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/148376/2021   (ii). Name of Project for which Forest Land is required : Improvement and Up-gradation of NH-731 to 2-Lane with Paved Shoulder from Km 40.00 to Km 88.750 under Package 1 in Shahjahanpur District and Forest Division (Total Length-48.75 Km of Package 1)   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Project is improvement and up-gradation of Existing Road (NH-731) to 2-Lane with Paved Shoulder and Service Road from Km 40.00 to Km 88.750, Start of Khutar Bypass to Start of Shahjahanpur Bypass of Shahjahanpur District of NH-731 under Shahjahanpur Forest Division of Uttar Pradesh State (Total Leng   (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) : 55000   (viii). Area of forest land proposed for diversion(in ha.): 26.408   (ix). Non-forest land required for this project(in ha.): 79.5718   (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 HIGHWAYS AUTHORITY OF INDIA PIU BAREILLY   (ii). Address1 : 26, Green Park, Beesalpur Road, Bareilly(U.P.)   (iii). Address2 : NIL   (iv). State : Uttar Pradesh   (v). District : Bareilly   (vi). Pin : 243006   (vii). Landmark : NIL   (viii). Email address : piubareilly@gmail.com   (ix). Landline Telephone No. : 581-2523752   (x). Fax No. : 581-2520204   (xi). Mobile No. : 9897956767   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : Central Government
A-3. Details of Person Making Application
  (i). First Name: Nikhil   (ii). Middle Name: NIL   (iii). Last Name: Narang   (iv). Gender: Male   (v). Designation: Project Director   (vi). Address 1: National Highways Authority of India, PIU-Bareilly   (vii). Address 2: 26, Green Park, Beesalpur Road, Bareilly(U.P.)   (viii). State: Uttar Pradesh   (ix). District: Bareilly   (x). Tehsil: Bareilly   (xi). Pin: 243006   (xii). Landmark: NIL   (xiii). Email Address: piubareilly@gmail.com   (xiv). Landline Telephone No.: 581-2523752   (xv). Fax No.: 05812520204   (xvi). Mobile No.: 8586979842   (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 Shahjahanpur26.40879.5718
Total26.40879.5718
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Shahjahanpur26.40879.5718
Total26.40879.5718
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Bara urf Salnaha0.3480.758
2Bhujia0.3520.0031
3Lalpur0.165.1811
4Nagra02.9881
5Narayanpur Vikrampur05.0587
6Khusmaha03.7091
7Siklapur Mastapur00.286
8Motipur00.056
9Khutar Khaas00.4734
10Anandpur00.4881
11badagaon07.5617
12BhatpuraChandu01.5666
13Jankapur05.562
14Majeedpur00.9722
15Navalpur02.4602
16Sherchak0.053.9848
17Rujha Kalan0.121.0515
18Rautapur Kalan2.2620.217
19Rampur Kalan0.90.4181
20Laskhmipur0.9970.7445
21Bahadurpur0.0970.1034
22Dhaka Kurd Kalan0.09930.0515
23Gutaiya Jn Natthapur2.94771.0711
24Gangsara1.2150.342
25Inayatpur0.0880.9873
26Karnapur Jn Bitauni0.40.8817
27Luktaha1.70.024
28Madnapur0.830.962
29Bitauni Jn Karnapur0.390.1525
30Dhara1.192.7243
31Powayan013.228
32Mainari1.171.5882
33Baletu0.760.1227
34Mahua Pathak0.050.7932
35Peeru1.0321.4478
36Baraura0.6030.2016
37Gandharpur0.070.0791
38Koron Kuyia0.1120.7746
39Mahanandpur1.121.1467
40Chak Kanhu0.40.8099
41Dhakiya Hameed Nagar1.461.6318
42Ilra0.970.8074
43Sindhauli2.2320.7378
44Barapur0.080.1233
45Ladhauli0.0670.3198
46Murcha0.0960.5447
47Adampur0.340.5187
48Paina Buzurg1.73.8565
Total 26.408 79.5718
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Improvement and upgradation of NH-73126.40879.5718
Total 26.408 79.5718
C. Maps of forest land proposed to be diverted
Division 1. : Social Forestry Division Shahjahanpur
  (i). Area of forest land proposed to be diverted(in ha.) : 26.408   (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).
1.26.408    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: This is a 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): 60   (iii). Temporary Employment(Number of person-days): 239
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? : 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
1Certificate No Muck Generated
2Certificate of RCC Pillars
3Details of Employment Days
4Forest Notification
5Gazette Notification of NH731
6Map Shwoing Alternate Routes with Different Colours and Justification of Selecting the Proposed Route
7Muck Disposal Plan
8Project Approval or Sanction Letter
9Standard Conditions
10Status of Environment Clearance
11Undertaking Certificate for FRA
12Undertaking Certificate for Payment of CA
13Undertaking Regarding Beneficiary Population
14Undertaking regarding NOC from Owner Dept.
15Modified Area Statement
16Certificate about No-alternative Suitable Non-forest Land is available
17Undertaking for Conditions as Imposed by GOI SG
18Undertaking for Payment of Cost of Net Present Value (NPV)
19Undertaking for Non-starting of any construction activity
20Project Description
21Certificate for Rules and Regulation under FCA, 1980 (Hindi)
22Certificate of Land Ownership
23Undertaking Certificate for Roadside Plantation
24Modified Van Swaroop Chinhikaran Certificate
25Modified Village-wise Forest Affected Area
26Undertaking for Shudh Vartman Mulye (Hindi)
27Undertaking on Entire Tree Transplant (ETP)
28Undertaking for about Distance of Project from Protected Area
29Details of Tree Inventory within the Affected Area
30Undertaking of Minimum Forest Area
31Reply Letter to DFO Observations and request for accepting of modified FCA proposal
32Receipt of Hard Copy Submission to DFO, Shahjahanpur with required additional documents
33Hard Copy Submission to DFO