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/Others/147545/2021   (ii). Name of Project for which Forest Land is required : Constt. of RCC Drain along the Govardhan Parikrama Marg, in 11006.00 Mtr. length at Vill. Annyor, Jatipura & Radhakund in Tah.-Govardhan, Distt. Mathura by D & S Unit, U.P. Jal Nigam, Mathura (U.P.)   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Proposal of 0.9349 ha. Forest Land for Non-Forestry Purpose to proposed construction of RCC Drain for storm water along the Govardhan Parikrama Marg, in total length of 11006.00 Mtr. in Vill. Annyor, Jatipura & Radhakund Dehat in Tah. Govardhan, Distt. Mathura by D & S Unit, U.P. Jal Nigam, Mathura   (iv). State : Uttar Pradesh   (v). Category of the Proposal : Others   (vi). Shape of forest land proposed to be diverted : Linear   (vii). Estimated cost of the Project(Rupees in lacs) : 1573.75   (viii). Area of forest land proposed for diversion(in ha.): 0.9349   (ix). Non-forest land required for this project(in ha.): 0.1657   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : U.P. JAL NIGAM, DRAINAGE AND SEWERAGE UNIT, MATHURA (U.P.)   (ii). Address1 : OFFICE OF PROJECT MANAGER, DRAINAGE AND SEWERAGE UNIT, U.P. JAL NIGAM, MATHURA   (iii). Address2 : NIL   (iv). State : Uttar Pradesh   (v). District : Mathura   (vi). Pin : 281004   (vii). Landmark : NEAR FIRE STATION   (viii). Email address : shobhitkumar50@gmail.com   (ix). Landline Telephone No. : 0-   (x). Fax No. : 0-   (xi). Mobile No. : 9473942649   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State PSU
A-3. Details of Person Making Application
  (i). First Name: YOGESH   (ii). Middle Name: KUMAR   (iii). Last Name: SHARMA   (iv). Gender: Male   (v). Designation: PROJECTMANAGER   (vi). Address 1: DRAINAGE AND SEWERAGE UNIT, U.P. JAL NIGAM, MATHURA, U.P.   (vii). Address 2: NIL   (viii). State: Uttar Pradesh   (ix). District: Mathura   (x). Tehsil: Mathura   (xi). Pin: 281004   (xii). Landmark: NEAR FIRE STATION   (xiii). Email Address: lalit.upjn3352@gmail.com   (xiv). Landline Telephone No.: 0-   (xv). Fax No.: NIL   (xvi). Mobile No.: 9012874570   (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.Social Forestry Division Mathura0.93490.1657
Total0.93490.1657
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Mathura0.93490.1657
Total0.93490.1657
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1GOVERDHAN0.0730
2ANYOR0.36250.139
3JATIPURA0.25540.0267
4RADHAKUND0.2440
Total 0.9349 0.1657
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1CONSTT. OF STROM WATER DRAIN0.93490.1657
Total 0.9349 0.1657
C. Maps of forest land proposed to be diverted
Division 1. : Social Forestry Division Mathura
  (i). Area of forest land proposed to be diverted(in ha.) : 0.9349   (ii). Nature of the Project: Linear   (b). No. of Segments : Four
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).
1.0.073    View File
2.0.3625    View File
3.0.2554    View File
4.0.244    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: No   (a). Reason for not providing such map: PROJECT ON EXISTING ROAD SIDE. NO ALTERNATE EXIST.
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): 123000
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? : 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
1UNDERTAKING TO PAY COMPENSATORY AFFORESTATION AMOUNT IS ATTACHED.
2UNDERTAKING TO PAY COMPENSATORY AFFORESTATION INCREASE AMOUNT IS ATTACHED.
3LAND SCHEDULE.
4MUCK MANAGEMENT PLAN IS ATTACHED.
5STANDARD CONDITIONS IS ATTACHED
6CERTIFICATE FOR NO WORK START IS ATTACHED.
7UNDERTAKING TO PAY NPV AMOUNT IS ATTACHED.
8UNDERTAKING TO PAY NPV INCREASE AMOUNT IS ATTACHED.
9FOREST NOTIFICATION ATTACHED.
10NOC FROM PWD ATTACHED.
11Undertaking for Entire Tree Transplantation.
12project sanction letter.
13EDS Reply Letter.