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:
2008-09-29
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:
3
(iv). No. of patches:
Six
District 1. : Sonbhadra
(a). Village:
Bakiya, Chandauli, Chopan, Dalla, Hathwani, Kanhara, Khurdalkhand, Paraspani, Kanhara
(b). Area(in ha.):
130
(c). Copy of KML file of the patch:
View File
(d). Khasra details:
Forest Block
(e). Present owner:
Others
(f). Copy of ownership proof:
(g). Copy of Mou/agreement executed between the Present owner and the User Agency:
(h). Copy of non encumberence certificate for the forest land:
District 2. : 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 3. : Sonbhadra
(a). Village:
Chakbagdary, cheri
(b). Area(in ha.):
115.42
(c). Copy of KML file of the patch:
View File
(d). Khasra details:
Forest Block
(e). Present owner:
Others
(f). Copy of ownership proof:
(g). Copy of Mou/agreement executed between the Present owner and the User Agency:
(h). Copy of non encumberence certificate for the forest land:
District 4. : Sonbhadra
(a). Village:
Chaura, Majhui, Suarsot
(b). Area(in ha.):
50
(c). Copy of KML file of the patch:
View File
(d). Khasra details:
Forest Block
(e). Present owner:
Others
(f). Copy of ownership proof:
(g). Copy of Mou/agreement executed between the Present owner and the User Agency:
(h). Copy of non encumberence certificate for the forest land:
District 5. : 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:
District 6. : 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:
(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 Detailed note of the project
2
2 Forest Gazette notification
3
3 Joint Survey mines
4
4 NOC from DFO WL
5
5 Whether Project Located in Protected area
6
6 Kaimoor ESZ gazette
7
7 Jointsurveyreport ESZ
8
8 Statementshowing Component wise area
9
9 Statement showing Forestland
10
10 Statementshowing Non-forest area
11
11 Muck management plan
12
12 mank sarth
13
13 Undertaking for Enduse product
14
14 Cert of Undertaking Extraction of material forest land
15
15 Cert of undertaking for NPV
16
16 certificate for Minimumuseofforestland
17
17certificate of lease period
18
18 cert of undertaking for muck management
19
19 cert of undertaking fca1980
20
20 cert of undertaking for ca
21
21 undertaking for forestland
22
22 undertaking for no work
23
23 undertaking for payment of any other costs
24
24 undertaking for stone pillars
25
25 CA suitability and vip letter by dfo mirzapur
26
26 vip letter for ca land at mirzapur district
27
27 Cabinet order for ca land at mirzapur
28
28 land document ca land mirzapur
29
29 VIP letterchurehkesruachitrakoot
30
30 VIP letter kusumi chitrakoot
31
31 CAsuitability report churehkesrua chitrakoot
32
32 CAsuitability report kusumi chitrakoot
33
33 land documents for ca land chitrakoot
34
34 khasramapCAlandKusumiChurekaseruwachitrakoot
35
35 CA suitabilityandvipbydfokaimoor
36
36 undertakingtopayleaserent
37
37 detailsof CA land NFL
38
38 Details of CA land NFL and Site Suitability Certificate
39
39 Forest and Non Forest Land Schedule
40
40 Part 1
41
41 Encumbrance Free Certificate of CA land Mirzapur District
42
42 Khasra Map of Project
43
43 Undertaking for ETT
44
44 Undertaking for CAT Plan
45
45 Undertaking for Mitigation Plan
46
46 Checklist as per FCA
47
47 CALandCadastralMaps Mirzapur
48
48 EDS Reply Query Raised By Nodal07042026
49
49 EDS Reply 20260612 DFO Final
50
50 Checklistofdfo
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