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/OR/ROAD/20160/2016
(ii). Name of Project for which Forest Land is required :
Widening & strengthening to NH-220 from km 35/700 to 71/120 km (Rairangpur - Jashipur section
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
The work"Widening & strengthening to two lane with paved shoulder from km 35/700 to 71/120 km of NH-220 (Rairangpur to Jashipur section) for the year 2015-16 has been approved by MoRT&H, New Delhi vide letter No.RW/NH-12014/30/2015/ORS/P-5 dated 17th March'2016, Job No.220-ORS-2015-16-578. To accomm
(iv). State :
Orissa
(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) :
9250.2
(viii). Area of forest land proposed for diversion(in ha.):
7.8199
(ix). Non-forest land required for this project(in ha.):
76.671
(x). Total period for which the forest land is proposed to be diverted(in years):
NIL
A-2.
Details of User Agency
(i). Name :
EXECUTIVE ENGINEER NHDIVISION BARIPADA
(ii). Address1 :
N.H. Division, Baripada,Murgabadi Mayurbhanj, Odisha
(iii). Address2 :
NIL
(iv). State :
Orissa
(v). District :
Mayurbhanj
(vi). Pin :
757002
(vii). Landmark :
NIL
(viii). Email address :
eenhbaripada@yahoo.in
(ix). Landline Telephone No. :
6792-260695
(x). Fax No. :
6792-
(xi). Mobile No. :
9493901722
(xii). Website (if any) :
NIL
(xiii). Legal status of User Agency :
Central Government
A-3.
Details of Person Making Application
(i). First Name:
Pramoda
(ii). Middle Name:
Kumar
(iii). Last Name:
Dhar
(iv). Gender:
Male
(v). Designation:
Executive Engineer
(vi). Address 1:
N.H. Division, Baripada, Murgabadi
(vii). Address 2:
NIL
(viii). State:
Orissa
(ix). District:
Mayurbhanj
(x). Tehsil:
Baripada Town
(xi). Pin:
757002
(xii). Landmark:
NIL
(xiii). Email Address:
eenhbaripada@yahoo.in
(xiv). Landline Telephone No.:
6792-260695
(xv). Fax No.:
NIL
(xvi). Mobile No.:
9439301722
(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.
Rairangpur
2.6089
61.257
2.
Karanjia
5.211
15.414
Total
7.8199
76.671
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Mayurbhanj
7.8199
76.671
Total
7.8199
76.671
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Khajuripada
0.1296
0.3
2
Dalki
0
3.449
3
Timtima
0
0.915
4
Kasiabeda
2.1716
0.978
5
Kalashbandh
0
1.332
6
Balisundra
0
1.656
7
Jamda
0
0.732
8
Gokarnabindha
0
0.964
9
Hill block-II
5.211
0.292
10
Pandugandi
0.3077
1.109
11
Rout Khamar
0
0.838
12
Rairangpur
0
4.547
13
Samardhapa
0
2.563
14
Nuagaon
0
3.271
15
Musabani
0
5.279
16
Naujoda
0
4.915
17
Nagabhan
0
1.178
18
Bhalubasa
0
1.923
19
Chingudipokhori
0
3.239
20
Gopalpur
0
2.838
21
Bakedi
0
0.599
22
Kaduani
0
1.862
23
Hatbadra
0
6.409
24
Kherena
0
7.571
25
Jadida
0
3.057
26
Padhiha
0
2.745
27
Majhigaon
0
1.672
28
Jokajhori
0
1
29
Mahardapalasa
0
2.312
30
Kendumundi
0
1.713
31
Jamukeswar
0
5.413
Total
7.8199
76.671
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Road
7.8199
76.671
Total
7.8199
76.671
C.
Maps of forest land proposed to be diverted
Division 1. : Karanjia
(i). Area of forest land proposed to be diverted(in ha.) :
5.211
(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.
5.211
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. : Rairangpur
(i). Area of forest land proposed to be diverted(in ha.) :
2.6089
(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.
2.6089
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:
Minimum bare requirement of forest area has been t
E.
Employment likely to be generated
(i). Whether the Project is likely to generate employment ?:
Yes
(ii). Permanent/Regular Employment(Number of persons):
100
(iii). Temporary Employment(Number of person-days):
500
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? :
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
2
Submission of Compliance report.
3
EDS has been complied vide dated 31.08.2017.
4
Submission of Compliance report on CA Land
5
Compliance report on CA Land
6
submission of compliance report
7
submission of compliance report
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