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/MH/Others/18368/2016   (ii). Name of Project for which Forest Land is required : ADANI POWER MAHARASHTRA LTD. TIRODA   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : for the Ash Utilization Promotion and Research Park. APML has proposed to develop centralized an Ash Utilization Promotion and Research Park at our Tiroda Thermal Power Plant as a central facility for Adani Group Power Plants and a demonstration centre for the country.   (iv). State : Maharashtra   (v). Category of the Proposal : Others   (vi). Shape of forest land proposed to be diverted : Non Linear   (vii). Estimated cost of the Project(Rupees in lacs) : 10000   (viii). Area of forest land proposed for diversion(in ha.): 141.99   (ix). Non-forest land required for this project(in ha.): 5.1   (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 POWER MAHARASHTRA LTD   (ii). Address1 : Plot No A – 1, MIDC, Tiroda Growth Centre, MIDC- Tiroda Distt. Gondia   (iii). Address2 : Gondia, Maharashtra   (iv). State : Maharashtra   (v). District : Gondia   (vi). Pin : 441911   (vii). Landmark : NIL   (viii). Email address : Jatinder.Bhatnagar@adani.com   (ix). Landline Telephone No. : 79-25557289   (x). Fax No. : 79-25557401   (xi). Mobile No. : 9099055009   (xii). Website (if any) : www.adanipower.com   (xiii). Legal status of User Agency : Private
A-3. Details of Person Making Application
  (i). First Name: Jatinder   (ii). Middle Name: NIL   (iii). Last Name: Bhatnagar   (iv). Gender: Male   (v). Designation: Project Director   (vi). Address 1: Adani Power Ltd. Sambhav Building Judges Bungalow Road, Bodakdev.   (vii). Address 2: Ahmedabad, Gujarat   (viii). State: Gujarat   (ix). District: Ahmedabad   (x). Tehsil: NIL   (xi). Pin: 380015   (xii). Landmark: NIL   (xiii). Email Address: jatinder.bhatnagar@adani.com   (xiv). Landline Telephone No.: 79-25557289   (xv). Fax No.: 07925557289   (xvi). Mobile No.: 9099055009   (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
1Apporved6-MHC 005/2012-BHO/103025.419325.419319 Apr 201222 Jun 2012
2ApporvedF.NO. 8-19/2009 -FC163.84163.8409 Dec 201129 Aug 2014
Total 189.2593 189.2593
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.Gondia(Nagpur)141.995.1
Total141.995.1
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Gondia141.995.1
Total141.995.1
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Mendipur24.950
2KACHEWAHI117.045.1
Total 141.99 5.1
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Research Institute for Fly Ash Utilization Program30
2Fly Ash Utilization Demonstration Park2.50
3Pilot Scale Trial Facility with Curing & Drying fa50
4Agricultural Application Research Facility100
5Central Laboratory0.390
6Raw Material Storage Facility46.850
7Finished Goods Storage Yard0.50
8Common Utility for Fly Ash Park0.50
9Research Plot for Forestry Application for Fly Ash24.950
10Cenosphere Beneficiation Centre10
11Green Belt & Medicinal Plantation44.85.1
12Roads & Drains2.50
Total 141.99 5.1
C. Maps of forest land proposed to be diverted
Division 1. : Gondia(Nagpur)
  (i). Area of forest land proposed to be diverted(in ha.) : 141.99   (ii). Nature of the Project: Non Linear   (a). No. of patches : Two
Patch wise details
Patch No. Area of Patch(in ha.) Kml File of PatchesTo view KML file on google the same may be downloaded and then open if in google earth install in your computer.
1.117.04    View File
2.24.95    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:
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 100   (iii). Temporary Employment(Number of person-days): 250
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?: Yes   (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). No. of districts involved for raising Compensatory Afforestation: 1   (iv). No. of patches: One
District 1. : Ratnagiri
  (a). Village: Munde Tarfe Sawarde   (b). Area(in ha.): 172.57   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 631,640,653,592,654   (e). Present owner: User Agency   (f). Copy of Ownership proof:
  (v). Scanned copy of the map of the land identified for creation of Compensatory Afforestation prepared by using GPS ot Total Station:   (vi). Copy of Survey of India Toposheet in 1:50,000 scale indicating location of the land identified for creation of Compensatory Afforestation:
Additional information Details
Documents
S.No Documents
Remarks
NIL