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/MIN/47074/2020
(ii). Name of Project for which Forest Land is required :
The Mining Lease for Mines at village Kota and Padrach in Tehsil – Obra of Distt. Sonbhadra for Dalla Cement Works, Unit of UltraTech Cement Limited
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
Proposed Diversion of Forest Land (331.475 ha) of Kajrahat (Dalla) Mining Lease at Village Kota and Padrach in Tehsil – Obra, District-Sonbhadra for Dalla Cement Works (UNIT OF ULTRATECH CEMENT LIMITED)
(iv). State :
Uttar Pradesh
(v). Category of the Proposal :
Mining
(vi). Shape of forest land proposed to be diverted :
Non Linear
(vii). Estimated cost of the Project(Rupees in lacs) :
150000
(viii). Area of forest land proposed for diversion(in ha.):
331.475
(ix). Non-forest land required for this project(in ha.):
309.316
(x). Total period for which the forest land is proposed to be diverted(in years):
10
A-2.
Details of User Agency
(i). Name :
ULTRATECH CEMENT LIMITED - UNIT DALLA CEMENT WORKS
(ii). Address1 :
UltraTech Cement Limited Dalla Cement Works
(iii). Address2 :
SH 5 Post Dalla Distt. Sonbhadra
(iv). State :
Uttar Pradesh
(v). District :
Sonbhadra
(vi). Pin :
231207
(vii). Landmark :
Near Dalla Cement Works
(viii). Email address :
dallasuper@adityabirla.com
(ix). Landline Telephone No. :
5445-265778
(x). Fax No. :
5445-265802
(xi). Mobile No. :
9819300300
(xii). Website (if any) :
www.ultratechcement.com
(xiii). Legal status of User Agency :
Private
A-3.
Details of Person Making Application
(i). First Name:
Rajendra
(ii). Middle Name:
NIL
(iii). Last Name:
Kabra
(iv). Gender:
Male
(v). Designation:
COO
(vi). Address 1:
UltraTech Cement Limited unit dalla cement works
(vii). Address 2:
SH 5 POST DALLA distt Sonbhadra
(viii). State:
Uttar Pradesh
(ix). District:
Sonbhadra
(x). Tehsil:
Robertsganj
(xi). Pin:
231207
(xii). Landmark:
NIL
(xiii). Email Address:
dallasuper@adityabirla.com
(xiv). Landline Telephone No.:
5445-265778
(xv). Fax No.:
05445265801
(xvi). Mobile No.:
8007442255
(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.
Forest Division Obra
331.475
309.316
Total
331.475
309.316
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Sonbhadra
331.475
309.316
Total
331.475
309.316
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Padrach
56.098
8.928
2
Kota
275.377
300.388
Total
331.475
309.316
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Mined out Area in the Lease
211.511
73.394
2
Area under Utility services
1.891
7.777
3
Area undisturbed/virgin
118.073
228.145
Total
331.475
309.316
C.
Maps of forest land proposed to be diverted
Division 1. : Forest Division Obra
(i). Area of forest land proposed to be diverted(in ha.) :
331.475
(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 Patches
To view KML file on google the same may be downloaded and then open if in google earth install in your computer.
1.
