(To be filled by the concerned Deputy Conservator of Forest)
State Serial No. of proposal : UP-0287/2021
1. Location of the project/Scheme : Uttar Pradesh
 (i) State / Union Territory : Uttar Pradesh  (ii) District : Sonbhadra  (iii) Forest Division : Forest Division Sonbhadra  (iv) Area of forest land proposed for diversion (in ha.) : 11.79  (v)

Category of the Proposal: Road
2. Legal status of forest land proposed for diversion
S. No. DivisionForest Land(ha.)Legal Status
1Forest Division Sonbhadra11.79Reserved Forest
Total 11.79
Division 1. : Forest Division Sonbhadra
3. District wise area to be diverted in the division
S. No. DistrictArea(ha.)
4. Details of Vegetation available in the forest land proposed for diversion
 (i) Density of vegetation
S. No. Area(in ha.)Density Eco-Class
111.790.3Eco 3
Total. 11.79

(ii) Species-wise local/scientific names and girth-wise enumeration of trees at FRL
S. No. Scientific Name Local Name (0-30)cm. (31-60)cm. (61-90)cm. (91-120)cm. (121-150)cm. (>150)cm.
2Shorea RobustaSal0012511
3Aegle MarmelosBel020000
8Acacia CatechuKhair400000
9Holoptelia integrifoliaAsan004310
11Madhuka IndicaMahua000003
15Ficus Bengalensisbargad000001
16Syzigium CuminiJamun030200
17C.SiamiaCasiya Siamiya200000
19Diasporus MelanoxylonTendu010001
21Holoptelia integrifoliaChilbil220000
22Butea MonospermaPalas2115000
Total 18 2722 1510 20
Sub Total (No of Trees.) 112

5. Working plan prescription for the forest land proposed for diversion : The area is covered under plantation working circle of the working plan.
6. Brief note on vulnerability of the forest area to erosion : Area is Rocky therefore it is not prone to erosion
7. Approximate distance of the proposed site for diversion from boundary of forest(in km.) : 0
8. Significance of the forest land proposed for diversion from wildlife point of view
 (i). Details of wildlife present in and around the forest land proposed for diversion : Nil
 (ii). Whether forms part of national park, wildlife sanctuary, biosphere reserve,tiger reserve, elephant corridor, wildlife migration corridor etc. : No
 (iii). Whether the forest land proposed for diversion is located within eco-sensitive zone(ESZ) of the Protected Area notified under Wildlife(Protection) Act,1972 (Note: In case, ESZ of a Protected Area is not notified,then,10kms distance from boundary of the Protected Area should be treated as ESZ): No
 (iv). Whether any national park, wildlife sanctuary, biosphere reserve, tiger reserve, elephant corridor, wildlife migration corridor etc., is located within 1 Km. from boundary of the forest land proposed for diversion : No
 (v). Whether any rare/endangered/unique species of flora and fauna found in the area : No
9. Details of any protected archaeological/heritage site/defence establishment or any other important monument located in the area, if any
 (i). Whether any protected archaeological/heritage site/defence establishment or any other important monument is located in the area : No
10. Comment as to the reasonability of the extent of the forest land proposed for diversion
 (i). Whether the requirement of forest land as proposed by the user agency is unavoidable and bare minimum for the project : Yes
11. Details of violation(s), if any ,committed
 (i). Whether any work in violation of the Act or guidelines issued under the Act has been carried out : No
12. Whether work in violation is still in progres(Yes/No) : NIL
13. Details of compensatory afforestation scheme
(i). Patch wise details of non-forest or Revenue forest land to be provided by User Agency for CA
Patch Wise Details District Name VillageArea(in ha.)khasraKML filePresent Owner file
(ii). Upload a scanned copy of the Geo-referenced map of the forest land proposed for C.A. prepared by using DGPS or Total Station: (iii). Upload a copy of Survey of India Toposheet indicating boundary of forest land proposed for C.A: (iv). Copy of CA scheme details:
Additional information Details
S. No. DocumentsRemarks
1 Joint Inspection
2 SDM Letter and Certificate
3 Undertaking for ETP
4 Certificate for Optional Land
5 Certificate for Task Force
6 Certificate for Compliance
7 undertaking for provide FRA Certificate
8 Certificate for No Work Started
9 Enumeration Report
10 Certificate for Eco-Sensetive Zone
11 undertaking for Road side patti plantation
12 Non Forest Land Ownership (Khatauni)
13 None Encumbrance Certificate
14 Land Suitability Certificate
15 Certificate for Public Interest
16 Undertaking for Providing CA Value
17 undertaking for minimum Tree Felling
18 pariyojana ka auchitya
19 Undertaking for provide Enhanced NPV
20 NPV Calculation
21 undertaking for Provide NPV

14. District Profile District NameGeographical area of the district (in ha.)Forest area of the district (in ha.)Total forest area diverted since 1980 (in ha.)No. of Approved CasesForest Land including penal C.A. (in ha.)Progress of compensatory afforestation as on(date)A) Forest land (in ha.)B) Non-forest land (in ha.)
15. Site inspection report of the DFO/CCF/Nodal Officer highlighting important facts pertaining to the forest land
Division NameCircleSite inspected ByWhether site inspectedNo. of times site visited Site inspection reportDate of visit
Forest Division SonbhadraMirzapur Circle MirzapurDFOYesOne25/07/2022
 Mirzapur Circle MirzapurCFNoNo Data
 Nodal OfficerNoNo Data
(Specific recommendation of the DFO/CCF/Nodal Officer with(Part II,III & Part IV))
16. Specific recommendation of the DFO/CCF/Nodal Officer for acceptance or otherwise of the proposal with reason
DivisionCircleRecommendation ByRecommendationReasonLetter Whether CF agreed
Forest Division SonbhadraMirzapur Circle MirzapurDFO RecommendedThe forest land demanded in the construction of the Proposed Road is minimum and indispensable.
Mirzapur Circle MirzapurCF Recommendedfile attach.Yes
Nodal Officer RecommendedRecommended for Approval.