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/HR/ROAD/149642/2021   (ii). Name of Project for which Forest Land is required : Development of Economic Corridors and, Inter corridor, Feeder Routes to improve the efficiency of freight movement in India under Bharatmala Pariyojana Lot 4,Package-1 Karnal Ring Road Project   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Diversion 6.6993 Ha forest land under Forest Division Karnal Development of Economic Corridors and, Inter corridor, Feeder Routes to improve the efficiency of freight movement in India under Bharatmala Pariyojana Lot 4,Package-1 Karnal Ring Road Project.   (iv). State : Haryana   (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) : 169600   (viii). Area of forest land proposed for diversion(in ha.): 6.6993   (ix). Non-forest land required for this project(in ha.): 185.9007   (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 PIU I AMBALA HARYANA   (ii). Address1 : 17 L model Town Ambala City   (iii). Address2 : NIL   (iv). State : Haryana   (v). District : Ambala   (vi). Pin : 134003   (vii). Landmark : NIL   (viii). Email address : piu1amb@gmail.com   (ix). Landline Telephone No. : 171-2521361   (x). Fax No. : 171-   (xi). Mobile No. : 9416976349   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : Central Government
A-3. Details of Person Making Application
  (i). First Name: Veerendera   (ii). Middle Name: NIL   (iii). Last Name: Singh   (iv). Gender: Male   (v). Designation: General Manager Technical   (vi). Address 1: # 16, Prem Nagar, Ambala City   (vii). Address 2: NIL   (viii). State: Haryana   (ix). District: Ambala   (x). Tehsil: NIL   (xi). Pin: 134003   (xii). Landmark: NIL   (xiii). Email Address: piu1amb@gmail.com   (xiv). Landline Telephone No.: 171-2521361   (xv). Fax No.: NIL   (xvi). Mobile No.: 9599678828   (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
1InprincipleFP/PB/ROAD/120862/20219-PBC328/2022-CHA11.48611.48620 May 2022
Total 11.486 11.486
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.Karnal6.6993185.9007
Total6.6993185.9007
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Karnal6.6993185.9007
Total6.6993185.9007
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Shamgarh1.150.1016
2Dadupur0.5869.7462
3Jhanjhari01.0016
4Kurali06.7344
5Darar0.0524.2791
6Salaru08.3182
7Taprana0.789.4593
8Danialpur09.2218
9Kunjpura0.112512.2913
10Subhari0.04813.0537
11Newal0.32814.8401
12Chhapara Khera0.099.6554
13Sohana0.5398.8422
14Sheikhpura0.094.2032
15Ranwar0.04213.4826
16Ganjo Garhi0.09753.22
17Barauta025.184
18Kutail1.51993.9761
19Uncha Siwana00.9914
20Kharkali08.5452
21Jhinwerheri0.15515.3771
22Samalakha1.10943.3762
Total 6.6993 185.9007
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Karanal6.6993185.9007
Total 6.6993 185.9007
C. Maps of forest land proposed to be diverted
Division 1. : Karnal
  (i). Area of forest land proposed to be diverted(in ha.) : 6.6993   (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).
1.6.6993    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: Nil
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): 952200
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
1DGPS Map
2Authorization Letter
3Detail Note on The Project
4Justification for locating the protected forest area
5Certificate for minimum use of forest land
6Undertaking for payment of cost compensatory afforestation
7Undertaking for payment of net present value of forest land
8Undertaking for payment of additional NPV of forest area
9Undertaking for no other fessible alternative of alignment and diversion of barest minimum forest land
10Undertaking certificate for no muck generation and disposal
11Undertaking for no wildlife area
12Undertaking for non starting of any activity without sanction from competent authority
13LAC (Karnal Ring Road) Project approval from competent authority
14Project Sanction Letter
15Gazette Notification of land acquisition
16Gazette Notification of land acquisition
17Project Layout Plan
18Undertaking for NOC of land Owning Agency
19EDS Compliance by NHAI
20NHAI compliance letter
21NHAI Compliance Letter Dated 29 Jan 2023
22NHAI compliance letter dated 5th June 2023
23Revised Forest Area calculation sheet
24Linear plan showing forest patches and area
25Undertaking for NOC of land owning agency
26NoC of Railway