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/147299/2021
(ii). Name of Project for which Forest Land is required :
Widening of Existing Road from Ambikapur toRamanujganj 2-Lane/4-Lane Road NH No. 343
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
Widening ofExisting Road from Ambikapur to Ramanujganj 2-Lane/4-Lane National Highway 343 in the state of Chhattisgarh
(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) :
92826
(viii). Area of forest land proposed for diversion(in ha.):
102.324
(ix). Non-forest land required for this project(in ha.):
187.544
(x). Total period for which the forest land is proposed to be diverted(in years):
99
A-2.
Details of User Agency
(i). Name :
EXECUTIVE ENGINEER PWD NH DIVISION AMBIKAPUR
(ii). Address1 :
Executive Engineer PWD , NH Division , Ambikapur
(iii). Address2 :
Behind HariManglam Marriage Hall
(iv). State :
Chhattisgarh
(v). District :
Surguja
(vi). Pin :
497001
(vii). Landmark :
Near New Bus Stand
(viii). Email address :
nh43exen@gmail.com
(ix). Landline Telephone No. :
7774-222724
(x). Fax No. :
7774-
(xi). Mobile No. :
9993311553
(xii). Website (if any) :
NIL
(xiii). Legal status of User Agency :
State Government
A-3.
Details of Person Making Application
(i). First Name:
Nitesh
(ii). Middle Name:
Enter Middle Name
(iii). Last Name:
Tiwari
(iv). Gender:
Male
(v). Designation:
EE
(vi). Address 1:
Executive Engineer PWD NH Division Ambikapur
(vii). Address 2:
Behind HariManglam Marriage Hall
(viii). State:
Chhattisgarh
(ix). District:
Surguja
(x). Tehsil:
Ambikapur
(xi). Pin:
497001
(xii). Landmark:
Near New Bus Stand
(xiii). Email Address:
nh43exen@gmail.com
(xiv). Landline Telephone No.:
9900-222724
(xv). Fax No.:
NIL
(xvi). Mobile No.:
8818849900
(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.
Balrampur
92.455
111.295
2.
South Surguja
9.869
76.249
Total
102.324
187.544
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Surajpur
5.637
9.12
1.
Surguja
4.232
67.129
3.
Balrampur
92.455
111.295
Total
102.324
187.544
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Ajirma
5.637
0
2
Asola
0
1.8
3
Badni Jhariya
0
3.149
4
Bahafoli
0
5.1
5
Bhakura
0
6.3
6
Chathirma
0
4.195
7
Devgarh
0
3.887
8
Hansuli
0
5.1
9
Kakna
2.837
7.363
10
Kishunnagar
0.208
4.741
11
Mendra Khurd
4.009
8.891
12
Narayanpur
0
0.47
13
Parsa
0
6.299
14
Rajpuri Khurd
0.015
0.597
15
Sakalo
0
13.05
16
Sanjaynagar
0
5.591
17
Sargawa
0
2.966
18
Adhura
0
3.9
19
Alakhdiha
4.468
3.974
20
Aragahi
0
2.4
21
Badkimehri
9.745
0
22
Baghima
2.081
3.293
23
Balrampur
0.735
4.398
24
Bariyon
0.532
7.387
25
Basen
9.405
5.014
26
Bhanuora
0
4.796
27
Budha Bagicha
0.011
0.651
28
Bulgaon
0.014
1.651
29
Chanchi
4.172
4.918
30
Chandanpur
4.929
7.914
31
Dakuwa
0.019
0
32
Damodarpur
0
8.178
33
Dandkhaduawa
6.238
1.749
34
Devgai
2.89
0
35
Jamwantpur
0.025
4.476
36
Jhingo
3.668
5.482
37
Jigari
10.271
0
38
Kamalpur
4.285
1.81
39
Karji
0
8.018
40
Lurghuta
7.117
1.21
41
Mahuapara
0.122
3.116
42
Nawki
4.763
1.834
43
Parsagudi
1.613
3.568
44
Pasta
0.001
6.837
45
Purandih
0.003
3.928
46
Ramanujganj
0
1.586
47
Semli
2.92
0.401
48
Tambeshwarnag
0
4.974
49
Tatapani
8.67
0
50
Nawapara
0.921
0.582
Total
102.324
187.544
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
WIDENING OF EXISTING ROAD
102.324
187.544
Total
102.324
187.544
C.
Maps of forest land proposed to be diverted
Division 1. : Balrampur
(i). Area of forest land proposed to be diverted(in ha.) :
92.455
(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.
92.455
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. : South Surguja
(i). Area of forest land proposed to be diverted(in ha.) :
9.869
(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.
