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/GJ/Others/18765/2016   (ii). Name of Project for which Forest Land is required : To develop Gas Distribution Network in Surat GA   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Gujarat Gas Limited is in the business of transmission of distribution Natural Gas in the State of Gujarat. Gujarat Gas Limited permission for Laying …. (A) Tapi District – (i) Laying of 125mm Dia PE Gas Pipeline for Gas distribution to Vyara city of Taluka-Vyara of Tapi District. (B)   (iv). State : Gujarat   (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) : 2220   (viii). Area of forest land proposed for diversion(in ha.): 1.7546   (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): 100
A-2. Details of User Agency
  (i). Name : GUJARAT GAS LIMITED   (ii). Address1 : 301-304, 3rd Floor, IT Tower-1, Infocity, Gandhinagar   (iii). Address2 : Block No. 15, 3rd Floor, Udyog Bhavan, Sector-11, Gandhinagar   (iv). State : Gujarat   (v). District : Gandhinagar   (vi). Pin : 382009   (vii). Landmark : Infocity   (viii). Email address : Kirit.Kabira@GUJARATGAS.com   (ix). Landline Telephone No. : 79-66737400   (x). Fax No. : 79-66737456   (xi). Mobile No. : 9925237534   (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: Rajshree   (ii). Middle Name: NIL   (iii). Last Name: Bhardwaj   (iv). Gender: Female   (v). Designation: Officer RoU   (vi). Address 1: 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: Avdhesh House   (xiii). Email Address: brabari9@gmail.com   (xiv). Landline Telephone No.: 792-66737400   (xv). Fax No.: 079266737456   (xvi). Mobile No.: 9712970962   (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.Surat SF1.75460
Total1.75460
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Surat1.61960
1.Tapi0.1350
Total1.75460
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.)
1NH-56( VYARA - MANDVI )0.135042750
2SH-168(BHARTHANA-HAZIRA)0.025356240
3Katargam Distributory0.09537431250
4NH-8(Ahmedabad-Mumbai)0.09948521250
5SH-167 (Kamrej-Koli Bharthana)0.0551358750
6SERVICE ROAD OF NH-8 (ASPHALT ROAD)(AHMEDABAD-MU0.1194648750
7STATE HIGHWAY-187 (BARDOLI -PALSANA)0.000405270
8STATE HIGHWAY-187 (BARDOLI-PALSANA)0.00092550
9State Highway(Surat-Bardoli)0.013458750
10Udhna Distributory0.0009476250
11ASPHALT ROAD(BABEN-MOTA)0.06369806250
12SH-6 (Olpad-Hansot)0.123408750
13OLD NH-6 (SURAT TO HAZIRA)0.002136750
14OLD NATIONAL HIGHWAY - 6 (SURAT - DHULIA)(FROM CH:0.01331250
15SH-65 (VADOLI TO KIM-Asp. Road)0.0644625920
16SH-65 (VADOLI TO KIM)0.273488250
17NH-228 (DANDI MARG) (VADOLI-MANDVI)(DANDI-AHMEDABA0.0451338750
18SH-6 (SURAT-OLPAD-SAHOL)0.0479036250
19SH-167 (KATHOR TO SAYAN-Asp. Road)0.1012505250
20MOTI NAROLI ASPHALT ROAD (SH-65-MOTI NAROLI )0.1175670
21SURAT BRANCH canal0.00054840
22STATE HIGHWAY(OLD NH-6 (SURAT - DHULE ROAD) )0.0302474590
23SURAT - SACHIN - NAVSARI ROAD0.031285070
24SH-167 (OLPAD-KATHOR)0.051133730
25NH-53(SURAT-DHULE)0.00174639950
26SURAT BRANCH0.23940
27NH-53 (SURAT - DHULE)0.002250
Total 1.754569398 0
C. Maps of forest land proposed to be diverted
Division 1. : Surat SF
  (i). Area of forest land proposed to be diverted(in ha.) : 1.7546   (ii). Nature of the Project: Linear   (b). No. of Segments : Two
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).
1.1.6196    View File
2.0.135    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: Since our pipeline route is along / across various
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? : 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: No Data
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: Others
Additional information Details
Documents
S.No Documents
Remarks
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