CHECKLIST(CHECK LIST FOR THE PROPOSAL FOR DIVERSION OF FOREST LANDS FORNON-FORESTRY PURPOSE UNDER THE FOREST CONSERVATION ACT, 1980 FORROAD PROJECTS: NEW FORMATION, UP-GRADATION, WIDENING ETC.)

Upgradation works on NH-221 in thestretch of the road from Km 32/735 to

Name of the Project:71/200 (Chandragudem to AP /TS Border

section) in Krishna district AndhraPradesh

Area proposed for diversion, in Ha: 0.52 Ha.

Type of work: New formation, Up-gradation of Widening in 2 lane to 2 lane with pavedKutcha Road to Pucca Road / Improvement ofExistinz Road, Wideni112' etc.

shoulder.

In case of Up-gradation / Improvement of --Existing Road; whether it Existed prior to25.10.1980, with proof?Name of Division: PIU Machilipatnam

Whether area proposed falling in WLS / NP / NoESZ / Biosphere Reserve or WL corridor?

S.Provided or PageName ofthe Document / Information Not Remarks

No. (Yes/No) No.

(A) PART I1. Main application Form from Part-I to V with

all its columns duly filled up and signed by the Yes 1-3 Enclosedcompetent authority with date, place and theirofficial seal.

2. Detailed Note on the Project. EnclosedYes 4

3. Full Justification for locating the project in Enclosedforest area (un-avoidance of the forest area for Yes 5the purpose)

4. Certificate for minimum use of forest landgiving details of the alternatives examined and Yes 6 Enclosedreason for their rejection.

5. Map of the project site forest area demandedon original survey of India topo - sheet in1:50000 or any other suitable scale; clearly Yes 7 Enclosedshowing forest boundaries and adjoining areaswith their land use in distinct colors.

6. Index Map, if the area is very small, showingforest boundaries and a location map on a largerscale with land use of the area required.

7. Geo-referenced digital data ( eOO format,Geographic co-ordinate system WGS 84datum, readings up to 8 decimal places indegrees) of the boundary lies of the proposedFL for diversion in Shape file ( Soft copy in aDVD along with RAW & post-processed Yes 9 Encloseddata) and digital map in hard copy dulyauthenticated by competent authority. ~

G. HA RI KRISHNA*The survey shall be performed using DGPS in Pro ect Directorreal time or post-processed mode. However the entation Unit

Ministry of Road transport & HIM'.ATNA .Machavaram, MACHILlP

"-survey maybe performed using TS in GPSshadow areas, and data shall be duly geo-referenced USing GCPs collected by dualfrequency DGPS receivers.

8. Make & Model of the DGPS equipment used,Name/ Name of the Agency/ personsinvolved in the DGPS survey, period of Yes 10 Enclosedsurvey, name ofthe authenticating agency forthe accuracy of the survey.

9. Linear map or a diagrammatic map of the projectsite.

10. Statement showing the details of forest areainvolved i.e. Division, Range, Beat, Forest Block Yes 11 Enclosed&. Compartment No. wise.

11. Item wise breakup ofthe forest area proposedfor diversion, if any. Yes 12 Enclosed

12. Cost Benefit (CB) analysis 1n prescribedformat, wherever required. ( For projects Yes 13 Enclosedinvolving area of >20 Ha in plains & >5 Ha inhills)

13. Status of clearance under Environment(Protection) Act, 1986 & Rules 2006; wherever Yes 14 Enclosedrequired.

14. Detailed scheme for rehabilitation of projectaffected persons, wherever required. Yes 15 Enclosed

15 Minimum distance of the proposed site fromwildlife sanctuary and / or National Park, if Yes 16 Enclosedany.

16 To show the existing Water body / WaterChannel or road, which should be identifiable.

17. To show the newly proposed bridge / culvert/underground pass / tunnel etc. to be identifyclearly.

18. To enclose the cross section Plan / Mapindicating dimension of (Length/ Width/Height/ depth etc) clearly.

19. To show the additional impacted area clearly,which may be impacted temporarily by the 17proposed construction.

20. To show the diversity of the ecology which islikely to be impacted by the proposedconstruction.

21. Undertaking to pay the Net Present Value Yes 18 Enclosed(NPV) Addl. NPV of the forest land involved.22. Undertaking to pay the Extraction Charges of

the trees to be removed from the forest land Yes 19 Enclosedinvolved.

23. Details of equivalent non-forest landidentified for Compensatory Afforestation viz.Survey No., Village, Tahsil / Mandal, District etc. Yes 20 Enclosedalong with map in Sal Topo-sheet in 1:50000or appropriate acale along with the boundaries ofadjoining forest area.

25. Certificates a to c, under RoFR Act as perYes r,. Hi2RI ~~l~~MoEF,GoI, duly si2-ned by District Collector

Proiect Directorntation UnitPrOject lmpleme

Ministry of Road transport & Hig~Machavaram, MACHIUPATNlJ,~I~

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