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/16728/2015   (ii). Name of Project for which Forest Land is required : Widening of NH 200 (New NH 49 Bilaspur-Ragarh-Odhisa Border)   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Widening and Upgradation of NH 200 New Nh 49)to 2 lane with paved shoulder from Bilaspur-Ragarh-Odhisa Border.   (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) : 134500   (viii). Area of forest land proposed for diversion(in ha.): 15.463   (ix). Non-forest land required for this project(in ha.): 605.758   (x). Total period for which the forest land is proposed to be diverted(in years): NIL
A-2. Details of User Agency
  (i). Name : Public Works Department National Highway Zone Chhattisgarh   (ii). Address1 : Office of the Chief Engineer, Public Works Department, National Highway Zone   (iii). Address2 : NIL   (iv). State : Chhattisgarh   (v). District : Raipur   (vi). Pin : 492001   (vii). Landmark : Pentionwada   (viii). Email address : cenhr@rediffmail.com   (ix). Landline Telephone No. : 771-4051075   (x). Fax No. : NIL   (xi). Mobile No. : 9425229555   (xii). Website (if any) : http://cg.nic.in/pwdraipur/   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Kamlesh   (ii). Middle Name: Kumar   (iii). Last Name: Pipri   (iv). Gender: Male   (v). Designation: Chief Engineer   (vi). Address 1: Office of the Chief Engineer, Public Works Department, National Highway Zone Pension Bada Raipur   (vii). Address 2: NIL   (viii). State: Chhattisgarh   (ix). District: Raipur   (x). Tehsil: Raipur   (xi). Pin: 492001   (xii). Landmark: Pension Bada   (xiii). Email Address: cenhr@rediffmail.com   (xiv). Landline Telephone No.: 771-4051075   (xv). Fax No.: NIL   (xvi). Mobile No.: 7999844631   (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/CG/ROAD/18290/2011FC-III/CH-7/2016-NGP/942192.546192.54613 Oct 2016
Total 192.546 192.546
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.Bilaspur1.9969.867
2.Janjgir Champa2.783359.242
3.Raigarh10.69176.649
Total15.463605.758
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Bilaspur1.9969.867
1.Janjgir - Champa2.783359.242
3.Raigarh10.69176.649
Total15.463605.758
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Dheka01.73
2Darighat05.871
3Lawar Man03.612
4Bhadora03.523
5Mohatra012.606
6Kosamdih00.639
7Jairamnagar04.058
8Khudubhata09.832
9Paraghat011.055
10Krumahu041.55
11Arjuni066.127
12Raseda018.655
13Akltra08.397
14Taroad025.624
15Kirarii02.462
16Banari04.353
17khokhra015.988
18Pendri09.812
19Sukli06.336
20Nawapara06.098
21Pisod05.865
22Udeband010.004
23Pithampura05.069
24Afrid016.398
25Saragaon014.114
26Risda05.004
27Sakreli03.958
28Portha08.531
29Navapara Khurd01.066
30Hareth02.016
31Dodki02.868
32Borda011.829
33Paterapali Khurd05.026
34Masaniya Kala09.458
35Palgada02.831
36Botalda05.609
37Jamjhor010.52
38Chodha08.128
39Ranisagar02.825
40Chatamuda00.208
41Jhalmala00.012
42Vadmal01.218
43Chapale08.904
44Kanmura07.182
45Sendripali04.171
46Raksapali010.52
47Lodhajhar07.345
48Karitmal04.629
49Navapara07.434
50Dongitarai03.246
51hardijharipa02.181
52Banhar02.777
53Kashichua08.939
54gejamuda06.898
55RampurChote07.927
56Jorapali013.454
57Kirari1.9916.941
58Pakriya1.1324.45
59putpura0.2087.678
60Hatnevara0.41210.861
61Bagbudva0.4771.832
62Ragja0.5567.908
63Bargad4.5761.523
64Ulda0.3793.779
65Patrapali0.1053.374
66amaldol0.6990.264
67Vanipathar1.0651.31
68Devri0.3975.283
69Charbhanta1.2618.156
70Dhangar0.2068.511
71Bhaganpur0.273.781
72Amalibhona0.80713.61
73Midmida0.5430
74Kosamnara0.3820
Total 15.463 605.753
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road15.463605.758
Total 15.463 605.758
C. Maps of forest land proposed to be diverted
Division 1. : Bilaspur
  (i). Area of forest land proposed to be diverted(in ha.) : 1.99   (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).
1.1.99    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. : Raigarh
  (i). Area of forest land proposed to be diverted(in ha.) : 10.69   (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).
1.10.69    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. : Janjgir Champa
  (i). Area of forest land proposed to be diverted(in ha.) : 2.783   (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).
1.2.783    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: No   (a). Reason for not providing such map: NH 200 (New NH 49) already passes through the exis
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 12   (iii). Temporary Employment(Number of person-days): 13450000
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 ? : 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? : 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?: No   (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) . Reason for not providing Non-Forest Land: Certificate from Chief Secretary regarding non-availability of suitable non-forest/ revenue forest land
Additional information Details
Documents
S.No Documents
Remarks
1Bilaspur Certificate
2Janjgir Certificate
3Raigarh Certificate
4Demand Draft of Registration and Processing Fees