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/Pipeline/116044/2020   (ii). Name of Project for which Forest Land is required : Laying of (300mm) Carbon Steel Gas Pipeline along NH-19 (Kanpur-Prayagraj Section) on L.H.S. from Km. 519.00 to Km. 552.00 (Length 33.0 Km) in Distt.-Fatehpur by Indraprastha Gas Ltd, New Delhi.   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Proposal to use the 0.99 ha. PF Land for non-forestry purpose for laying of (300mm) Carbon Steel Gas Pipeline along NH-19 (Kanpur-Prayagraj Section) on L.H.S. from Km. Ch. 519.000 to Km. Ch. 552.000 (Length 33.00 Km) in Distrit-Fatehpur by Indraprastha Gas Limited, New Delhi.   (iv). State : Uttar Pradesh   (v). Category of the Proposal : Pipeline   (vi). Shape of forest land proposed to be diverted : Linear   (vii). Estimated cost of the Project(Rupees in lacs) : 3462   (viii). Area of forest land proposed for diversion(in ha.): 0.99   (ix). Non-forest land required for this project(in ha.): 0   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : INDRAPRASTHA GAS LIMITED, NEW DELHI   (ii). Address1 : PLOT NO. 4, COMMUNITY CENTRE, SECTOR 9, R.K. PURAM, NEW DELHI   (iii). Address2 : NIL   (iv). State : Delhi   (v). District : New Delhi   (vi). Pin : 110022   (vii). Landmark : NIL   (viii). Email address : raman.srivastava@igl.co.in   (ix). Landline Telephone No. : 0-   (x). Fax No. : 0-   (xi). Mobile No. : 9717792982   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : Joint Venture(Pvt+Govt.)
A-3. Details of Person Making Application
  (i). First Name: RAMAN   (ii). Middle Name: KUMAR   (iii). Last Name: SRIVASTAVA   (iv). Gender: Male   (v). Designation: CGM   (vi). Address 1: INDRAPRASTHA GAS LIMITED, 808-810, 8TH FLOOR, 14/113, KAN CHAMBER, CIVILLINES, KANPUR   (vii). Address 2: NIL   (viii). State: Uttar Pradesh   (ix). District: Kanpur Nagar   (x). Tehsil: Kanpur   (xi). Pin: 208001   (xii). Landmark: NIL   (xiii). Email Address: iglkanpur@gmail.com   (xiv). Landline Telephone No.: 0-   (xv). Fax No.: NIL   (xvi). Mobile No.: 9810991395   (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 Fatehpur0.990
Total0.990
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Fatehpur0.990
Total0.990
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1MOHAR0.091020
2KANSPUR GUGOLI0.042930
3GUNISH KHAS0.044910
4UMRODI KALYANPUR0.088920
5REWADI BUJURG0.064050
6DAULATPUR0.03060
7ITAURA PILAKHANI0.040260
8MALAWAN0.082050
9SAURA0.060750
10BARAURA0.047910
11VAHIDPUR0.00660
12MADARIPUR0.012990
13JAGANNATHPUR0.0030
14SARAI KHARGU0.041070
15NARAYN PUR0.026760
16CHITORA0.00660
17KORAI0.057420
18SANGAON0.022560
19BAKANDHA0.0030
20KARHARA0.041880
21CHAK BISOLI0.022260
22SHEKHPUR UNVA0.02130
23MAHPUR0.022290
24ABUL KASIMPUR0.013650
25KASBA FATEHPUR0.086220
26SARAI JAGAT0.0090
Total 0.99 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1OFC LAYING0.990
Total 0.99 0
C. Maps of forest land proposed to be diverted
Division 1. : Social Forestry Division Fatehpur
  (i). Area of forest land proposed to be diverted(in ha.) : 0.99   (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).
1.0.99    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: NO ALTERNATE EXITS.
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 0   (iii). Temporary Employment(Number of person-days): 60
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
1CERTIFICATE FOR LAND OWNER DEPARTMENT IS ATTACHED.
2LETTER FROM NHAI IS ATTACHED.
3WORK SANCTION LETTER FROM PETROLEUM & GAS REGULATORY BOARD IS ATTACHED.
4PF NOTIFICATION DULY SIGNED BY DFO IS ATTACHED.
5PLAN MAP IS ATTACHED.
6PF LAND SCHEDULE IS ATTACHED.
7UNDERTAKING TO PAY COMPENSATORY AFFORESTATION AMOUNT IS ATTACHED.
8UNDERTAKING TO PAY COMPENSATORY AFFORESTATION INCREASE AMOUNT IS ATTACHED.
9CERTIFICATE FOR NO WORK START IS ATTACHED.
10UNDERTAKING TO PAY NPV AMOUNT IS ATTACHED.
11UNDERTAKING TO PAY NPV INCREASE AMOUNT IS ATTACHED
12STANDARD CONDITIONS IS ATTACHED.
13MUCK MANAGEMENT PLAN IS ATTACHED.
14UNDERTAKING FOR NOC OF NHAI IS ATTACHED.