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/37444/2018   (ii). Name of Project for which Forest Land is required : National Highway Authority of India (NHAI) , proposed Up-gradation of Champa-Korba-Chhuri-Katghora Section of NH-149B in the state of Chhattisgarh to two/ four lane with paved shoulder configuration, Package-I (0+00 to 38+150).   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Widening and Rehabilitation of existing two lane to four lane road Champa-Korba-Katghora Section of NH-149B, from Design Chainage 0+000 to 38+150 (Pkg-I) under NH (O) 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) : 66220   (viii). Area of forest land proposed for diversion(in ha.): 4.493   (ix). Non-forest land required for this project(in ha.): 167.099   (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 HIGHWAY AUTHORITY OF INDIA PIU BILASPUR   (ii). Address1 : D-61, HIG-1 (Akash), Abhilash Parisar, Behind Hitech Bus Stand, Tifra, Bilaspur   (iii). Address2 : NIL   (iv). State : Chhattisgarh   (v). District : Bilaspur   (vi). Pin : 495001   (vii). Landmark : NIL   (viii). Email address : piubilaspur@nhai.org   (ix). Landline Telephone No. : 7752-2282354   (x). Fax No. : 7752-   (xi). Mobile No. : 9929751214   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : Central Government
A-3. Details of Person Making Application
  (i). First Name: Narendra   (ii). Middle Name: NIL   (iii). Last Name: Singh   (iv). Gender: Male   (v). Designation: ProjectDirector   (vi). Address 1: D-61, HIG-1,Abhilasha Parisar, Tifra, Bilaspur   (vii). Address 2: NIL   (viii). State: Chhattisgarh   (ix). District: Bilaspur   (x). Tehsil: Bilaspur   (xi). Pin: 495001   (xii). Landmark: NIL   (xiii). Email Address: piubilaspur@nhai.org   (xiv). Landline Telephone No.: 7752-2282354   (xv). Fax No.: NIL   (xvi). Mobile No.: 9161389888   (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.Janjgir Champa1.67367.552
2.Korba2.8299.547
Total4.493167.099
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Janjgir - Champa1.67367.552
1.Korba2.8299.547
Total4.493167.099
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Saragaon05.001
2Kamrid018.035
3Kosmanda1.58811.711
4Baheradih03.019
5Seoni0.08525.806
6Balpur00.399
7Uchabhatti02.58
8SARAIPALI03.739
9FARSWANI09.184
10DEVLAPAT01.024
11JAMNIPALI09.691
12PACHPERI02.683
13KOTHARI05.059
14NAWAPARA02.448
15NAWALPUR02.163
16BANJARI0.34.472
17KHARHARI03.522
18PORAINA09.898
19BARPALI06.439
20SARAGBUNDIYA06.814
21PAHANDA04.239
22PATARI06.658
23URGA2.5222.515
Total 4.493 167.099
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road4.493167.099
Total 4.493 167.099
C. Maps of forest land proposed to be diverted
Division 1. : Janjgir Champa
  (i). Area of forest land proposed to be diverted(in ha.) : 1.673   (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).
1.1.673    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. : Korba
  (i). Area of forest land proposed to be diverted(in ha.) : 2.82   (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).
1.2.82    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): 730000
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?: 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
1Receiving of submission of Registration & processing fee to DFO Korba
2Detail Note on project
3Area Statement
4Details of Forest and non Forest land
5DGPS survey report Duly authenticated by DFO
6Area Calculation Sheet
7Undertaking for best Feasible alignment
8Undertaking for NPV
9Undertaking for CA
10Undertaking for felling minimum Tree
11Undertaking for Initiating process for FRA
12Undertaking for Initiating process for Collector NOC of revenue forest land
13Alternate analysis
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