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/UP/Approach/153459/2022   (ii). Name of Project for which Forest Land is required : Proposed HPCL Retail Outlet on Delhi-Bareilly-Lucknow Road NH-24 (City Road) In Km. No. 163 (CH. No. 162.863, LHS) At Gata No–112Mi, 113Mi & 114/1Mi, Village:- Mustafabad Mustakam, Tehsil:-Moradabad,Dist:Moradabad   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Proposed Protected Forest Land to be Diverted for Entry/Exit approach to HPCL Retail Outlet on Delhi-Bareilly-Lucknow Road NH-24 (City Road) In Km. No. 163 (CH. No. 162.863, LHS) At Gata No–112Mi, 113Mi & 114/1Mi, Village:- Mustafabad Mustakam, Tehsil:-Moradabad, District:-Moradabad   (iv). State : Uttar Pradesh   (v). Category of the Proposal : Approach Access   (vi). Shape of forest land proposed to be diverted : Non Linear   (vii). Estimated cost of the Project(Rupees in lacs) : 40   (viii). Area of forest land proposed for diversion(in ha.): 0.065918   (ix). Non-forest land required for this project(in ha.): 0.0521   (x). Total period for which the forest land is proposed to be diverted(in years): 30
A-2. Details of User Agency
  (i). Name : HINDUSTAN PETROLEUM CORPORATION LIMITED   (ii). Address1 : VEDVYASPURI, PARTAPUR, MEERUT 250103   (iii). Address2 : VEDVYASPURI, PARTAPUR, MEERUT 250103   (iv). State : Uttar Pradesh   (v). District : Meerut   (vi). Pin : 250103   (vii). Landmark : NIL   (viii). Email address : subodhc@hpcl.co.in   (ix). Landline Telephone No. : 121-2967426   (x). Fax No. : NIL   (xi). Mobile No. : 9411070220   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : Central PSU
A-3. Details of Person Making Application
  (i). First Name: Gaya   (ii). Middle Name: NIL   (iii). Last Name: Prasad   (iv). Gender: Male   (v). Designation: Sr Area Sales Manager   (vi). Address 1: VEDVYASPURI, PARTAPUR, MEERUT 250103   (vii). Address 2: VEDVYASPURI, PARTAPUR, MEERUT 250103   (viii). State: Uttar Pradesh   (ix). District: Meerut   (x). Tehsil: Meerut   (xi). Pin: 250103   (xii). Landmark: NIL   (xiii). Email Address: subodhc@hpcl.co.in   (xiv). Landline Telephone No.: 121-2967426   (xv). Fax No.: 01212440823   (xvi). Mobile No.: 9411070220   (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
1ApprovedFP/UP/OTHERS/15613/2015P3/14-2-2016-800(03)20160.062220.0622218 Feb 201625 Jun 2016
Total 0.06222 0.06222
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.Social Forestry Division Moradabad0.0659180.0521
Total0.0659180.0521
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Moradabad0.0659180.0521
Total0.0659180.0521
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Mustafabad Mustakam0.0659180.0521
Total 0.065918 0.0521
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Exit/Entry Approach to Retail Outlet0.0659180.0521
Total 0.065918 0.0521
C. Maps of forest land proposed to be diverted
Division 1. : Social Forestry Division Moradabad
  (i). Area of forest land proposed to be diverted(in ha.) : 0.065918   (ii). Nature of the Project: Non Linear   (a). No. of patches : One
Patch wise details
Patch No. Area of Patch(in ha.) Kml File of PatchesTo view KML file on google the same may be downloaded and then open if in google earth install in your computer.
1.0.065918    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:
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 5   (iii). Temporary Employment(Number of person-days): 500
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
1AREA CALCULATION
2UNDERTAKIG FOR ETT
3FOREST NOTIFICATION
4UNDERTAKING FOR FRA
5KHATAUNI
6LAND SECHUDLE
7APPROVE LAYOUT PLAN
8LEASE DEED
9LOI
10UNDERTAKING FOR MINIMUM TREE FELLING
11MUCK DISPOSAL PLAN
12FIRE NOC
13POLLUTION NOC
14PWD NOC
15UNDERTAKING FOR NPV
16STANDARD CONDITIONS
17VAIKALPIK VAN BHOOMI CERTIFICATE
18UNDERTAKING FOR VANYA JEEV VIHAR
19UNDERTAKING FOR NOT START WORK BEFORE APPROVAL