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/36498/2018   (ii). Name of Project for which Forest Land is required : Construction of Entry and Exit for new Hotel Vishal Faarms House and protected land is required to be diverted (Under FCA Act 1980 for non forestry purpose) Along Amroha - Kailsa -Pakbra (SH-78) km.chainage 3.950 (RHS) Village Pachokra Meharban Ali Gata No.118T ehsil Sadar District Amroha (U.P.)   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Construction of Entry and Exit for new Hotel Vishal Faarms House and protected land is required to be diverted (Under FCA Act 1980 for non forestry purpose) Along Amroha - Kailsa -Pakbra (SH-78) km.chainage 3.950 (RHS) Village Pachokra Meharban Ali Gata No.118 Tehsil Sadar District Amroha (U.P.)   (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) : 25   (viii). Area of forest land proposed for diversion(in ha.): 0.029312   (ix). Non-forest land required for this project(in ha.): 0.50112   (x). Total period for which the forest land is proposed to be diverted(in years): 30
A-2. Details of User Agency
  (i). Name : HOTEL VISHAL FARMS HOUSE   (ii). Address1 : Village Pachokra Meharban Ali Post & District Amroha.   (iii). Address2 : NIL   (iv). State : Uttar Pradesh   (v). District : Jyotiba Phule Nagar   (vi). Pin : 244221   (vii). Landmark : Amroha Ring Road   (viii). Email address : vishalvaasi99@gmail.com   (ix). Landline Telephone No. : 5922-268441   (x). Fax No. : 5922-   (xi). Mobile No. : 9457557111   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : Private
A-3. Details of Person Making Application
  (i). First Name: Vishal   (ii). Middle Name: NIL   (iii). Last Name: Singh   (iv). Gender: Male   (v). Designation: Manager   (vi). Address 1: Village Pachokra Meharban Ali Post Amroha District Amroha.   (vii). Address 2: NIL   (viii). State: Uttar Pradesh   (ix). District: Jyotiba Phule Nagar   (x). Tehsil: Amroha   (xi). Pin: 244221   (xii). Landmark: Amroha Ring Road   (xiii). Email Address: vishalvaasi99@gmail.com   (xiv). Landline Telephone No.: 5922-268441   (xv). Fax No.: 05922   (xvi). Mobile No.: 9457557111   (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.J P Nagar0.0293120.50112
Total0.0293120.50112
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Amroha0.0293120.50112
Total0.0293120.50112
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Pachokra Meharban Ali0.0293120.50112
Total 0.029312 0.50112
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Entry/Exit/Middle space0.0293120.50112
Total 0.029312 0.50112
C. Maps of forest land proposed to be diverted
Division 1. : J P Nagar
  (i). Area of forest land proposed to be diverted(in ha.) : 0.029312   (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.
1.0.029312    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): 350
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
1approved layout plan
2PWD NOC.
3Gazate Notification.
4Calculation of forest land.
5Calculation of No forest land.
6Satandard Condition.
7Undertaking of CA.
8Undertaking of NPV deposite.
9khasra khatauni.
10Affidavite of khata sharikan.
11Hard Copy Recieving of DM and DFO Office Amroha.
12Fire NOC.
13Approch road seperetor island certificate.
14Area according to approved layout plan.
15Benefitted for public.
16Calculation of NPV levies.
17GIO letter dated 13-01-2012.
18GIO letter dated 18-03-2010.
19GIO letter.
20Khali sthano per varaksha ropan.
21Land owner ship.
22Land shedule.
23Muck disposal.
24Minimum land certificate.
25No harmful for wild and wild life.
26No start of work.
27Site photo.
28Task force.
29Undertaking 10km radius certificate.
30Undertaking FRA 2006.
31Vakalpic bhoomi.
32Vansawroop.
33Gata 118 share holder certificate.