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/16793/2015
(ii). Name of Project for which Forest Land is required :
Four Laning of Aurangabad- Karodi Section of NH-211 designed with partial Green filed alignment as bypass to Aurangabad city in Aurangabad District
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
Rehabilitation and Upgradation of existing Two lane to Four lane from Aurangabad (Km 290.200) to Karodi ( Km 320.640) of NH-211 designed with partial Green field alignment as bypass to Aurangabad city in Aurangabad district in the State of Maharashtra on EPC Mode under NHDP-IVB Group B: Package-7
(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) :
512.02
(viii). Area of forest land proposed for diversion(in ha.):
11.78
(ix). Non-forest land required for this project(in ha.):
172.25
(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 Highways Authority of India
(ii). Address1 :
Project Director, National Highways Authority of India
(iii). Address2 :
B-23, N-4, CIDCO, Near Kamgar Chowk, Aurangabad
(iv). State :
Maharashtra
(v). District :
Aurangabad
(vi). Pin :
431003
(vii). Landmark :
Kamgar chowk
(viii). Email address :
aurangabad@nhai.org
(ix). Landline Telephone No. :
240-2471507
(x). Fax No. :
240-2471507
(xi). Mobile No. :
7588398672
(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:
ARVIND
(ii). Middle Name:
RAMBHAU
(iii). Last Name:
KALE
(iv). Gender:
Male
(v). Designation:
GM & Project Director
(vi). Address 1:
Project Director, national Highways Authority of India
(vii). Address 2:
B-23, N-4, CIDCO, Near Kamgar Chowk, Aurangabad
(viii). State:
Maharashtra
(ix). District:
Aurangabad
(x). Tehsil:
NIL
(xi). Pin:
431003
(xii). Landmark:
Kamgar Chowk
(xiii). Email Address:
aurangabad@nhai.org
(xiv). Landline Telephone No.:
240-2471507
(xv). Fax No.:
02402471507
(xvi). Mobile No.:
9822929795
(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
1
Inprinciple
FP/MH/ROAD/16793/2015
FC-II/MH-97/2018-NGP/5000
11.78
20
15 Feb 2019
Total
11.78
20
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.
Aurangabad
11.78
172.25
Total
11.78
172.25
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Aurangabad
11.78
172.25
Total
11.78
172.25
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Devlai
5.63
14.09
2
Satara
6.15
29.13
3
Other villages
0
129.03
Total
11.78
172.25
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Road
11.779908
172.2486
Total
11.779908
172.2486
C.
Maps of forest land proposed to be diverted
Division 1. : Aurangabad
(i). Area of forest land proposed to be diverted(in ha.) :
11.78
(ii). Nature of the Project:
Linear
(b). No. of Segments :
Three
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.
5.63
View File
2.
0.37
View File
3.
5.78
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):
1500
(iii). Temporary Employment(Number of person-days):
540000
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? :
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
1
Minimum Demand certificate issued by DM
2
Other certificate issued by PD
3
Joint Measurement Map of village Devlai issued by Land record dept.
4
Joint Measurement Map of village Satara gut no.250 issued by Land record dept.
5
Joint Measurement Map of village Satara gut no.330 part1 issued by Land record dept.
6
Joint Measurement Map of village Satara gut no.330 part2 issued by Land record dept.
7
Joint Measurement Map of village Satara gut no.330 part-3 issued by Land record dept.
8
Georeferance Map
9
7/12 Extract of Satara & Devlai village with vernacular language
10
7/12 Extract of CA Land Georai Shammi village
11
Environment clearance certificate by PD
12
Breakup of Land with coordinate
13
Aurangabad Municipal Corporation NOC of Devlai & Satara village
14
Joint site Inspection report draft
15
Other required DCF certificate
16
Form-1 sign by PD
17
Form-2 to be fill by DCF
18
Form-3 to be fill by CCF
19
Form-4 to be fill by PCCF
20
Form-5 to be fill by secretary in-charge
21
Chronological of Event
22
Location MAP of the Project
23
Index of Proposal
24
Submission of forest proposal letter to DCF, Aurangabad
25
Devlai village map with alingment
26
Satara village map with alignment
27
Topo map with area statement & Structure
28
Show wild life area on TOPO map with distanced
29
FRA certificate issued by DM
30
CA land certificate of gut no 554 of Georai Shammi village
31
Village map of Georai Shammi
32
TOPO map of Georai Shammi
33
7/12 of Gut no.554 of Georai Shammi village of CA land
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