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/118819/2021
(ii). Name of Project for which Forest Land is required :
Proposed forest land to be diverted for Widening & Strengthening of RS Road (Sidhahawa) to Jogendra Road Via Khajura Road from Km. No. 0.000 to Km. No. 20.150 Under Road Connectivity Project on Left Wing Extremism Area (RCPLWEA) in Tehsil-Robertsganj, District-Sonbhadra by PMGSY Division, PWD Sonbhadra
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
Proposed forest land to be diverted for Widening & Strengthening of RS Road (Sidhahawa) to Jogendra Road Via Khajura Road from Km. No. 0.000 to Km. No. 20.150 Under Road Connectivity Project on Left Wing Extremism Area (RCPLWEA) in Tehsil-Robertsganj, District-Sonbhadra by PMGSY Division, PWD Sonbh
(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) :
2171.35
(viii). Area of forest land proposed for diversion(in ha.):
14.5603
(ix). Non-forest land required for this project(in ha.):
3.5746
(x). Total period for which the forest land is proposed to be diverted(in years):
50
A-2.
Details of User Agency
(i). Name :
PMGSY DIVISION PUBLIC WORKS DEPARTMENT SONEBHADRA
(ii). Address1 :
Office of The Executive Engineer, PMGSY Div., P.W.D. Sonebhadra. (First Floor of Executive Engineer, Nirman Khand, P.W.D. Sonebhadra.)
(iii). Address2 :
Robertsganj
(iv). State :
Uttar Pradesh
(v). District :
Sonbhadra
(vi). Pin :
231216
(vii). Landmark :
NIL
(viii). Email address :
pmgsypwdsonbhadra@gmail.com
(ix). Landline Telephone No. :
5444-223717
(x). Fax No. :
5444-
(xi). Mobile No. :
7311189180
(xii). Website (if any) :
NIL
(xiii). Legal status of User Agency :
State Government
A-3.
Details of Person Making Application
(i). First Name:
Ramesh
(ii). Middle Name:
Chandra
(iii). Last Name:
Katiyar
(iv). Gender:
Male
(v). Designation:
AE
(vi). Address 1:
Office of the Executive Engineer, PMGSY Division, P.W.D. Sonebhadra
(vii). Address 2:
NIL
(viii). State:
Uttar Pradesh
(ix). District:
Sonbhadra
(x). Tehsil:
Robertsganj
(xi). Pin:
231216
(xii). Landmark:
NIL
(xiii). Email Address:
pmgsypwdsonbhadra@gmail.com
(xiv). Landline Telephone No.:
5444-223717
(xv). Fax No.:
NIL
(xvi). Mobile No.:
7311189180
(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.
Forest Division Renukoot
14.5603
3.5746
Total
14.5603
3.5746
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Sonbhadra
14.5603
3.5746
Total
14.5603
3.5746
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Kuldomari
14.5603
3.5746
Total
14.5603
3.5746
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Road widening and strengthning
14.5603
3.5746
Total
14.5603
3.5746
C.
Maps of forest land proposed to be diverted
Division 1. : Forest Division Renukoot
(i). Area of forest land proposed to be diverted(in ha.) :
14.5603
(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.
14.5603
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):
10000
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?:
Yes
(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). No. of districts involved for raising Compensatory Afforestation:
1
(iv). No. of patches:
Two
District 1. : Sonbhadra
(a). Village:
Baheradol
(b). Area(in ha.):
8.0003
(c). Copy of KML file of the patch:
View File
(d). Khasra details:
447k mi
(e). Present owner:
User Agency
(f). Copy of Ownership proof:
District 2. : Sonbhadra
(a). Village:
Kataudhi
(b). Area(in ha.):
6.56
(c). Copy of KML file of the patch:
View File
(d). Khasra details:
56Mi
(e). Present owner:
User Agency
(f). Copy of Ownership proof:
(v). Scanned copy of the map of the land identified for creation of Compensatory Afforestation prepared by using GPS ot Total Station:
(vi). Copy of Survey of India Toposheet in 1:50,000 scale indicating location of the land identified for creation of Compensatory Afforestation:
Additional information Details
Documents
S.No
Documents
Remarks
1
PROJECT SANCTION LETTER
2
UNDERTAKING FOR CA DEPOSIT
3
UNDERTAKING FOR NPV DEPOSIT
4
STANDARD CONDITIONS
5
UNDERTAKING FOR NOT START WORK BEFORE APPROVAL
6
FOREST NOTIFICATION
7
AREA CALCULATION
8
MUCK DISPOSAL PLAN
9
CROSS SECTION PLAN
10
VAIKALPIK VAN BHOOMI CERTIFICATE
11
Undertaking Regarding Vanya Jeev Vihar Verified By DFO
12
Receiving from DFO and DM Office Uploaded
13
linear plan
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