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/123162/2021   (ii). Name of Project for which Forest Land is required : for Laying of Gas Pipeline along Lucknow-Sultanpur Road, NH-56 (New NH-731), (from Ch. No. 54.86 to Ch. No. 64.00, RHS) and along Haidergarh-Ramsanehi Ghat (SH-13) Road (from Ch. No. 0.00 to Ch. No. 11.23, LHS) in District: - Barabanki   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Proposed protected forest land to be diverted for Laying of Gas Pipeline along Lucknow-Sultanpur Road, NH-56 (New NH-731), (from Ch. No. 54.86 to Ch. No. 64.00, RHS) and along Haidergarh-Ramsanehi Ghat (SH-13) Road (from Ch. No. 0.00 to Ch. No. 11.23, LHS) in District: - Barabanki   (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) : 5500   (viii). Area of forest land proposed for diversion(in ha.): 1.0078   (ix). Non-forest land required for this project(in ha.): 0.0117   (x). Total period for which the forest land is proposed to be diverted(in years): 30
A-2. Details of User Agency
  (i). Name : TORRENT GAS PRIVATE LIMITED   (ii). Address1 : TORRENT GAS PRIVATE LIMITED, "SAMANVAY", 600, TAPOVAN, AMBAWADI,AHMEDABAD   (iii). Address2 : NIL   (iv). State : Gujarat   (v). District : Ahmedabad   (vi). Pin : 380015   (vii). Landmark : NIL   (viii). Email address : deepaksingh@torrentgas.com   (ix). Landline Telephone No. : 79-26628300   (x). Fax No. : 79-   (xi). Mobile No. : 9582878201   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : Private
A-3. Details of Person Making Application
  (i). First Name: Deepak   (ii). Middle Name: NIL   (iii). Last Name: Singh   (iv). Gender: Male   (v). Designation: AGM   (vi). Address 1: TORRENT GAS PRIVATE LIMITED,CYBER HEIGHTS, 8TH FLOOR, TC/G-5/5,VIBHUTI KHAND GOMTI NAGAR,LUCKNOW   (vii). Address 2: NIL   (viii). State: Uttar Pradesh   (ix). District: Lucknow   (x). Tehsil: Lucknow   (xi). Pin: 226010   (xii). Landmark: NIL   (xiii). Email Address: deepaksingh@torrentgas.com   (xiv). Landline Telephone No.: 522-4343366   (xv). Fax No.: NIL   (xvi). Mobile No.: 9582878201   (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 Barabanki1.00780.0117
Total1.00780.0117
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Barabanki1.00780.0117
Total1.00780.0117
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1HAIDERGARH0.073760.0012
2BHATKHERA0.04950
3BHAWANKHERA0.070
4GOSUPUR0.0640
5BHIKHRA0.09840
6CHAUBEESI0.100540
7SATRAHI0.07240
8GHARKUIYA0.03540.0053
9MALINPUR0.024250
10DATAULI CHANDA0.01560
11BAHADURPUR0.088230
12NAIPURA0.099520.0052
13JALALPUR0.00520
14GARHI0.0990
15KADIRPUR0.04350
16PURWA DHANAI0.06850
Total 1.0078 0.0117
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Laying Of Gas Pipeline1.00780.0117
Total 1.0078 0.0117
C. Maps of forest land proposed to be diverted
Division 1. : Social Forestry Division Barabanki
  (i). Area of forest land proposed to be diverted(in ha.) : 1.0078   (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).
1.1.0078    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 Alternative
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): 3000
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?: No   (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: Linear or 'strip' plantation declared as protected forest along with road/rail/canal sides for widening or expansion of road/rail/canal
Additional information Details
Documents
S.No Documents
Remarks
1AREA CALCULATION
2SANCTION LETTER
3ESTIMATED COST OF PROJECT
4LETTER OF INDENT(LOI)
5FOREST NOTIFICATION
6MUCK DISPOSAL PLAN
7NHAI NOC
8PWD NOC
9UNDERTAKING FOR CA DEPOSIT
10UNDERTAKING FOR NPV DEPOSIT
11STANDARD CONDITIONS
12VAIKALPIK VAN BHOOMI CERTIFICATE
13UNDERTAKING FOR VANYA JEEV VIHAR
14UNDERTAKING FOR NOT START WORK BEFORE APPROVAL