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/146205/2021   (ii). Name of Project for which Forest Land is required : Construction of Four lane Inter corridor package-I from Amas (Ch. Km – 0+000) to Shivrampur (Ch. Km-55+002) 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 2.064 Ha forest land for Construction of Four lane Inter corridor package-I from Amas (Ch. Km – 0+000) to Shivrampur (Ch. Km-55+002) 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) : 135466   (viii). Area of forest land proposed for diversion(in ha.): 2.064   (ix). Non-forest land required for this project(in ha.): 362.451   (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.Gaya2.064362.451
Total2.064362.451
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Gaya2.064362.451
Total2.064362.451
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Gangati01.232
2Dharampur06.516
3Tinkoni00.9264
4Kaaj019.8593
5Tadai03.562
6Etawaah08.3028
7Bharaudha04.0316
8Hasanpur05.3332
9Devariya03.8119
10Raksa04.8605
11Bharatipur07.3081
12Kathbara03.6362
13Salepura04.2174
14Fesara04.1907
15asani010.871
16baliya00.817
17Pananiya04.8285
18Dhatera011.4521
19Parsodaha0.4640.4636
20Mathurapur06.6013
21Mehandipur03.6456
22Kolheya03.5134
23Anathpur00.64
24Paharpur03.9756
25Sijalpur03.2906
26Kajrela04.3536
27Tilori07.942
28Konchi016.3341
29Pati00.0052
30Nariyari02.6014
31Bandol05.0366
32Gudaru015.5359
33Paraiya Khurd03.5462
34Khaira06.5227
35Mobarakpur03.3414
36Marachi07.2667
37Majhiyawa014.505
38Khanetu011.9062
39Dariyapur Tepa08.7914
40Fatehpur05.448
41Nepa0.84.9741
42Sahavajpur07.8557
43Matai06.5416
44Kenhora08.9736
45Bhori017.2088
46Jagir Kathak03.4081
47Musi013.6717
48Belhari09.0722
49Sindhaul016.0555
50Sonpur04.7192
51Bajitpur011.1131
52Hargaon01.9454
53Alalpur0.83.4504
54Khaneta010.4848
55Others01.9536
Total 2.064 362.451
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road Construction2.064362.451
Total 2.064 362.451
C. Maps of forest land proposed to be diverted
Division 1. : Gaya
  (i). Area of forest land proposed to be diverted(in ha.) : 2.064   (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).
1.2.064    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: No Data
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 1000   (iii). Temporary Employment(Number of person-days): 1100000
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.: 10/19/2021-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 minimum use of forest land
5Certificate for no other feasible option
6Detailed Note on the project
7Undertaking for NPV cost
8Undertaking for Additional NPV cost
9Undertaking for CA cost
10Undertaking for no start of construction
11Undertaking for muck disposal plan
12Undertaking for no wildlife areas
13Part I of Form A
14Strip Plantation Plan
15Trees translocation Plan
16Compliance letter