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/ROAD/27051/2017
(ii). Name of Project for which Forest Land is required :
Consultancy Services for Project Management Phase- I including Preparation of Detailed Project Report for Upgradation of Junction with NH-47-Limbdi-Surendranagar-Dhrangadhra of NH-51 in the State of Gujarat to Two Lane with Paved Shoulder Configuration (Package No: NH/IAHE/15).
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
The Project corridor that starts from NH-08A junction at Limbdi (Existing km. 63+380 and Design km. 0+000) passing through Dhrangadhra (Existing km. 3+950), however at Dhrangadhra this road connects to existing bypass (Existing Km from 4+670 to 0+900) and the project road ends at the existing juncti
(iv). State :
Gujarat
(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) :
68500
(viii). Area of forest land proposed for diversion(in ha.):
39.37
(ix). Non-forest land required for this project(in ha.):
105.99
(x). Total period for which the forest land is proposed to be diverted(in years):
100
A-2.
Details of User Agency
(i). Name :
EXECUTIVE ENGINEER NATIONAL HIGHWAY DIVISION
(ii). Address1 :
Office of the Executive Engineer, National Highway Division, Dr. Rajendr Prasad Road, Rajkot
(iii). Address2 :
NIL
(iv). State :
Gujarat
(v). District :
Rajkot
(vi). Pin :
360001
(vii). Landmark :
Nr. Kashi Vishvanath Temple
(viii). Email address :
eenhdivisionrajkot@gmail.com
(ix). Landline Telephone No. :
281-2446605
(x). Fax No. :
281-
(xi). Mobile No. :
9409302980
(xii). Website (if any) :
NIL
(xiii). Legal status of User Agency :
State Government
A-3.
Details of Person Making Application
(i). First Name:
Hetal
(ii). Middle Name:
C
(iii). Last Name:
Patel
(iv). Gender:
Male
(v). Designation:
Executive Engineer
(vi). Address 1:
Office of the Executive Engineer, National Highway Division, Dr. Rajendra Prasad Road, Rajkot
(vii). Address 2:
NIL
(viii). State:
Gujarat
(ix). District:
Rajkot
(x). Tehsil:
Rajkot
(xi). Pin:
360001
(xii). Landmark:
Nr. Kashi Vishvanath Temple
(xiii). Email Address:
eenhdivisionrajkot@gmail.com
(xiv). Landline Telephone No.:
281-2446605
(xv). Fax No.:
NIL
(xvi). Mobile No.:
9925435560
(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.
Surendranagar SF
39.37
105.99
Total
39.37
105.99
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Surendranagar
39.37
105.99
Total
39.37
105.99
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Limbdi
0.33
0.19
2
Bhalgamda
3.47
0
3
Ankevaliya
2.32
5.03
4
Sankali
1.09
0
5
Nana Kerala
4.18
2.04
6
Rajpar
0
5.36
7
Mulchand
0
10.62
8
Bakarthali
0
7.47
9
Dudhrej
1.09
5.61
10
Latuda
3.21
0.21
11
Rajsitapur
7.13
20.85
12
Khambada
1.87
0.19
13
Samla
4.14
0.19
14
Navalgadh
4.22
0.04
15
Wadhwan
1.13
39.02
16
Dhrangadhra
5.19
9.17
Total
39.37
105.99
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Road
39.37
105.99
Total
39.37
105.99
C.
Maps of forest land proposed to be diverted
Division 1. : Surendranagar SF
(i). Area of forest land proposed to be diverted(in ha.) :
39.37
(ii). Nature of the Project:
Linear
(b). No. of Segments :
Five
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.
5.03
View File
2.
11.61
View File
3.
7.55
View File
4.
11.69
View File
5.
3.48
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):
240
(iii). Temporary Employment(Number of person-days):
360
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?:
Yes
(a). Copy of Cost-Benefit analysis:
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?:
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:
Central Govt. Project
Additional information Details
Documents
S.No
Documents
Remarks
1
Undertaking for NPV
2
Forest Notification
3
EDS-Geo-reference Limbdi to Dhrangadhra
4
EDS-Full Topo Limbdi to Dhrangadhra
5
EDS reply for query raised on 26th April 2018
6
FRA Certificate of Limdi- Dharangadra
7
Compliance to the EDS Raised
Print