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/138464/2021
(ii). Name of Project for which Forest Land is required :
Development of Economic Corridors, Inter Corridors, Feeder Routes to improve the efficiency of freight movement in India under Bharatmala Pariyojna (Lot-2/UP/pkg-1 : Sonauli to Gorakhpur km 0+000 to km 81+204 of NH- 29E,District-Gorakhpur)), in the State of Utter Pradesh.
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
Widening of existing National Highway 29E passing through forest area( district-Gorakhpur)
(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) :
371728
(viii). Area of forest land proposed for diversion(in ha.):
8.3746
(ix). Non-forest land required for this project(in ha.):
13.0196
(x). Total period for which the forest land is proposed to be diverted(in years):
99
A-2.
Details of User Agency
(i). Name :
NHAI, PIU Gorakhpur
(ii). Address1 :
3/40 Bahar,Cluster-3, Sahara Estate, Gorakhpur
(iii). Address2 :
3/40 Bahar,Cluster-3, Sahara Estate, Gorakhpur
(iv). State :
Uttar Pradesh
(v). District :
Gorakhpur
(vi). Pin :
273010
(vii). Landmark :
3/40 BaharCluster-3,Shara Estate,Gorakhpur
(viii). Email address :
nhaigorakhpur2002@gmail.com
(ix). Landline Telephone No. :
551-2231040
(x). Fax No. :
551-221040
(xi). Mobile No. :
8004936048
(xii). Website (if any) :
NIL
(xiii). Legal status of User Agency :
Central Government
A-3.
Details of Person Making Application
(i). First Name:
Mr.Chinta
(ii). Middle Name:
Mani
(iii). Last Name:
Dwivedi
(iv). Gender:
Male
(v). Designation:
Genaral Manager(Tech)
(vi). Address 1:
3/40 Bahar,Cluster-3, Sahara Estate, Gorakhpur
(vii). Address 2:
3/40 Bahar,Cluster-3, Sahara Estate, Gorakhpur
(viii). State:
Uttar Pradesh
(ix). District:
Gorakhpur
(x). Tehsil:
NIL
(xi). Pin:
273010
(xii). Landmark:
3/40 BaharCluster-3,Shara Estate,Gorakhpur
(xiii). Email Address:
nhaigorakhpur2002@gmail.com
(xiv). Landline Telephone No.:
551-2231040
(xv). Fax No.:
221040
(xvi). Mobile No.:
7080534442
(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
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
1
Inprinciple
FP/UP/ROAD/10882/2015
8B/UP/06/63/2016/FC/261
93.92
93.92
23 Aug 2016
Total
93.92
93.92
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 Gorakhpur
8.3746
13.0196
Total
8.3746
13.0196
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Gorakhpur
8.3746
13.0196
Total
8.3746
13.0196
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
lohar purwa
4.726
0
2
basantpur
2.3147
0
3
jangal bihuli
1.273
9.166
4
mohnapur bypass vokva
0.0609
3.8536
Total
8.3746
13.0196
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
4 lane road widening
8.3746
13.0196
Total
8.3746
13.0196
C.
Maps of forest land proposed to be diverted
Division 1. : Forest Division Gorakhpur
(i). Area of forest land proposed to be diverted(in ha.) :
8.3746
(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.
8.3746
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:
existing road
E.
Employment likely to be generated
(i). Whether the Project is likely to generate employment ?:
Yes
(ii). Permanent/Regular Employment(Number of persons):
150
(iii). Temporary Employment(Number of person-days):
239100
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? :
Yes
(a). Copy of documentry evidence in support of settlement of rights under the Forest Rights Act,2006 on the forest land proposed to be diverted:
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
Undertaking Regarding Forest Rights Act 2006
2
land plan
3
linear plan
4
Proposed Road plan
5
satellite image with forest location
6
Project Report
7
LOA
8
TCS
9
Justification
10
forest Notification
11
Emplyoment Generation
12
Muck disposal
13
Undertaking non starting work
14
standard conditions
15
Project Section letter
16
forest notification with DFO sign
17
Compliance
18
Standard Conditions
19
Undertaking to upload the NOC of Owners Department
20
Notification
21
EDS
22
Compliance 15.07.2021
23
GT sheet
24
GT sheet
25
DGPS
26
EDS raised from forest department Reply 28.10.2021
27
UNDERTAKING FOR PAYMENT OF NET PRESENT VALUE
28
UNDERTAKING FOR PAYMERNT OF COST OF COMPENSATORY AFFORESTATION
29
JUSTIFICATION FOR LOCATING THE PROJECT IN FOREST AREA
30
CERTIFICATE FOR NO ADDITIONAL FOREST LAND REQUIREMENT
31
CERTIFICATE FOR MINIMUM USE OF FOREST LAND
32
Forest area calculation sheet
33
EDS Compliance12092022
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