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/22300/2016   (ii). Name of Project for which Forest Land is required : Wadrafnagar Bypass Road   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Ambikapur to Banaras NH in Wadrafnagar Town Proposed Bypass Road for heavy traffic diversion.   (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) : 2080.95   (viii). Area of forest land proposed for diversion(in ha.): 4.931   (ix). Non-forest land required for this project(in ha.): 1.673   (x). Total period for which the forest land is proposed to be diverted(in years): 35
A-2. Details of User Agency
  (i). Name : EXECUTIVE ENGINEER PUBLIC WORK DEPORTMENT DIVISION RAMANUJGANJ DISTT BALRAAMPUR CHHATTISGARH   (ii). Address1 : Executive Engineer PWD Division Ramanujganj Ditt Balrampur (C.G.) Pin No. 497220   (iii). Address2 : Executive Engineer PWD Division Ramanujganj Ditt Balrampur (C.G.) Pin No. 497220   (iv). State : Chhattisgarh   (v). District : Balrampur   (vi). Pin : 497220   (vii). Landmark : 07779276045   (viii). Email address : eepwddnrganj@gmail.com   (ix). Landline Telephone No. : 7779-276045   (x). Fax No. : 7779-7779   (xi). Mobile No. : 9425262228   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: N   (ii). Middle Name: K   (iii). Last Name: Singh Thakur   (iv). Gender: Male   (v). Designation: Executive Engineer   (vi). Address 1: Executive Engineer PWD Division Ramanujganj Ditt Balrampur (C.G.) Pin No. 497220   (vii). Address 2: Executive Engineer PWD Division Ramanujganj Ditt Balrampur (C.G.) Pin No. 497220   (viii). State: Chhattisgarh   (ix). District: Balrampur   (x). Tehsil: NIL   (xi). Pin: 497220   (xii). Landmark: Ramanujganj   (xiii). Email Address: eepwddnrganj@gmail.com   (xiv). Landline Telephone No.: 7779-276045   (xv). Fax No.: 07779276045   (xvi). Mobile No.: 9926192750   (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
1Under Processing at State GovernmentFP/CG/ROAD/22300/20164.3910
Total 4.391 0
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.Balrampur4.9311.673
Total4.9311.673
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Balrampur4.9311.673
Total4.9311.673
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Wadrafnagar4.8920.69
2Rajkheta0.0390.983
Total 4.931 1.673
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road Alignment4.8481.187
2Road Alignment 13m. Width0.0830.486
Total 4.931 1.673
C. Maps of forest land proposed to be diverted
Division 1. : Balrampur
  (i). Area of forest land proposed to be diverted(in ha.) : 4.931   (ii). Nature of the Project: Linear   (b). No. of Segments : Eight
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).
1.0.039    View File
2.0.899    View File
3.0.386    View File
4.0.068    View File
5.0.071    View File
6.1.759    View File
7.1.626    View File
8.0.083    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: Both Site Forest Land in Wadrafnagar Town Around t
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 0   (iii). Temporary Employment(Number of person-days): 100
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? : 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? : 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?: 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: Linear or 'strip' plantation declared as protected forest along with road/rail/canal sides for widening or expansion of road/rail/canal
Additional information Details
Documents
S.No Documents
Remarks
10.191 Hact. Revenue Forest Land NOC From Collector Balrampur
2FRA 2006 Proceeding on Gram Panchayat & Sub Division Level Committee
3Form-I for FCA 1980
4Praman Patra Under FCA 1980
5Road Alignment superimpose in Khasra Map as DGPS Survey coordinates
6Registration & Processing fee Name DFO, Balrampur
7Registration & Processing fees
8Justification of FRA 2006 Collector NOC Date
9DGPS Survey Report file 1
10DGPS Survey Report file 2
11DGPS Survey Report Approved From DFO Balrampur