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/DN/Others/26693/2017   (ii). Name of Project for which Forest Land is required : DRS Spurlines (Steel line) - DNH GA   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Gujarat Gas Limited :Diversion of 0.3387 Hectare Protected Forest land for laying natural gas pipeline parallel & across to Roads side strip plantation declared as Protected Forest in Dadra and Nagar Haveli (U/T)   (iv). State : Dadar & Nagar Haveli   (v). Category of the Proposal : Others   (vi). Shape of forest land proposed to be diverted : Linear   (vii). Estimated cost of the Project(Rupees in lacs) : 1000   (viii). Area of forest land proposed for diversion(in ha.): 0.3387   (ix). Non-forest land required for this project(in ha.): 0   (x). Total period for which the forest land is proposed to be diverted(in years): 25
A-2. Details of User Agency
  (i). Name : GUJARAT GAS LIMITED   (ii). Address1 : 301-304 3rd Floor IT Tower-1 Infocity Gandhinagar   (iii). Address2 : NIL   (iv). State : Gujarat   (v). District : Gandhinagar   (vi). Pin : 382009   (vii). Landmark : Infocity   (viii). Email address : vipul.patel@gujaratgas.com   (ix). Landline Telephone No. : 79-66737400   (x). Fax No. : 79-66737456   (xi). Mobile No. : 9925237529   (xii). Website (if any) : www.gujaratgas.com   (xiii). Legal status of User Agency : State PSU
A-3. Details of Person Making Application
  (i). First Name: Vipul   (ii). Middle Name: NIL   (iii). Last Name: Patel   (iv). Gender: Male   (v). Designation: Sr. Officer (ROU)   (vi). Address 1: Gujarat Gas Ltd 9th Floor Avdhesh House Opp Shri Govind Gurudwara S G highway Ahmedabad 380054   (vii). Address 2: NIL   (viii). State: Gujarat   (ix). District: Ahmedabad   (x). Tehsil: Ahmedabad City   (xi). Pin: 380054   (xii). Landmark: Shri Govind Gurudwara   (xiii). Email Address: vipul.patel@gujaratgas.com   (xiv). Landline Telephone No.: 79-66737400   (xv). Fax No.: 07966737456   (xvi). Mobile No.: 9925237529   (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.Territorial Division0.33870
Total0.33870
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Silvassa0.33870
Total0.33870
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
NIL
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Silvassa Khanvel Road0.254550
2Samarvani Road0.0010
3DLBMC Canal0.0010
4Masat Road0.0010
5Alok Industries approach Road0.0010
6Rakholi Road0.0010
7Bhilosa Road0.0010
8Damanganga River approach road0.0010
9Dapada Road0.02270
10Dapada Hadodpada Road0.0010
11Saily Road0.033050
12Chichpada Road0.01830
13Vasona Babapada Road0.0020
Total 0.3386 0
C. Maps of forest land proposed to be diverted
Division 1. : Territorial Division
  (i). Area of forest land proposed to be diverted(in ha.) : 0.3387   (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).
1.0.3387    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: not applicable in this case
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: No
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
1Project Note