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/22793/2016   (ii). Name of Project for which Forest Land is required : M/s Indian Oil Corporation Limited Bareilly proposed a retail outlet Along Moradabad -Tanda- Dadhial road km. 30.284 (RHS) Village Ratua Nangla khasra No. 209 Tehsil Tanda District Rampur.   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Construction of IOCL Entry and Exit road retail outlet and protected forest land is required to be a diverted (Under FCA Act 1980 for Non forestry purpose) Entry/Exit and Middle Space along Moradabad-Tanda-Dadhial Road km.30.284 (RHS) Village Ratua Nangla khasra No.209 Tehsil Tanda District Rampur   (iv). State : Uttar Pradesh   (v). Category of the Proposal : Others   (vi). Shape of forest land proposed to be diverted : Non Linear   (vii). Estimated cost of the Project(Rupees in lacs) : 50   (viii). Area of forest land proposed for diversion(in ha.): 0.059   (ix). Non-forest land required for this project(in ha.): 0.1225   (x). Total period for which the forest land is proposed to be diverted(in years): 30
A-2. Details of User Agency
  (i). Name : INDIAN OIL CORPORATION LIMITED MARKETING DIVISION   (ii). Address1 : 82,Prem Nagar, Bareilly   (iii). Address2 : NIL   (iv). State : Uttar Pradesh   (v). District : Bareilly   (vi). Pin : 243005   (vii). Landmark : Near, Dr.Lal Path Lab   (viii). Email address : athakle@indianoil.in   (ix). Landline Telephone No. : 581-2540335   (x). Fax No. : 581-2541356   (xi). Mobile No. : 9415001828   (xii). Website (if any) : www.indianoil.co.in   (xiii). Legal status of User Agency : Joint Venture(Pvt+Govt.)
A-3. Details of Person Making Application
  (i). First Name: Arun   (ii). Middle Name: NIL   (iii). Last Name: Thakle   (iv). Gender: Male   (v). Designation: SDRSM   (vi). Address 1: 82, Prem Nagar, Bareilly   (vii). Address 2: NIL   (viii). State: Uttar Pradesh   (ix). District: Bareilly   (x). Tehsil: Bareilly   (xi). Pin: 243005   (xii). Landmark: Near Dr.Lal Path LAB   (xiii). Email Address: athakle@indianoil.in   (xiv). Landline Telephone No.: 581-2540335   (xv). Fax No.: 05812541356   (xvi). Mobile No.: 9415001828   (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 Rampur0.0590.1225
Total0.0590.1225
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Rampur0.0590.1225
Total0.0590.1225
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Ratua Nangla0.0590.1225
Total 0.059 0.1225
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Entry/Exit/ Middle Space0.0590.1225
Total 0.059 0.1225
C. Maps of forest land proposed to be diverted
Division 1. : Social Forestry Division Rampur
  (i). Area of forest land proposed to be diverted(in ha.) : 0.059   (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.
1.0.059    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): 6   (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 ? : 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? : NIL
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
1Hindi offline part -i
2Calculation of forest land.
3Calculation of Non forest land.
4Calculation of forest land NPV.
5Undertaking of CA deposite.
6Undertaking of NPV deposite.
7Undertaking of PWD condition.
8Undertaking of Mack disposl.
9Standard condition.
10Pollution Certificate.
11Fire Certificate.
12Gazet Notification.
13LOI.
14Title of Topo Sheet 53L/13.
15PWD NOC.
16PWD Approved layout plan.
171. Total period for the forest land is proposed to be 30 year is Uploaded. 2. C(a) Area of patch-0.0590 is Uploaded. plz. do needful.
18EDS has been removed.
19Dfo eds has been removed