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 Muzaffarnagar
0.25181
0.54763
Total
0.25181
0.54763
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Muzaffarnagar
0.25181
0.54763
Total
0.25181
0.54763
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
BARLA
0.25181
0.54763
Total
0.25181
0.54763
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
APPROACH ACCESS TO OUTLET
0.25181
0.54763
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 Patches
To 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
1
11 07 2014 UNDERTAKING
2
18 03 2010 UNDERTAKING
3
ANY VAIKLPIC BHUMI UNDERTAKING
4
AREA CALCULATION
5
CA COST UNDERTAKING
6
CA UNDERTAKING
7
ETT UNDERTAKING
8
FCA UNDERTAKING
9
FOREST AREA UNDERTAKING
10
MALBA UNDERTAKING
11
GOVERNMENT UNDERTAKING
12
LABHANVIT GRAM UNDERTAKING
13
LAGAT LABH UNDERTAKING
14
LAND DOCS
15
MANAK SHARTEN
16
MINIMUM UNDERTAKING
17
MUCK DISPOSAL MANGMENT
18
NOC FIRE
19
NOC POLUTION
20
NOC PWD
21
NON FOREST AREA
22
NPV INCREACE UNDERTAKING
23
NPV UNDERTAKING
24
WILD LIFE TRAINING UNDERTAKING
25
YOJNA AYOG UNDERTAKING
26
APPROVED LAYOUT PLAN
27
GUDGET NOTIFICATION
28
LOI RELIANCE
29
NOC NHAI
30
FRA UNDERTAKING
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