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/RAIL/43640/2019   (ii). Name of Project for which Forest Land is required : Proposed Protected forest land to bediverted for Doubling of Railway Track from (Km No.- 823.530 to 906.780) Zafrabad to Akbarpur Railway line ( Km. 823.250 to 874.355 ) in Jaunpur district), ( Km. 874.355 to 884.545 ) in Sultanpur district) and ( Km. 884.545 to 906.780 ) in Ambedkar Nagar distric   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Protected forest land to be diverted for Doubling of Railway Track from (Km No.- 823.530 to 906.780) Zafrabad to Akbarpur Railway line ( Km. 823.250 to 874.355 ) in Jaunpur district), ( Km. 874.355 to 884.545 ) in Sultanpur district) and ( Km. 884.545 to 906.780 ) in Ambedkar Nagar distric   (iv). State : Uttar Pradesh   (v). Category of the Proposal : Railway   (vi). Shape of forest land proposed to be diverted : Linear   (vii). Estimated cost of the Project(Rupees in lacs) : 67636   (viii). Area of forest land proposed for diversion(in ha.): 57.2948   (ix). Non-forest land required for this project(in ha.): 9.5232   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : CONSTRUCTION II NORTHERN RAILWAY LUCKNOW   (ii). Address1 : OFFICE OF THE DY. CHIEF ENGINEER CON-II NEAR SEWAGRAM RAILWAY COLONY, CHARBAGH ,LUCKNOW   (iii). Address2 : NIL   (iv). State : Uttar Pradesh   (v). District : Lucknow   (vi). Pin : 226004   (vii). Landmark : NEAR KKC PETROL PUMP   (viii). Email address : dycec2nrlko@gmail.com   (ix). Landline Telephone No. : 522-2635334   (x). Fax No. : 522-   (xi). Mobile No. : 9760530217   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : Central Government
A-3. Details of Person Making Application
  (i). First Name: SUNIL   (ii). Middle Name: KUMAR   (iii). Last Name: DAYMA   (iv). Gender: Male   (v). Designation: SSE   (vi). Address 1: OFFICE OF THE DY. CHIEF ENGINEER, NEAR SEWAGARAM COLONY,CHARBAGH,LUCKNOW   (vii). Address 2: NIL   (viii). State: Uttar Pradesh   (ix). District: Lucknow   (x). Tehsil: Lucknow   (xi). Pin: 226004   (xii). Landmark: NEAR KKC PETROL PUMP   (xiii). Email Address: dycec2nrlko@gmail.com   (xiv). Landline Telephone No.: 522-2635334   (xv). Fax No.: NIL   (xvi). Mobile No.: 9760530217   (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 Jaunpur34.36366.5144
2.Social Forestry Division Sultanpur7.38160.7704
3.Social Forestry Division Ambedkar Nagar15.54962.2384
Total57.29489.5232
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Jaunpur34.36366.5144
1.Sultanpur7.38160.7704
3.Ambedkar Nagar15.54962.2384
Total57.29489.5232
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Zafrabad0.7220.8982
2Husainabad0.93680.4041
3Jaunpur1.51771.085
4Haiderpur1.53470.1246
5Mahagawan4.22740.7256
6Jangipur Khurd2.09040.0216
7Mehrawan3.13220.64
8Bhurkurhan2.91980.0169
9Manechha1.74170.016
10Kheta Sarai1.66840.8571
11Gorari Khalilpur1.20810.0717
12Majdeeha1.36420.0056
13Sindhai1.36020.0056
14Burhapur1.2170.0232
15Shahganj1.88040.9263
16Takha Mariyam West3.81580.0176
17Umariya2.91560.056
18Belwai0.11720.6462
19Mirpur1.63590.0176
20Patarkhas1.06730.1294
21Harpur1.03420.0056
22Sajampur0.76120.6397
23Karai1.87080.0058
24Bairagal1.01220.17
25Malipur0.29860.795
26Hajipur1.10670.1047
27Khjori Karoodi0.84920.0681
28Tikri2.24060.0056
29Beluabariyapur2.94260.145
30Sadapur Bhitare1.47870.0056
31Mubarakpur Marala1.71960.0057
32Sinjhauli1.65290.1052
33Shahzad Pur1.73910.2187
34Akbarpur1.51560.5602
Total 57.2948 9.5232
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Railway Track Doubling57.29489.5232
Total 57.2948 9.5232
C. Maps of forest land proposed to be diverted
Division 1. : Social Forestry Division Ambedkar Nagar
  (i). Area of forest land proposed to be diverted(in ha.) : 15.5496   (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).
1.15.5496    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:
Division 2. : Social Forestry Division Sultanpur
  (i). Area of forest land proposed to be diverted(in ha.) : 7.3816   (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).
1.7.3816    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:
Division 3. : Social Forestry Division Jaunpur
  (i). Area of forest land proposed to be diverted(in ha.) : 34.3636   (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).
1.34.3636    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
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 2   (iii). Temporary Employment(Number of person-days): 12000
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?: Yes   (a). Copy of Cost-Benefit analysis:
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
1Project Sanction Letter
2Forest Notification
3Compensatory Deposit Undertaking
4NPV Deposit Undertaking
5Onwer Department NOC
6Standard conditions
7CROSS-SECTION
8Undertaking For Not Start Work Before Approval
9Undertaking For Vaikalpik Van Bhomi
10Area Calculation Sheet
11Muck Disposal Plan
12Vaikalpik Van Bhoomi Certificate