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/AS/ROAD/155754/2022   (ii). Name of Project for which Forest Land is required : WIDENING / UPGRADATION OF NH-29 FROM 2-LANE TO 4-LANE DIVIDED NATIONAL HIGHWAY FROM DABOKA TO LAHORIJAN (NAGAON SOUTH FOREST DIVISION, HOJAI PART) UNDER BHARATMALA PARIYOJANA (LOT-1-PACKAGE-II)   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : The National Highways & Infrastructure Development Corporation Limited (hereinafter referred to as “NHICDL”) has been constituted through an Act of Parliament for faster, economical and quality Road Construction work throughout India. NHIDCL has been entrusted with the assignment of development of E   (iv). State : Assam   (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) : 25600   (viii). Area of forest land proposed for diversion(in ha.): 42.6   (ix). Non-forest land required for this project(in ha.): 19.6   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : NHIDCL   (ii). Address1 : National Highways and Infrastructure Development Corporation Ltd, 3rd Floor, PTI Building,   (iii). Address2 : 4 parliament Street, New Delhi   (iv). State : Delhi   (v). District : New Delhi   (vi). Pin : 110001   (vii). Landmark : PTI Building   (viii). Email address : edpghy@nhidcl.com   (ix). Landline Telephone No. : 11-23461600   (x). Fax No. : 11-23711103   (xi). Mobile No. : 9401360358   (xii). Website (if any) : www.nhidcl.com   (xiii). Legal status of User Agency : Central Government
A-3. Details of Person Making Application
  (i). First Name: Pankaj   (ii). Middle Name: NIL   (iii). Last Name: Singh   (iv). Gender: Male   (v). Designation: Executive Director P   (vi). Address 1: National Highways and Infrastructure Development Corporation Ltd, 2nd Floor, Agnishanti Business Park   (vii). Address 2: GNB Road, Ambaari, Guwahati, Assam   (viii). State: Assam   (ix). District: Bongaigaon   (x). Tehsil: Bongaigaon   (xi). Pin: 781001   (xii). Landmark: opposite AGP Office   (xiii). Email Address: edpghy@nhidcl.com   (xiv). Landline Telephone No.: 361-2461107   (xv). Fax No.: 03612461107   (xvi). Mobile No.: 9401360358   (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
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
1InprincipleFP/UK/Road/39181/20198B/UCP/06/71/2020/FC13.947513.947529 Jul 2020
Total 13.9475 13.9475
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.Nagaon South Division, Hojai42.619.6
Total42.619.6
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Hojai42.619.6
Total42.619.6
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
NIL
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1PROPOSED ROAD AREA42.619.6
Total 42.6 19.6
C. Maps of forest land proposed to be diverted
Division 1. : Nagaon South Division, Hojai
  (i). Area of forest land proposed to be diverted(in ha.) : 42.6   (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).
1.42.6    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 ?: No
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
1aerial distance
2Joint Verification Nagaon South
3Recommended alignment Approval MOM
4ROW declaration PWD
5Undertaking-CA
6Undertaking-DGPSsurvey
7undertaking labour camp
8Undertaking minimum forestland
9Undertaking NPV
10Google Map
11Layout Map
12Withdrawal Letter of earlier proposal
13Justification of Alternate Route Alignment