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/146609/2021   (ii). Name of Project for which Forest Land is required : Improvement and up-gradation of NH-74 (New NH-30) stretch from Bareilly to Sitarganj under Bharatmala Pariyojana Lot-4/Package-2 in the state of Uttar Pradesh and Uttarakhand   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Diversion of 0.7905 of forest land for Improvement and up-gradation of NH-74 (New NH-30)((Total Km -70.860 from Bareilly, Pilibhit, and Sitarganj district with Ch. 0+000 to 64+760 and Sitarganj bypass from Ch. 0+000 to 6+100) under forest Division Terai East) under Bharatmala Pariyojana Lot-4/Packag   (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) : 15800000   (viii). Area of forest land proposed for diversion(in ha.): 0.7905   (ix). Non-forest land required for this project(in ha.): 55.2345   (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 HIGHWAYS AUTHORITY OF INDIA PIU BAREILLY   (ii). Address1 : 26, Green Park, Beesalpur Road, Bareilly(U.P.)   (iii). Address2 : NIL   (iv). State : Uttar Pradesh   (v). District : Bareilly   (vi). Pin : 243006   (vii). Landmark : NIL   (viii). Email address : piubareilly@gmail.com   (ix). Landline Telephone No. : 581-2523752   (x). Fax No. : 581-2520204   (xi). Mobile No. : 9897956767   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : Central Government
A-3. Details of Person Making Application
  (i). First Name: Nikhil   (ii). Middle Name: NIL   (iii). Last Name: Narang   (iv). Gender: Male   (v). Designation: Project Director   (vi). Address 1: National Highways Authority of India, PIU-Bareilly   (vii). Address 2: 26, Green Park, Beesalpur Road, Bareilly(U.P.)   (viii). State: Uttar Pradesh   (ix). District: Bareilly   (x). Tehsil: Bareilly   (xi). Pin: 243006   (xii). Landmark: NIL   (xiii). Email Address: piubareilly@gmail.com   (xiv). Landline Telephone No.: 581-2523752   (xv). Fax No.: 05812520204   (xvi). Mobile No.: 8586979842   (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 East,Haldwani0.790555.2345
Total0.790555.2345
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Udham Singh Nagar0.790555.2345
Total0.790555.2345
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Nakatpura014.175
2Pipaliya Nathu06.75
3Malpuri07.65
4Pandri04.5
5Karghatiya04.5
6Gori Kheda0.02256.7275
7Badhori02.25
8Chikaghat0.7688.682
Total 0.7905 55.2345
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1ROAD0.790555.2345
Total 0.7905 55.2345
C. Maps of forest land proposed to be diverted
Division 1. : Tarai East,Haldwani
  (i). Area of forest land proposed to be diverted(in ha.) : 0.7905   (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).
1.0.7905    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): 750000
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?: 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
1Recieving from DFO Tarai east for revised submission of Forest Proposal
2Recieving from DFO Tarai East for submission of revised and corrected proposals
3EDS Compliances submitted on 17th Aug 2022
4Aerial Distance Certificate
5Authorization letter
6Undertaking for Oak Tree
7Certificate of Project Benefit
8Details Note on project
9DGPS map
10Fact Sheet
11Genearl Conditions
12Land schedule or area calculation sheet
13NPV calculation sheet
14NPV of forest land
15Options of proposed project
16Part-I
17Project Sanction letter
18Scheme of Compensatory Plantation
19task Force Certificate
20Topomap
21Tree enumeration list details
22Undertaking for additional NPV
23Undertaking for FCA
24Undertaking for FRA Certificate
25Undertaking for geo-technical report
26Undertaking for minimum tree felling
27Undertaking for minimum use of forest land
28Undertaking for minimum tree felling
29Undertaking for minimum use of forest land
30Undertaking for no muck generation and disposal
31Undertaking for no wildlife area or National Park or PA
32Undertaking for no wildlife disturbance and
33Undertaking for non involving of historical monuments
34Undertaking for non starting of any activity is proposed project
35Undertaking for payment of NPV
36Undertaking for providing fuel and necessary element to labour and worker
37Bar Chart of Proposal
38Checklist no 12 Length and width of Forest land
39Joint inspection report
40Fact Sheet
41EDS Submission Letter for Sitarganj Section with correction in docs