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/KA/ROAD/28960/2017   (ii). Name of Project for which Forest Land is required : Strengthening and Widening of existing National Highway from Bellary (Km 253.600) to Hiriyur (Km 413.500) section of NH150A (Involving Forest land from Km 283.500 to Km 413.500).   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : The Project Road starts near Bellary at existing Km 253.600 and ends at existing Km 413.500 near Hiriyur. The Total length of the project stretch is 159.900 km. The project involves Upgradation of existing road to Four lane divided carriageway from Bellary to Hiriyur including bypasses to major town   (iv). State : Karnataka   (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) : 137097.705   (viii). Area of forest land proposed for diversion(in ha.): 32.28   (ix). Non-forest land required for this project(in ha.): 488.83   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : NHAI PIU HOSPET   (ii). Address1 : Shree Nilayam, 1st Main, 2nd Cross, Vivekananda Nagar, Hospet   (iii). Address2 : NIL   (iv). State : Karnataka   (v). District : Bellary   (vi). Pin : 583201   (vii). Landmark : NIL   (viii). Email address : piuhospet@gmail.com   (ix). Landline Telephone No. : 8392-231565   (x). Fax No. : 8392-   (xi). Mobile No. : 9481353756   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : Central Government
A-3. Details of Person Making Application
  (i). First Name: Suresh   (ii). Middle Name: Raju   (iii). Last Name: Vallabhaneni   (iv). Gender: Male   (v). Designation: General Manager (Tech)   (vi). Address 1: Shree Nilayam, 1st Main, 2nd Cross, Vivekananda Nagar, Hospet   (vii). Address 2: NIL   (viii). State: Karnataka   (ix). District: Vijayanagara   (x). Tehsil: hosapete   (xi). Pin: 583201   (xii). Landmark: NIL   (xiii). Email Address: piuhospet@gmail.com   (xiv). Landline Telephone No.: 0-   (xv). Fax No.: NIL   (xvi). Mobile No.: 8369123961   (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
1Approved4-KRC918/2012-BAN/6308FP/KA/ROAD/1300/201112.1912.1914 Feb 201308 Dec 2014
2InprincipleFP/KA/ROAD/28960/20174-KRC1171/2018/BAN/163832.2832.2821 Feb 2019
3Approved4-KRC918/2012-BAN/6308FP/KA/ROAD/1300/201112.1912.1914 Feb 201308 Dec 2014
Total 56.66 56.66
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.Chitradurga32.28488.83
Total32.28488.83
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Chitradurga32.28488.83
Total32.28488.83
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Thammenahalli05.5746
2Somikery06.2119
3Rajapura01.9425
4Konapura01.8716
5Murudi00.8802
6Bammakkanahalli05.7465
7Obalapur07.4609
8Kerekondapura02.6507
9Ramapura020.3453
10Ramasagara08.4983
11Heruru07.8004
12Nagasamudra04.8157
13Amakundi09.6112
14Obalapura04.502
15Byrapura03.9458
16Rayapura06.3636
17Yerenahalli05.2101
18Manekota029.5416
19Kasaba Talaka07.4866
20Giriyammanahalli010.5014
21Buddanahatti012.9296
22Gorlahatti01.032
23Nagaramagery010.3801
24Lakshmipura07.4866
25Shiddapura01.2342
26Hotteppanahalli07.8305
27Kamatamarakunti01.6896
28Mummudisagara06.4041
29Sanikere Kavalu015.398
30Heggery08.0025
31Gollahalli09.1662
32Yaraballi08.9434
33Kalavibagi00.081
34Harti kote08.529
35Balenahalli06.7481
36Hemadala02.4079
37Myakalurahalli06.6772
38Babburu027.1137
39Kasaba Hiriyuru023.0044
40Somenahalli015.1248
41Hulagalakunte02.0031
42Katanayikanahalli01.2104
43Hirehalli030.0835
44Chikkammanahalli010.0263
45Devasamudra (Sy No: 32,33)5.19331.4978
46Gowrasamudra (Sy No: 69)0.12917.8633
47Guddadahalli (Sy No: 50)0.87024.2099
48Hanagallu (Sy No:30,55,88,102)1.972816.8479
49Adavimallapura (Sy No: 8,9)2.22043.6061
50Kamarada Kavalu (Sy No: 1)13.34150
51Thoomakoorlahalli (Tumatumakanahalli) (Sy No: 38)2.15750
52Bammagondanakery (Sy No: 23,24)5.63223.785
53Obandanahalli Kavalu (Sy No: 88)0.06988.97305
54Kasaba Challakere(Sy No: 271,272,273)0.693447.57
Total 32.28 488.82015
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Main Carraigeway9.92188.402
2Service Road0.564867.1402
3Drain3.540565.7675
4Utility Corridor2.325349.5787
5Future Widening15.9281217.941
Total 32.2797 488.8294
C. Maps of forest land proposed to be diverted
Division 1. : Chitradurga
  (i). Area of forest land proposed to be diverted(in ha.) : 32.28   (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).
1.32.28    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: Following Existing Alignment to the maximum extent
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 600   (iii). Temporary Employment(Number of person-days): 200000
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?: 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
1ProjectApprovalLetters-GazetteNotification
2ProjectApprovalLetters-NHAI Handover Letters
3NH-150A Executive Summary
4Undertaking for Minimum Use of Forest Land
5Undertaking for payment of NPV of Forest Land
6Undertaking for payment of cost of compensatory afforestation
7Compliance letter
8EDS Compliance Letter
9NH-150A Details of Forest and Non-Forest Land.
10EDS Compliance Letter
11Gudekote Sloth Bear Sanctuary ESZ Boundary along the Project Road
12Justification for Non- Identification of Forest Land
13Undertaking for Payment of Compensatory Afforestation Cost
14Undertaking for Submission of FRA Certificate
15EDS Compliance Letter
16Compliance_to_REC_Comments
17Hirehalli_Village_R&R