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/ROAD/10923/2015   (ii). Name of Project for which Forest Land is required : Improvement and Upgradation of “Badaun-Bilsi-Bijnaour Road” (Bahjoi to Gajraula of SH-51 from Km 58.500 to Km 107.000 of SH-51 in Sambhal district and from Km 107.000 to Km 137.500 of SH-51 in Amroha (J.P.Nagar) district of Uttar Pradesh)   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : The proposed project is widening of the existing road to standard 2-lane configuration with 1.5 meter paved shoulder and 1.0 m earthen shoulder on either side from Km 58.500 to Km 107.000 of SH-51 in Sambal district and from Km 107.000 to Km 137.500 of SH-51 in Amroha (J.P.Nagar) district of Uttar P   (iv). State : Uttar Pradesh   (v). Category of the Proposal : Road   (vi). Shape of forest land proposed to be diverted : Linear   (vii). Estimated cost of the Project(Rupees in lacs) : 36311.31   (viii). Area of forest land proposed for diversion(in ha.): 63.2   (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): 99
A-2. Details of User Agency
  (i). Name : PWD   (ii). Address1 : Office of the Chief Engineer, World Bank Projects (Roads), Nirman Bhawan, 96, Mahatma Gandhi Marg, Lucknow-226001 (UP)   (iii). Address2 : Office of the Project Director, SRP-2 Circle (World Bank), UP PWD Lucknow, Nirman Bhawan, 96, Mahatma Gandhi Marg, Lucknow-226001 (UP)   (iv). State : Uttar Pradesh   (v). District : Lucknow   (vi). Pin : 226001   (vii). Landmark : Opp. Raj Bhawan   (viii). Email address : cewbuppwd@gmail.com   (ix). Landline Telephone No. : 522-2236496   (x). Fax No. : 522-522   (xi). Mobile No. : 9450900552   (xii). Website (if any) : http://uppwd.up.nic.in/wbprojects.html   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Shri   (ii). Middle Name: Rakesh   (iii). Last Name: Verma   (iv). Gender: Male   (v). Designation: Superintending Engineer   (vi). Address 1: Office of the Superintending Engineer, World Bank Yojana Circle, PWD, Nirman Bhawan, 96, Mahatma Gandhi Marg, Lucknow-226001 (UP)   (vii). Address 2: Office of the Superintending Engineer, World Bank Yojana Circle, PWD, Nirman Bhawan, 96, Mahatma Gandhi Marg, Lucknow-226001 (UP)   (viii). State: Uttar Pradesh   (ix). District: Lucknow   (x). Tehsil: NIL   (xi). Pin: 226001   (xii). Landmark: Opp. Raj Bhawan   (xiii). Email Address: cewbuppwd@gmail.com   (xiv). Landline Telephone No.: 522-2236496   (xv). Fax No.: 05222236556   (xvi). Mobile No.: 9454275527   (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 Sambhal38.80
2.Social Forestry Division J.P. Nagar (Amroha)24.40
Total63.20
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Sambhal38.80
1.Jyotiba Phule Nagar24.40
Total63.20
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Mau Kater1.680
2Bhahapur Patti Asalavath2.240
3Mirzapur Nasirullapur1.280
4Yusufpur0.760
5Bahjoi2.520
6Chitaura1.680
7Rajapur0.680
8Bhawan1.160
9Mirzapur Aktara1.160
10Kisauli0.680
11Atraasi1.040
12Pawasa1.840
13Ghuraitha1.480
14Bhabena0.840
15Muzfurpur1.720
16Idhalpur1.420
17Ajijapur1.460
18Hayat nagar1.720
19Ladam Nagar1.680
20Turturi Pur0.980
21Khgupara0.830
22Rithali1.510
23Khurkawale1.20
24Shaingpur sani1.440
25Chandaravali1.240
26Galuwa0.920
27Dehapa0.680
28Nakhasa0.980
29Fatehpur Dev0.980
30Mirjapur kakurauna10
31Dhansia1.120
32Saidan Nagali1.280
33Dhaka2.280
34Ujhari3.640
35Ishapur bhautana0.80
36Jhundi (Bhikham Pur1.20
37Kalakhri1.80
38Hasanpur nagar palika6.760
39Rampur1.120
40Manauta2.840
41Jagir Sihali1.560
Total 63.2 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Widening of Road within existing ROW from Km 58.5038.80
2Widening of Road within existing ROW from Km 107.024.40
Total 63.2 0
C. Maps of forest land proposed to be diverted
Division 1. : Social Forestry Division Sambhal
  (i). Area of forest land proposed to be diverted(in ha.) : 38.8   (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).
1.38.8    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 J.P. Nagar (Amroha)
  (i). Area of forest land proposed to be diverted(in ha.) : 24.4   (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).
1.24.4    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: The road side plantation is declared as Protected
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 400   (iii). Temporary Employment(Number of person-days): 2160000
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?: 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 ?: No   (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
1Project Sanction Letter
2Forest Land Notification
3Project Location Map
4District-wise Forest Area Calculation
5Villagewise and Chainagewaise Forest Area for diversion and calculation of Remaining Forest Area after diversion
6Linear Plan For the Section from Km 58.500 to Km 107.000 of SH-51 in Sambhal District
7Linear Plan For the Section from Km 107.000 to Km 137.500 of SH-51 in Amroha (J.P. Nagar) District District
8Forwarding letter for re submission of Forest Proposal
9Certificate by User Agency regarding no violation of FCA, 1980