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/BR/ROAD/143461/2021   (ii). Name of Project for which Forest Land is required : Construction of Four lane Inter corridor package-II from Shivrampur to Ramnagar in the state of Bihar under Bharatmala Pariyojna (Lot-5, Pkg-7) - NH-119D   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Diversion of 4.343 Ha of forest land for Construction of Four lane Inter corridor package-II from Shivrampur to Ramnagar in the state of Bihar under Bharatmala Pariyojna (Lot-5, Pkg-7) - NH-119D   (iv). State : Bihar   (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) : 107800   (viii). Area of forest land proposed for diversion(in ha.): 3.142   (ix). Non-forest land required for this project(in ha.): 338.858   (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 HIGHWAYS AUTHORITY OF INDIA, PROJECT IMPLEMENTATION UNIT - GAYA   (ii). Address1 : House No. 70/244, Chanakayapuri Colony, Gaya   (iii). Address2 : NIL   (iv). State : Bihar   (v). District : Gaya   (vi). Pin : 823001   (vii). Landmark : NIL   (viii). Email address : gaya@nhai.org   (ix). Landline Telephone No. : 631-2222337   (x). Fax No. : 631-   (xi). Mobile No. : 7763965052   (xii). Website (if any) : www.nhai.org   (xiii). Legal status of User Agency : Central Government
A-3. Details of Person Making Application
  (i). First Name: Gulam   (ii). Middle Name: NIL   (iii). Last Name: Qadir   (iv). Gender: Male   (v). Designation: Project Director   (vi). Address 1: House No. 70/244, Chanakayapuri Colony, Gaya   (vii). Address 2: NIL   (viii). State: Bihar   (ix). District: Gaya   (x). Tehsil: Gaya   (xi). Pin: 823001   (xii). Landmark: NIL   (xiii). Email Address: gaya@nhai.org   (xiv). Landline Telephone No.: 631-2222337   (xv). Fax No.: NIL   (xvi). Mobile No.: 9797037700   (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.Gaya3.142338.858
Total3.142338.858
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Gaya04.8524
1.Jehanabad3.142225.6545
3.Patna093.7468
4.Nalanda014.6043
Total3.142338.858
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Badhauna012.3505
2Liliya Bigha02.0225
3Mansurchak02.2147
4Kajisarai00.773
5Mahamadpur1.0087.7153
6Golakpur0.2710.9505
7Vishunpur05.8519
8Ahiyasa07.2469
9mahmudpur02.1979
10Karahara05.9056
11Dhamapur05.3844
12Gandhar0.92412.9061
13Kisrampur01.8662
14Hawalipur017.0419
15Charui00.0466
16Vishunpur Okari0.4914.3115
17Jaitipur Kurawa01.7706
18Milki03.0068
19Devra011.4018
20Sadipur08.9911
21Vadhvar00.9702
22Vahrampur02.362
23Piprawa08.5056
24Bijpura08.5791
25Nasaratpur00.0709
26Chhati016.32
27Pabhera016.483
28Tadawa010.7459
29Jaitiya013.4894
30Bajidpur04.3609
31Bhedgawa011.3713
32Rabiyachak03.4953
33Verathu03.9532
34Shiwrampur04.8524
35Berka06.925
36Dakra0.459.7314
37Kukri Bigaha00.1364
38Chandai015.7385
39Sohjana03.5003
40Chariyari010.0762
41Jamalpur03.139
42Mahewa05.2442
43Kalanaur011.225
44Sunera Ajarkabe00.9535
45Sunera07.5994
46Malathi08.4038
47supi015.0696
Total 3.142 337.2573
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road Construction3.142338.858
Total 3.142 338.858
C. Maps of forest land proposed to be diverted
Division 1. : Gaya
  (i). Area of forest land proposed to be diverted(in ha.) : 3.142   (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).
1.3.142    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): 50   (iii). Temporary Employment(Number of person-days): 700000
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?: No
H. Status of Environmental Clearance
  (i). Whether the Project requires Clearance under the Environment (Protection) Act 1986 ? : Yes   (a). Status of the Environmental Clearance to the Project: EC under process   (ii). Environmental Clearance File No.: 10/18/2021-IA.III
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? : 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?: 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
1Demand Letter
2Authorization Letter
3Area Calculation sheet
4Certificate for no other feasible option
5Undertaking for NPV cost
6Undertaking for Addl. NPV cost
7Undertaking for CA cost
8Undertaking for no start of construction
9Undertaking for no wildlife area
10Undertaking for no muck disposal plan
11Justification for locating project in forest area
12Certificate for minimum use of forest land
13Detailed Note
14Compliance dated 20.09.2022
15Trees translocation Plan
16Strip Plantation Plan
17Part-I Form A