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/PB/ROAD/150782/2022
(ii). Name of Project for which Forest Land is required :
Four Laning of Moga –Bajakhana (Lambwali) Section of NH-105B with Paved Shoulder from Km. Ch. 0+000 to km. Ch. 42+733 under BHARATMALA Pariyojna, (Package-IV) in districts of Moga and Faridkot in the State of Punjab on Hybrid Annuity Mode
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
The Forest Area proposed for Diversion is 3.03 Ha. The Project road is part of SH16A of Punjab State Highway and defines as feeder route of Ludhiana-Moga-Jaito section. The project road confluence with existing National Highway -15 at Bajakhana.
(iv). State :
Punjab
(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) :
100800
(viii). Area of forest land proposed for diversion(in ha.):
3.03
(ix). Non-forest land required for this project(in ha.):
199.89
(x). Total period for which the forest land is proposed to be diverted(in years):
99
A-2.
Details of User Agency
(i). Name :
PIU BATHINDA NHAI
(ii). Address1 :
House no 16308, Street No 13/9, Dhillon Colony, Barnala Road, Bathinda
(iii). Address2 :
NIL
(iv). State :
Punjab
(v). District :
Bathinda
(vi). Pin :
151001
(vii). Landmark :
NIL
(viii). Email address :
piubathinda@nhai.org
(ix). Landline Telephone No. :
164-2270030
(x). Fax No. :
164-
(xi). Mobile No. :
8447360640
(xii). Website (if any) :
nhai.org
(xiii). Legal status of User Agency :
Central Government
A-3.
Details of Person Making Application
(i). First Name:
Vipul
(ii). Middle Name:
NIL
(iii). Last Name:
Gupta
(iv). Gender:
Male
(v). Designation:
Project Director
(vi). Address 1:
House no 16308, Street no 13/9, Dhillon Colony, Barnala Road, Bathinda
(vii). Address 2:
NIL
(viii). State:
Punjab
(ix). District:
Bathinda
(x). Tehsil:
Bathinda
(xi). Pin:
151001
(xii). Landmark:
NIL
(xiii). Email Address:
piubathinda@nhai.org
(xiv). Landline Telephone No.:
164-2912800
(xv). Fax No.:
NIL
(xvi). Mobile No.:
9899009569
(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.
Ferozepur
3.03
199.89
Total
3.03
199.89
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Moga
2.83
184.05
1.
Faridkot
0.2
15.84
Total
3.03
199.89
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Sekha Kalan
0.54
17.2
2
Dunneke
0.56
3.87
3
Moga Jitsingh
0.31
17
4
Singhanwala
0.14
18.86
5
Chand Nawan
0
1.78
6
Chand Purana
0
12.22
7
Gill
0.32
9.91
8
Rajiana
0.34
28.65
9
Veroke
0.26
14.02
10
Thathi Bhai
0.22
14.05
11
Bagha purana
0.08
17.58
12
Bambia Bhai
0
7.39
13
Wander
0.06
21.51
14
Gondara
0.2
6.79
15
Jharkharwala
0
0.81
16
Lambwali
0
8.25
Total
3.03
199.89
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Road Construction and Widening
3.03
199.89
Total
3.03
199.89
C.
Maps of forest land proposed to be diverted
Division 1. : Ferozepur
(i). Area of forest land proposed to be diverted(in ha.) :
3.03
(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.
3.03
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):
150
(iii). Temporary Employment(Number of person-days):
360000
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
Project Approval
2
Cost Abstract
3
Forest Notification
4
Form A (Part-1)
5
Approved Railway Drawings
6
Calculation Sheet
7
CA Undertaking
8
NPV Undertaking
9
Additional CA Undertaking
10
Additional NPV Undertaking
11
Penal CA Undertaking
12
Penal NPV Undertaking
13
Irrigation and Other Undertaking
14
FRA Undertaking
15
Minimun Use of Forest Undertaking
16
Muck Disposal Undertaking
17
No Stage-I Proposal Pending Undertaking
18
Cost Of Tree Undertaking
19
Statement Showing Forest Area
20
Statement Showing Non-Forest Area
21
Government Premises Undertaking
22
Break up of Forest Land
23
Break up of Non-Forest Land
24
EDS Reply dated 09/052020
25
EDS Reply to the query raised on 26082022
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