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/UP/Approach/156129/2022   (ii). Name of Project for which Forest Land is required : 0.25181 Ha PF LAND Proposed to be diverited in favour of Reliance BP Mobility Ltd. (UP. West) for Approach Access to the Proposed Retail Outlet on Delhi- Haridiwar Road, NH-334, Km. 144, Chainage 143.308, LHS, Khasara No.-1157/2P, Village Barla,TESHSIL AND DIST. MUZAFFRANAGAR   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : 0.25181 Ha PF LAND Proposed to be diverited in favour of Reliance BP Mobility Ltd. (UP. West) for Approach Access to the Proposed Retail Outlet on Delhi- Haridiwar Road, NH-334, Km. 144, Chainage 143.308, LHS, Khasara No.-1157/2P, Village Barla,TESHSIL AND DIST. MUZAFFRANAGAR   (iv). State : Uttar Pradesh   (v). Category of the Proposal : Approach Access   (vi). Shape of forest land proposed to be diverted : Non Linear   (vii). Estimated cost of the Project(Rupees in lacs) : 90   (viii). Area of forest land proposed for diversion(in ha.): 0.25181   (ix). Non-forest land required for this project(in ha.): 0.54763   (x). Total period for which the forest land is proposed to be diverted(in years): 30
A-2. Details of User Agency
  (i). Name : RELIANCE BP MOBILITY LIMITED   (ii). Address1 : Km. 124+066 (LHS), Old NH-95 (New NH-05) at Village Chuhar Chak, Tehsil Ajitwal, Distt – Moga.   (iii). Address2 : NIL   (iv). State : Punjab   (v). District : Moga   (vi). Pin : 142053   (vii). Landmark : NIL   (viii). Email address : reliancebp65@gmil.com   (ix). Landline Telephone No. : 91-991-5503393   (x). Fax No. : 91-   (xi). Mobile No. : 9915503393   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : Private
A-3. Details of Person Making Application
  (i). First Name: TANUJ   (ii). Middle Name: NIL   (iii). Last Name: JINDAL   (iv). Gender: NIL   (v). Designation: STATE BUISNESS DEVLOPMENT MANA   (vi). Address 1: RELIANCE BP MOBILTY LIMITED , PETROLIUM DEPARTMENT 2ND FLLOR ,RELIANCE HOUSE ,RK FOUR SQUARE BUILDING NO.4 DLF CYBER CITY ,PHASE-2 GURUGRAM-122002   (vii). Address 2: NIL   (viii). State: Haryana   (ix). District: Gurgaon   (x). Tehsil: NIL   (xi). Pin: 122002   (xii). Landmark: NIL   (xiii). Email Address: relianceparivesh2022@gmail.com   (xiv). Landline Telephone No.: 0-   (xv). Fax No.: NIL   (xvi). Mobile No.: 9045110219   (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.Social Forestry Division Muzaffarnagar0.251810.54763
Total0.251810.54763
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Muzaffarnagar0.251810.54763
Total0.251810.54763
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1BARLA0.251810.54763
Total 0.25181 0.54763
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1APPROACH ACCESS TO OUTLET0.251810.54763
Total 0.25181 0.54763
C. Maps of forest land proposed to be diverted
Division 1. : Social Forestry Division Muzaffarnagar
  (i). Area of forest land proposed to be diverted(in ha.) : 0.25181   (ii). Nature of the Project: Non Linear   (a). No. of patches : One
Patch wise details
Patch No. Area of Patch(in ha.) Kml File of PatchesTo view KML file on google the same may be downloaded and then open if in google earth install in your computer.
1.0.25181    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:
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 20   (iii). Temporary Employment(Number of person-days): 500
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 ? : 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? : 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
111 07 2014 UNDERTAKING
218 03 2010 UNDERTAKING
3ANY VAIKLPIC BHUMI UNDERTAKING
4AREA CALCULATION
5CA COST UNDERTAKING
6CA UNDERTAKING
7ETT UNDERTAKING
8FCA UNDERTAKING
9FOREST AREA UNDERTAKING
10MALBA UNDERTAKING
11GOVERNMENT UNDERTAKING
12LABHANVIT GRAM UNDERTAKING
13LAGAT LABH UNDERTAKING
14LAND DOCS
15MANAK SHARTEN
16MINIMUM UNDERTAKING
17MUCK DISPOSAL MANGMENT
18NOC FIRE
19NOC POLUTION
20NOC PWD
21NON FOREST AREA
22NPV INCREACE UNDERTAKING
23NPV UNDERTAKING
24WILD LIFE TRAINING UNDERTAKING
25YOJNA AYOG UNDERTAKING
26APPROVED LAYOUT PLAN
27GUDGET NOTIFICATION
28LOI RELIANCE
29NOC NHAI
30FRA UNDERTAKING