FORM - B
Form for seeking prior approval under Section-2 of the proposals by the State Governments and other authorities, in respect of renewal of leases,
which have been earlier granted clearance under Forest (Conservation) Act,1980
PART - I
(To be filled up by User Agency)
A.
General Details
A-1.
Project Details
(i). Proposal No. :
FP/GJ/ROAD/27083/2017
(ii). Name of Project for which Forest Land is required :
Four laning of Kalavad-Jamnagar section of NH-927D in the State of Gujarat
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
Upgradation of two lane to Four laning from Kalavad to Jamnagar section from stretches 50+925 to 4+700 Package-II in the state of Gujarat
(iv). State :
Gujarat
(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) :
55000
(viii). Area of forest land proposed for diversion(in ha.):
4.7732
(ix). Non-forest land required for this project(in ha.):
140
(x). Total period for which the forest land is proposed to be diverted(in years):
99
A-2.
Details of User Agency
(i). Name :
EXECUTIVE ENGINEER NATIONAL HIGHWAY DIVISION
(ii). Address1 :
Office of the Executive Engineer, National Highway Division, Dr. Rajendr Prasad Road, Rajkot
(iii). Address2 :
NIL
(iv). State :
Gujarat
(v). District :
Rajkot
(vi). Pin :
360001
(vii). Landmarks :
Nr. Kashi Vishvanath Temple
(viii). Email address :
eenhdivisionrajkot@gmail.com
(ix). Landline Telephone No. :
2446605
(x). Fax No. :
NIL
(xi). Mobile No. :
9925435560
(xii). Website (if any) :
NIL
(xiii). Details of Proposals seeking prior approval of Central Government under the Act for diversion of forest land submitted by the User Agency 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
(xiv). Legal status of User Agency :
State Government
A-3.
Details of Person Making Application
(i). First Name:
Hetal
(ii). Middle Name:
C
(iii). Last Name:
Patel
(iv). Gender:
Male
(v). Designation:
Executive Engineer
(vi). Address 1:
Office of the Executive Engineer, National Highway Division, Dr. Rajendra Prasad Road, Rajkot
(vii). Address 2:
NIL
(viii). State:
Gujarat
(ix). District:
Rajkot
(x). Tehsil:
Rajkot
(xi). Pin:
360001
(xii). Landmarks:
Nr. Kashi Vishvanath Temple
(xiii). Email Address:
eenhdivisionrajkot@gmail.com
(xiv). Landline Telephone No.:
2446605
(xv). Fax No.:
NIL
(xvi). Mobile No.:
9925435560
(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:
A-7.
Details of the forest land returned back to the State Forest Department or any other Authority from the forest land diverted in favour of the user agency
A-9.
Details of Transfer of Lease
Serial No
Name of person
Address of person
Date of transfer
MMDR File
Transfer Deed
Conservation
MoEF_file No
Date of approval
MoEF file
NIL
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
(i). Whether any proposal seeking prior approval of Central Government under the Act for diversion of forest land required for the project has been submitted in the past?. :
No
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.
Jamnagar
4.7732
140
Total
4.7732
140
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Jamnagar
4.7732
140
Total
4.7732
140
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Jamnagar
0
3.7572
2
Theba
0
3.4131
3
Mota thabariya
0
10.756
4
Vijarakhi
0
9.8351
5
Sapda
0.135969
7.6141
6
Modpar
1.092749
5.9127
7
Pasaya
3.074524
0.1
8
Matva
0
1.5746
9
Motimatli
0
15.544
10
Dhudsiya
0.4699
0
11
Khandhera
0
17.4618
12
Haripar
0
3.9006
13
Nanabadanpar
0
5.1644
14
Kalavad Jashapar Byepass
0
54.9664
4.773142
140
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
upgradation of road from from km 50.925 to KM 4.70
4.7732
140
Total
4.7732
140
C.
Maps of forest land proposed to be diverted
Division 1. : Jamnagar
(i). Area of forest land proposed to be diverted(in ha.) :
4.7732
(ii).Shape of forest land proposed to be diverted :
Linear
(b). No. of Segments :
Four
Segments wise details
Segmenst
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.
0.47
View File
2.
1.0927
View File
3.
3.0745
View File
4.
0.136
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 DGPS 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:
Existing road to be upgraded to Four lane
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):
180000
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?:
No
(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 ?:
No
(iii) . Reason for not providing Non-Forest Land:
Public utility projects (excluding mining and regularization of encroachments) involving less than 20 hecatres of forest land implemented by Govt. Departments in hill districts and in other districts having forest area exceeding 50% of the total geographical area
Additional information Details
Documents
S.No
Documents
Remarks
1
Authority Letter
2
Form-I
3
Detailed Note on Project
4
Cost Benefit Analysis
5
Statement Showing Forest Area
6
Statement Showing Non-Forest Area
7
Minimum Use of Forest land
8
Undertaking for CA Cost
9
Undertaking to Pay NPV
10
Undertaking Abide Additional condition
11
Certificate reg. requirement of Environmental clearance
12
Undertaking Regarding FRA Certificate
13
Undertaking Regarding No work started without prior permission
14
Undertaking Regarding No Violation
15
Undertaking Regarding No Historical/Archaeological place affected
16
Undertaking Regarding No Protected Area affected
17
Regarding No Court Case
18
Regarding No Overlapping of Project
19
GT SHEET
20
Map Showing forest Area Boundaries
21
Checklist -32(A) DGPS Map with Coordinates
22
Cross Section Map
23
Reclamation Plan
24
Rehabilitation Scheme
25
Traffic Data
26
Use of Fly Ash
27
Checklist-32 Village Map with Coordinates
28
6 sets of hard copy submission letter 23.09.2022
29
We are submitted the query raised by DFO Jamnagar on dated 15.03.2023
30
We are submitted the query raised by DFO Jamnagar on dated 15.03.2023