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/34146/2018   (ii). Name of Project for which Forest Land is required : Up gradation of Nagpur-Umred Section of NH- 353D in the state of Maharashtra (Package-IA)   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : widening of existing National Highway No. 353D passing through forest area   (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) : 141066   (viii). Area of forest land proposed for diversion(in ha.): 28.667   (ix). Non-forest land required for this project(in ha.): 51.2325   (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 PIU I NAGPUR   (ii). Address1 : Bunglow No.2, Shubhankar Aprtment, Plot No. 159, Ambazari Hill Top, Ram Nagar, Nagpur   (iii). Address2 : NIL   (iv). State : Maharashtra   (v). District : Nagpur   (vi). Pin : 440033   (vii). Landmark : Shubhankar Apartments   (viii). Email address : nhaipiunagpur@gmail.com   (ix). Landline Telephone No. : 712-2249316   (x). Fax No. : 712-   (xi). Mobile No. : 8959903969   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : Central Government
A-3. Details of Person Making Application
  (i). First Name: Niwrutti   (ii). Middle Name: laxmanrao   (iii). Last Name: Yeotkar   (iv). Gender: Male   (v). Designation: pd   (vi). Address 1: Bunglow No.2, Shubhankar Aprtment, Plot No. 159, Ambazari Hill Top, Ram Nagar, Nagpur   (vii). Address 2: NIL   (viii). State: Maharashtra   (ix). District: Nagpur   (x). Tehsil: Nagpur (Urban)   (xi). Pin: 440033   (xii). Landmark: Shubhankar Apartment   (xiii). Email Address: nhaipiunagpur@gmail.com   (xiv). Landline Telephone No.: 712-2249589   (xv). Fax No.: NIL   (xvi). Mobile No.: 8959903969   (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.Nagpur28.66751.2325
Total28.66751.2325
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Nagpur28.66751.2325
Total28.66751.2325
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Pachgaon2.01912.5076
2khapri3.12371.9471
3Champa1.70246.1649
4Uti0.23756.1622
5Bhiwapur7.482.2746
6Ukadwahi3.67846.1668
7Welsakhara0.3450.1893
8Udasa6.25757.24
9Gangapur0.5167.3621
10Umred0.1760
11Dawlimet3.13151.2179
Total 28.667 51.2325
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Udasa-450.240
2Udasa-443.12250
3Champa-1660.0780
4Champa-1600.00840
5Champa-1560.03250
6Uti-480.08050
7Uti-490.1150
8Uti-1190.0420
9Bhiwapur-1390.080
10Bhiwapur-171.36850
11Bhiwapur-240.40950
12Bhiwapur-1470.0120
13Bhiwapur-compt.-403&4044.80
14Ukadwahi-641.1880
15Ukadwahi-660.180
16Ukadwahi-920.03840
17Ukadwahi-980.5720
18Ukadwahi-1320.3250
19Ukadwahi-1270.2250
20Ukadwahi-1061.150
21Welsakhara-2090.2850
22Welsakhara-2120.060
23Udasa-382.65950
24Udasa-360.05850
25Udasa-470.0420
26Udasa-480.1350
27Gangapur-100.3360
28Gangapur-110.180
29Umred-5170.0560
30Umred-5140.120
31Pachgaon-4460.810
32Pachgaon-4470.6210
33Pachgaon-4590.5880
34khapri-76/11.65750
35khapri-860.48720
36khapri-870.9790
37Dawlimet-1/11.50650
38Dawlimet-181.6250
39Champa-1680.54050
40Champa-1690.10580
41Champa-1670.70320
42Champa-1780.0270
43Champa-700.2070
44Bhiwapur-300.810
Total 28.667 0
C. Maps of forest land proposed to be diverted
Division 1. : Nagpur
  (i). Area of forest land proposed to be diverted(in ha.) : 28.667   (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).
1.28.667    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): 200   (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
1village map
2Undertaking
3justification
4English 7/12