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/TG/ROAD/32342/2018
(ii). Name of Project for which Forest Land is required :
4 - Laning of NH- 363 HKC in Telangana.
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
Feasibility study and Preparation of Detailed Project Report for construction of four laning of NH 363 Hyderabad-Karimnagar-Chanda road from Km 0.000 (Km.251.900) to Km 94.602 (Km 342.000) (from Mancherial to Maharashtra State border) in the state of Telangana.162,
(iv). State :
Telangana
(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) :
162000
(viii). Area of forest land proposed for diversion(in ha.):
62.25
(ix). Non-forest land required for this project(in ha.):
324.562
(x). Total period for which the forest land is proposed to be diverted(in years):
100
A-2.
Details of User Agency
(i). Name :
National Highways Authority of India
(ii). Address1 :
National Highwasy Authority of India, Project Implementation Unit, H.No, 1-2-21/k16/18, L.K. Towers2nd Floor, Shivaji Chowk, Nirmal, Nirmal District
(iii). Address2 :
National High Wasy Authority of Inida, Project Implementation Unit, H.No, 1-2-21/k16/18, L.K. Towers, 2nd Floor, Shivaji Chowk, Nirmal, Nirmal District
(iv). State :
Telangana
(v). District :
Adilabad
(vi). Pin :
504106
(vii). Landmark :
L.K.Towers
(viii). Email address :
nirmal@nhai.org
(ix). Landline Telephone No. :
8734-4241365
(x). Fax No. :
8734-
(xi). Mobile No. :
8008987999
(xii). Website (if any) :
NIL
(xiii). Legal status of User Agency :
Central Government
A-3.
Details of Person Making Application
(i). First Name:
MIR
(ii). Middle Name:
HAMED
(iii). Last Name:
ALI
(iv). Gender:
Male
(v). Designation:
DGM
(vi). Address 1:
National Highways Authority of India, Project Implementation Unit, H.No, 1-2-21/k16/18, L.K. Towers, 2nd Floor, Shivaji Chowk, Nirmal, Nirmal District
(vii). Address 2:
NIL
(viii). State:
Telangana
(ix). District:
Adilabad
(x). Tehsil:
Nirmal
(xi). Pin:
504106
(xii). Landmark:
L.K.Towers
(xiii). Email Address:
nirmal@nhai.org
(xiv). Landline Telephone No.:
873-4241365
(xv). Fax No.:
NIL
(xvi). Mobile No.:
8008987999
(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.
Mancherial
42.57
93.097
2.
Bellampally
3.55
83.431
3.
Asifabad
16.13
148.034
Total
62.25
324.562
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Mancherial
46.12
176.528
1.
Komarambheem Asifabad
16.13
148.034
Total
62.25
324.562
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Ramarao pet
15.986
0
2
Singapur
6.072
2.705
3
Tallapalli
0
9.051
4
Naspur
14.835
5.401
5
Mancherial
0
16.576
6
Garmilla
0
6.578
7
Thimmapur
5.655
4.219
8
Andgulapeta
0
4.058
9
Mandamarri
0
18.201
10
Kasipet
0
0.072
11
peddampalli
0
14.23
12
Akenipalli
0
8.403
13
Boypalli
0
4.76
14
Kannal
0
39.341
15
Kistampet
0
2.002
16
Tandur
0
8.14
17
Kottapalli
3.39
5.991
18
Pagadipalli
0.262
0.492
19
Pultikunat
0.545
7.333
20
Repalle wada
0
5.893
21
Gangapur
2.867
0.927
22
Rebbana
0
9.448
23
Nerpalli
0
9.004
24
Edavelly
0
5.516
25
kondapalle
0
2.556
26
Khairgaon
0
6.667
27
Motuguda
0
3.772
28
Buruguda
0
4.566
29
Asifabad
0
8.571
30
Godavalle
0
3.042
31
Rajampet
0
6.887
32
Janakpur
0
27.78
33
Saleguda
0
2.55
34
Ippalnvegaon
0
6.15
35
Jaithpur
0
4.623
36
Bendra
0
11.491
37
Tajapur
0
0.749
38
Sarandi
0
4.536
39
Wankidikalan
0
11.447
40
Bambara
3.748
3.767
41
Mahagaon
3.963
0.442
42
Govegaon
4.92
0.32
Total
62.243
298.257
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Road
62.25
324.562
Total
62.25
324.562
C.
Maps of forest land proposed to be diverted
Division 1. : Asifabad
(i). Area of forest land proposed to be diverted(in ha.) :
16.13
(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.
16.13
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. : Mancherial
(i). Area of forest land proposed to be diverted(in ha.) :
42.57
(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.
42.57
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. : Bellampally
(i). Area of forest land proposed to be diverted(in ha.) :
3.55
(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.
3.55
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:
This only Up-gradation of the existing road to fou
E.
Employment likely to be generated
(i). Whether the Project is likely to generate employment ?:
Yes
(ii). Permanent/Regular Employment(Number of persons):
0
(iii). Temporary Employment(Number of person-days):
50000
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
Index Map of the project road
2
Topo sheet NO - E 44 B6
3
MoEF and CC notification for exemption of EC
4
Topo Sheet No. E44B7
5
Topo Sheet No. E44B8
6
MANCHERIAL 3A
7
MANCHERIAL 3A 2
8
ASIFABAD 3A
9
ASIFABAD 3A 2
10
TOPO SHEET E44H5
11
TOPO SHEET E44H9
12
Typical Cross Sections
13
Project Description
14
Geo-referenced map f the project location
15
MoEF circular exempting grama sabha
16
Undertaking for additional NPV
17
Undertaking for any other condition
18
Archaeological certificate from UA
19
Bare minimum certificate from UA
20
checklist
21
undertaking to pay NPV
22
undertaking for paying CA land from UA
23
undertaking for environmental clearance from UA
24
FORM A
25
FRA Undertaking
26
Project justification
27
certificate for no alternatives for project from UA
28
undertaking for No Labour Camp
29
certificate for No violation of FCA
30
undertaking for demarcation of stones from UA
31
undertaking for unqualified commitment from UA
32
undertaking for work in non forest land from UA
33
project brief note
34
Cost benefit analysis
35
Revised Form-A
36
Undertakings revised
37
CBA revised
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