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/60933/2020   (ii). Name of Project for which Forest Land is required : Indraprastha Gas Limited project for Laying of 12" (300 mm) Carbon Steel Gas Pipeline along NH - 19 (Kanpur - Prayagraj Road) from Km. 507.500 to Km. 519.00. Total Km. 11.50 & 0.3450 Ha. in Social Forestry Division Fatehpur, District - Fatehpur UP.   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Indraprastha Gas Limited project for Laying of 12" (300 mm) Carbon Steel Gas Pipeline along NH - 19 (Kanpur - Prayagraj Road) from Km. 507.500 to Km. 519.00. Total Km. 11.50 & 0.3450 Ha. in Social Forestry Division Fatehpur, District - Fatehpur UP.   (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) : 1156   (viii). Area of forest land proposed for diversion(in ha.): 0.345   (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): 30
A-2. Details of User Agency
  (i). Name : INDRAPRASTHA. GAS LTD.   (ii). Address1 : IGL Bhawan, Plot No. - 4, Community Centre, R. K. Puram, Sector - 9, New Delhi   (iii). Address2 : NIL   (iv). State : Delhi   (v). District : South West   (vi). Pin : 110022   (vii). Landmark : Community Centre   (viii). Email address : iglup412@gmail.com   (ix). Landline Telephone No. : 0-   (x). Fax No. : 0-   (xi). Mobile No. : 9451933346   (xii). Website (if any) : iglonline.net   (xiii). Legal status of User Agency : Joint Venture(Pvt+Govt.)
A-3. Details of Person Making Application
  (i). First Name: Ajai   (ii). Middle Name: NIL   (iii). Last Name: Tyagi   (iv). Gender: Male   (v). Designation: Sr Vice President   (vi). Address 1: IGL Bhawan, Plot No. - 4, Community Centre, R. K. Puram, Sector - 9, New Delhi   (vii). Address 2: NIL   (viii). State: Delhi   (ix). District: South West   (x). Tehsil: Vasant Vihar   (xi). Pin: 110022   (xii). Landmark: Community Centre   (xiii). Email Address: iglup412@gmail.com   (xiv). Landline Telephone No.: 0-   (xv). Fax No.: NIL   (xvi). Mobile No.: 9451933346   (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 Fatehpur0.3450
Total0.3450
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Fatehpur0.3450
Total0.3450
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Chiwali0.03940
2Rahasupur0.03860
3Hajipur0.03560
4Holpur0.03610
5Aung0.03540
6Abhaypur0.03890
7Choudagra0.03730
8Harsinghpur0.03480
9Hardaurpur0.04890
Total 0.345 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Laying Of Gas Pipe Line0.3450
Total 0.345 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.) : 0.345   (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).
1.0.345    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): 115
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
1Standard condition
2Project Details In DFO Fatehpur - UP
3Undertaking for C.A.
4Undertaking for NPV
5Undertaking for work not start
6Undertaking for DFO Fatehpur - UP for FRA Certificate
7Marked Gazette notification
8Undertaking for NOC of Primary authority permissions of Fatehpur-UP
9NOC/Primary authority permissions of DFO Fatehpur - UP
10Methodology of Laying of Gas Pipeline
11Undertaking for Muck Disposal
12PNGRB Authorization letter
13Acknowledgement Slip DM Fatehpur
14Area Calculation of Forest Land of DFO Fatehpur - UP
15NHAI Permission
16DFO EDS Reply Letter 19.02.2021
17GPS Coordinate of propose route Fatehpur-UP
18DFO EDS Reply Letter 03.07.2021