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/ROAD/121027/2021
(ii). Name of Project for which Forest Land is required :
UP-gradation and 4-lanning of Paonta Saheb-Ballupur (Dehradun) Section of NH-72 (Km 104.00 to Km 149.00) in the state of Uttarakhand
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
UP-gradation and 4-lanning of Paonta Saheb-Ballupur (Dehradun) Section of NH-72 (Km 104.00 to Km 149.00) in the state of Uttarakhand
(iv). State :
Uttarakhand
(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.):
24.1884
(ix). Non-forest land required for this project(in ha.):
132.9616
(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.
Soil Conservation,Kalsi
24.1884
132.9616
Total
24.1884
132.9616
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Dehradun
24.1884
132.9616
Total
24.1884
132.9616
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Kulhal Matak
5.1125
1.554
2
Matka Majri
4.5
1.145
3
Kunja
2.7103
1.741
4
Kunjagrant
3.9394
1.9546
5
Aduwala
3.6232
1.152
6
Shahpur Kalyanpur
3.1811
1.556
7
Dharmawala
1.1219
1.689
8
Prateetpur Kalyanpur
0
5.075
9
Badripur
0
5.85
10
Mednipur Badripur
0
7.515
11
Majri
0
2.8
12
Jatowala
0
4.455
13
Tiparpur
0
3.85
14
Shabhawala
0
13.95
15
Kalyanpur
0
3.64
16
Hasanpur
0
10.17
17
Sherpur
0
7.35
18
Shisambada
0
10.115
19
East Hope Town
0
24.12
20
Arcadia Grant
0
5.04
21
Mithi Behadi
0
1.96
22
Shahpur Santor
0
7.38
23
Panditwadi
0
2.275
24
Dhartawala Mafi
0
1.845
25
Bajawala
0
1.98
26
Kanwali
0
2.8
Total
24.1884
132.9616
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Road
20.8707
127.5028
2
Bridge Section
0.4473
5.4588
3
Hill Cutting
2.8704
0
4
Muck Disposal Area
0
0
Total
24.1884
132.9616
C.
Maps of forest land proposed to be diverted
Division 1. : Soil Conservation,Kalsi
(i). Area of forest land proposed to be diverted(in ha.) :
24.1884
(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.
24.1884
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):
0
(iii). Temporary Employment(Number of person-days):
187200
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?:
Yes
(a). Copy of Cost-Benefit analysis:
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
1
MoM NHAI.
2
EDS Reply Letter Dated 05_03_2021 with Annexures.
3
EDS Reply Compliance Letter Dated 21_06_2021.
4
Compliance Report of EDS raised by Letter no 572_12 dated 27_08_2021.
5
Prativedan.
6
Fact Sheet.
7
Form prescribed by the Government of India Formet 2 Part I.
8
Form prescribed by the Government of India Part II.
9
Joint Site inspection Report.
10
Alternative Route Alignment report.
11
Justification for Land Format 11.
12
Details for optional land Format 13.
13
Certificate for Minimum Forest Land Format 14.
14
Land Schedule Format 15.
15
Certificate for Banj Tree Falling Details Format 16.
16
Cross Section.
17
Bar Chart Status.
18
Undertaking for No work started.
19
Details of Affected Trees Format 19.
20
Undertaking for Banj Tree Falling Details Format 22.
21
Certificate for Affected Tree Format 23.
22
Undertaking for minimum Tree Falling Format 24.
23
Certificate for Not Being Part of Wildlife Sanctuary Format 25.
24
Certificate for dintance from National Park Format 26.
25
Certificate for Wildlife Permission Format 27.
26
Cert for Agreement bw LO And UA Format 48.
27
Certificate for Availability of Kerosin and other Format 39.
28
Certificate for CA Land Availability with Maps.
29
Certificate for following Geologist recommendation Format 34.
30
Certificate for NPV Calculation Format 42.
31
Certificate for NPV Format 51.
32
Check list of documents information required for proposal for diversion of forest land.
33
Gazette Notification.
34
Government of India FRA Circular.
35
Manak Sharte Format 36.
36
Muck disposal Plan Format 49_1.
37
NOC of landowner Format 47.
38
On both sides of the roadway and at the vacant places plantation work Format 46.
39
Task Force Certificate Format 35.
40
Undertaking for Benifited Village Format 40.
41
Undertaking for CA land.
42
Undertaking for Dharmik Pauranik Place Format 37.
43
Undertaking for No damage for Forest Founa and Flowera Format 38.
44
Undertaking for Submiting Layout plan for building construction Format 32.
45
Village Wise Area Calculation Sheet.
46
Segment Wise Area Calculation Sheet.
47
Geo Referenced Digital Map with Coordinates prepared by Forest Department.
48
Georeferenced Toposheet Map prepared by Forest Department.
49
EDS Reply Letter Dated 05_03_2021.
50
Undertaking for Various Component Format 31.
51
EDS Reply Letter dated 28_12_2021 with Enclosures.
52
Geological Report.
53
FRA Certificate with Annxures.
54
Sub Divisional Level Committee Meeting proceedings for FRA.
55
Village Level Committee Meeting proceedings for FRA.
56
Administrative and Financial Approval.
57
CA Land Maps for Compensatory Afforestation.
58
Form A Online Part 1 Field by user Agency
59
Cost Benefit Analysis Report
60
Compliance Report of EDS raised by Nodal Officer dated 24_02_2022
61
Muck Disposal Plan
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