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/153911/2022
(ii). Name of Project for which Forest Land is required :
Green Gas Limited project for Laying of 10" Carbon Steel Gas Pipeline along NH - 731 (Left Side) from Km. 112.000 to Km. 115.588, from Km 122.413 to Km 129.293 & from Km 147.725 to Km 148.825 of Total Km. 11.568 & 0.34704 Ha. of Protected Forest in Social Forestry Division Amethi, District - Amethi, UP.
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
Green Gas Limited project for Laying of 10" Carbon Steel Gas Pipeline along NH - 731 (Left Side) from Km. 112.000 to Km. 115.588, from Km 122.413 to Km 129.293 & from Km 147.725 to Km 148.825 of Total Km. 11.568 & 0.34704 Ha. of Protected Forest in Social Forestry Division Amethi, District - Amethi,
(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) :
1157
(viii). Area of forest land proposed for diversion(in ha.):
0.34704
(ix). Non-forest land required for this project(in ha.):
0.75771
(x). Total period for which the forest land is proposed to be diverted(in years):
30
A-2.
Details of User Agency
(i). Name :
GREEN GAS LIMITED
(ii). Address1 :
2nd Floor, Fortuna Tower, 10, Rana Pratap Marg
(iii). Address2 :
NIL
(iv). State :
Uttar Pradesh
(v). District :
Lucknow
(vi). Pin :
226001
(vii). Landmark :
NIL
(viii). Email address :
gglup.up@gmail.com
(ix). Landline Telephone No. :
91-0-000000
(x). Fax No. :
91-
(xi). Mobile No. :
9716071618
(xii). Website (if any) :
www.gglonline.net
(xiii). Legal status of User Agency :
Joint Venture(Pvt+Govt.)
A-3.
Details of Person Making Application
(i). First Name:
Vinay
(ii). Middle Name:
NIL
(iii). Last Name:
Bhardwaj
(iv). Gender:
Male
(v). Designation:
Chief Manager - Projects/OIC
(vi). Address 1:
1st Floor, 436, Atterdeep Complex, Devkali Bypass,
(vii). Address 2:
NIL
(viii). State:
Uttar Pradesh
(ix). District:
AYODHYA
(x). Tehsil:
NIL
(xi). Pin:
224001
(xii). Landmark:
NIL
(xiii). Email Address:
gglup.up@gmail.com
(xiv). Landline Telephone No.:
0-000000
(xv). Fax No.:
NIL
(xvi). Mobile No.:
9716071618
(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 Amethi
0.34704
0.75771
Total
0.34704
0.75771
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Amethi
0.34704
0.75771
Total
0.34704
0.75771
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Kashtuni Purab
0.02562
0
2
Kashtuni Paschim
0.04654
0
3
Sarai Sulemani
0.03548
0
4
Khaudiya
0
0.05853
5
Ramnagar Urf Nayakot
0
0.04837
6
Ramraipur
0
0.06932
7
Kapoorchand Pur
0
0.02853
8
Pure Prem Shah
0.03725
0
9
Rampur urf Lokari
0.04681
0
10
Chak Baher
0.03852
0
11
Kanjas
0.04634
0
12
Salpur
0.03748
0
13
Bechugarh
0
0.05648
14
Tanda
0
0.04593
15
Badegaon
0
0.04945
16
Misharauli
0
0.04783
17
Arifpur
0
0.03957
18
Loshanpur
0
0.04653
19
Itraur
0
0.03645
20
Hasanpur Jareye
0
0.04952
21
Maraucha Tetarpur
0
0.04842
22
Siryari
0
0.04057
23
Malawa
0
0.04283
24
Garha
0
0.04938
25
Jagdishpur
0.033
0
Total
0.34704
0.75771
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Laying Of Gas Pipe Line
0.34704
0.75771
Total
0.34704
0.75771
C.
Maps of forest land proposed to be diverted
Division 1. : Social Forestry Division Amethi
(i). Area of forest land proposed to be diverted(in ha.) :
0.34704
(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.
0.34704
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:
Not Applicable (Along with road)
E.
Employment likely to be generated
(i). Whether the Project is likely to generate employment ?:
Yes
(ii). Permanent/Regular Employment(Number of persons):
10
(iii). Temporary Employment(Number of person-days):
116
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
Standard condition
2
Undertaking for C.A.
3
PNGRB Authorization letter
4
Marked Gazette notification
5
Methodology of Laying of Gas Pipeline
6
NOC/Primary authority permissions of DFO Amethi - UP
7
Undertaking for NPV
8
Project Details In DFO Amethi - UP
9
Undertaking for Entire Tree Transplant (ETP)
10
Undertaking for work not start
11
Undertaking of FRA Certificate for DFO Amethi - UP
12
Undertaking for NOC of Primary authority permissions of DFO Amethi-UP
13
Undertaking for Muck Disposal
14
GPS Coordinate of propose route
15
Area Calculation of Protected Forest Land of DFO Amethi - UP
16
Area Calculation of Non-Protected Forest Land of DFO Amethi - UP
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