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/147686/2021   (ii). Name of Project for which Forest Land is required : Diversion of forest land for the development of 6-lane (greenfield) access-controlled spur to Haridwar UP/Uttarakhand Boarder near Manakpur Adampur village (Ch:19+070) to Manoharpur village (Ch: 50+090) in Haridwar district of Uttarakhand State.   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Project alignment originates from design Ch. 108+450 of Delhi-Saharanpur-Dehradun economic corridor near Halgoya village, traverses through northern side of Roorkee and merges with NH-334 (Old NH No. 58) at existing km 182+070 near Badheri village. The proposed project is an access-controlled connec   (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) : 190889   (viii). Area of forest land proposed for diversion(in ha.): 1.6535   (ix). Non-forest land required for this project(in ha.): 162.7185   (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 INDAI PIU ROORKEE   (ii). Address1 : 395/1, 42, CIVIL LINES   (iii). Address2 : ROORKEE   (iv). State : Uttarakhand   (v). District : Haridwar   (vi). Pin : 247667   (vii). Landmark : NEAR SBI MAIN BRANCH ROORKEE   (viii). Email address : piuroorkee@nhai.org   (ix). Landline Telephone No. : 1332-2297044   (x). Fax No. : 1332-   (xi). Mobile No. : 9568235222   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : Central Government
A-3. Details of Person Making Application
  (i). First Name: PRADEEP   (ii). Middle Name: SINGH   (iii). Last Name: GUSAIN   (iv). Gender: Male   (v). Designation: PROJECT DIRECTOR   (vi). Address 1: H.NO. G 24/3 NEHRU COLONY DEHRADUN UTTRAKHAND 248001   (vii). Address 2: NIL   (viii). State: Uttarakhand   (ix). District: Haridwar   (x). Tehsil: Roorkee   (xi). Pin: 247667   (xii). Landmark: NIL   (xiii). Email Address: piuroorkee@nhai.org   (xiv). Landline Telephone No.: 0-   (xv). Fax No.: NIL   (xvi). Mobile No.: 9568235222   (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.Haridwar1.6535162.7185
Total1.6535162.7185
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Haridwar1.6535162.7185
Total1.6535162.7185
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Khata Kheri02.8516
2Manakpur Adampur014.009
3Khajuri09.0133
4Behedeki Saidabad011.2767
5Manakpur Devpur04.788
6Dharampur00.61
7Padaliganda07.2963
8Iqbalpur Kamelpur05.449
9Sohalpur Gada06.9497
10Madhopur Hazratpur013.387
11Saliyar Salhapur Zadid03.493
12Ibrahimpur Deh02.649
13Saliyar Salhapur010.6522
14Mehwad Khurd urf Nagal04.727
15Gopalpur05.8935
16Saidpura01.432
17Mehwadkalan1.61015.756
18Bajuheri0.04343.4292
19Piran kaliyar02.623
20Belda Mustahakam02.044
21Kot Kaliyar Chak Pratham00.071
22Rahmatpur Mustakam05.0574
23Rahmatpur Ahatmaal07.5052
24Mooldaspur urf Mazra04.658
25Badheri Rajpuran01.7295
26Shantershah00.02
27Manoharpur00.7079
28Harchandpur06.0721
29Naubatpur Mulewala01.3885
30Mohammadpur Pand017.1794
Total 1.6535 162.7185
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road along the Canal1.6535162.7185
Total 1.6535 162.7185
C. Maps of forest land proposed to be diverted
Division 1. : Haridwar
  (i). Area of forest land proposed to be diverted(in ha.) : 1.6535   (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).
1.1.6535    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): 15   (iii). Temporary Employment(Number of person-days): 300
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 ? : Yes   (a). Status of the Environmental Clearance to the Project: EC under process   (ii). Environmental Clearance File No.: 10/25/2021-IA.III
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
1Typical Cross Section
2No Alternative Suitable Land
3Minimum Demand of Forest Land
4No Archaeological Monuments present
5UT for payment of Cost of Compensatory of Afforestation
6UT for Additional NPV Payment
7Task Force certificate
8Employee opportunity certificate
9Justification
10No Muck Generation Undertaking
11No Other Forest land used
12Forest Area Statement
13Undertaking Land Ownership
14Undertaking for Following State and Central Govt. rules
15Undertaking for ETT
16Benefitted Villages
17RCC pillar fixing UT
18No Applicability of CBA
19Environmental Clearance Details
20Banj Vriksho Ke Patan ka praman patra
21Bar Chart Showing Forest and Non-Forest Area
22EDS Compliance dated 24.11.2021
23NPV calculation Sheet
24Aerial distance
25Work not started certificate
26Tree enumeration list
27Muck disposal plan
28No Wildlife presence and No Harm of Wildlife
29Undertaking For payment of NPV
30Certificate about distance of project from protected Area
31EDS compliance dated-21/07/2022
32DGPS MAP
33Geotechnical Investigation Report
34Administrative Approval
35EDS Compliance
36EDS Compliance dated-21.12.2022