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/153250/2022   (ii). Name of Project for which Forest Land is required : Diversion of 0.0316 Ha of Protected Forest Land in Bareilly District for LMC GAIL SV 11 Chaubari to HPCL CGS Station of total length of 0.785 Km   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : The Project is LMC (Last Mile Connectivity) for setting up PNG Connection from GAIL SV-11 Chaubari to HPCL CGS Station to Provide Natural Gas for that diversion of 0.0316 Ha of protected forest land in district Bareilly is required. The total length of Route is 0.785 Km   (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) : 400   (viii). Area of forest land proposed for diversion(in ha.): 0.0316   (ix). Non-forest land required for this project(in ha.): 0.0469   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : GAIL INDIA LIMITED   (ii). Address1 : GAIL (India) Limited, Registered office: GAIL Bhawan, 16 Bhikaiji Cama Place, R. K. Puram, New Delhi, India - 110066   (iii). Address2 : NIL   (iv). State : Delhi   (v). District : South West   (vi). Pin : 110066   (vii). Landmark : NIL   (viii). Email address : niraj.kumar@gail.co.in   (ix). Landline Telephone No. : 0--   (x). Fax No. : 0-   (xi). Mobile No. : 6207334009   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : Central PSU
A-3. Details of Person Making Application
  (i). First Name: Rajendra   (ii). Middle Name: NIL   (iii). Last Name: Dhabekar   (iv). Gender: NIL   (v). Designation: Chief Manager (O&M - NG P/L)   (vi). Address 1: IFFCO Aonla, Bareilly-243403, District-Bareilly, Uttar Pradesh   (vii). Address 2: NIL   (viii). State: Uttar Pradesh   (ix). District: Bareilly   (x). Tehsil: NIL   (xi). Pin: 243403   (xii). Landmark: NIL   (xiii). Email Address: rdhabekar@gail.co.in   (xiv). Landline Telephone No.: 0-   (xv). Fax No.: NIL   (xvi). Mobile No.: 9719006668   (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 Bareilly0.03160.0469
Total0.03160.0469
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Bareilly0.03160.0469
Total0.03160.0469
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Chaubari0.01490.007
2Anguri0.01670.0399
Total 0.0316 0.0469
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Pipeline0.03160.0469
Total 0.0316 0.0469
C. Maps of forest land proposed to be diverted
Division 1. : Social Forestry Division Bareilly
  (i). Area of forest land proposed to be diverted(in ha.) : 0.0316   (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).
1.0.0316    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: Nil
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 15   (iii). Temporary Employment(Number of person-days): 0
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
1Cost Benefit Analysis
2List of Forest Land
3List of Forest Land and Non Forest Land Combine
4Certificate of Minimum use of Forest land
5Undertaking for Payment of Cost of Compensatory Afforestation
6Undertaking for Payment of Cost of Net present value forest area
7Undertaking for Payment of any Additional Net present value of forest area
8Certificate under environment protection act
9DGPS Map
10Musk Disposal
11SOI Map
12EDS Reply
13PWD Bareilly Permission NOC
14forest gazette duly verified by present DFO
15Undertaking for FRA
16Gazette Duly Signed
17Standard Conditions
18Sanction Letter
19Non Start of Work
20Entire Tree Transplantation
21Minimum Trees to be felled
22Muck Disposal Part 2
23Justification
24Acknowledgment from DC offcie
25Acknowledgement slip of DM office and DFO office with seal, sign and date
26Site Visit Report
27GAIL Tree Plantation Letter (NPV & CA Land)
28Compliance Letter and Undertakings
29Signed FRA Document
30Muck Disposal Document
31Observation Reply of Date 14-10-2022
32Undertaking for GOI Letter FN 11-2682014 FC Dated 11.07.2014
33Undertaking for Standard Conditions
34Reply to EDS
35Certificate of FRA
36Certificate of RoW
37Certificate of Pipeline not crossing from Wildlife Sanctuary