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/Pipeline/38338/2019   (ii). Name of Project for which Forest Land is required : Laying of 20” Ø (API 5L X65, PSLII, LSAQ) LPG Pipeline Across/Parallel various Roads from Mundra Ports to GAIL Receiving Station at Mithi Rohar.   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Permission for laying Proposed 20” Ø (API 5L X65, PSLII, LSAQ) LPG Pipeline Across/Parallel various Roads from Mundra Ports to GAIL Receiving Station at Mithi Rohar Village in Dist-Kutch.   (iv). State : Gujarat   (v). Category of the Proposal : Pipeline   (vi). Shape of forest land proposed to be diverted : Linear   (vii). Estimated cost of the Project(Rupees in lacs) : 30000   (viii). Area of forest land proposed for diversion(in ha.): 1.1509   (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): NIL
A-2. Details of User Agency
  (i). Name : ADANI PORTS AND SPECIAL ECONOMIC ZONE LTD   (ii). Address1 : Adani House Navinal Island Mundra   (iii). Address2 : NIL   (iv). State : Gujarat   (v). District : kutch   (vi). Pin : 370421   (vii). Landmark : Near Adani Port   (viii). Email address : girish.mathur@adani.com   (ix). Landline Telephone No. : 2838-255179   (x). Fax No. : 2838-   (xi). Mobile No. : 9687678424   (xii). Website (if any) : www.adani.com   (xiii). Legal status of User Agency : Private
A-3. Details of Person Making Application
  (i). First Name: Paresh   (ii). Middle Name: Chimanlal   (iii). Last Name: Gohel   (iv). Gender: Male   (v). Designation: GM   (vi). Address 1: Adani House, Navinal Island, Mundra, Kutch 370421   (vii). Address 2: NIL   (viii). State: Gujarat   (ix). District: kutch   (x). Tehsil: Mundra   (xi). Pin: 370421   (xii). Landmark: Adani Port   (xiii). Email Address: paresh.gohel@adani.com   (xiv). Landline Telephone No.: 2838-255112   (xv). Fax No.: NIL   (xvi). Mobile No.: 9879206539   (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/GJ/IND/17613/20048-04/2016-FC1576.811576.8116 Nov 2018
Total 1576.81 1576.81
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.Kutch SF1.15090
Total1.15090
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.kutch1.15090
Total1.15090
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Mundra0.00610
2Vadala0.00450
3Meghpar borichi0.01170
4Anjar0.00470
5Anjar to Varsamedi1.11240
6Varsamedi0.00390
7Chudva0.00760
Total 1.1509 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Asphalt Road0.00610
2SH-46 (Mundra-Gandhidham)0.00450
3NH-41(New)(Mundra-Gandhidham)0.01170
4NH-341 (Anjar-Bhachau)0.00470
5NH-341 Anjar-Bhachau1.11240
6NH-341 Anjar-Bhachau crossing0.00390
7Nh-41 (Bhachau-Gandhidham)0.00760
Total 1.1509 0
C. Maps of forest land proposed to be diverted
Division 1. : Kutch SF
  (i). Area of forest land proposed to be diverted(in ha.) : 1.1509   (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).
1.1.1509    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 ?: 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:
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 ?: Not Applicable   (iii) . Reason for not providing Non-Forest Land: Others
Additional information Details
Documents
S.No Documents
Remarks
NIL