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/ROAD/13978/2015   (ii). Name of Project for which Forest Land is required : Rehabilitation and upgradation of existing Buttibori-Wardha section of NH-361, km28.800-km80.000 to 4 lane configuration, in the state of Maharastra   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : It is proposed to existing 2 lane Buttibori- Wardha section of NH-361 km 28.800 to km80.000 to 4-lane configuration, in the state of Maharastra   (iv). State : Maharashtra   (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) : 91670.9   (viii). Area of forest land proposed for diversion(in ha.): 19.532   (ix). Non-forest land required for this project(in ha.): 155.2074   (x). Total period for which the forest land is proposed to be diverted(in years): 100
A-2. Details of User Agency
  (i). Name : National Highways Authority of India   (ii). Address1 : Banglow No- 28, Datani Developer, Behind FCI Godown, Yavatmal, District Yavatmal   (iii). Address2 : NIL   (iv). State : Maharashtra   (v). District : Yavatmal   (vi). Pin : 445001   (vii). Landmark : Behind FCI Godown   (viii). Email address : yavatmal@nhai.org   (ix). Landline Telephone No. : 7232-691100   (x). Fax No. : 7232-691100   (xi). Mobile No. : 9850731595   (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: Prashant   (ii). Middle Name: Dadarao   (iii). Last Name: Mendhe   (iv). Gender: Male   (v). Designation: Project Director   (vi). Address 1: Banglow No-28, Datani Developer, Behind FCI Godown, Yavatmal,   (vii). Address 2: NIL   (viii). State: Maharashtra   (ix). District: Yavatmal   (x). Tehsil: Yavatmal   (xi). Pin: 445001   (xii). Landmark: Behind FCI Godown   (xiii). Email Address: yavatmal@nhai.org   (xiv). Landline Telephone No.: 7232-691100   (xv). Fax No.: 07232691100   (xvi). Mobile No.: 9850731595   (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.Nagpur6.33231.047
2.Wardha13.2124.1604
Total19.532155.2074
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Nagpur6.33231.047
1.Wardha13.2124.1604
Total19.532155.2074
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1salod0.0916.702
2Sawanghi (M)1.06810.588
3Umari0.0144.909
4Satoda0.0993.51
5Pavnar0.38913.292
6Kelzar9.6918.914
7Aamgaon0.1691.65
8Khadki0.1996.098
9Seldho0.033.479
10Pipri03.629
11Bhiwapur00.8133
12Shyampur02.357
13Sindhi1.44910.431
14Mahabala04.195
15Kotamba03.032
16Kanhapur00.62
17Godapur03.618
18Mohanpur05.828
19Selu02.363
20Belagaon08.991
21Indapur01.312
22Kolhi03.066
23Janglapur03.051
24Dhanoli01.712
25Wadgaon0.451.065
26Haladgaon0.253.986
27Bhansoli0.0350.1941
28Sawanghi0.82.619
29Asola1.612.504
30Dhawalpeth1.6331.24
31Junapani1.072.78
32Murzari0.4840.154
33Murarpur02.055
34Tarsi00.623
35Ruikhairi013.827
Total 19.53 155.2074
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road19.532155.2074
Total 19.532 155.2074
C. Maps of forest land proposed to be diverted
Division 1. : Nagpur
  (i). Area of forest land proposed to be diverted(in ha.) : 6.332   (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).
1.6.332    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. : Wardha
  (i). Area of forest land proposed to be diverted(in ha.) : 13.2   (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).
1.13.2    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: Rehabilitation and upgradation of existing road
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 0   (iii). Temporary Employment(Number of person-days): 300
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 ? : 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? : Yes   (a). Copy of documentry evidence in support of settlement of rights under the Forest Rights Act,2006 on the forest land proposed to be diverted:
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
1Cost of Felling of Trees by UA
2Compensatory Afforestation Cost
3Cost of Removal of Vegetative Growth
4No violation of FC Act,1980 by UA
5Archeological Importance by UA
6NPV by UA
7Exemption of EC by UA
8Unqualified commitment by UA
9NOC from Gramasabha by UA
10Commitment to Providing Facility by UA
11Raising of Plantation on both sides by UA
12Document Verification by Nagpur,DCF
13All Documents are in English by Nagpur,DCF
14Project Area is not falling in any WL/PA by Nagpur,DCF
15Distance of the project from WL/PA by Nagpur,DCF
16Non forest land acquired for the project doesn't come under the category of forest by Nagpur,DCF
17NOC from FDMC by Nagpur,DCF
18NPV by Nagpur,DCF
19Document Verification by Wardha,DCF
20All Documents are in English by Wardha,DCF
21Project Area is not falling in any WL/PA by Wardha,DCF
22Distance of the project from WL/PA by Wardha,DCF
23Non forest land acquired doesn't come under the category of forest by Wardha,DCF
24NOC from FDMC by Wardha,DCF
25NPV by Wardha,DCF
26MoEF & CC Notification Dated 22nd Aug, 2013 (Exemption of NH projects from EIA notification 2006)
27MOEF & CC Notification for Exemption of Gram Sabha
28AdministrativeApproval
29Stripplans
30Typical Cross Sections of the Project
31Indexmap
32project description
33social impact assessment
34Face sheet Wardha Forest Division
35Face sheet Nagpur Forest Division
36Check List Nagpur Forest Division
37Check List Wardha
38Index Wardha
39Mainform Wardha
40Mainform Nagpur
41Minimum Demand Area Nagpur
42Minimum Demand Area by UA Nagpur
43DGPS Maps Nagpur
44FRA certificate Nagpur
45Minimum Demand Area Wardha
46Minimum Demand Area by UA Wardha
47toposheet
48DGPS Maps Wardha
49Index Nagpur
50FRA Wardha
51Area Statement Wardha
52Area Statement Nagpur
53Junapani Rerserve Forest DGPS Map Nagpur
54Geo Reference Map