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/32748/2018
(ii). Name of Project for which Forest Land is required :
Protected Forest Land Proposed to be diverted for exit/entry approach to HPCL Jaunpur-Lucknow Road(Old NH-731) New NH-56 between Km.31-32(CH.31.939) Khasra No.625,Village:Pahaitiapur, District:Jaunpur
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
Protected Forest Land Proposed for construction of exit/entry approach to proposed new HPCL Jaunpur-Lucknow Road(Old NH-731) New NH-56 between Km.31-32(CH.31.939) Khasra No.625,Village:Pahaitiapur, District:Jaunpur
(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.):
0.095782
(ix). Non-forest land required for this project(in ha.):
0.209032
(x). Total period for which the forest land is proposed to be diverted(in years):
30
A-2.
Details of User Agency
(i). Name :
HPCL VARANASI RETAIL REGIONAL OFFICE
(ii). Address1 :
IInd Floor North Square, Shastri Nagar,Singra, Varanasi
(iii). Address2 :
NIL
(iv). State :
Uttar Pradesh
(v). District :
Varanasi
(vi). Pin :
221010
(vii). Landmark :
NIL
(viii). Email address :
hpclvaranasiregion@gmail.com
(ix). Landline Telephone No. :
542-2108441
(x). Fax No. :
542-
(xi). Mobile No. :
9703441364
(xii). Website (if any) :
NIL
(xiii). Legal status of User Agency :
Central PSU
A-3.
Details of Person Making Application
(i). First Name:
Deepak
(ii). Middle Name:
NIL
(iii). Last Name:
Rai
(iv). Gender:
Male
(v). Designation:
Chief Regional Manager
(vi). Address 1:
IInd Floor North Square Shastri Nagar, Singra Varanasi
(vii). Address 2:
NIL
(viii). State:
Uttar Pradesh
(ix). District:
Varanasi
(x). Tehsil:
NIL
(xi). Pin:
221010
(xii). Landmark:
NIL
(xiii). Email Address:
hpclvaranasiregion@gmail.com
(xiv). Landline Telephone No.:
542-2108441
(xv). Fax No.:
NIL
(xvi). Mobile No.:
9703441364
(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
1
Approved
FP/UP/Approach/141424/2021
8B/UP/06/225/2021
0.157438
0.157438
20 Sep 2021
18 Jan 2022
2
Approved
FP/UP/Approach/115662/2020
8B/UP/06/114/2021/FC
0.157015
0.157015
22 Apr 2021
02 Aug 2021
3
Approved
FP/UP/Approach/50931/2020
8B/UP/06/28/2021
0.207964
0.207964
01 Mar 2021
15 Jun 2021
4
Approved
FP/UP/Approach/44497/2020
8B/UP/06/61/2020
0.075
0.075
29 Jun 2020
31 Aug 2020
5
Approved
FP/UP/Approach/44151/2020
8B/UP/06/31/2020/FC
0.075
0.075
29 May 2020
05 Aug 2020
6
Approved
FP/UP/Approach/43429/2019
8B/UP/06/100/2021/FC
0.022258
0.022258
24 Apr 2021
15 Jun 2021
7
Approved
FP/UP/Approach/42611/2019
8B/UP/06/02/2020/FC
0.069778
0.069778
20 Mar 2020
01 Sep 2020
8
Approved
FP/UP/Others/41440/2019
P-86/81-02-2019-800(110)/2019
0.082772
0.082772
13 Nov 2019
03 Jan 2020
Total
0.847225
0.847225
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 Jaunpur
0.095782
0.209032
Total
0.095782
0.209032
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Jaunpur
0.095782
0.209032
Total
0.095782
0.209032
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Pahitiapur
0.095782
0.209032
Total
0.095782
0.209032
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Exit/Entry Approach to Retail Outlet
0.095782
0.209032
Total
0.095782
0.209032
C.
Maps of forest land proposed to be diverted
Division 1. : Social Forestry Division Jaunpur
(i). Area of forest land proposed to be diverted(in ha.) :
0.095782
(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.
0.095782
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):
600
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
1
Area Calculation
2
NHAI NOC
3
Forest Notification
4
Pollution NOC
5
Fire NOC
6
Letter Of Indent(LOI)
7
Khasra Khatauni
8
CA Undertaking
9
NPV Undertaking
10
Standard Conditions
11
Muck Disposal Certificate
12
Undertaking for not start work before approval
13
Layout Pan
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