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/155328/2022   (ii). Name of Project for which Forest Land is required : Improvement to Spur of NH-709AD Muzaffarnagar Bypass from km 72+600 of NH-709AD to Km 113+450 of NH-334 near Muzaffarnagar town (Design km 0+000 to Km 10+135)   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Project having 10.135 km length is improvement of existing Spur road between NH709AD and NH334 for bypassing the existing traffic that enters Muzaffarnagar Town under District/division Muzaffarnagar.   (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) : 3550   (viii). Area of forest land proposed for diversion(in ha.): 5.597592   (ix). Non-forest land required for this project(in ha.): 28.352319   (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/37458/20188B/UP/06/79/2019/FC7.44957.449530 Jan 202022 Dec 2020
2ApprovedFP/UP/ROAD/37343/20188B/UP/06/78/2019/FC19.8077519.8077530 Jan 202018 Feb 2021
3ApprovedFP/UP/ROAD/37344/20188B/UP/06/77/2019/FC41.468541.468530 Jan 202018 Feb 2021
4ApprovedFP/UP/ROAD/36441/20188B/UP/06/81/2019/FC46.290846.290801 Jan 202028 Oct 2020
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.Social Forestry Division Muzaffarnagar5.59759228.352319
Total5.59759228.352319
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Muzaffarnagar5.59759228.352319
Total5.59759228.352319
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Pinna3.8986524.167867
2Mirapur015.458863
3Wahalna1.698948.725589
Total 5.597592 28.352319
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road Pavement5.59759228.352319
2Toll/Rest Area00
Total 5.597592 28.352319
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.) : 5.597592   (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).
1.5.597592    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: Project is improvement of existing road
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 0   (iii). Temporary Employment(Number of person-days): 46800
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? : 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
2Administrative Approval
3Project Cost
4Project Location Map
5Typical Cross Section
6Forest (PF) Gazette notification
7Land Statement
8Cost Benefit Analysis report ( Non applicability)
9Muck Disposal Plan
10GeoDigital Map
11Document Verification Certificate of Project Authority
12Details of Project Cost
13Undertaking to bear CA Cost
14Undertaking for No optional land availability and minimum demand of forest land
15Undertaking for Bearing cost of Tree felling
16Undertaking for Non-Violation of FCA 1980
17Undertaking to bear NPV
18Undertaking for Unqualified Commitment
19Undertaking pertain to Environmental Clearance
20Undertaking pertain to Wildlife Clearance
21Undertaking pertain to Archeological Importance
22Justification for locating alignment through Forest Area
23Undertaking pertain to FRA
24Undertaking to adhere Standard Conditions of Forest Department
25Undertaking to adhere Taskforce Recommendation
26Undertaking pertain to bear increased NPV
27Certificate of Land Ownership -Road
28Commitment Certificate in case of Violation
29Undertaking for defrayal of Cost against tree removal
30Undertaking for no civil work without award of FC
31Undertaking to provide Cooking Gas to worker
32Undertaking for No Muck generation and Disposal
33Undertaking to get NOC from Irrigation Department
34No Violation certificate
35Compliance of EDS from office of NODAL , Lucknow dated 17-05-2022
36Compliance of EDS-NODAL (dated 24-05-2022)
37Compliance of EDS dated 8-06-2022 from office of DFO Muzaffarnagar
38Compliance of EDS from office of DFO dated 14-07-2022
39Compliance of EDS from office of DFO regarding FRA dated 20-07-2022
40Compliance of EDS RO-DFO 12-09-202 Spur Road Muzaffarnagar