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/DL/ROAD/142829/2021
(ii). Name of Project for which Forest Land is required :
Construction of 6 Lane access controlled Highway from DND Maharani Bagh to Junction with Jaitpur-Pushta Road Section of NH-148 NA in the NCR of Delhi (PKG – I) under Bharatmala Pariyojana
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
Diversion of 0.35 Ha forest land for Construction of 6 Lane access controlled Highway from DND Maharani Bagh to Junction with Jaitpur-Pushta Road Section of NH-148 NA in the NCR of Delhi (PKG – I) under Bharatmala Pariyojana
(iv). State :
Delhi
(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) :
135471
(viii). Area of forest land proposed for diversion(in ha.):
0.35
(ix). Non-forest land required for this project(in ha.):
29.65
(x). Total period for which the forest land is proposed to be diverted(in years):
99
A-2.
Details of User Agency
(i). Name :
CMU, MATHURA, NHAI
(ii). Address1 :
Plot No. 8, Toll Plaza Building, Near Sarai Toll Plaza Faridabad
(iii). Address2 :
NIL
(iv). State :
Haryana
(v). District :
Faridabad
(vi). Pin :
121003
(vii). Landmark :
Near Sarai Metro Station
(viii). Email address :
mat@nhai.org
(ix). Landline Telephone No. :
129-2279538
(x). Fax No. :
129-
(xi). Mobile No. :
9999319538
(xii). Website (if any) :
NIL
(xiii). Legal status of User Agency :
Central PSU
A-3.
Details of Person Making Application
(i). First Name:
V K
(ii). Middle Name:
NIL
(iii). Last Name:
Joshi
(iv). Gender:
Male
(v). Designation:
Project Director
(vi). Address 1:
Plot No. 8, Toll Plaza Building, Near Sarai Toll Palaza Faridabad
(vii). Address 2:
NIL
(viii). State:
Haryana
(ix). District:
Faridabad
(x). Tehsil:
Faridabad
(xi). Pin:
121003
(xii). Landmark:
NIL
(xiii). Email Address:
mat@nhai.org
(xiv). Landline Telephone No.:
129-2279538
(xv). Fax No.:
NIL
(xvi). Mobile No.:
8826936944
(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.
DCF South
0.35
29.65
Total
0.35
29.65
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
South East
0.35
29.65
Total
0.35
29.65
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
NIL
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Road
0.35
29.65
Total
0.35
29.65
C.
Maps of forest land proposed to be diverted
Division 1. : DCF South
(i). Area of forest land proposed to be diverted(in ha.) :
0.35
(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.
0.35
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:
Between the existing road for bypass
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):
70000
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
Demand Letter
2
UNDERTAKING - FOR PAYMENT OF NET PRESENT VALUE OF FOREST AREA
3
Undertaking/ Certificate for No Muck Generation and Disposal
4
Layout Plan of Project Site
5
EDS letter
6
Gazatte notification of proposed land
7
receiving letter
8
EDS submission letter Jan 22
9
Alignment
10
Area Calculation of Forest Land
11
Area calculation sheet of Forest and Non forest land
12
certificate of minimum use of forest land
13
Details note on project
14
FORM - A
15
No other feasible report
16
Non starting of any activity without competent authority
17
Tree List final
18
Undertaking for ESZ
19
undertaking for FRA
20
Undertaking for location CA land
21
Undertaking for No muck generation and disposal
22
Undertaking for No wild life area involved
23
Undertaking for payment of Additional Net present value of forest land
24
CA land marked on topomap
25
For FRA certificate the request letter addressed to concerned DM
26
CA land allotment letter
27
DGPS Map of CA Land
28
Serial No. 21 Approval of the proposal for which diversion of forest land is proposed by the competent authority of the concerned organizations.
29
Check List 16 Details of non-forest land/degraded forest area identified for compensatory afforestation viz. Survey No./ Compartment No./Khasra No.fKhatoni No., Village, Tehsil, District, etc., along with map in appropriate scale showing the boundaries of adjoining forest areaswith their use in distinct colours
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