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/ROAD/118170/2020   (ii). Name of Project for which Forest Land is required : Development of 6 lane National Highway from the junction of Eastern Peripheral Expressway at Khekra to Saharanpur Bypass at Latifpur village from km 0.000 to km 118.533 of Delhi to Dehradun Economic C   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Project is of New Access Control Highway gives connectivity between NH-709B and NH-58 from EPE Delhi to Saharanpur bypass and also to Dehradun.   (iv). State : Uttar Pradesh   (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) : 97000   (viii). Area of forest land proposed for diversion(in ha.): 4.1671   (ix). Non-forest land required for this project(in ha.): 173.2217   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : NHAI BAGHPAT   (ii). Address1 : Friends Colony Baraut Road, Near PWD Guest House, Baghpat   (iii). Address2 : NIL   (iv). State : Uttar Pradesh   (v). District : Bagpat   (vi). Pin : 250609   (vii). Landmark : Near PWD Guest House   (viii). Email address : piubaghpat@nhai.org   (ix). Landline Telephone No. : 121-2222971   (x). Fax No. : 121-   (xi). Mobile No. : 9560977771   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : Central Government
A-3. Details of Person Making Application
  (i). First Name: Sanjay   (ii). Middle Name: Kumar   (iii). Last Name: Mishra   (iv). Gender: Male   (v). Designation: PD   (vi). Address 1: Friends Colony Baraut Road, Near PWD Guest House, Baghpat   (vii). Address 2: NIL   (viii). State: Uttar Pradesh   (ix). District: Bagpat   (x). Tehsil: NIL   (xi). Pin: 250609   (xii). Landmark: Near PWD Guest House   (xiii). Email Address: piubaghpat@nhai.org   (xiv). Landline Telephone No.: 121-2222971   (xv). Fax No.: NIL   (xvi). Mobile No.: 9560977771   (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
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
1ApprovedFP/UP/ROAD/36441/20188B/UP/06/81/2019/FC46.290846.290801 Jan 202028 Oct 2020
2ApprovedFP/UP/ROAD/37458/20188B/UP/06/79/2019/FC7.44957.449530 Jan 202022 Dec 2020
3ApprovedFP/UP/ROAD/37343/20188B/UP/06/78/2019/FC19.8077519.8077530 Jan 202018 Feb 2021
4ApprovedFP/UP/ROAD/37344/20188B/UP/06/77/2019/FC41.468541.468530 Jan 202018 Feb 2021
Total 115.01655 115.01655
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.Baghpat4.1671173.2217
Total4.1671173.2217
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Bagpat4.1671173.2217
Total4.1671173.2217
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Mavikala1.55897.96
2Katha04.1076
3Pali010.1158
4Ahera03.3519
5Kashmabad Urf Dudbha09.3987
6Tatiri1.72421.5858
7Baghu05.9192
8Santoshpur07.2585
9Mukarampur04.5858
10Norozpur Goojar015.4513
11Saroorpur Kalan03.491
12Sujra013.6781
13Shadulpur0.88426.5478
14Alawalpur00.9352
15Bam06.7626
16Osikka04.874
17Idrishpur05.5881
18Hilwari010.1797
19Baraka07.3392
20Gurana05.447
21Latifpur Sabha Kheri05.8116
22Vazidpur04.8459
23Lohadda07.9869
Total 4.1671 173.2217
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road work4.1671173.2217
Total 4.1671 173.2217
C. Maps of forest land proposed to be diverted
Division 1. : Baghpat
  (i). Area of forest land proposed to be diverted(in ha.) : 4.1671   (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).
1.4.1671    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: Yes   (a). Copy of map indicating location of alternative examined:
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 50   (iii). Temporary Employment(Number of person-days): 280800
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.: File No.: 10-44/2020-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? : Yes   (a). Copy of documentry evidence in support of settlement of rights under the Forest Rights Act,2006 on the forest land proposed to be diverted:
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
1Project Brief Note
2Project Location Map
3Project Sanction Letter
4Project Layout Plan
5Typical Cross Sectional Map
6Forest Land Statement
7Forest Gazette Notification
8Muck Disposal Plan
9Cost Benefit Analysis Report _ Non- applicability
10All applicable Undertakings and Certificates
11Digital Map
12Digital Map (Unsigned) on High resolution for better clarity
13Compliance of EDS issued from office of NODAL dated 7/1/2021
14Compliance of EDS ( DFO) dated 13-4-2021.
15Compliance of EDS dated12-8-2021-MoEFCC-RO Lucknow
16Kml file of All-Optional-Alignment-EPE-Saharanpur-Bypass
17Compliance of EDS issued from office of DFO-Baghpat dated 17-9-2021- Regarding Muck Disposal Plan