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/UK/Pipeline/148743/2021   (ii). Name of Project for which Forest Land is required : Indian Oil-Adani Gas Pvt. Ltd. project for Laying of 8" NB Carbon Steel Gas Pipeline along NH - 74 (Rudrapur - Kichha Road (Left Side)) from Km. 221.150 to Km. 227.200. Total Km. 6.05 & 0.3025 Ha. in Forest Division Tarai Central, Rudrapur, District - Udham Singh Nagar, Uttarakhand.   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Indian Oil-Adani Gas Pvt. Ltd. project for Laying of 8" NB Carbon Steel Gas Pipeline along NH - 74 (Rudrapur - Kichha Road (Left Side)) from Km. 221.150 to Km. 227.200. Total Km. 6.05 & 0.3025 Ha. in Forest Division Tarai Central, Rudrapur, District - Udham Singh Nagar, Uttarakhand.   (iv). State : Uttarakhand   (v). Category of the Proposal : Pipeline   (vi). Shape of forest land proposed to be diverted : Linear   (vii). Estimated cost of the Project(Rupees in lacs) : 609   (viii). Area of forest land proposed for diversion(in ha.): 0.3025   (ix). Non-forest land required for this project(in ha.): 0   (x). Total period for which the forest land is proposed to be diverted(in years): 30
A-2. Details of User Agency
  (i). Name : INDIAN OIL-ADANI GAS PVT. LTD.   (ii). Address1 : 306-309, 3rd Floor, Salcon Aurum, Plot No. - 4, Jasola District Centre, New Delhi   (iii). Address2 : NIL   (iv). State : Delhi   (v). District : New Delhi   (vi). Pin : 110025   (vii). Landmark : Jasola District Centre   (viii). Email address : io.adani.uk@gmail.com   (ix). Landline Telephone No. : 0-   (x). Fax No. : 0-   (xi). Mobile No. : 9451933346   (xii). Website (if any) : ioagpl.com   (xiii). Legal status of User Agency : Joint Venture(Pvt+Govt.)
A-3. Details of Person Making Application
  (i). First Name: Sudhank   (ii). Middle Name: NIL   (iii). Last Name: Saxena   (iv). Gender: Male   (v). Designation: Manager Business Development   (vi). Address 1: Rudra Arcade, 3rd Floor, 12 National Highway, Opp.- PAC, Avas Vikas, Rudrapur   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Udham Singh Nagar   (x). Tehsil: Kichha   (xi). Pin: 263153   (xii). Landmark: Opposite - PAC   (xiii). Email Address: io.adani.uk@gmail.com   (xiv). Landline Telephone No.: 0-   (xv). Fax No.: NIL   (xvi). Mobile No.: 9451933346   (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.Tarai Central,Haldwani0.30250
Total0.30250
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Udham Singh Nagar0.30250
Total0.30250
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Lalpur0.06530
2Chukti0.05360
3Kishanpur0.08230
4Kichha0.10130
Total 0.3025 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Laying Of Gas Pipe Line0.30250
Total 0.3025 0
C. Maps of forest land proposed to be diverted
Division 1. : Tarai Central,Haldwani
  (i). Area of forest land proposed to be diverted(in ha.) : 0.3025   (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).
1.0.3025    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: Not Applicable (Along with 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): 61
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
1Parpatra 1 Prativedan
2Parpatra 2 Bhag1
3Parpatra 4 Joint Inspection Report
4Parpatra 8 No Alternate Route
5Parpatra 10 Land Use Bare Minimum
6Parpatra 11 Land Schedule Protected & Reserve
7Parpatra 11.1 Land Schedule Civil Soyam, Naap Van Panchayat Bhoomi
8Parpatra 12 Area Calculation
9Parpatra 13 Bar Chart
10Parpatra 14 No Start of Work
11Parpatra 15 to 15.6 Effected Trees forest land, Actual Felling & Cost
12Parpatra 17.1 Praddat Praman Patra
13Parpatra 18 Project area Not part of Wildlife Area
14Parpatra 19 Project Distance from Wildlife Area
15Parpatra 29 Standard Condition
16Parpatra 31 No damage to Wildlife & Vegetation
17Parpatra 32 Providing of cooking gas to Project workers
18Parpatra 33 Population Benefited by Project
19Parpatra 34 Cost of forest land & its Yearly rent
20Parpatra 35 & 36 CA details
21CA Undertaking
22100 trees plantation cost & 10 years care Undertaking
23Parpatra 41 Muck disposal
24Parpatra 42 NPV Calculation
25Parpatra 43 Increase of NPV Payment Undertaking
26Parpatra 45 Lease Avadhi Praman Patra
27Parpatra 46 No Violation of FC Act 1980
28Project GPS Co-ordinates
29NHAI Permission
30Methodology
31Gazette Notification
32Project Google Map
33Parpatra 3 Administrative & Financial Approval
34Parpatra 37 100 Trees Plantation & 10 years care cost calculation & location map
35EDS Reply Letter 11.11.2022
36EDS Reply Letter 24.01.2023