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/147236/2021   (ii). Name of Project for which Forest Land is required : Improvement of Bahraich - Gonda section of State Highway No. 30 from Km 4+150 to Km 64+282 of SH-30 in Bahraich and Gonda district in the State of Uttar Pradesh   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : The project aims to improve Bahraich-Gonda Road Section of SH-30 for length of 59.237 Km within ex. ROW. It involve 82.7212 ha. of declared PF in traversing 2 district i.e. Bahraich (50.686ha-PF) & Gonda (32.0352 ha. PF) and 3FD i.e. Bahraich (15.330 ha.), Shravasti (35.356 ha.) & Gonda (32.0352 ha.   (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) : 31000   (viii). Area of forest land proposed for diversion(in ha.): 82.7212   (ix). Non-forest land required for this project(in ha.): 0.511   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : UTTAR PARDESH (UP) PUBLIC WORKS DEPARTMENT (PWD)   (ii). Address1 : Office of the Chief Engineer, World Bank Projects (Roads), Nirman Bhawan, 96, Mahatma Gandhi Marg, Lucknow-226001 (UP)   (iii). Address2 : NIL   (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. : 522-2236556   (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: NIL   (iii). Last Name: Raj   (iv). Gender: Male   (v). Designation: Superintending Engineer, World Bank Pro   (vi). Address 1: Office of the Chief Engineer, World Bank Projects (Roads), Nirman Bhawan, 96, Mahatma Gandhi Marg, Lucknow-226001 (UP)   (vii). Address 2: NIL   (viii). State: Uttar Pradesh   (ix). District: Lucknow   (x). Tehsil: Lucknow   (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.: 9450900552   (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 Bahraich15.330.172
2.Forest Division Gonda32.03520.302
3.Forest Division Shrawasti35.3560.037
Total82.72120.511
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Bahraich50.6860.209
1.Gonda32.03520.302
Total82.72120.511
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Aminpur Nagraur1.750.091
2Nagraura3.640
3Khalilpur1.6140
4RasoolpurSarinya Govindpur3.5660
5Unnaisa2.170
6Machhiyahi1.330.081
7HatwaHardas2.8820
8Koluha2.950
9Khutehna2.870
10Belkhara Arkapur0.560
11Bankata3.150
12Imaliyaganj0.560
13Lalpur2.1060
14Jhala Tarhar1.960
15Ruknapur2.10
16Payagpur4.060.037
17Dadhauli0.210
18Dulehwa0.560
19Suhelwa1.470
20Sohriyawan2.2760
21Murerwa Thakurain1.890
22Chandna Mau0.420
23Udharna Thakurain4.2120
24Udharna Sardahi2.380
25Sahjanwa1.050
26Kochwa2.450
27SisaiMafi1.470
28Mangal nagar1.680
29Manohar jot1.540
30Bangain0.560
31Chhatoni3.220
32Gousinha2.590
33Bararai0.980
34Bhatpurwa1.190
35Pipra bazar2.170
36Thadvaria0.560
37Jagdishpur Vindravan0.1980
38MunderwaMafi2.10
39Munderwa Kalan1.820
40Chilbila Kahttipur0.770
41Khiroura Mohan2.170.258
42Pandari Shanker2.380.044
43Imarti Bisen0.980
44Bimour1.20
45Janki Nagar0.3680
46Imlia Gurudayal0.58920
Total 82.7212 0.511
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Widening of road82.72120.511
Total 82.7212 0.511
C. Maps of forest land proposed to be diverted
Division 1. : Forest Division Shrawasti
  (i). Area of forest land proposed to be diverted(in ha.) : 35.356   (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).
1.35.356    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. : Forest Division Bahraich
  (i). Area of forest land proposed to be diverted(in ha.) : 15.33   (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).
1.15.33    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:
Division 3. : Forest Division Gonda
  (i). Area of forest land proposed to be diverted(in ha.) : 32.0352   (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).
1.32.0352    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 improvement 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): 15   (iii). Temporary Employment(Number of person-days): 180000
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?: 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
1Project section letter
2Justification of project location in forest area
3Certificate regarding the distance from the NP/WLS
4Certificate of No Alternative Land Availability
5Certificate for Minimum Demand of Forest Land
6Forest land and Non-Forest land Schedule
7Undertaking for No Start of Work
8Undertaking to Pay Net Present Value for Forest Area
9Undertaking for Payment of Cost of Compensatory Afforestation
10Village-wise break-up of affected Protected Forest area
11Muck Disposal plan and Certificate of Muck Disposal
12Letter from UPPWD to FD regarding EDS Compliance16112021
13Undertaking for submission of FRA
14Undertaking for Entire Tree Transplant (ETP)
15Undertaking for Manak Shartein
16Forest Gazette indicating affected forest
17Letter from UPPWD to FD regarding EDS Compliance02122021
18letter from UPPWD to FD regarding EDS Compliance25012022 and receiving of acknowledgement slip
19Bahraich Joint Inspection Report
20Shravasti Joint Inspection Report
21Gonda EDS compliance including JIR
22Gonda Joint Inspection Report
23Letter from UPPWD to DFO Bahraich in facilitation to the preparation of CA maps
24letter from UPPWD to FD regarding EDS Compliance20012023
25letter from UPPWD to FD regarding EDS Compliance May2023
26letter from UPPWD to FD regarding EDS Compliance August2023
27letter from UPPWD to FD regarding EDS Compliance Dec 2023