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/34643/2018
(ii). Name of Project for which Forest Land is required :
Upgradation of Seldoh to Pawnar Section of NH 353 I (Package-II) in the state of Maharashtra to two/four lane with paved shoulder configuration.
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
Rehabilitation and Up-gradation of Sealdoh to Pawnar National Highway (NH-353 I) from [Design Km. 39+200 to Km. 88+620] to two/four lane with paved Shoulders configuration in the State of Maharashtra on Engineering, Procurement & Construction (EPC) Basis Contract (Package-II)
(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) :
40437
(viii). Area of forest land proposed for diversion(in ha.):
2.143
(ix). Non-forest land required for this project(in ha.):
30.4677
(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 & 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.
Wardha
2.143
30.4677
Total
2.143
30.4677
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Wardha
2.143
30.4677
Total
2.143
30.4677
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Sealdoh
0.0173
0.78
2
Dorli
0.1974
2
3
Parsodi
0.0349
0.7243
4
Marda
0.21
2.98
5
Kandhali
0.161
1.69
6
Vaygaon Be
0.0322
0.47
7
Chanki
0.3172
1.71
8
Kopra
0.3583
1.34
9
Kharangana Gode
0.249
1.4738
10
Kamathwada
0.019
0.94
11
Sewagram
0.4554
0.9
12
Warud
0.0913
2
13
Sindi Rly
0
0.6668
14
Digraj
0
0.33
15
Hamdapur
0
1.7634
16
Mukundpur
0
0.53
17
Waghala
0
1.7
18
Dalpatpur
0
0.77
19
Umra
0
2.54
20
Bhosa
0
0.71
21
Parsoda
0
1.85
22
Kutki
0
1.5
23
Pawnar
0
1.0994
Total
2.143
30.4677
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
01) Sealdoh
0.0173
0.78
2
02) Dorli
0.1974
2
3
03)Parsodi
0.0349
0.7243
4
04)Marda
0.21
2.98
5
05) Kandhali
0.161
1.69
6
06)Vaygaoon Be
0.0322
0.47
7
07) Chanki
0.3172
1.71
8
08) Kopra
0.3583
1.34
9
09) Kharangana Gode
0.249
1.4738
10
10) Kamathwada
0.019
0.94
11
11) Sewagram
0.4554
0.9
12
12) Warud
0.0913
2
Total
2.143
17.0081
C.
Maps of forest land proposed to be diverted
Division 1. : Wardha
(i). Area of forest land proposed to be diverted(in ha.) :
2.143
(ii). Nature of the Project:
Linear
(b). No. of Segments :
Twelve
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.
0.0173
View File
2.
0.1974
View File
3.
0.0349
View File
4.
0.21
View File
5.
0.161
View File
6.
0.0322
View File
7.
0.3172
View File
8.
0.3583
View File
9.
0.249
View File
10.
0.019
View File
11.
0.4554
View File
12.
0.0913
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:
Package 2 is already existing Road.
E.
Employment likely to be generated
(i). Whether the Project is likely to generate employment ?:
Yes
(ii). Permanent/Regular Employment(Number of persons):
350
(iii). Temporary Employment(Number of person-days):
146000
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
Authorized Letter
2
Project Brief Note Description of project Development proposal
3
project cost
4
Forest Area Statement
5
Non Forest Area Statement
6
Project Location Map
7
Typical Cross section
8
Digital Map on Google Map showing Road Alignment
9
Road Alignment on Showing Toposheet Map
10
Geo Referenced Map Showing Road Alignment on Village Map
11
Geo Referenced Map Showing Road Alignment on Village Map Part 2
12
Geo Referenced Map showing Road Alignment on Toposheet 1:50000 Scale
13
7/12 Marathi / English
14
All Certificate and Undertaking
15
Undertaking/ certificate regarding FRA/ Archeological/Minimum demand /Compensatory afforestation
16
Projects Alternative option
17
Part I
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