331.475
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):
500
(iii). Temporary Employment(Number of person-days):
2000
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 ? :
Yes
(a). Status of the Environmental Clearance to the Project:
EC obtained
(b). Environmental Clearance File No.:
J-11011/560/2007-IA.II(I)
(c). Copy of Environmental Clearance to the Project:
(d). Date of grant of Environmental Clearance to the Project:
2008-29-09
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?:
Yes
(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 ?:
No
(iii). No. of districts involved for raising Compensatory Afforestation:
2
(iv). No. of patches:
Three
District 1. : Chitrakoot
(a). Village:
KUSUMI, CHUREH KESARUVA
(b). Area(in ha.):
72.194
(c). Copy of KML file of the patch:
View File
(d). Khasra details:
117 to 119, 126, 128, 132 in Kusumi, 1689 to 1698 in chureh
(e). Present owner:
User Agency
(f). Copy of Ownership proof:
District 2. : Mirzapur
(a). Village:
PAUDI RAMPUR, BADAUHA, PARASIA MUDHPELI
(b). Area(in ha.):
60.541
(c). Copy of KML file of the patch:
View File
(d). Khasra details:
PAUDI RAMPUR 474 Kha, BADAUHA 651, 561 Da, PARASIA MUDHPELI 4 chha, 686 Gha
(e). Present owner:
User Agency
(f). Copy of Ownership proof:
District 3. : Mirzapur
(a). Village:
MANIKPUR, URUWA, RAIKARA, CHAK GAMBHIRA, SINDHORA
(b). Area(in ha.):
203.812
(c). Copy of KML file of the patch:
View File
(d). Khasra details:
MANIKPUR 3 Chha, URUWA 78 Ya, RAIKARA 108 Tha, CHAK GAMBHIRA 114 Mi, SINDHORA 1007
(e). Present owner:
User Agency
(f). Copy of Ownership proof:
(v). Scanned copy of the map of the land identified for creation of Compensatory Afforestation prepared by using GPS ot Total Station:
(vi). Copy of Survey of India Toposheet in 1:50,000 scale indicating location of the land identified for creation of Compensatory Afforestation:
M.
Mining Details
M-1.
Details of Mineral Concessions
(i). Whether the forest land is aquired under Coal Bearing Areas Act:
No
(a). Reference number of Letter of Intent for grant of mining lease.(approval letter of the State Mines and Geology Department):
3704(1)/86-2007- 404/07
(b). Date of issue of the Letter of Intent(LOI) for grant of mining lease:
12 Dec 2007
(c). Copy the Letter of Intent(LOI):
(d). Total area of the mining lease(in ha.):
751
(e). Area of forest land located in the mining lease(in ha.):
331.475
M-2.
Details of Mining Plan
(i). Date of approval of mining plan:
31 Oct 2025
(ii). Approval authority:
INDIAN BUREAU OF MINES, MINISTRY OF MINES, GOVT. OF INDIA
(iii). Copy of approval of mining plan:
(iv). Copy of approved mining plan:
(v). Nature of mining (underground/opencast):
Opencast
(vi). Copy of the detailed land use plan in 1:4,000 scale prepared by using GPS or Total Station :
(vii). Copy of map of the outer boundary of mining lease area:
View file
M-3.
Details of prospecting undertaken to assess mineral reserves
(i). Whether detailed prospecting to assess mineral reserve in the lease has been undertaken:
No
M-4.
Details of extension (if any) of original prospecting licence issued in the past
(i). Whether detailed prospecting to assess mineral reserve in the lease has been undertaken:
No
M-5.
Brief details of prospecting activities undertaken in the mining lease :
(i). Detail of prospecting activity under taken in the mining lease:
Prospecting activities have been undertaken by the User Agency to assess mineral reserve in the mine lease area
M-5.1
Details of bore holes drilled for prospecting :
Bore holes drilled for prospecting
S.no
No. of Bore holes (in forest land)
Diameters(in inch.) forest land
No. of Bore holes (in non-forest land)
Diameters(in inch.) non-forest land
1
0
0
104
1.875
M-5.2
Estimated Reserve along with accuracy and confidence level
Estimated Reserve along with accuracy and confidence level
Minerals
Estimated Reserve
(million tones)
% accuracy (+ -)
% confidence level
Estimated Reserve
(million tones)
% accuracy (+ -)
% confidence level
Limestone and Other Calcareous Materials
217.51
0
0
30.63
95
95
M-6.
Details of approval under the Forest (Consevation) Act,1980 obtained for undertaking prospecting activities in the forest land located in the mining lease
(i).Whether approval under the Forest (Conservation) Act, 1980 for undertaking prospecting activities in the forest land located in the mining lease have been obtained
No
Details of approval under the Forest(Consevation) Act,1980
S.no
MoEF File No
Date of approval
Area of forest land diverted(in ha.)
