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/40150/2019   (ii). Name of Project for which Forest Land is required : Improvement and Upgradation of Newly declared National highways in the State of Uttar Pradesh -Stretch from Laksar-Purkaji (On NH- 334A) Starts from Km 0+000 and end at km 15.089.   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Improvement and Upgradation of Newly declared National highways in the State of Uttar Pradesh. The Stretch starts from km 0+000 at Khada Chowk (Junction between Delhi-Roorkee road and Purquazi-Laskar Road (MDR 6W) Mukhiya Market in the District of Muzaffarnagar ( New NH-334A) and ends at Km 15.089   (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) : 15320   (viii). Area of forest land proposed for diversion(in ha.): 0.93   (ix). Non-forest land required for this project(in ha.): 15.172   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : EXECUTIVEENGINEERNHPWD   (ii). Address1 : executive Engineer pwd Lal Kuwa Ghazibad U.p. 201001   (iii). Address2 : NIL   (iv). State : Uttar Pradesh   (v). District : Ghaziabad   (vi). Pin : 201001   (vii). Landmark : NIL   (viii). Email address : executiveengineernhpwd@gmail.com   (ix). Landline Telephone No. : 120-2866492   (x). Fax No. : 120-   (xi). Mobile No. : 9919125022   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Shri   (ii). Middle Name: NIL   (iii). Last Name: Gagan   (iv). Gender: Male   (v). Designation: engineer   (vi). Address 1: Executive Engineer PWD Ghazibad U.P. 201001 near Dasna Crossing Railway Bridge   (vii). Address 2: NIL   (viii). State: Uttar Pradesh   (ix). District: Ghaziabad   (x). Tehsil: Ghaziabad   (xi). Pin: 201001   (xii). Landmark: Dasna Crossing Railway Bridge   (xiii). Email Address: executiveengineernhpwd@gmail.com   (xiv). Landline Telephone No.: 120-2866492   (xv). Fax No.: NIL   (xvi). Mobile No.: 9719059482   (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 Muzaffarnagar0.9315.172
Total0.9315.172
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Muzaffarnagar0.9315.172
Total0.9315.172
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Dhamat0.330.3246
2Suwahedi02.772
3Jamalpur01.4
4Jhapharpur03.58
5Sherpur0.61.92
6bhinsliwala00.952
7Badhiwala00.3
8Aiki00.2154
9Purqazi03.708
Total 0.93 15.172
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Upgradation of Major Bridge Upper Ganga Canal0.330.3246
2Widenening and Upgradation of Existing Road0.614.8474
Total 0.93 15.172
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.) : 0.93   (ii). Nature of the Project: Linear   (b). No. of Segments : Six
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).
1.0.091    View File
2.0.039    View File
3.0.135    View File
4.0.061    View File
5.0.301    View File
6.0.3    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: Improvement and upgradation of exiting Road
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 10   (iii). Temporary Employment(Number of person-days): 200
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? : Yes
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
1Forest Land Gazette Notification duly signed by present DFO
2EDS Reply Letter by User agency dated 11-9-2019
3EDS Reply Letter by User agency dated 15-10-2019
4User Agency EDS Reply Letter to DFO 31 01 2020
5User agency EDS submitted letter dated 16 March 2020 at DFO Office
6DFO EDS Reply letter by EE Ghaziabad dated 3 Sept 2020
7EDS REPLY by User agency dated 29 11 20
8EDS REPLY by User agency dated 29 11 20 received at your office dated 25 11 2020 with acknowledgement slip
9User agency EDS reply Letter dated 3-6-2021
10EDS Reply by user agency dated 11 8 2021
11EDS Reply by user agency vide our letter no 594/C dated 03-06-2021 and again confirmation to you through our letter no 595/C dated 11-8-2021
12EDS Reply letter by user agency dated 10 01 2022
13Location Map of project Road
14General Conditions
15Muck Disposal Plan
16Linear Plan
17Cost Benefit analysis not Applicable as per 2017 Moef Guidlines
18Typical Cross section
19NH Declaration Gazette Notification highlighted the NH-334A.
20Project sanction Letter by Morth dated 29-05-2017
21NOC of Irrigation Department
22Purqazi Laksar Project Road Location Map
23Environment Clearance not Applicable for this project road
24Undertakings CA
25Undertakings NPV & ANPV
26Undertakings Land Ownership document
27Undertaking for Non starting any activity
28undertaking to upload NOC of Owners Dept
29undertaking for No Muck Generation
30undertaking for Document Verification certificate
31Chainage wise Showing Forest and Non Forest Land
32KHASRA MAP AKSAR-PURKAJI
33KHASRA MAP OF RESERVED FOREST
34EDS Reply Letter by User agency on the query of MOEF&CC dated 29.04.22 and DFO Muzaffarnagar Dated 19.05.22
35EDS reply dated 7 June 22 regarding the submission of 5set of revise proposal hard copy.
36EDS reply dated 17 June 22 regarding the submission of 5set of revise proposal hard copy
37forest eds compliance