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/26446/2017   (ii). Name of Project for which Forest Land is required : Forest Land proposed to be diverted for Exit/Entry Approach to Retail outlet on NH-2 (Allahabad-Handia-Varanasi) in km.224-225 RHS at Village;Abusa, Tehsil:Phulpur District: Allahabad   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Forest Land proposed for Exit/Entry Approach to HPCL Retail outlet on NH-2 (Allahabad-Handia-Varanasi) in km.224-225 RHS at Village;Abusa, Tehsil:Phulpur District: Allahabad   (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.): 0.097358   (ix). Non-forest land required for this project(in ha.): 0.09   (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 : HPCL Kanpur Retail Regional Office 3rd Floor123/788 G-1Plot No.52-T115 Factory Area Kanpur   (iii). Address2 : NIL   (iv). State : Uttar Pradesh   (v). District : Kanpur Nagar   (vi). Pin : 208012   (vii). Landmark : NIL   (viii). Email address : hpclknpregion@gmail.com   (ix). Landline Telephone No. : 512-2296555   (x). Fax No. : 512-   (xi). Mobile No. : 8604033001   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : Central PSU
A-3. Details of Person Making Application
  (i). First Name: Siddharth   (ii). Middle Name: NIL   (iii). Last Name: Jain   (iv). Gender: Male   (v). Designation: DGM   (vi). Address 1: 3rd Floor 123/788 G-1 Plot No.52-T115, Factory Area Kanpur   (vii). Address 2: NIL   (viii). State: Uttar Pradesh   (ix). District: Kanpur Nagar   (x). Tehsil: NIL   (xi). Pin: 208012   (xii). Landmark: NIL   (xiii). Email Address: hpclknpregion@gmail.com   (xiv). Landline Telephone No.: 512-2296555   (xv). Fax No.: NIL   (xvi). Mobile No.: 8604033001   (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/36024/20188B/UP/06/50/2019/FC0.0561680.05616805 Jul 201903 Jan 2020
2ApprovedFP/UP/Approach/150088/20218B/UP/06/279/2021/FC0.2312770.23127723 Dec 202130 Dec 2021
3ApprovedFP/UP/Approach/139126/20218B/UP/06/132/20210.24090.240914 Jun 202103 Aug 2021
4ApprovedFP/UP/Approach/119368/20218B/UP/06/123/2021/FC0.1546040.15460402 Jun 202119 Aug 2021
5ApprovedFP/UP/Approach/49548/20208B/UP/06/125/20200.2706320.27063201 Dec 202013 Jan 2021
6ApprovedFP/UP/Approach/49274/20200B/UP/06/124/20200.19030.190313 Jan 202111 Feb 2021
7ApprovedFP/UP/Approach/48613/202008/UP/06/108/2020/FP0.1651040.16510424 Sep 202012 Dec 2020
8ApprovedFP/UP/Approach/48002/20200.2229080.2229080.22290824 Feb 202126 Jul 2021
9ApprovedFP/UP/Approach/46729/20208B/UP/06/118/20200.1519060.15190622 Oct 202006 Jan 2021
10ApprovedFP/UP/Approach/46458/20208B/UP/06/143/20200.1608260.16082624 Dec 202003 Mar 2021
11ApprovedFP/UP/Approach/44825/20208B/UP/06/172/20200.0847080.08470829 Dec 202012 Mar 2021
12ApprovedFP/UP/Approach/43499/20198B/UP/06/73/20200.13550.135505 Aug 202012 Oct 2020
13ApprovedFP/UP/Others/41863/20198B/UP/06/08/2020/FC0.231190.2311918 Feb 202027 Jul 2020
14ApprovedFP/UP/Others/38348/20198B/UP/06/115/2019/FC0.3194380.31943815 Jan 202006 May 2020
15ApprovedFP/UP/Others/42145/20190.0576680.0576680.05766816 Mar 202001 Sep 2020
Total 2.673129 2.673129
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 Allahabad0.0973580.09
Total0.0973580.09
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.PRAYAGRAJ0.0973580.09
Total0.0973580.09
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Abusa0.0973580.09
Total 0.097358 0.09
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Exit/Entry Approach to Retail Outlet0.0973580.09
Total 0.097358 0.09
C. Maps of forest land proposed to be diverted
Division 1. : Social Forestry Division Allahabad
  (i). Area of forest land proposed to be diverted(in ha.) : 0.097358   (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.
1.0.097358    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): 700
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
1Forest Notification
2Layout Plan
3LOI Copy
4Pollution NOC
5Fire NOC
6Area Calculation
7PWD NOC