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/30938/2017   (ii). Name of Project for which Forest Land is required : Four laning of Tumkur - Shimoga Section of NH-206 under NHDP Phase IV between Chainage km 12+310 and km 217+000   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Four laning of Tumkur - Shimoga section of NH-206 under NHDP Phase IV to accommodate the increasing traffic, improve socio economic status in the region and enhance the safety of road users.   (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) : 528330   (viii). Area of forest land proposed for diversion(in ha.): 40.2625   (ix). Non-forest land required for this project(in ha.): 944.57   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : NATIONAL HIGHWAY AUTHORITY OF INDIA PIU SHIMOGA   (ii). Address1 : National Highway Authority of India, Project Management Unit, JMIT Campus, NH 48 (Old NH-4, km 201, Tharalabaalu nagara, Chithradurga.   (iii). Address2 : NIL   (iv). State : Karnataka   (v). District : Chitradurga   (vi). Pin : 577502   (vii). Landmark : Near JMIT Campus   (viii). Email address : nhaishimoga@gmail.com   (ix). Landline Telephone No. : 8194-223344   (x). Fax No. : 8194-221929   (xi). Mobile No. : 9980097471   (xii). Website (if any) : www.nhai.org   (xiii). Legal status of User Agency : Central Government
A-3. Details of Person Making Application
  (i). First Name: SP   (ii). Middle Name: NIL   (iii). Last Name: Somashekar   (iv). Gender: Male   (v). Designation: ProjectDirector   (vi). Address 1: National Highway Authority of India, Project Management Unit, JMIT Campus, NH 48 Old NH-4, km 201, Tharalabalu nagara, Chithradurga.   (vii). Address 2: NIL   (viii). State: Karnataka   (ix). District: Chitradurga   (x). Tehsil: Chitradurga   (xi). Pin: 577502   (xii). Landmark: Near JMIT Campus   (xiii). Email Address: nhaishimoga@gmail.com   (xiv). Landline Telephone No.: 819-223344   (xv). Fax No.: 8194221929   (xvi). Mobile No.: 9980097471   (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.Tumkur20.8912295.03
2.Hassan1.3762182.12
3.Chikkamagalur4.5797294.51
4.Bhadravathi13.4154172.91
Total40.2625944.57
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Tumkur20.8912295.03
1.Hassan1.3762182.12
3.Chikmagalur13.0458294.51
4.Shimoga4.9493172.91
Total40.2625944.57
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Srvy No. 6 Babiganahalli, Nittur Hobli, Gubbi Talu1.16030.66
2Srvy No. 20 of Ankapura, Nittur Hobli, Gubbi Taluk0.35390
3Srvy No. 1 of Bidarihalladakaval, Nittur Hobli, Gu2.72680.65
4Srvy No. 34, 35 & 36 of Yellapura, Nittur Hobli, G2.31473.44
5Srvy No. 30 Kanchiganahalli, Nittur Hobli, Gubbi T0.84393.08
6Srvy No. 1&2 Bennihallada Kaval, Nittur Hobli, Gub4.63850
7Srvy No. 95 Rajathadripura, Kibbanahalli Hobli, Ti0.218910.07
8Srvy No. 11 & 12 chavadlapurakaval, Kibbanahalli H8.63425.46
9Srvy No. 36 Kallanaykanahalli, Kasaba Hobli, Arasi0.75.07
10Srvy No. 148 of Bendekere, Banavara Hobli, Arasike0.676219.8
11Srvy No. 69, 51 & 50 of Linglapura, Shingatagere H1.0745.84
12Srvy No. 66 Anchechomanahalli, Shingatagere Hobli,0.67985.96
13Srvy No. 31,32,33&2 Kuppalu, Kasaba Hobli, Kadur T1.36848.71
14Srvy No. 230 of Mathighatta, Kasaba Hobli, Kadur T0.42466.76
15Srvy No. 14 Gedlahalli, Kasaba Hobli, Kadur Taluk0.64150.32
16Srvy No. 293 Tangali, Kasaba Hobli, Kadur Taluk0.08512.88
17Srvy No. 153 of JodiThimmapura, Biruru Hobli, Kadu0.306310.4
18Srvy No. 11 & 12 of H Rangapura, Kasaba Hobli, Tar5.24357.18
19Srvy No. 4 Malali Chennenahalli, Kasaba Hobli, Tar3.22262.27
20Srvy No. 22, 38/1, 38/2, 37 & 34/1 of Karehalli, K0.629410.96
21Srvy No. 14 of Anekoppa, Kasaba Hobli, Bhadravati3.60713.96
22Srvy No. 58 & 5 of Ujjanipura, Kasaba Hobli, Bhadr0.71280.97
Total 40.2625 114.44
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Four laning of NH 206 (length on both sides)40.262489995944.5683
Total 40.262489995 944.5683
C. Maps of forest land proposed to be diverted
Division 1. : Bhadravathi
  (i). Area of forest land proposed to be diverted(in ha.) : 13.4154   (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).
1.5.2435    View File
2.3.2226    View File
3.0.6294    View File
4.3.6071    View File
5.0.7128    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:
Division 2. : Chikkamagalur
  (i). Area of forest land proposed to be diverted(in ha.) : 4.5797   (ii). Nature of the Project: Linear   (b). No. of Segments : Eight
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).
1.0.364    View File
2.0.71    View File
3.0.6798    View File
4.1.3684    View File
5.0.4246    View File
6.0.6415    View File
7.0.0851    View File
8.0.3063    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:
Division 3. : Hassan
  (i). Area of forest land proposed to be diverted(in ha.) : 1.3762   (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).
1.0.7    View File
2.0.6762    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:
Division 4. : Tumkur
  (i). Area of forest land proposed to be diverted(in ha.) : 20.8912   (ii). Nature of the Project: Linear   (b). No. of Segments : Ten
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).
1.1.1603    View File
2.0.3539    View File
3.2.7268    View File
4.2.3147    View File
5.0.8439    View File
6.2.7183    View File
7.1.9202No Data
8.0.2189    View File
9.5.7177    View File
10.2.91650
  (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: Existing National Highway is being improved and wi
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 60   (iii). Temporary Employment(Number of person-days): 400000
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
1Administrative Approval
2Tumakuru District Non-Forest Land Area Details
3Hassan District Non-Forest Land Area Details
4Chikkamagalore District Non-Forest Land Area Details
5Shimoga District Non-Forest Land Area Details
6NHAIs Compliance On Shortcomings, Hassan Forest Division.
7NHAIs Compliance On Shortcomings, Chikkamangalore Forest Division.
8Certificate For Minimum Use Of Forest Land
9Certificate For NPV Payment & Upward Revision of NPV
10Compensatory Afforestation Undertaking
11Justification for Section I
12Cost Benefit Economic Analysis for Section I
13NHAIs Compliance On Shortcomings, Tumakuru Forest Division.
14NHAIs Compliance On Shortcomings, Bhadravati Forest Division.
15Request to Consider Proposal_Tumkur Division
16Request to Consider Proposal_Hassan Division
17Request to Consider Proposal_Chikkamagaluru Division
18Request to Consider Proposal_Bhadravathi Division
19Georeferenced Map_Tumkur Division
20Topo Map_Tumkur Division
21Georeferenced Map_Bhadravati Division
22Topo Map_Bhadravati Division