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/24576/2017   (ii). Name of Project for which Forest Land is required : Rehabilitation and upgradation to two/four laning of Talchar-Dubari-Chandikhole section of NH-200 in Odisha   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : The project road start Balar Chowk junction at Talchar Km 8.500 of NH-23 proceeding to Pitiri junction at km 14.866 of NH-23 (km 301.890 of NH-200) and goes up to Km. 427.885, the junction with NH-5 in Chandikhole town.   (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) : 149456   (viii). Area of forest land proposed for diversion(in ha.): 176.231   (ix). Non-forest land required for this project(in ha.): 618.769   (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 : 301-A, Third floor, Pal Heights   (iii). Address2 : Jaydev Vihar, Bhubaneshwar-751013   (iv). State : Orissa   (v). District : Khordha   (vi). Pin : 751013   (vii). Landmark : Pal Heights, Jaydev Nagar   (viii). Email address : piudhenkanal@nhai.org   (ix). Landline Telephone No. : 674-2361570   (x). Fax No. : 674-   (xi). Mobile No. : 7024126001   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : Central Government
A-3. Details of Person Making Application
  (i). First Name: Subhash   (ii). Middle Name: NIL   (iii). Last Name: Chandra   (iv). Gender: Male   (v). Designation: ProjectDirector   (vi). Address 1: Plot No. 1768, Near Kalinga Eye Hospital, Dakkhinkali Road   (vii). Address 2: Dhenkanal - 759001   (viii). State: Orissa   (ix). District: Dhenkanal   (x). Tehsil: Dhenkanal Sadar   (xi). Pin: 759001   (xii). Landmark: NIL   (xiii). Email Address: piudhenkanal@nhai.org   (xiv). Landline Telephone No.: 6762-226850   (xv). Fax No.: NIL   (xvi). Mobile No.: 7024126001   (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.Cuttack105.361323.389
2.Dhenkanal70.87279.592
3.Angul015.788
Total176.231618.769
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Jajpur105.361323.389
1.Dhenkanal70.87279.592
3.Anugul015.788
Total176.231618.769
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Botlanda4.3270.036
2Damoderpur2.3870
3Pubal0.2030
4Mangalpur6.4770.863
5Nizagarh4.9557.695
6Madhapur4.9140
7Abhaypur0.6720
8Sansailo5.1264.529
9Dubri5.52710.668
10Gobarghati17.12812.745
11Baragaria5.7035.914
12Mirigchara10.68319.143
13Golagaon15.1214.4
14Nimapali22.13815.497
15Pankhpal011.898
16Brahamani River to Chandikhole0230
17Tiplai13.8784.237
18Bamuna01.666
19Dayanabil02.149
20Balipada03.669
21Palasapithia02.526
22Basudeipur03.229
23Garhnursinhaprasad0.1883.338
24Murga00.529
25Kainsiri0.6681.592
26Balijhati0.2275.897
27Samala6.7689.112
28Bhuban Bethiapala01.403
29Natakata Bhuban1.0686.094
30Talagadia00.097
31Baunsakani00.386
32Anantapur01.087
33Chhatakhamb01.935
34Gamaragol05.406
35Bhuban Bhadaliapasi1.149.06
36Bhuban Muktapasi03.01
37Bhuban Tolakaberani01.587
38Bangura Oraf Kusia0.8819.333
39Sibalapasi1.1237.422
40Gopigadia0.5483.974
41Alutuma0.12214.49
42Malapura3.1536.944
43Nuni Oraf Rajakulakateni01.238
44Baligorada0.4095.609
45Baisinga0.0496.261
46Nuapani0.213.137
47Kantaripat2.6261.83
48Rangamatia0.1052.197
49Badasuani0.7416.669
50Hatuari00.267
51Sansuanala03.217
52Lokanathpur2.6016.251
53Tangarapara1.6324.99
54Mathakargola0.0323.837
55Mukutapasi0.8256.127
56Saradhapur0.4678.427
57Kanhupura2.9219.389
58Bhalumunda00.344
59Jiramalia4.0810.077
60Balbhadrapur patana00.38
61Sarang0.83614.363
62Khalpal Reserve Forest8.480
63Pitiri0.09311.996
64Gelheikateni01.493
65Mundeilo Balabhadrapur04.201
66Hatiluchani03.303
67Dihadol04.729
68Barihapur1.74318.762
69Badjhara3.43710.833
70Kapsera0.3963.808
71Muktapasi0.97513.444
72Siarimalia7.6022.785
73Gadaparjung08.633
74Khairanali0.8450.919
Total 176.231 603.076
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Highway Widening176.231618.769
Total 176.231 618.769
C. Maps of forest land proposed to be diverted
Division 1. : Cuttack
  (i). Area of forest land proposed to be diverted(in ha.) : 105.361   (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).
1.105.361    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. : Dhenkanal
  (i). Area of forest land proposed to be diverted(in ha.) : 70.87   (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).
1.70.87    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: It is an existing National Highway
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 30   (iii). Temporary Employment(Number of person-days): 130000
F. Displacement of People due to the Project, if any
  (i). Whether Project involves displacement?: Yes   (a). Total Number of families : 1584   (b). Number of Scheduled Caste families : 110   (c). Number of Schedule Tribes families : 42   (d). Number of other families : 1432   (ii). Copy of Rehabilitation and Resettlement Plan: No Data   (a). Copy of approval to Ministry of Tribal Affairs,Government of India to Rehabilitation and Resettlement:
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 ? : Yes   (a). Status of the Environmental Clearance to the Project: EC obtained   (b). Environmental Clearance File No.: 5-41/2007-IA-III   (c). Copy of Environmental Clearance to the Project: No Data   (d). Date of grant of Environmental Clearance to the Project: 2014-17-09
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
1Submission of 6 sets of hard copy proposal to DFO Dhenakanal
2Submission of 6 sets of hard copy proposal to DFO Cuttak
3Compliance to DFO Cuttak Letter dated 8th May, 2017
4Compliance to DFO Cuttack's letter dated 12th July, 2017
5Compliance towards Compensatory afforestation
6Compliance of RCCF comment raised vide 6417 dated 27.12.17