9.869
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):
50
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?:
Yes
(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 ?:
No
(iii). No. of districts involved for raising Compensatory Afforestation:
1
(iv). No. of patches:
Five
District 1. : Janjgir - Champa
(a). Village:
JARVE-1
(b). Area(in ha.):
18.249
(c). Copy of KML file of the patch:
View File
(d). Khasra details:
230/1,230/2,257/1
(e). Present owner:
Others
(f). Copy of ownership proof:
(g). Copy of Mou/agreement executed between the Present owner and the User Agency:
(h). Copy of non encumberence certificate for the forest land:
District 2. : Janjgir - Champa
(a). Village:
Kosmunda-1
(b). Area(in ha.):
4.98
(c). Copy of KML file of the patch:
View File
(d). Khasra details:
892/1
(e). Present owner:
Others
(f). Copy of ownership proof:
(g). Copy of Mou/agreement executed between the Present owner and the User Agency:
(h). Copy of non encumberence certificate for the forest land:
District 3. : Janjgir - Champa
(a). Village:
Borsi
(b). Area(in ha.):
33.698
(c). Copy of KML file of the patch:
View File
(d). Khasra details:
952/1
(e). Present owner:
Others
(f). Copy of ownership proof:
(g). Copy of Mou/agreement executed between the Present owner and the User Agency:
(h). Copy of non encumberence certificate for the forest land:
District 4. : Janjgir - Champa
(a). Village:
Kosmunda-2
(b). Area(in ha.):
29.839
(c). Copy of KML file of the patch:
View File
(d). Khasra details:
879
(e). Present owner:
Others
(f). Copy of ownership proof:
(g). Copy of Mou/agreement executed between the Present owner and the User Agency:
(h). Copy of non encumberence certificate for the forest land:
District 5. : Janjgir - Champa
(a). Village:
Mudpar
(b). Area(in ha.):
17.612
(c). Copy of KML file of the patch:
View File
(d). Khasra details:
657/1
(e). Present owner:
Others
(f). Copy of ownership proof:
(g). Copy of Mou/agreement executed between the Present owner and the User Agency:
(h). Copy of non encumberence certificate for the forest land:
(v). Scanned copy of the map of the land identified for creation of Compensatory Afforestation prepared by using GPS ot Total Station:
(vi). Copy of Survey of India Toposheet in 1:50,000 scale indicating location of the land identified for creation of Compensatory Afforestation:
Additional information Details
Documents
S.No
Documents
Remarks
1
Undertaking for Administrative Approval and Technical Senctionea
2
Authority letter referenece query no A-3(xvii)
3
Balrampur Division Letter
4
Surguja Division Letter
5
Promissory Note reference to query no B-1
6
Demand draft letter and challan copy reference to Add information query no 3
7
Revenue forest land letter query no 2 in add information
8
Query Reply Letter
9
The Gazette of India (Land Acquisition) as a collector NOC for Non forest land
10
Bridges and Culverts Detail
11
Undertaking for not using Wildlife area
12
Promissory letter for NOC of Revenue Forest and Receiving of concerning Collector
13
Promissory letter for Certified DGPS
14
Query letter 3098 for PCCF
15
Hardcopy Submission receipt
16
Balrampur Land Classification
17
Surguja Division Land Classification
18
Surguja Verified and Signed DGPS Report
19
Undertaking for CA Land
20
NOC from Collector Office Balrampur
21
NOC from Collector Office Surguja District
22
Receiving letter Regarding submission of hardcopy to DFO ambikapur
23
Reply of quarry to DFO Ambikapur
24
Submission of FCA Checklist to Ambikapur DFO
25
Letter for No forest land fall in Ambikapur Division
26
Ambikapur FCA submit Letter receiving in DFO Forest office Balrampur
27
Balrampur Verified and Signed DGPS Report
28
Geo Map with High resolution 92_455
29
Balrampur division Toposheet singed and verified by Forest Personnel with High resolution 92_455
30
Balrampur division Toposheet 2 singed and verified by Forest Personnel with High resolution 92_455
31
Balrampur division Toposheet 3 singed and verified by Forest Personnel with High resolution 92_455
32
Balrampur division Toposheet 4 singed and verified by Forest Personnel with High resolution 92_455
33
Balrampur division Toposheet 5 singed and verified by Forest Personnel with High resolution 92_455
34
Balrampur division Toposheet 6 singed and verified by Forest Personnel with High resolution 92_455
35
Receiving from Forest Office of Balrampur division
36
CA Scheme for 11.274
37
DGPS Report for 11.274
38
Cost Benifit Analysis
39
Comparison Of Alignment
40
Alternate Alignment toposhhet
41
Alternate Alignment toposhhet
42
Comparison of Alignment with Toposheet
43
Reply letter against EDS by State Government (SG)
44
Certificate(Chief Secretary Chhattisgarh ) of Nonavailability of land for Compensatory Afforestation.
45
EDS reply to dfo balrampur
46
Reply letter against DFO query letter
47
GEO-Reference Map of CA Land
48
Toposheet Map of CA Land
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