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/MP/ROAD/153796/2022   (ii). Name of Project for which Forest Land is required : Additional Land Required for 4 Laning of Harda to Betul Section of National Highway (NH-47)from Temagav Km 30+000 to Chicholi Km 81+000(Length- 51 km) under BHARATMALA Pariyojna Economic Corridor (Phase-I) in three districts of Harda, Hoshangabad and Betul in the state of Madhya Pradesh on EPC Mode   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : The proposed 4-laning of Harda- Betul Section of National Highway (NH-47) from Temagav to Chicholi length 51 km traverses through Harda, Hosangabad and Betul Districts. 56.515 Ha of Forest Area has been approved under Proposal No FP/MP/Road/33615/2018.   (iv). State : Madhya Pradesh   (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) : 43104   (viii). Area of forest land proposed for diversion(in ha.): 11.399   (ix). Non-forest land required for this project(in ha.): 0   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : PRASHANT PATHAK   (ii). Address1 : Prashant Pathak   (iii). Address2 : NIL   (iv). State : Madhya Pradesh   (v). District : Harda   (vi). Pin : 461331   (vii). Landmark : NIL   (viii). Email address : piuharda@nhai.org   (ix). Landline Telephone No. : 91-075-77292097   (x). Fax No. : 91-   (xi). Mobile No. : 9425601972   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : Individual
A-3. Details of Person Making Application
  (i). First Name: Prashant   (ii). Middle Name: NIL   (iii). Last Name: Pathak   (iv). Gender: NIL   (v). Designation: Project Director   (vi). Address 1: Prashant Pathak   (vii). Address 2: NIL   (viii). State: Madhya Pradesh   (ix). District: Harda   (x). Tehsil: NIL   (xi). Pin: 461331   (xii). Landmark: NIL   (xiii). Email Address: piuharda@nhai.org   (xiv). Landline Telephone No.: 0-   (xv). Fax No.: NIL   (xvi). Mobile No.: 9425601972   (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.Harda(T)0.0610
2.Hoshangabad(T)4.7720
3.West Betul6.5660
Total11.3990
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Harda0.0610
1.Hoshangabad4.7720
3.Betul6.5660
Total11.3990
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Uskalli0.0610
2Dhekna4.7720
3Khokrakheda1.0710
4Gawasen2.1380
5Tanda1.0330
6Kurasna1.2860
7Ajai0.9720
8Alampur0.0660
Total 11.399 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road Construction and Widening11.3990
Total 11.399 0
C. Maps of forest land proposed to be diverted
Division 1. : Hoshangabad(T)
  (i). Area of forest land proposed to be diverted(in ha.) : 4.772   (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).
1.4.772    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:
Division 2. : Harda(T)
  (i). Area of forest land proposed to be diverted(in ha.) : 0.061   (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).
1.0.061    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:
Division 3. : West Betul
  (i). Area of forest land proposed to be diverted(in ha.) : 6.566   (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).
1.6.566    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): 120   (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?: 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?: 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 ?: Not Applicable   (iii) . Reason for not providing Non-Forest Land: Central Govt. Project
Additional information Details
Documents
S.No Documents
Remarks
1NPV Undertaking
2CA Undertaking
3Administrative Approval
4Detailed Note on project
5Minimun Use of Forest Land
6Muck Disposal Undertaking
7Reserve Price of Trees Undertaking
8Calculation Sheet
9Justification for Taking Additional Forest land
10Unused Forest Area from the Approved 56.515 Ha land (FP/MP/ROAD/33615/2018)
11Wildlife Mitigation Measure Plan for the Project
12Puchnama (Site Visit) for Seoni Malwa Range is attached
13Reply to the EDS Raised for Payment for Hoshangabad Division