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/27251/2017   (ii). Name of Project for which Forest Land is required : construction of Ring road from Tauru road to Alwar road via Engineering College, Medical College and Navodaya School Bai in Nuh Distt. (C.M. Announcement 15242)   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : construction of Ring road from Tauru road to Alwar road via Engineering College, Medical College and Navodaya School Bai (C.M. Announcement 15242)   (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) : 2620.86   (viii). Area of forest land proposed for diversion(in ha.): 1.8239232   (ix). Non-forest land required for this project(in ha.): 6.4273176   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : PWD BANDR MEWAT   (ii). Address1 : Executive Engineer, Provincial Division, PWD B&R Br., Nuh   (iii). Address2 : NIL   (iv). State : Haryana   (v). District : Mewat   (vi). Pin : 122107   (vii). Landmark : Near PWD B&R Rest House   (viii). Email address : pwd-eepd-nuh@hry.nic.in   (ix). Landline Telephone No. : 1267-271237   (x). Fax No. : 1267-271751   (xi). Mobile No. : 9466100063   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State PSU
A-3. Details of Person Making Application
  (i). First Name: Sh Shamsher Singh   (ii). Middle Name: NIL   (iii). Last Name: NIL   (iv). Gender: Male   (v). Designation: Executive Engineer   (vi). Address 1: Provincial Sub Division, PWD B&R Br., Nuh   (vii). Address 2: NIL   (viii). State: Haryana   (ix). District: Mewat   (x). Tehsil: Nuh   (xi). Pin: 122107   (xii). Landmark: Near PWD B&R Rest House   (xiii). Email Address: pwd-eepd-nuh@hry.nic.in   (xiv). Landline Telephone No.: 1267-271237   (xv). Fax No.: 01267271751   (xvi). Mobile No.: 9416150032   (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
1Approved(Proposal No. FP/HR/ROAD/45404/2020).94330.98598514 Aug 202015 Oct 2020
Total 0.985 985
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.Mewat1.82392320
Total1.82392320
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Mewat1.82392320
Total1.82392320
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Palla0.42540740
2Nuh1.05105850
3Nalhar0.3213980
Total 1.7978639 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road1.82392320
Total 1.8239232 0
C. Maps of forest land proposed to be diverted
Division 1. : Mewat
  (i). Area of forest land proposed to be diverted(in ha.) : 1.8239232   (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).
1.1.8239232    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: Yes   (a). Copy of map indicating location of alternative examined:
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 1   (iii). Temporary Employment(Number of person-days): 100
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?: Yes   (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 ?: Yes   (a). Reason Category: CA Will be raised on degraded forest land as well as on land provided by User Agency   (b). Degraded forest area on which CA has to be raised by forest department(in ha.): NIL   (c). Area of non-forest or Revenue forest land required to be provided by User Agency for raising Compensatory Afforestation(in ha.): 1.953952   (iii). No. of districts involved for raising Compensatory Afforestation: 1   (iv). No. of patches: Two
District 1. : Mewat
  (a). Village: Nuh and Nalhar   (b). Area(in ha.): 1.953952   (c). Copy of KML file of the patch:     View File   (d). Khasra details: 7/2, 8/2, 1/2, 5/2/2, 5/1/2, 4/2, 7/1, 6/1, 3/2/2, 8/2/2, 2/1/2, 9/1, 1/2, 10/1, 5/2, 6/1, 4/2, 7/1, 3/2, 8/1, 4/2, 10/1, 5/2, 6/2, 7/1, 3/2, 8/1, 2/2, 9/1, 1/2, 10/1, 5/2, 6/1, 4/2/2, 2/2, 3/2, 9/1,   (e). Present owner: User Agency   (f). Copy of Ownership proof:
  (v). Scanned copy of the map of the land identified for creation of Compensatory Afforestation prepared by using GPS ot Total Station:   (vi). Copy of Survey of India Toposheet in 1:50,000 scale indicating location of the land identified for creation of Compensatory Afforestation: No Data
Additional information Details
Documents
S.No Documents
Remarks
1Calculation Sheet
2FRA Certificate
3A/A of construction of new Ring road From HNPP road To G.A Road
4Linear Plan of Medical Collage Road