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/27358/2017   (ii). Name of Project for which Forest Land is required : City Gas Distribution (CGD) Network Porject in Saharanpur Geographical Area   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Laying BPCL's 200/150 mm dia Steel/MDPE Natural Gas Pipeline alongwith OFC to set up City Gas Distribution Network - Diversion of 6.3430 ha of Forest Land i.e.road side strip land on NH-73 (Km24.511 to Km57), SH-57, SH-59 declared as Protected Forest   (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) : 15000   (viii). Area of forest land proposed for diversion(in ha.): 6.343   (ix). Non-forest land required for this project(in ha.): 1.1671   (x). Total period for which the forest land is proposed to be diverted(in years): 50
A-2. Details of User Agency
  (i). Name : BHARAT PETROLEUM CORPORATION LIMITED   (ii). Address1 : 28-A, ECE House, Kasturba Gandhi Road, Post Box no.7, New Delhi   (iii). Address2 : NIL   (iv). State : Delhi   (v). District : New Delhi   (vi). Pin : 110001   (vii). Landmark : ECE House   (viii). Email address : sinwald@bharatpetroleum.in   (ix). Landline Telephone No. : 11-23316891   (x). Fax No. : 11-23316894   (xi). Mobile No. : 9650845557   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : Central PSU
A-3. Details of Person Making Application
  (i). First Name: Vijay   (ii). Middle Name: NIL   (iii). Last Name: Duggal   (iv). Gender: Male   (v). Designation: CGM   (vi). Address 1: H.No.-N/200, 1st Floor, Paramount Tulip, Delhi Road, Saharanpur   (vii). Address 2: NIL   (viii). State: Uttar Pradesh   (ix). District: Saharanpur   (x). Tehsil: Saharanpur   (xi). Pin: 247001   (xii). Landmark: NIL   (xiii). Email Address: sinwald@bharatpetroleum.in   (xiv). Landline Telephone No.: 11-23316891   (xv). Fax No.: NIL   (xvi). Mobile No.: 9650845557   (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 Saharanpur6.2071.1671
2.Forest Division Shiwalik, Saharanpur0.1360
Total6.3431.1671
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Saharanpur6.3431.1671
Total6.3431.1671
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Chiruki0.04840
2Gawaleera0.06860
3Ahmedpur0.09910
4Dara Shivpuri0.21080.2544
5Manak Mau00.1419
6Roop Di Guzar0.11710
7Shaikhwala0.05590
8Beedpur0.10190
9Rajapan0.00150.0834
10Ghosipura00.0415
11Pilkhani00.0083
12Bag Kala Lan0.17190
13Kapoorpur0.02450
14Nainkhera00.0422
15Dipa Kheri00.0693
16Mohanpur Gada0.09910
17Manani0.05610
18Kankar Kool0.17060
19Chunati Gada0.1420
20Chidbana0.0530
21Mavi Kalan0.07420
22Mullapur0.0530
23Mohammadpur Mafi0.03150
24Saharanpur1.14130.113
25Shekhpura Kadeem0.57410
26Latifpur Must0.10440
27Sabrool Kubajo0.04440
28Subhari Maharab0.09880
29Khajoorwala0.19490
30Bhatkheri0.11290
31Fatehpur Kalan0.01870
32Badheri Kulli0.18490
33Sadharan Sir0.04970
34Sadak Dudhli0.16130
35Kumhar Heda0.15170
36Chhazpura0.00250
37Ugrahu Must0.03060
38Gagalhedi0.13860
39Harora Aht.0.2680
40Laskerpur Urf Chamari Kheda0.11180
41Redi Must0.11960
42Gandweda0.18940
43Dara Kottala0.1680
44Bathanwala Aht.0.070
45Chak Mathna0.0030
46Ugranu Aht.0.10230
47Sona0.11460.045
48Hasanpur Kadeem0.10990
49Mukhlispur00.1607
50Mirzapur0.01310
51Milk Waziuddinpur00.0933
52Mahmoodpur Tiwayee Must0.040
53Kailashpur00.0948
54Ismailpur0.02790
55Gagalhedi Must0.09140
56Fatehpur Jat0.13320
57Dara Milkana00.0193
58Chak Kazi Wala0.06960
59Latifpur Aht.0.07760
60Mahipura0.04560
Total 6.343 1.1671
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Laying of Natural Gas Pipeline6.3431.1671
Total 6.343 1.1671
C. Maps of forest land proposed to be diverted
Division 1. : Forest Division Shiwalik, Saharanpur
  (i). Area of forest land proposed to be diverted(in ha.) : 0.136   (ii). Nature of the Project: Linear   (b). No. of Segments : One
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).
1.0.136    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:
Division 2. : Social Forestry Division Saharanpur
  (i). Area of forest land proposed to be diverted(in ha.) : 6.207   (ii). Nature of the Project: Linear   (b). No. of Segments : One
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).
1.6.207    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: Not applicable in this case.
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 8   (iii). Temporary Employment(Number of person-days): 6000
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
1Proposal letter
2Gazette Notification
3Project Sanction letter from Petroleum and Natural Gas Regulatory Board, Govt. of India
4Compliance against observation through EDS
5Application under FRA 2006 towards ST&OTFD
6Form - A (Part-1)
7Forest Area Calculation Sheet
8Project note
9Undertaking to pay Compensatory Afforestation
10Undertaking to pay NPV (Net Present Value)
11Undertaking regarding Cost Benefit Analysis
12Undertaking regarding FRA 2006 and application
13Undertaking regarding forest land unavoidable
14Undertaking regarding national park
15Undertaking non violation
16Undertaking to pay Tree cutting & transportation
17Undertaking to follow conditions
18Undertaking minimum use of forest land
19Undertaking no Specific rare species of vegetation
20Undertaking regarding NOCs Swamitwa Department of forest land
21Certificated of “मानक शर्ते” mentioned 15 conditions. However rest 3 conditions are not applicable to this case of laying pipeline, they are belongs to Irrigation & Dam project hence not required to mention.
22Compliance against observation of EDS -2
23Undertaking to obtain NOC from Swamitva Deptt. of Land
24Area Calculation Sheet for Forest and Non Forest
25Undertaking for submission of NOC of Swamitva Deptt
26acknowledgement copy submitted to DM saharanpur for FRA Certificate
27Sir, Please find attached herewith compliance against your letter No.1158/14-1 dated 5.10.2017.
28Sir, authorization of signing authority tranferred from Mr. Vijay Duggal, CGM (Gas) to Mr. D. S. Sinwal, Sr. Manager (Gas).
29Sir, Compliance against EDS vide DFO Shivalik Forest Division letter no. 2259/14-10 Saharanpur dated 08.01.2018. Copy of acknowledgement is attached for reference.
30Compliance letter against DCF S F Division Saharanpur letter dtd. 13.02.2018
31Undertaking for NPV duly revised- SF Division.
32Undertaking for NPV duly revised- Shivalik Forest Division.
33NOC from UPSHA
34Digital map with key point coordinates duly signed by authorized signatory.