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/50927/2020   (ii). Name of Project for which Forest Land is required : Widening of NH-58 from Khokhra Border to Mathasur (km. 00/000 to km. 56/620)   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Diversion of Forest Land For Non Forest Purpose for Widening Of Single Lane To Two Lane Khokhra Gujarat Border–Vijaynagar-Antarsuba-Mathasur Road On NH-58 (Reserve Forest)   (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) : 35754   (viii). Area of forest land proposed for diversion(in ha.): 27.051   (ix). Non-forest land required for this project(in ha.): 102.289   (x). Total period for which the forest land is proposed to be diverted(in years): NIL
A-2. Details of User Agency
  (i). Name : EXECUTIVE ENGINEER NH AHMEDABAD   (ii). Address1 : Executive Engineer, Multistory, C Block, 2 nd floor, Vastrapur, Ahmedabad   (iii). Address2 : NIL   (iv). State : Gujarat   (v). District : Ahmedabad   (vi). Pin : 380052   (vii). Landmarks : Himalya Mall   (viii). Email address : nh58fa@gmail.com   (ix). Landline Telephone No. : 260304   (x). Fax No. : NIL   (xi). Mobile No. : 9426590386   (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: R   (ii). Middle Name: D   (iii). Last Name: Dhruv   (iv). Gender: Male   (v). Designation: MoRTH Deputy Executive Engineer NH SUB DIVISION IDAR   (vi). Address 1: OFFICE OF THE Dy. EXECUTIVE ENGINEER, NATIONAL HIGHWAY, SUB DIVISION, NEAR PANCHAYAT REST HOUSE   (vii). Address 2: TOWER ROAD IDAR   (viii). State: Gujarat   (ix). District: Sabar Kantha   (x). Tehsil: Idar   (xi). Pin: 383430   (xii). Landmarks: PANCHAYAT REST HOUSE IDAR   (xiii). Email Address: nh58fa@gmail.com   (xiv). Landline Telephone No.: 260304   (xv). Fax No.: NIL   (xvi). Mobile No.: 9426590386   (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.Sabarkantha27.051102.289
Total27.051102.289
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Sabar Kantha27.051102.289
Total27.051102.289
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Khokhra0.186761094.47038541
2Kelava0.021052087.40569772
3Kanthariya0.338642742.94669856
4Sarsav03.4218226
5Chandvasa06.1173501
6Rajpur01.8797604
7Navagadh Umbariya00.8793012
8Tintaran02.6186463
9Vijaynagar00.170205
10Saroli5.581166591.26349831
11Vanaj5.363818913.69626569
12Kherwada10.487634050.56332445
13Golvada4.405481410.82842279
14Mondhri0.623811060.61879954
15Vajepur04.4048252
16Antarsumba03.8805698
17Bhambhudi00.2834277
18Androkha00.2667491
19Bhupatgadh0.042292850.43652505
20Kundala01.7543905
21Kathvavdi01.1831583
22Dholvani01.3874142
23Vireshwar00.7800029
24Kalvan01.6160956
25Choriwad01.6029765
26Chotasan00.4028935
27Kadiyadara03.8651418
28Jalodara01.4494401
29Panol01.9799251
30Mathasur00.562099
27.05066078 62.73581242
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
11 - Khokhra - LHS0.041127070070
22 - Khokhra - RHS0.145634019660
33 - Kelava - LHS0.021052080170
44 - Kanthariya - LHS0.213806240130
55 - Kanthariya - RHS0.124836500480
66 - Saroli - LHS0.992143520180
77 - Saroli - RHS1.022770519410
88 - Saroli - Realignment1.276993860420
99 - Saroli - LHS1.153640353310
1010 - Saroli - RHS1.135618344430
1111 - Vanaj - LHS1.288536677020
1212 - Vanaj - RHS1.327660058680
1313 - Vanaj - LHS0.024249670110
1414 - Vanaj - LHS1.30450465470
1515 - Vanaj - RHS1.418867849550
1616 - Kherwada - LHS0.808007799770
1717 - Kherwada - RHS0.723008726380
1818 - Kherwada - Realignment1.208243500490
1919 - Kherwada - LHS0.332315600330
2020 - Kherwada - RHS0.33512804140
2121 - Kherwada - LHS0.794976861780
2222 - Kherwada - RHS0.745176572790
2323 - Kherwada - Realignment0.697556049940
2424 - Kherwada - LHS1.084446278290
2525 - Kherwada - RHS1.427011241210
2626 - Kherwada - Realignment0.50832514980
2727 - Kherwada - LHS0.84376364740
2828 - Kherwada - RHS0.97967457780
2929 - Golvada - LHS2.174209175280
3030 - Golvada - RHS2.231272241680
3131 - Mondhri - LHS0.27853525080
3232 - Mondhri - RHS0.3452758110
3333 - Bhupatgadh - RHS0.042292850
Total 27.05066079446 0
C. Maps of forest land proposed to be diverted
Division 1. : Sabarkantha
  (i). Area of forest land proposed to be diverted(in ha.) : 27.051   (ii).Shape of forest land proposed to be diverted : Linear   (b). No. of Segments : One
Segments wise details
Segmenst Segment Area(in ha.) Kml File of SegmentsTo view KML file on google the same may be downloaded and then open if in google earth install in your computer.
1.27.051    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: There is no other feasible alignment for this proj
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 200   (iii). Temporary Employment(Number of person-days): 790
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? : Yes
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: No Data
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: Central Govt. Project
Additional information Details
Documents
S.No Documents
Remarks
1Reply to comments of IRO dated 13/06/2024.