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/147898/2021
(ii). Name of Project for which Forest Land is required :
Additional forest land diversion required for Eastern Yamuna canal falling in Shamli District for “Four laning of Panipat ( Start from junction with Existing Km of NH-44 at Panipat) -to Shamli (End at its junction with Existing 39+300 of SH- 12) of NH-709AD in the State of Uttar Pradesh Package -1( 0.000 to 35.580)”
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
In order to Construction of proposed Major Bridge at Chainage 34.500 in Shamli District will be performed on adjoining to the Eastern Yamuna Canal side plantation along the project road which is declared as Protected Forest Land will be impacted.
(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) :
125261
(viii). Area of forest land proposed for diversion(in ha.):
0.111
(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 :
NHAI BAGHPAT
(ii). Address1 :
Friends Colony Baraut Road, Near PWD Guest House, Baghpat
(iii). Address2 :
NIL
(iv). State :
Uttar Pradesh
(v). District :
Bagpat
(vi). Pin :
250609
(vii). Landmark :
Near PWD Guest House
(viii). Email address :
piubaghpat@nhai.org
(ix). Landline Telephone No. :
121-2222971
(x). Fax No. :
121-
(xi). Mobile No. :
9560977771
(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:
Kumar
(iii). Last Name:
Mishra
(iv). Gender:
Male
(v). Designation:
PD
(vi). Address 1:
Friends Colony Baraut Road, Near PWD Guest House, Baghpat
(vii). Address 2:
NIL
(viii). State:
Uttar Pradesh
(ix). District:
Bagpat
(x). Tehsil:
NIL
(xi). Pin:
250609
(xii). Landmark:
Near PWD Guest House
(xiii). Email Address:
piubaghpat@nhai.org
(xiv). Landline Telephone No.:
121-2222971
(xv). Fax No.:
NIL
(xvi). Mobile No.:
9560977771
(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
Approved
FP/UP/ROAD/36441/2018
8B/UP/06/81/2019/FC
46.2908
46.2908
01 Jan 2020
28 Oct 2020
2
Approved
FP/UP/ROAD/37458/2018
8B/UP/06/79/2019/FC
7.4495
7.4495
30 Jan 2020
22 Dec 2020
3
Approved
FP/UP/ROAD/37343/2018
8B/UP/06/78/2019/FC
19.80775
19.80775
30 Jan 2020
18 Feb 2021
4
Approved
FP/UP/ROAD/37344/2018
8B/UP/06/77/2019/FC
41.4685
41.4685
30 Jan 2020
18 Feb 2021
Total
115.01655
115.01655
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 Shamli
0.111
0
Total
0.111
0
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Shamli
0.111
0
Total
0.111
0
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Lilaun
0.111
0
Total
0.111
0
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Construction of Major Bridge Eastern Yamuna Canal
0.111
0
Total
0.111
0
C.
Maps of forest land proposed to be diverted
Division 1. : Social Forestry Division Shamli
(i). Area of forest land proposed to be diverted(in ha.) :
0.111
(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.
0.111
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:
Widenening and Upgradation 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):
15
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
Cost Benefit Analysis is not applicable
2
Environment Clearance is not applicable
3
Forest land Calculation Sheet shamli
4
General Conditions
5
No Muck Disposal Plan
6
NOC of Irrigation Department
7
Project sanction Letter
8
Project Key Map
9
Project Stage 1 Clearance In Principal approval Letter
10
Project Stage 2 Clearance approval Letter
11
Undertaking for payment of NET Present Value NPV and additional NPV of Forest area
12
Undertaking for payment of Cost of Compensatory Afforestation CA
13
Undertaking for non starting of any activity without sanction from competent authority
14
Undertaking on status of Settlement of Rights under the forest Rights Act 2006
15
Undertaking Document Verification Certificate
16
Undertaking to upload the NOC of Owner department
17
Undertaking Land Ownership Certificate
18
Undertaking for No Muck Generation and Disposal
19
Forest Land Gazette Notification of Eastern yamuna Canal duly signed by present DFO Shamli
20
EDS Reply by user agency dated 28 10 2021
21
EDS submitted regarding duly signed Joint Inspection report
22
EDS Reply by User agency letter dated 4 July 2022
23
EDS Reply by User agency Letter No 9205 dated 29 Aug 2022
24
EDS Reply by User agency Letter No 9323 dated 08 Sept 2022
25
EDS Reply by Unser agency Letter No 9348 dated 12 Sept 2022 Reg Undertaking for panel NPV Payment
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