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/26861/2017
(ii). Name of Project for which Forest Land is required :
Rehabilitation and Up-gradation of Wadi To Asola Junction National Highway (NH-353I) from [Design km.00.000 to km. 39+200] to Two lane with paved shoulders in the state of Maharashtra on Engineering, Procurement & Construction (EPC) Basis Contract (Package-1)
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
The proposed project is of widening of newly declared NH 353I. The newly declared NH 353I start from (Existing km. 9+200 (NH-53)) - Hingna- Digdoh - Issasani - Gumgaon - Salaidhabha - Butibori MIDC - Takalghat to Asola Junction (Existing km. 39+400 (NH-361)) in the state of Maharashtra. The proje
(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) :
36383
(viii). Area of forest land proposed for diversion(in ha.):
8.89
(ix). Non-forest land required for this project(in ha.):
30.83
(x). Total period for which the forest land is proposed to be diverted(in years):
NIL
A-2.
Details of User Agency
(i). Name :
MINISTRY OF ROAD TRANSPORT & HIGHWAYS
(ii). Address1 :
Office of the Executive Engineer, National Highway Division, Public Works Department, Bunglow No. 39/1, Civil Lines, Nagpur
(iii). Address2 :
NIL
(iv). State :
Maharashtra
(v). District :
Nagpur
(vi). Pin :
440001
(vii). Landmark :
NIL
(viii). Email address :
epmdonline@gmail.com
(ix). Landline Telephone No. :
712-2524829
(x). Fax No. :
712-
(xi). Mobile No. :
9341362941
(xii). Website (if any) :
mahapwd.com
(xiii). Legal status of User Agency :
Central Government
A-3.
Details of Person Making Application
(i). First Name:
Naresh
(ii). Middle Name:
Vasant
(iii). Last Name:
Borkar
(iv). Gender:
Male
(v). Designation:
Executive Engineer
(vi). Address 1:
Office of the Executive Engineer, National Highway Division, Public Works Department, Bunglow No.39/1, Civil Lines, Nagpur
(vii). Address 2:
NIL
(viii). State:
Maharashtra
(ix). District:
Nagpur
(x). Tehsil:
Nagpur (Urban)
(xi). Pin:
440001
(xii). Landmark:
NIL
(xiii). Email Address:
eenhnagpur@gmail.com
(xiv). Landline Telephone No.:
712-2524829
(xv). Fax No.:
0712
(xvi). Mobile No.:
9923750916
(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.
Nagpur
8.89
30.83
Total
8.89
30.83
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Nagpur
8.89
30.83
Total
8.89
30.83
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Wadi
0
0
2
Sonegaon
0
0
3
Digdoh (Devi)
0
0
4
Wagdhara
0.1067
0
5
Isasani
2.936
3.729
6
Sukali (Gupachup)
0.642
4.468
7
Khadka
0
0.149
8
Shivmadka
0
0
9
Gumgaon
0
0
10
Dhanodi (Deshkar)
0
0
11
Godhani (Udhoji)
0
0
12
Wadgaon
0
0
13
Menrawat
0
0
14
Datala
0
0
15
Salaidhaba
0
2.518
16
Pohi
1.3833
0
17
Wateghat
0
0
18
Umari
0
0
19
Gangapur
0.5288
0
20
Takalghat
0
6.972
21
Khapri (Moneshwar)
0
9.133
22
Kohala
0
0.684
23
Khairi (Khurd0
1.242
0.352
24
Ghodeghat
0
1.254
25
Asola
2.047
1.071
26
Sawangi
0
0.5
Total
8.8858
30.83
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Road Work
8.89
30.83
Total
8.89
30.83
C.
Maps of forest land proposed to be diverted
Division 1. : Nagpur
(i). Area of forest land proposed to be diverted(in ha.) :
8.89
(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.
8.89
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:
The Project is of widening of existing road with m
E.
Employment likely to be generated
(i). Whether the Project is likely to generate employment ?:
Yes
(ii). Permanent/Regular Employment(Number of persons):
50
(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?:
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? :
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
Project Brief Note on Development Proposal, Attached as Attachment-1
2
General Abstract on Project Cost, Attached as Attachment-2
3
Cost Benefit Analysis Report, Attached as Attachment-3
4
Forest Land Statement/ Chainage wise forest land requirement statement, Attached as Attachment-4A
5
Village wise Forest and Non-forest land t, Attached as Attachment-4B
6
Project Road location Map, Attached as Attachment-5
7
Typical Cross sections of project road, Attached as Attachment-6
8
Digital Map, Attached as Attachment-8
9
Project road alignment Marked on toposheet showing forest land requirement, Attached as Attachment-9
10
Required/Applicable Undertakings & Certificate (1 to 14 Nos.) from Proponent
11
Undertakings & Certificate related to FRA from Proponent
12
Certificate related Justification for laying road alignment in forest Area
13
Form A, Part-I filled by proponent
14
Compliance of EDS, Corrected Georeference Map Prepared and forest land Marked
15
Georeference Map Prepared on Toposheet attached as additional information
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