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/24710/2017   (ii). Name of Project for which Forest Land is required : Rehabilitation and Up-gradation of Amravati-Nandgaon-Morshi-Warud-Pandhurna National Highway from existing km 95+670 (on 140+200 NH-53, Nandgaon) to km 52+440 (Morshi) [Design km.0.00 to km. 43.00] ( Package-I) and existing km 52+440 (Morshi) to km 0+000 (Maharashtra/Madhya Pradesh State Border upto Wardha River Bridge) [Design km.43.000 to km. 9   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : The proposed project is of widening of existing State Highway No-10, which is declared as National Highway. The project road Amravati-Nandgaon-Morshi-Warud-Pandhurna having length is of 95.00 km entirely located in district Amravati of Indian state Maharashtra. Proposed the project starts from Stat   (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) : 85748   (viii). Area of forest land proposed for diversion(in ha.): 14.9799   (ix). Non-forest land required for this project(in ha.): 12.8884   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : MINISTRY OF ROAD TRANSPORT AND HIGHWAYS GOVT OF INDIA NEW DELHI   (ii). Address1 : office of Executive Engineer National Highway Division, Amravati Bandhakam Bhavan ,PWD Premises,Camp Road Amravati Maharashtra   (iii). Address2 : NIL   (iv). State : Maharashtra   (v). District : Akola   (vi). Pin : 444602   (vii). Landmark : NIL   (viii). Email address : nhamravati.ee@mahapwd.gov.in   (ix). Landline Telephone No. : -1-   (x). Fax No. : -1-   (xi). Mobile No. : 9823781878   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Shri Bhupesh Dadarao Kathalkar   (ii). Middle Name: NIL   (iii). Last Name: NIL   (iv). Gender: NIL   (v). Designation: NIL   (vi). Address 1: office of Executive Engineer National Highway Division, Amravati Bandhakam Bhavan ,PWD Premises,Camp Road Amravati Maharashtra   (vii). Address 2: NIL   (viii). State: Maharashtra   (ix). District: Amravati   (x). Tehsil: NIL   (xi). Pin: 444602   (xii). Landmark: NIL   (xiii). Email Address: nhamravati.ee@mahapwd.gov.in   (xiv). Landline Telephone No.: 0-   (xv). Fax No.: NIL   (xvi). Mobile No.: 9823781878   (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.Amravati14.979912.8884
Total14.979912.8884
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Amravati14.979912.8884
Total14.979912.8884
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Sawarkhed1.0420
2Nimbhi02.5455
3Sambhapur01.0336
4Talni00.5724
5Yerala0.2010
6Morshi00.5416
7Meghwadi00.786
8Supala00.096
9Maiwadi0.0880.688
10Dapori00.48
11Bopalwadi00.2042
12Umarkhed00.7575
13Lakhara00.316
14Bargaon00.448
15Jamgaon00.0795
16Dhanodi00.6095
17Suryakhed00.2266
18Kubhikhed00.142
19Kekatwad1.13620
20Daryapur0.16560
21Pusala5.16623.362
22Pandhari2.3020
23Mahedari4.8780
Total 14.979 12.8884
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road work14.979912.8884
Total 14.9799 12.8884
C. Maps of forest land proposed to be diverted
Division 1. : Amravati
  (i). Area of forest land proposed to be diverted(in ha.) : 14.9799   (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).
1.1.4088    View File
2.13.5711    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: Project road is of Up-gradation of existing road o
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 150   (iii). Temporary Employment(Number of person-days): 182500
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? : 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?: No   (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) . Reason for not providing Non-Forest Land: Central Govt. Project
Additional information Details
Documents
S.No Documents
Remarks
1Project Brief Note as attachment 1
2Project Cost Detail as attachment 2
3Non applicability of Cost Benefit analysis Report as attachment 3
4Forest Land Statement as attachment 4A
5Village wise Forest and Non-forest land statement as Attachment 4B
6All applicable Certificates and Undertakings
7Project Location Map as attachment 5
8Typical Cross section of Project road
9Digital Map Package One
10Digital Map Package Two
11Additional Document -GeoReferenced MAP package 1 for Entire road including length coming in Forest Area
12Additional Document -GeoReferenced MAP package 2 for Entire road including length coming in Forest Area
13Compliance of EDS