From Date
To Date
NIL
M-7.
Mineral wise details
(i). No. of minerals:
One
Mineral wise details
Minerals
Estimated reserve in
non forest land(million tons.)
Estimated reserve
in forest land(million tons.)
Estimated annual
extraction(million tons.)
Estimated life
of mine(Yrs.)
Total estimated extraction during
mining lease period(million tons.)
Estimated mineral reserve
at the end of mining lease(million tons.)
Limestone and Other Calcareous Materials
30.63
217.51
2
124
0.59
247.64
M-7.1
Proposed use of the minerals proposed to be raised from the mining lease
(i). Proposed use of the minerals proposed to be raised from the mining lease:
Captive
(a).Copy note containing details of the linked end-use Project:
(ii).Copy note containing details of the plan for the transportation of the minerals proposed to be raised from the mining lease:
Additional information Details
Documents
S.No
Documents
Remarks
1
1 Approval of mining plan
2
2 Detailed note of the project
3
3 Justification For Locating The Project
4
4 SOI Map of Proposed Forest Land
5
5 DGPS Map of Proposed Forest Land
6
6 Land Use Map of Lease Area
7
7 Forest Gazette Notification
8
8 LOI of Mining Lease
9
9 Joint Survey Mines
10
10 EC of the Mines
11
11 NOC from DFO WL
12
12 Whether the project is located in any protected area
13
13 Kaimoor ESZ Gazette
14
14 Joint Survey report ESZ
15
15 Statement showing component wise area
16
16 Statement showing forest land
17
17 Statement showing non-forest area
18
18 Cost Benifit Analysis
19
19 FRA
20
20 Muck Management Plan
21
21 Mank Sarth
22
22 Cert of undertaking for end use of product
23
23 Cert of undertaking for extraction of material from forest land
24
24 Cert of undertaking for NPV
25
25 Cert of undertaking for plan for transportation of the mineral
26
26 Certificate for minimum use of forest land
27
27 Certificate of Lease Period
28
28 Cert of undertaking for muck management
29
29 Cert of undertaking FCA 1980
30
30 Cert of undertaking for CA
31
31 Undertaking for forest land
32
32 Undertaking for no work
33
33 Undertaking for payment of any other costs
34
34 Undertaking for stone pillars
35
35 Undertaking for Wildlife Mitigation plan
36
36 CA Suitability and VIP letter by DFO Mirzapur
37
37 VIP letter for CA land at Mirzapur District
38
38 Cabinet Order for CA land at Mirzapur
39
39 Land Document CA land Mirzapur
40
40 VIP Letter Chureh Kesrua Chitrakoot
41
41 VIP Letter Kusumi Chitrakoot
42
42 CA Suitability Report Chureh Kesrua Chitrakoot
43
43 CA Suitability Report Kusumi Chitrakoot
44
44 Land Documents for CA Land Chitrakoot
45
45 Khasra Maps of CA Land Chitrakoot
46
46 Cost Estimation for CA land at Chureh Kesrua Chitrakoot
47
47 Cost Estimation CA land Kusumi Chitrakoot
48
48 Cost Estimation for CA land Mirzapur District
49
49 CA Suitability and VIP by DFO Kaimoor
50
50 Undertaking to Pay Lease Rent
51
51 Undertaking for CAT Plan
52
52 Details of CA Land
53
53 Details of CA land and Site Suitability Certificate
54
54 Forest and Non Forest Land Schedule
55
55 Part 1
56
56 Encumbrance Free Certificate of CA land Mirzapur District
57
57 Khasra Map of Project
58
58 Checklist of DFO
59
59 Tree Enumeration List
60
60 EDS Reply 10 March 2026 EMPTY
61
61 HINDI PART 1
62
Checklist as per FCA
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