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
1InprincipleFP/MH/ROAD/16793/2015FC-II/MH-97/2018-NGP/500011.782015 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.Aurangabad11.78172.25
Total11.78172.25
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Aurangabad11.78172.25
Total11.78172.25
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Devlai5.6314.09
2Satara6.1529.13
3Other villages0129.03
Total 11.78 172.25
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road11.779908172.2486
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
1Minimum Demand certificate issued by DM
2Other certificate issued by PD
3Joint Measurement Map of village Devlai issued by Land record dept.
4Joint Measurement Map of village Satara gut no.250 issued by Land record dept.
5Joint Measurement Map of village Satara gut no.330 part1 issued by Land record dept.
6Joint Measurement Map of village Satara gut no.330 part2 issued by Land record dept.
7Joint Measurement Map of village Satara gut no.330 part-3 issued by Land record dept.
8Georeferance Map
97/12 Extract of Satara & Devlai village with vernacular language
107/12 Extract of CA Land Georai Shammi village
11Environment clearance certificate by PD
12Breakup of Land with coordinate
13Aurangabad Municipal Corporation NOC of Devlai & Satara village
14Joint site Inspection report draft
15Other required DCF certificate
16Form-1 sign by PD
17Form-2 to be fill by DCF
18Form-3 to be fill by CCF
19Form-4 to be fill by PCCF
20Form-5 to be fill by secretary in-charge
21Chronological of Event
22Location MAP of the Project
23Index of Proposal
24Submission of forest proposal letter to DCF, Aurangabad
25Devlai village map with alingment
26Satara village map with alignment
27Topo map with area statement & Structure
28Show wild life area on TOPO map with distanced
29FRA certificate issued by DM
30CA land certificate of gut no 554 of Georai Shammi village
31Village map of Georai Shammi
32TOPO map of Georai Shammi
337/12 of Gut no.554 of Georai Shammi village of CA land