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/HP/ROAD/144814/2021   (ii). Name of Project for which Forest Land is required : Up-gradation of Paonta Saheb-Ballupur (Dehradun) section from km 97.000 to km 149.000 of NH-72 in the State of Uttarakhand and Himachal Pradesh   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Development of bypass to Paonta Sahib between km 98.300 to km 104.000 of NH-72 in the State of Himachal Pradesh.   (iv). State : Himachal 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) : 80000   (viii). Area of forest land proposed for diversion(in ha.): 1.8916   (ix). Non-forest land required for this project(in ha.): 11.6549   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : NATIONAL HIGHWAY AUTHORITY OF INDIA, VASANT VIHAR, PIU, DEHRADUN   (ii). Address1 : House No 171, Phase 1, Vasant vihar, Dehradun   (iii). Address2 : NIL   (iv). State : Uttarakhand   (v). District : Dehradun   (vi). Pin : 248001   (vii). Landmark : NIL   (viii). Email address : piuvasantvihar.forest@gmail.com   (ix). Landline Telephone No. : 0-   (x). Fax No. : 0-   (xi). Mobile No. : 7500209819   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : Central Government
A-3. Details of Person Making Application
  (i). First Name: Pankaj   (ii). Middle Name: Kumar   (iii). Last Name: Mourya   (iv). Gender: Male   (v). Designation: GeneralManager   (vi). Address 1: Hosue No 171, Phase 1, Vasant vihar, Dehradun   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Dehradun   (x). Tehsil: Dehradun   (xi). Pin: 248001   (xii). Landmark: NIL   (xiii). Email Address: piuvasantvihar.forest@gmail.com   (xiv). Landline Telephone No.: 0-   (xv). Fax No.: NIL   (xvi). Mobile No.: 7500209819   (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.Paonta1.891611.6549
Total1.891611.6549
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Sirmaur1.891611.6549
Total1.891611.6549
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Bhatanwali02.3464
2Upsampada Kedarpur02.6145
3Kedarpur01.1397
4Upsampada Shamsherpur00.1575
5Bhoop Pur II1.89165.3968
Total 1.8916 11.6549
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Construction of Road08.1554
2Construction of Bridge1.89163.4995
3Muck00
Total 1.8916 11.6549
C. Maps of forest land proposed to be diverted
Division 1. : Paonta
  (i). Area of forest land proposed to be diverted(in ha.) : 1.8916   (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).
1.1.8916    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: Up gradation of 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): 31200
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
1Check List Serial No-05 (Map Toposheet and Digital)
2Check List Serial No-11 (Certificate for Minimum Use of Forest Land)
3Check List Serial No-12 (Undertaking for Payment of Cost of Compensatory Afforestation)
4Check List Serial No-10 (Justification for Locating the Project in Forest Area).
5EDS Reply Letter EDS Dated 04_06_2022.
6Check List Serial No 30 vi Undertaking for Use of Forest Land.
7Check List Serial No 07 Statement Showing Details of Forest Area Pro for Diversion.
8Check List Serial No 09 Applied letter to DC Sirmour for Non availability of Non-forest Land.
9Check List Serial No 13A Undertaking for Payment of Net Present Value of Forest Area.
10Check List Serial No 14 Undertaking for FRA Certificate.
11Check List Serial No 21 FRA Letter.
12Check List Serial No 30 ii Joint Ground Verification Report.
13Check List Serial No 30 iii.
14Check List Serial No 30 iv.
15Check List Serial No 30 ix Undertaking for Conservation of Flora Fauna during Construction.
16Check List Serial No 30 v Sanction Letter.
17Check List Serial No 30 vi Undertaking for Use of Any Material from Surrounded Forest Land.
18Check List Serial No 30 vii Undertaking for Payment of Any Other Cost and Condition.
19Check List Serial No 30 viii Undertaking for No Other Feasible Alternative Diversion of Minimum.
20Check List Serial No 30 x.
21Check List Serial No 30 xi Undertaking for Waste Management during Construction Activity.
22Check List Serial No 30 xii.
23Check List Serial No 30 xiii.
24Check List Serial No 31.
25Form A Part 1 fill by User.
26Check List Serial No 06 Linear Plan.
27One PDF File for all uploaded and related documents against additional information details of online Part I.
28Check List No. 04 Detailed Note of the Project
29Check List No. 08 Statement showing details of Non forest area
30Check List No. 13 Undertaking for Payment of Net Present Value of Forest Area
31EDS Reply Letter Dated 03_09_2021
32EDS Reply Letter Dated 04_03_2022
33Check List
34FRA Certificates with Annexures
35Sub Divisional Level Committee Meeting proceedings for FRA.
36Village Level Committee Meeting proceedings for FRA.
37Attachment B1 and B2 Gazette Notification under Section 3D and NH Act 1956
38Attachment C IRC Code SP842014
39Attachment D Undertaking for Payment of Soil and Moisture Conservation Plan
40Attachment F Beneficiary Village in KML file
41Attachment H List of Trees
42Attachment I Tatima
433540 Reply of EDS dated 07.11.2022
44Attachment E NOC from the concerned Department
45Attachment G Layout Plan
46NOC from CWLW regarding Assan Barrage wetland