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/40665/2019
(ii). Name of Project for which Forest Land is required :
Berthing Jetty, Conveyor Corridor with Backup Facilities and Approach Road for Raigad Cement Bulk Terminal of ACL
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
Conveyor Corridor from Berthing Jetty, Approach Road to Raigad Cement Bulk Terminal of ACL includes Forest Land
(iv). State :
Maharashtra
(v). Category of the Proposal :
Others
(vi). Shape of forest land proposed to be diverted :
Linear
(vii). Estimated cost of the Project(Rupees in lacs) :
17200
(viii). Area of forest land proposed for diversion(in ha.):
0.6497
(ix). Non-forest land required for this project(in ha.):
5.3503
(x). Total period for which the forest land is proposed to be diverted(in years):
50
A-2.
Details of User Agency
(i). Name :
ADANI CEMENTATION LIMITED
(ii). Address1 :
Adani House, 56 Srimali Society, Navrangpura
(iii). Address2 :
Ahmedabad
(iv). State :
Gujarat
(v). District :
Ahmedabad
(vi). Pin :
380009
(vii). Landmark :
NIL
(viii). Email address :
sanjay.prasad@adani.com
(ix). Landline Telephone No. :
79-25558623
(x). Fax No. :
79-25557401
(xi). Mobile No. :
8094016218
(xii). Website (if any) :
NIL
(xiii). Legal status of User Agency :
Private
A-3.
Details of Person Making Application
(i). First Name:
Sanjay
(ii). Middle Name:
NIL
(iii). Last Name:
Prasad
(iv). Gender:
Male
(v). Designation:
AGM
(vi). Address 1:
Adani Cementation Limited, Ground Floor, South Wing, Adani Coporate House
(vii). Address 2:
Shantigram, S.G. Highway, Ahmedabad
(viii). State:
Gujarat
(ix). District:
Ahmedabad
(x). Tehsil:
NIL
(xi). Pin:
382421
(xii). Landmark:
NIL
(xiii). Email Address:
sanjay.prasad@adani.com
(xiv). Landline Telephone No.:
79-25558623
(xv). Fax No.:
07925557401
(xvi). Mobile No.:
8094016218
(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.
Alibag
0.6497
5.3503
Total
0.6497
5.3503
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Raigad
0.6497
5.3503
Total
0.6497
5.3503
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Shahpur
0.4703
2.2
2
Shahbaz
0.1794
3.1503
Total
0.6497
5.3503
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Approach Road
0.0475
0
2
Conveyor Corridor
0.6022
5.3503
Total
0.6497
5.3503
C.
Maps of forest land proposed to be diverted
Division 1. : Alibag
(i). Area of forest land proposed to be diverted(in ha.) :
0.6497
(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.
0.6022
View File
2.
0.0475
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):
10
(iii). Temporary Employment(Number of person-days):
40
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 ? :
Yes
(a). Status of the Environmental Clearance to the Project:
EC application yet to be submitted
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
1
CoI _ Adani Cementation Limited
2
Undertaking for Employment likely to be Generated
3
Undertaking for Providing all Documents
4
Cover Letter - EDS Reply
5
FCA Application Acknowledgement
6
A Enc 2 - EDS dated 28/08/2019
7
Forest Notification
8
Chronological of Event
9
EDS 3 Reply Cover letter
10
Checklist 24.10.2019
11
Chronology Enclosure_A
12
Att 1-6 Form A Part 1-5
13
Att 7a__Prefeasibility Report
14
Att 7b_Alternative Site Justification
15
Att 8-30__Certificates
16
Att 31 Certificate to Beneficiaries of Project
17
Att 32_7 12 Marathi and English
18
Att 33-Request to Tehsildar
19
Att 34_Authorization letter
20
Att 35_FRA
21
Att 36_Administrative Approval_LOI
22
Att 37_ Revenue Map with Approach road
23
Att 38_ Satellite map
24
Att 39_Toposheet Raigad
25
Att 40_DGPS
26
Att 41_50MeterBufferZoneCZMP
27
KML File
28
EDS 4 Reply
29
CBA
30
Reply of EDS Dated 01.02.2020
31
Reply of EDS dated 01.04.2020
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