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/RJ/ROAD/41036/2019   (ii). Name of Project for which Forest Land is required : Upgradation to 2 lane with paved shoulder/ 4 lane of Khajuwala - Poogal Section (Design chainage 0+000 to 30+812) and Poogal - Dantour - Jaggasar - Gokul - Goddu- Ranjitpura - Charanwala - Naukh - Ba   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Upgradation to 2 lane with paved shoulder/ 4 lane of Khajuwala - Poogal Section (Design chainage 0+000 to 30+812) and Poogal - Dantour - Jaggasar - Gokul - Goddu- Ranjitpura - Charanwala - Naukh - Bap section of NH-911 (Design chainage 1+430 to 182+725) (Total Length 212.107 Km) under Bharatmala p   (iv). State : Rajasthan   (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) : 85729   (viii). Area of forest land proposed for diversion(in ha.): 11.8259   (ix). Non-forest land required for this project(in ha.): 715.8757   (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 BIKANER   (ii). Address1 : C-38, Sadulganj, Bikaner   (iii). Address2 : NIL   (iv). State : Rajasthan   (v). District : Bikaner   (vi). Pin : 334001   (vii). Landmark : Near Medical Circle   (viii). Email address : bikaner@nhai.org   (ix). Landline Telephone No. : 151-2224077   (x). Fax No. : 151-2224077   (xi). Mobile No. : 8233652252   (xii). Website (if any) : nhai.org   (xiii). Legal status of User Agency : Central Government
A-3. Details of Person Making Application
  (i). First Name: Subhas   (ii). Middle Name: NIL   (iii). Last Name: Janu   (iv). Gender: Male   (v). Designation: PD   (vi). Address 1: c-38, sadulganj, Bikaner   (vii). Address 2: PIU, NHAI, Bikaner   (viii). State: Rajasthan   (ix). District: Bikaner   (x). Tehsil: Bikaner   (xi). Pin: 334001   (xii). Landmark: NIL   (xiii). Email Address: nhaibikaner@gmail.com   (xiv). Landline Telephone No.: 151-2224077   (xv). Fax No.: 1512224077   (xvi). Mobile No.: 8233652252   (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
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
1Approved8B/RJ/05/972//92/FC10-23/2013-IA-III295.733295.73327 Oct 201501 Dec 2015
Total 295.733 295.733
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.Chhatargarh Territorial4.9453179.7653
2.DCF STII BIKANER6.8806536.1104
Total11.8259715.8757
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Bikaner11.8259715.8757
Total11.8259715.8757
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
18 KJD A04.075
28 KJD B0.42437.001
311 KJD04.9
413 KJD A0.38048.032
54 PKM0.77392.026
61-2 MDM00.7
73 PKM0.21393.572
83 ADM00.01
94 ADM03.149
101 ADM0.354110.044
117 PB B0.54081.048
127 PB A03.933
132 BLD0.52732.745
143 BLD B0.28195.368
156 BLD0.36393.332
1620 DD09.652
1719 DD03.22
1816 DD05.265
192 RSM08.424
203 RSM A03.465
214 RSM08.145
2211-14 AD0.4727.952
238 MM04.186
24PUGAL MANDI00.627
2513 AD A01.665
2613 AD B04.74
277 KWM03.81
288 KWM05.16
296 KWM02.448
3010 KWM05.106
311 KHM015.105
322 KHM0.77711.609
3314 BLD A02.865
3414 BLD B02.813
353 KHM03.855
365 KHM04.035
376 KHM011.43
383 PRM06.309
394 PRM03.171
406 PRM06.692
419 PRM06.399
4210 PRM02.093
438 PRM013.253
4422 BLD07.506
4520 KHM A010.599
4617 KHM A0.03190.293
4716 KHM0.002911.531
4818 SMD011.777
4916 SMD01.215
504 JM0.050714.088
5110 TWM06.188
529 TWM02.349
537 TWM07.2
546-8 TWM07.47
554 TWM010.305
562 TWM00.882
578 BSD04.635
586 BSD027.54
593 GSM0.052514.663
602 GSM04.142
611 GSM03.398
625 GM03.375
635 GM A07.38
646 GM06.66
658 GM0.278711.2863
665 HLM0.20791.3671
676 HLM01.17
684 HLM016.875
692 CD016.609
702 CD OLD00.272
7116 DOBB0.3327.496
7217 DOBB010.845
7314 GMR011.385
7415 GMR019.049
7519 GMR0.06325.204
7617 GMR011.475
772 PSM II011.385
783-4 PSM II013.815
7914 RDY018.045
805 PSM II07.481
814 PSSM IGNP0.08974.683
823 PSSM0.05734.683
838 PSM I09.89
849 PSM I09.637
85CHARANWALA BARANI09.349
8633 CWB0.122910.476
8732 CWB0.24295.884
8834 CWB02.494
892 CWM03.219
903 CWM03.131
9114-15-17 KHD013.257
929 GWM B05.34
939 GWM A04.73
948 GWM A03.93
951 BKM03.225
963 BKM0.27583.5042
972 BKM1.43397.705
98BIKAMPUR BARANI3.20125.8762
99SEWADA017.108
100NETAWATO KI DHANI017.108
Total 11.5528 715.6138
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1cONSTRUCTION OF rOAD11.8259715.8757
Total 11.8259 715.8757
C. Maps of forest land proposed to be diverted
Division 1. : Chhatargarh Territorial
  (i). Area of forest land proposed to be diverted(in ha.) : 4.9453   (ii). Nature of the Project: Linear   (b). No. of Segments : Twelve
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).
1.0.989    View File
2.0.0985    View File
3.0.1006    View File
4.0.1263    View File
5.0.1796    View File
6.0.1696    View File
7.0.2066    View File
8.0.2136    View File
9.0.2807    View File
10.0.3181    View File
11.0.0169    View File
12.0.018    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. : DCF STII BIKANER
  (i). Area of forest land proposed to be diverted(in ha.) : 6.8806   (ii). Nature of the Project: Linear   (b). No. of Segments : Twelve
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).
1.0.246    View File
2.0.226    View File
3.0.0507    View File
4.0.0525    View File
5.0.1414    View File
6.0.1373    View File
7.0.1063    View File
8.0.1016    View File
9.0.332    View File
10.0.0632    View File
11.0.0625    View File
12.0.0845    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: Upgradation & construction 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): 0   (iii). Temporary Employment(Number of person-days): 1000
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? : Yes   (a). Copy of documentry evidence in support of settlement of rights under the Forest Rights Act,2006 on the forest land proposed to be diverted:
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
1Undertaking_for_conservation_of_flora
2Bar_Chart
3Bikaner_Division_Jamabandi
4Certificate_for_minimum_use_of_forest_land
5Chattargarh_division_Jamabandi
6Co_Ordinate_list
7Cross-Section_of_road
8Divisionwise_area_calculation_sheet
9Financial_Approval_of_project
10Gazzette_Notification_of_forest
11Gazzette_notification_of_NH
12NOC_For_Canal_crossing
13Project_report
14Segmentwise_area_calculation_sheet
15Tree_Details
16Undertaking_for_cost_of_compensatory_afforestation
17Undertaking_for_existing_road
18Undertaking_for_no_changes_in_statutory_position
19Undertaking_for_NPV
20Undertaking_for_payment_of_any_other_cost_condition
21Undertaking_for_use_of_any_material
22Undertaking_for_use_of_forest_land
23Villagewise_Area_calculation_Sheet
24Undertaking_for_waste_management
25reply_by_user_agency_for_chattargarh_division
26reply_by_user_agency_for_IGNP_ST-II