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/14208/2015   (ii). Name of Project for which Forest Land is required : Improvement / Widening of Nanau-Dadau Road (MDR 82W) (0.000km to 30.000km)   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Govt. of UP has planned for improvement and widening of Core Road Network with the Financial Assistance from ADB. Under this program PWD has undertaken planning for Improvement of Nanau-Dadau Road with a total length of 30km. Unutilized RoW of Road is protected forest from 1.0 mile to 10.0 mile ie.   (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) : 12397.34   (viii). Area of forest land proposed for diversion(in ha.): 10.184   (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 Aligarh10.1840
Total10.1840
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Aligarh10.1840
Total10.1840
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Nanau0.1520
2Pilkhana2.7440
3Sikandarpur0.60
4Jalali0.3760
5Azadpur0.840
6Paharipur0.9520
7Khargapur0.9280
8Datavali1.4960
9Barla1.1040
10Tikta0.9280
11Sihawali0.0640
Total 10.184 0
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road Widening10.1840
Total 10.184 0
C. Maps of forest land proposed to be diverted
Division 1. : Social Forestry Division Aligarh
  (i). Area of forest land proposed to be diverted(in ha.) : 10.184   (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).
1.10.184    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: Project is a widening and improvement project
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): 80000
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: No Data
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
1Forest Gazette Notification
2Strip Map_PF
3Forwarding Letter
4Joint Inspection Report
5Sanction Order
6Typical Cross Sections & Widening Schedule
7Strip Plan
8Chainage wise Breakup of Forest area
9List of plants below 30cm girth
10List of affected Trees
11Strip Plan
12Cross section of Road (TCS)
13CA Scheme calculation
14NPV calculation