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/CG/ROAD/119866/2021   (ii). Name of Project for which Forest Land is required : Development of Economic Corridors, Inter-corridors, feeder routes and Coastal Road to improve the efficiency of freight movement in India (Lot-3/Odisha & Jharkhand/Package-2) Raipur-Vishakhapatnam (Ch. 0.000 - Ch. 124.661) in the State of Chhattisgarh under Bharatmala Pariyojana. (Forest Proposal is for between km 42+844 to Km 124.661)   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Proposed Project is of National Highway with green field alignment and proposed for 6 lane carriageway width with paved shoulders. The length of proposed stretch measures 124.661Km and starts at near Abhanpur village (Raipur) and terminates at Marangpuri village in the state of Chhatisgarh.   (iv). State : Chhattisgarh   (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) : 406816   (viii). Area of forest land proposed for diversion(in ha.): 228.0425   (ix). Non-forest land required for this project(in ha.): 203.727   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : NHAI PIU DHAMTARI   (ii). Address1 : Office of Project Director Project Implementation Unit   (iii). Address2 : Block F 5 Shivraj Greens Sihawa Road   (iv). State : Chhattisgarh   (v). District : Dhamtari   (vi). Pin : 493773   (vii). Landmark : NIL   (viii). Email address : nhaipiudhamtari@gmail.com   (ix). Landline Telephone No. : 722-233433   (x). Fax No. : 722-233433   (xi). Mobile No. : 9981823222   (xii). Website (if any) : https://nhai.gov.in   (xiii). Legal status of User Agency : Central PSU
A-3. Details of Person Making Application
  (i). First Name: Savyasachi   (ii). Middle Name: NIL   (iii). Last Name: Choudhury   (iv). Gender: Male   (v). Designation: Project Director   (vi). Address 1: Office of Project Director Project Implementation Unit   (vii). Address 2: Block F 5 Shivraj Greens Sihawa Road   (viii). State: Chhattisgarh   (ix). District: Dhamtari   (x). Tehsil: Dhamtari   (xi). Pin: 493773   (xii). Landmark: NIL   (xiii). Email Address: nhaipiudhamtari@gmail.com   (xiv). Landline Telephone No.: 7722-233433   (xv). Fax No.: 07722233433   (xvi). Mobile No.: 9981823222   (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.Dhamtari147.669422.6652
2.Kanker39.0869124.4556
3.keshkal Forest Division41.286256.6062
Total228.0425203.727
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Dhamtari147.669422.6652
1.Kanker39.0869124.4556
3.Kondagaon41.286256.6062
Total228.0425203.727
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Sargi5.395612.9672
2Rajpur3.73230.8844
3Kewaradih28.20891.4251
4Kotarwahi40.16862.7883
5Palawadi35.59432.0819
6Bedhwapathra6.70144.7683
7Khairabhari7.26694.9807
8Sarangapuri9.75936.799
9Karaiya3.5664.0191
10Sankara5.71284.0013
11Chivrri Rayat/Mal1.56333.7186
12Dompadar04.6523
13Jamgaon0.61199.9223
14Dabbipani2.27136.3013
15Deodomgar1.35592.8346
16Samtara6.255816.8962
17Dhanora04.5313
18Sarwandi2.10284.3495
19Bhimadihi03.8718
20Dudhawa02.1502
21Nayapara06.0031
22Anchhidongri2.9271.9688
23Musurputa05.6876
24Mawlipara06.7193
25Madabharri03.7988
26Basanwahi18.628323.2604
27Gobindpur14.25723.3168
28Kosmi09.2153
29Sargipal2.51724.5009
30Hatma017.5512
31Manikpur16.83850.4166
32Machhli5.85540.117
33Salana1.81796.861
34Palna08.7776
35Marangpuri00.5925
36Mandradarha4.93390.9967
Total 228.0425 203.727
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road Work228.0425203.727
Total 228.0425 203.727
C. Maps of forest land proposed to be diverted
Division 1. : keshkal Forest Division
  (i). Area of forest land proposed to be diverted(in ha.) : 41.2862   (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).
1.41.2862    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. : Dhamtari
  (i). Area of forest land proposed to be diverted(in ha.) : 147.6694   (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).
1.147.6694    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 3. : Kanker
  (i). Area of forest land proposed to be diverted(in ha.) : 39.0869   (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).
1.39.0869    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): 100   (iii). Temporary Employment(Number of person-days): 936000
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 ? : Yes   (a). Status of the Environmental Clearance to the Project: EC under process   (ii). Environmental Clearance File No.: 10-3/2020-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? : Yes   (a). Whether Project or a part thereof is located within a Protected Area ? : Yes   (b). Status of approval of the Supreme Court : Approval under cons   (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 : 16 Aug 2021   (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?: 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
1Project Brief Note
2Typical Cross Sectional Map
3Verified DGPS Survey Report-Dhamtari
4Verified DGPS Survey Report-Kanker
5Verified DGPS Survey Report-Keshkal
6Forest Land Statement-Dhamtari
7Forest Land Statement-Kanker
8Forest Land Statement-Keshkal
9Alternative Alignment Report
10Muck Disposal Plan
11All Applicable Undertakings and Certificate from Project Proponent
12Details of compliance against EDS issued on 23-01-2021 from office of NODAL ( Forest)
13Project Road Alignment in reference with ESZ and PA boundary of Udanti-Sitanadi Tiger Reserve
14Compliance of EDS- Copy of Demand draft against Processing Fee and Registration Fee
15EDS (NODAL) dated 5/7/2021 compliance letter
16Wildlife Management and Conservation
17Compliance of EDS issued from office of DFO Dhamtari dated 8-12-2021
18Forest Cover Map with 10 km buffer - Dhamtari
19Forest Cover Map with 10 km buffer - Kanker
20Forest Cover Map with 10 km buffer - Keshkal
21Compliance of EDS_DFO-Keshkal dated 24-12--2021
22Compliance of EDS dated 23-12-2021 issued from office of DFO-Kanker
23NOC- For Non-forest land - Collector - Dhamtari