FORM - A
Form for seeking prior approval of Central Government under section 2 of the Forest(Conservation) Act,1980 for Diversion of fresh forest area
PART - I
(To be filled up by User Agency)
A. General Details
A-1. Project Details
  (i). Proposal No. : FP/HR/ROAD/150741/2022   (ii). Name of Project for which Forest Land is required : Construction of 6 lane greenfield connectivity from DND-Faridabad-Bypass (from Km 32+600) to Jewar International Airport under Bharatmala Pariyojana (Lot 4/Package-1) in the Faridabad Forest Division,   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : 1.70 Ha Forest land under jurisdiction of Forest Division Faridabad, Haryana diverting for “Construction of 6 lane greenfield connectivity from DND-Faridabad-Bypass (from Km 32+600) to Jewar International Airport under Bharatmala Pariyojana (Lot 4/Package-1) in the Faridabad Forest Division, Distric   (iv). State : Haryana   (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) : 151800   (viii). Area of forest land proposed for diversion(in ha.): 1.7   (ix). Non-forest land required for this project(in ha.): 156.0578   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : CMU, MATHURA, NHAI   (ii). Address1 : Plot No. 8, Toll Plaza Building, Near Sarai Toll Plaza Faridabad   (iii). Address2 : NIL   (iv). State : Haryana   (v). District : Faridabad   (vi). Pin : 121003   (vii). Landmark : Near Sarai Metro Station   (viii). Email address : mat@nhai.org   (ix). Landline Telephone No. : 129-2279538   (x). Fax No. : 129-   (xi). Mobile No. : 9999319538   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : Central PSU
A-3. Details of Person Making Application
  (i). First Name: V K   (ii). Middle Name: NIL   (iii). Last Name: Joshi   (iv). Gender: Male   (v). Designation: Project Director   (vi). Address 1: Plot No. 8, Toll Plaza Building, Near Sarai Toll Palaza Faridabad   (vii). Address 2: NIL   (viii). State: Haryana   (ix). District: Faridabad   (x). Tehsil: Faridabad   (xi). Pin: 121003   (xii). Landmark: NIL   (xiii). Email Address: mat@nhai.org   (xiv). Landline Telephone No.: 129-2279538   (xv). Fax No.: NIL   (xvi). Mobile No.: 8826936944   (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:
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
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
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.Faridabad1.7156.0578
Total1.7156.0578
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Faridabad1.7156.0578
Total1.7156.0578
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Sotai019.6796
2Behbalpur00.9836
3Phophunda014.4954
4Panehra Khurd09.2934
5Narhawali011.3765
6Mahmadpur05.0875
7Hirapur011.3196
8Mohna064.2168
9Mohiyapur00.6848
10Chandawali0.60.9621
11Shahupura1.112.5699
12Chhainsa05.3886
Total 1.7 156.0578
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road Construction1.7156.0578
Total 1.7 156.0578
C. Maps of forest land proposed to be diverted
Division 1. : Faridabad
  (i). Area of forest land proposed to be diverted(in ha.) : 1.7   (ii). Nature of the Project: Linear   (b). No. of Segments : One
Segment wise details
Segments 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).
1.1.7    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 GPS 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: NIL
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 500   (iii). Temporary Employment(Number of person-days): 400000
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 ? : Yes   (a). Status of the Environmental Clearance to the Project: EC under process   (ii). Environmental Clearance File No.: 10/46/2021-IA.III
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?: Not Applicable   (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 ?: Not Applicable   (iii) . Reason for not providing Non-Forest Land: Not Applicable
Additional information Details
Documents
S.No Documents
Remarks
1Area calculation sheet
2Details Note on the Project
3Undertaking for minimum use of forest land
4Undertaking for no muck generation
5Undertaking for no other feasible alternative alignment
6Undertaking for no wild life area
7Undertaking for non starting of any activity without sanction of competent authority
8Undertaking for payment of additional Net Present value of forest land
9Undertaking for payment of cost of compensatory afforestation
10Undertaking for payment of Net Present value of forest land
11Administrative approval of the project issued by the competent authority
12Layout Plan with dimension