ANNEXURE (See Rule 6) Form-A Form for seeking prior approval under section 2 of the proposals by the State Governments and other authorities PART-l (to be filled up by agency) 1 Project Details District Panchayath Raj Engineer, PR- Department, Jayashankar District. (Executive Enqineer, PIU-PR Division). (i) Short narrative of the proposal Nam e of the Project: BT to R/F Thadicherla and project/scheme for which (V) to Vencharami (Andugulapalli Thanda the forest land is required upto Kurmapalli) in malhar rao (M) , Jayashankar Bhupalpally Dist. BEAT'S: Toondla, Shatrapalli, Chalurupally, Comp­ No's 400,403,405,406,407, Koyyuru & Bhupalpally Ranges in Bhupalpally Division in favor of District Panchayath Raj Engineer,Jayashankar- Bhupalpally District, passing through Reserve Forest area over an length of 4904.4 Mt. The Road falling in reserve forest stretch from Km 7.4956 to Km 12.400 for a length of 4.9044 Km.( 4904.4 mts)

(ii) Map showing the required Original Map in S1 sheet showing the location forest land, boundary of of the eXisting road passing through Reserve adjoining forest on a 1: 50,000 Forest a rea is enclosed. scale map DGPS surveyed map duly authenticated by the Geometrics cell of Prl. Chief Conservator of Forests office is also enclosed. (i ii) Cost of the project Rs.900.00 Lakhs

(iv) Justification for locating the l).BT Road from Thadicherla to Vencharami project in forest area (Andugulapally thanda upto Kurmapally) in MalharRao Mandai form Km % to Km 12/400Km for providing basic infrastructure road connectivity to the Remote Population f . and also it is an important inter-mandai nearest diagonal link road to Agriculture Market Centre from Thadicherla of MalharRao MandaI. 2).The basic infrastructure road connectivity is proposed for up gradation to BT road to the Remote Villages of Thadicherla of Malharrao and Vecnharami, Andugulapally(thanda) & Kurmapally of Bhupalpalli (m) in Jayashankar Bhupalpally District. 3).There is no other alternative except proposing improvement / up-gradation of the existing road in forest area. Hence, the permission is sought for diversion of forest land for working in the above stretch. (v) Cost-benefit analysis Cost Benefit (CB) analysis is not essential ..!" as the forest area proposed for diversion for this project is < 20 Ha and falling in plains.

(vi) Employment likely to be 10000 Man days generated

2 Purpose -wise breakup of the Formation of Missing Link Road from Km total land required 7.4956 to Km 12.400 (4.9044km) passing through Reserve Forest with a width of 10.00 M. 4904.40 Mts * 10.00 Mts = 4.9044Ha

3 Details of displacement of No displacement of people due to this project. people due to the Project, if any

(i) Number of families None

I (i i) Number of Scheduled None I casts/Scheduled Tribe families I

I

(ii i) Rehabilitation Plan Does not arise

- _. 4 Whether clearance under Environment (Protection) Not required Act.1986 required (Yes/No)

5 Undertaking to bear the cost of raising and maintenance of compensatory afforestation as well as cost for protection and Enclosed regeneration of safety zone, etc as per the scheme prepared by the State Government

- - -­ 6 Details of Certificates / 1. Under taking to bear the cost of NPV. Documents enclosed as 2. Undertaking to bear the cost of Add!. required under the instructions NPV 3. Undertaking to bear the cost towards compensatory afforestation charges 4. Certificate of no-alternative non-forest land available for the subject project 5. Original Map in 51 sheet showing the location of the existing road passing t hrough Reserve Forest area is enclosed. 6. DGPS surveyed map duly authenticated by the Geometries cell of Prl. Chief Conservator of Forest office is also enclosed.

Date: -2019 Place:Jayashankar-Bhupalpally.

Signature: \.... • .,.f L~ (Name in Block I~RAM BABU, 8.ledl AsFt:~~ Executive Engineer, Oy. Executive Engineer, District Panchayath Raj Engineer, PRSO, Malhar rao PR Sub-Division, Malhar rao JAVASHNAKAR-BHUPAlPAllY.

!""h...... 4...j c-zr r1~~ Regional Officer, Engineer -In-chief, Superintendent Engineer). PANCHAVATH RAJ DEPT PR Circle, - HYDERABAD , l.S

.,