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/144204/2021   (ii). Name of Project for which Forest Land is required : Protected Forest Land to be diverted for Improvement and Up-gradation of NH-530B from Mathura (NH-44) to Bareilly (NH-30) from CH. No. 66.000 to CH. No. 123.100, in District:- Hathras, Etah & Kasganj   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Proposed Protected Forest Land to be diverted for Improvement and Up-gradation of NH-530B from Mathura (NH-44) to Bareilly (NH-30) from CH. No. 66.000 to CH. No. 123.100, in District:- Hathras, Etah & Kasganj.   (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) : 232073   (viii). Area of forest land proposed for diversion(in ha.): 89.4116   (ix). Non-forest land required for this project(in ha.): 125.1159   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : NATIONAL HIGHWAY AUTHORITY OF INDIA PIU AGRA   (ii). Address1 : NHAI A-208 Kamla Nagar   (iii). Address2 : Agra   (iv). State : Uttar Pradesh   (v). District : Agra   (vi). Pin : 282004   (vii). Landmark : NIL   (viii). Email address : agra@nhai.org   (ix). Landline Telephone No. : 0-   (x). Fax No. : 0-   (xi). Mobile No. : 9412077985   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : Central Government
A-3. Details of Person Making Application
  (i). First Name: Sanjay   (ii). Middle Name: NIL   (iii). Last Name: Verma   (iv). Gender: Male   (v). Designation: Project Director   (vi). Address 1: NHAI A-208 Kamla Nagar   (vii). Address 2: Agra - UP   (viii). State: Uttar Pradesh   (ix). District: Agra   (x). Tehsil: Agra   (xi). Pin: 282004   (xii). Landmark: NIL   (xiii). Email Address: agra@nhai.org   (xiv). Landline Telephone No.: 0-   (xv). Fax No.: NIL   (xvi). Mobile No.: 9644900021   (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 Hathras71.619152.1944
2.Forest Division Kashiram Nagar12.468168.4845
3.Social Forestry Division Etah5.32444.437
Total89.4116125.1159
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Hathras71.619152.1944
1.Kasgang12.468168.4845
3.Etah5.32444.437
Total89.4116125.1159
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Vahanpur1.75581.4012
2Nagala Tajana2.48350.17625
3Thulai1.53033.868
4Jahangir Pur0.56932.8816
5Salempur6.68492.638
6Bahta03.387
7Nagla Kanch7.19520.642
8Sichawali Sani0.77470.6045
9Kalupura1.695515.3525
10Jauinayatpur8.1047.5415
11Basai Babas01.14
12Vasthoi2.88081.275
13Nagla Mianpattidevari3.53711.508
14Bahadurpur0.62390.1395
15Rajapur2.16411.98
16Varamai Nagla Vijan5.8253.68
17Sikandra Rao Dehat4.86450.1755
18Sikandra Rao Andar Chungi00.138
19Mahamai Salamatnagar00.06975
20Nawali Lal Pur2.08370.4706
21Rampur Nagla Chatol3.29270.7875
22Vartar Khas7.69145.694
23Agsauli9.92950.5
24Birabar3.90630.046
25Kantaur3.3923.604
26Mohanpura0.880.935
27Tikampura0.6240.936
28Pivari2.66222.2185
29Mahmudpur Nagariya2.66222.2185
30Athaiya0.0760.208
31Pathreki0.0490.182
32Tandoli khalsa019.656
33Tandoli Mafi0.060
34Dhantoriya0.140
35Taraura Bahar Na.Pa0.120
36Kiloni Rafathpur012.142
37Jakharudrapur01.935
38Kyampur Vahedia09.36
39Mamon014.1075
40Gorha1.1541.517
Total 89.4116 125.1159
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Improvement and Up-gradation of Road89.4116125.1159
Total 89.4116 125.1159
C. Maps of forest land proposed to be diverted
Division 1. : Forest Division Kashiram Nagar
  (i). Area of forest land proposed to be diverted(in ha.) : 12.4681   (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).
1.12.4681    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 Hathras
  (i). Area of forest land proposed to be diverted(in ha.) : 71.6191   (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).
1.71.6191    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 3. : Social Forestry Division Etah
  (i). Area of forest land proposed to be diverted(in ha.) : 5.3244   (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).
1.5.3244    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: Alignment has been proposed as per Approved Plan.
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): 15000
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? : 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
1Owner ship Details Notification.
2UNDERTAKING FOR CA DEPOSIT
3CROSS-SECTION PLAN
4UNDERTAKING FOR NPV DEPOSIT
5STANDARD CONDITIONS
6PROJECT SANCTION
7FOREST NOTIFICATION
8UNDERTAKING FOR OWNER DEPARTMEN NOC
9UNDERTAKING FOR ADDITIONAL NPV
10AREA CALCULATION SHEET
11UNDERTAKING FOR ETT
12UNDERTAKING FOR MINIMUM TREE FELLING
13MUCK DISPOSAL PLAN
14VAIKALPIK VAN BHOOMI CERTIFICATE
15UNDERTAKING FOR VANYA JEEV VIHAR
16UNDERTAKING FOR NOT STARTED WORK BEFORE APPROVAL