithota, Vijayawada   (iii). Address2 : PIU - Visakhapatnam Ministry of Road Transport and Highways,Government of India - Andhra pradesh   (iv). State : Andhra Pradesh   (v). District : Visakhapatnam   (vi). Pin : 520010   (vii). Landmark : Near American Hospital   (viii). Email address : romorthvijayawada@gmail.com   (ix). Landline Telephone No. : 866-2970220   (x). Fax No. : 866-2571985   (xi). Mobile No. : 9572780000   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : Central Government
A-3. Details of Person Making Application
  (i). First Name: Ravishek   (ii). Middle Name: NIL   (iii). Last Name: Ravishek   (iv). Gender: Male   (v). Designation: Project Director, PIU Visakhapatnam, MoRTH   (vi). Address 1: Project Implementation Unit, Visakhapatnam, Ministry of Road Transport & Highways, Government of India, D. No. 1-69/6, Ganesh Nagar, Chinamushidiwada, Visakhapatnam – 530051   (vii). Address 2: NIL   (viii). State: Andhra Pradesh   (ix). District: Visakhapatnam   (x). Tehsil: Visakhapatnam (Urban)   (xi). Pin: 530051   (xii). Landmark: Near Sai Baba Temple   (xiii). Email Address: buvans1982@gmail.com   (xiv). Landline Telephone No.: 891-3512111   (xv). Fax No.: NIL   (xvi). Mobile No.: 9572780000   (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.Narasipatnam65.71211.159
2.Paderu0.2445.839
Total65.95256.998
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Visakhapatnam65.95256.998
Total65.95256.998
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Pothavaram05.011
2Nadimpalem 26011.093
3Chintalapudi05.353
4Bointi & Sarugudu Reserved Forest6.580
5Ravimanupakalu01.156
6Ravanapalli03.397
7Yerranaidupakalu02.306
8Chidikada05.882
9Krishnadevipeta04.582
10Lakshmipur08.433
11Bhimavaram05.349
12Valasampeta05.078
13Ramarajupalem06.963
14Makaram03.408
15Nallagonda02.663
16Nadimpalem 5902.338
17Battapanakulu02.261
18Katragadda02.828
19Bointi Reserved Forest23.580
20Rampulu06.005
21Chaprathipalem00.709
22Chaprathipalemm04.732
23Bonti Reserved Forest4.020
24Pedavalasa03.527
25Pedajadumaru04.426
26Nimmalapalem03.368
27Yernapalli00.841
28Sankada02.985
29Rintada05.882
30Asurada04.601
31Antharla07.159
32Chintapalli01.929
33Bonti Reserved Foresttt1.510
34Chinnagedda02.452
35Rowrintada03.582
36Chintapalli&Vangasarai Reserved Forest1.210
37Chintaluru02.41
38Krishnapuram06.697
39Madigunda05.459
40Rajupakulu03.872
41Diguvapakalu02.034
42Lammasingi08.213
43Lammasingii2.028.158
44Tajingi012.94
45Kistapuram03.715
46Pinakiltaru02.515
47Pedakiltaru03.568
48Krishnapuram Reserved Forest16.750
49Varugulapalem02.764
50Balammansanku01.34
51Kullapadu03.724
52Maddulabanda04.325
53Madhuramamidi01.984
54Pedavurumu01.437
55G.madugula04.911
56Machikund Reserved Forest0.240
57Andangisingi00.363
58Nittaputtu00.703
59Singam02.228
60Bandaveedhi03.686
61Ganneruputtu01.662
62Kondalakodapalli08.018
63Ladaput04.992
64Gonduru012.3
65Karakaput04.743
66Lagisipalli02.356
67Paderu04.873
68Gudivada00.709
69Chintapalli Reserved Forest4.150
Total 60.06 256.998
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Proposed Median (Junction -Bypass starting & Endin00.096
2Proposed Carriageway37.8838.436
3Proposed Earthen cum Utility Corridor7.7284.133
4Proposed Embankment3.8217.434
5Future Widening10.62620.703
6EROW including existing Road0216.196
Total 60.058 256.998
C. Maps of forest land proposed to be diverted
Division 1. : Paderu
  (i). Area of forest land proposed to be diverted(in ha.) : 0.24   (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).
1.0.24    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. : Narasipatnam
  (i). Area of forest land proposed to be diverted(in ha.) : 59.82   (ii). Nature of the Project: Linear   (b). No. of Segments : Eight
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).
1.6.58    View File
2.23.58    View File
3.4.02    View File
4.1.51    View File
5.6.3    View File
6.1.08    View File
7.9.9    View File
8.6.85    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: The existing alignment has to be retained.
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 2000   (iii). Temporary Employment(Number of person-days): 432000
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? : 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
101. Certificate for Forest Land not be used for any purpose other than specified in proposal
202. Certificate about project lying within or outside Scheduled Tribal area
304. Part A
405. Certificate for loss of Flora/Fauna in the surrounding area
506. Certificate of Compensatory Afforestation Cost
607. Minimum Demand of Forest Area
708. Justification for Requirement of Forest Land
809. Certificate for Latitued and Longitude
910. Certificate
1011. Non Violence of forest (Conservation Act-1980)
1112. Undertaking for Payment of NPV & Addl. NPV
1213. Project Report
1314. ROFR Undertaking
1415. Certificate of Extraction Charges
1517. Geo referenced map for Paderu Division
1618. Geo Referenced map for Narsipatnam Division
1703.Authorization for obtaining Forest Clearance
1816.Cost Benefit Analysis
19RoFR Certificate_NH 516 E_Form 1
20DGPS SURVEY -CA LAND
21The User Agency is not able to revise the area of forest land diversion to 65.95 Ha on Parivesh Portal. Therefore, it is requested to Nodal Officer for necessary changes.