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/143597/2021   (ii). Name of Project for which Forest Land is required : Development of section of NH-119 from 2-lane to 2-lane with paved shoulder under Bharatmala Pariyojana (Lot-4/Package-2) in District Bijnor, state of Uttar Pradesh.   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Diversion of 27.33 Ha of forest land for Development of section of NH-119 from 2-lane to 2-lane with paved shoulder (from chainage 120+900 to 137+760) under Bharatmala Pariyojana (Lot-4/Package-2) in District Bijnor, state of Uttar Pradesh.   (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) : 22400   (viii). Area of forest land proposed for diversion(in ha.): 27.33   (ix). Non-forest land required for this project(in ha.): 16.86   (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 MEERUT   (ii). Address1 : A-1, Vaishno Dham, Near Gayatri Heights, Kankerkhera   (iii). Address2 : NH-58, Meerut, Uttar Pradesh   (iv). State : Uttar Pradesh   (v). District : Meerut   (vi). Pin : 250001   (vii). Landmark : Near Gayatri Heights   (viii). Email address : piu_meerut@yahoo.co.in   (ix). Landline Telephone No. : 121-2631228   (x). Fax No. : 121-2631228   (xi). Mobile No. : 9868126926   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : Central Government
A-3. Details of Person Making Application
  (i). First Name: Santosh   (ii). Middle Name: Kumar   (iii). Last Name: Bajpai   (iv). Gender: Male   (v). Designation: PD   (vi). Address 1: A-1, Vaishno Dham, Near Gayatri Heights   (vii). Address 2: Kankerkhera, NH-58, Meerut   (viii). State: Uttar Pradesh   (ix). District: Meerut   (x). Tehsil: NIL   (xi). Pin: 250001   (xii). Landmark: Near Gayatri Heights   (xiii). Email Address: piu_meerut@yahoo.co.in   (xiv). Landline Telephone No.: 121-2631228   (xv). Fax No.: 01212631228   (xvi). Mobile No.: 9868126926   (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
1InprincipleFP/UP/ROAD/1189/20087-UPB073/2008-LUC4.1054.10506 Aug 2008
2InprincipleFP/UP/ROAD/1946/20067-UPA048/2006-LUC54.954.904 Jun 2006
3Under Processing at State GovernmentFP/UP/ROAD/39712/20191.89450
4InprincipleFP/UP/ROAD/34548/20188B/UP/06/78/2018/FC/5121.5721.57220 Nov 2018
5InprincipleFP/UP/ROAD/30178/2018B/UP/06/41/2018/FC/22949.2949.2927 Jun 2018
Total 111.7615 109.867
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 Bijnor27.3316.86
Total27.3316.86
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Bijnor27.3316.86
Total27.3316.86
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Bila Ahatmali1.60.8
2Mirpur dagru42
3Muthrapur Mor2.61.3
4Mohammad Taharpur63
5Jafrabad4.42.2
6Chatruwala3.372.7
7Sanywal3.12.6
8Kauriya1.81.8
9Rajpur Kot0.460.46
Total 27.33 16.86
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1ROAD Construction27.3316.86
Total 27.33 16.86
C. Maps of forest land proposed to be diverted
Division 1. : Social Forestry Division Bijnor
  (i). Area of forest land proposed to be diverted(in ha.) : 27.33   (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).
1.27.33    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: Widening of 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): 0   (iii). Temporary Employment(Number of person-days): 400000
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?: 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
1Annexure_Gaztte of forest land Duly Signed by DFO
2Tree Assessment List
3Area calculation sheet
4Certificate for minimum use of forest land
5Details Note on Project
6Forest Gazette notification
7justification for locating project site in protected area
8Muck disposal plan
9No muck generation and disposal
10Undertaking for no other feasible alternative alignment
11Project sanction letter
12Undertaking for adhere conditions
13Undertaking for FRA
14Undertaking for land owing agency
15Undertaking for payment of additional net present value of forest land
16Undertaking for payment of Net Present Value
17undertaking for payment of compensatory afforestation
18Undertaking for payment of Net Present Value
19CA land is the part of Forest department as this is the central government project
20submission letter of Pendrives and necessary required documents
21Compliance for the EDS/observations given by DFO Bijnor
22Compliance of EDS raised by DFO Social Forestry Division Bijnor
23Submission of Compliance EDS raised by DFO Social Forestry Division Bijnor for Undertaking of Elephant Corriodor
24EDS Compliances and Under taking for Wildlife and Elephant Reserve
25EDS Compliances and Under taking for Wildlife and Elephant Reserve with receiving of undertaking from DFO Bijnor
26COmpliance letter related to project name detailing in the proposal
27compliance EDS raised by IRO Lucknow
28Reply of EDS raised by IRO Lucknow