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/156438/2022
(ii). Name of Project for which Forest Land is required :
4 Laning of Indore-Muktainagar Section of NH-753L from Boregaon Buzurg, Khandwa District in MP Design Ch. 139+000 to Muktainagar, Jalgaon District in MH Design Ch. 216+278 (length 77.278 km) under Bharatmala Pariyojana in the state of Madhya Pradesh
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
4 Lane with paved shoulder, Junction Improvement, realignment & bypasses for towns & villages, geometric improvement, facilities & amenities and construction of Toll Plaza. This project road is part of NH-753L traverses through Khandwa and Burhanpur District of Madhya Pradesh and Jalgaon District of
(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) :
233200
(viii). Area of forest land proposed for diversion(in ha.):
87.5709
(ix). Non-forest land required for this project(in ha.):
248.8922
(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
(ii). Address1 :
Plot No. 66-67, Siddhi Vinayak Colony, Near Dadaji College, Indore Road, Khandwa (M.P.) 450001
(iii). Address2 :
NIL
(iv). State :
Madhya Pradesh
(v). District :
Khandwa
(vi). Pin :
450001
(vii). Landmark :
Near Dadaji College
(viii). Email address :
piukhandwa@nhai.org
(ix). Landline Telephone No. :
0-
(x). Fax No. :
0-
(xi). Mobile No. :
9425676018
(xii). Website (if any) :
NIL
(xiii). Legal status of User Agency :
Central PSU
A-3.
Details of Person Making Application
(i). First Name:
V
(ii). Middle Name:
K
(iii). Last Name:
Kankane
(iv). Gender:
Male
(v). Designation:
Project Director
(vi). Address 1:
Plot No. 66-67, Siddhi Vinayak Colony, Near Dadaji College, Indore Road, Khandwa M.P. 450001
(vii). Address 2:
NIL
(viii). State:
Madhya Pradesh
(ix). District:
Khandwa
(x). Tehsil:
Khandwa
(xi). Pin:
450001
(xii). Landmark:
Near Dadaji College
(xiii). Email Address:
piukhandwa@nhai.org
(xiv). Landline Telephone No.:
0-
(xv). Fax No.:
NIL
(xvi). Mobile No.:
9425676018
(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.
Khandwa(T)
10.6681
5.6889
2.
Burhanpur(T)
76.9028
243.2033
Total
87.5709
248.8922
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Khandwa
10.6681
5.6889
1.
Burhanpur
76.9028
243.2033
Total
87.5709
248.8922
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Boregaon Buzurg
0
5.3422
2
Compartment No - 730
1.0139
0.2355
3
Compartment No - 731
8.2947
0
4
Compartment No - P735
1.3595
0.1112
5
Compartment No - 135
1.5608
0.1143
6
Compartment No - 140
8.6862
0.573
7
Compartment No - 141
0.1884
0.0185
8
Compartment No - 148
0.8457
0.1114
9
Compartment No - 150
1.0142
0.384
10
Compartment No - 151
2.5687
0.8456
11
Compartment No - P-152
1.771
0.6426
12
Compartment No - 153
0.0422
0
13
Compartment No - 156
5.7797
3.0583
14
Compartment No - 157
5.5552
1.5433
15
Compartment No - P-175
1.7539
0.4591
16
Compartment No - 185
2.5892
1.4384
17
Compartment No - 188
2.9768
0.3938
18
Compartment No - 189
2.3366
0.0533
19
Compartment No - 190
3.4798
0.0889
20
Compartment No - 205A
6.797
2.0589
21
Compartment No - 205B
2.4241
0.6134
22
Compartment No - 206
3.5998
1.3816
23
Compartment No - 227
2.4458
0.9323
24
Compartment No - 228
2.6047
2.4665
25
Compartment No - 229
9.1942
3.6115
26
Compartment No - 177
0.1222
0.093
27
Compartment No - 178
4.3714
0.9815
28
Compartment No - 184
4.1952
1.3354
29
Asir
0
12.071
30
Jhiri
0
10.6169
31
Chulkhan
0
17.2087
32
Bori Khurd
0
5.6028
33
Basad
0
6.7623
34
Umarda
0
19.3817
35
Jainabad
0
36.9219
36
Khadkod
0
5.2483
37
Sukhpuri
0
11.168
38
Manusgaon
0
14.1101
39
Shahpur
0
27.2955
40
Dapora
0
9.88
41
Chapora
0
18.4219
42
Ichhapur
0
15.1025
43
Bhota
0
10.2131
Total
87.5709
248.8922
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Existing Road widening Khandwa
4.0458
5.6889
2
Realignment in Khandwa
6.6223
0
3
Toll Plaza
0.45
0
4
Realignment in Burhanpur Dist
29.2936
0
5
Existing Road widening in Burhanpur
47.1592
243.2033
Total
87.5709
248.8922
C.
Maps of forest land proposed to be diverted
Division 1. : Khandwa(T)
(i). Area of forest land proposed to be diverted(in ha.) :
10.6681
(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.
10.6681
View File
2.
0
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. : Burhanpur(T)
(i). Area of forest land proposed to be diverted(in ha.) :
76.9028
(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.
76.9028
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:
Widening and realignment of 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):
50
(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? :
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
Authorization Letter
2
Certificate of Minimum use of Forest Land
3
Justification for locating the project in Forest Land
4
Undertaking for FRA
5
Undertaking for cost of trees
6
Payment of CA
7
Payment of NPV
8
Muck Disposal
9
Cost Benefit Analysis
10
Land Schedule Khandwa
11
Difference between IRO and Toposheet Area
12
DGPS Khandwa
13
DGPS Burhanpur
14
Toposheet Khandwa
15
Toposheet Burhanpur
16
Khandwa Forest Department Toposheets
17
Burhanpur Forest Deptt Toposheets
18
Density wise area
19
Land Schedule Burhanpur Division
20
Area as per Forest Range
21
Reply to EDS Raised by DFO Khandwa
22
Image of Project plan in less than 50kb submitted through email
23
EDS Reply
24
EDS Reply 21/03/2023
25
EDS Reply
26
EDS Reply
27
EDS Reply
28
Reply of REC observation dated 23-10-23
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