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/148569/2021
(ii). Name of Project for which Forest Land is required :
Construction of 4 laning of Ghazipur –Ballia- UP/Bihar New Greenfield section from Km. 0.000 to 117.120 of NH-31 and construction of new Buxar Spur connectivity from km 0.000 to km 17.270 in the Ballia district of Uttar Pradeshstate
(iii). Short narrative of the proposal and Project/scheme for which the forest land is required :
Construction of 4 lane green field highway between Ballia and Ghajipur, by considering the exsiting road whereever possible.in District Ballia, 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) :
91587
(viii). Area of forest land proposed for diversion(in ha.):
0.49
(ix). Non-forest land required for this project(in ha.):
420.17
(x). Total period for which the forest land is proposed to be diverted(in years):
100
A-2.
Details of User Agency
(i). Name :
NATIONAL HIGHWAY AUTHORITY OF INDIA PIU AZAMGARH
(ii). Address1 :
National Highway Authority of India,PIU 20/104,1st Floor,Harbanspur,Azamgarh(UP)
(iii). Address2 :
NIL
(iv). State :
Uttar Pradesh
(v). District :
Azamgarh
(vi). Pin :
276001
(vii). Landmark :
NIL
(viii). Email address :
piuazamgarh@gmail.com
(ix). Landline Telephone No. :
5462-260117
(x). Fax No. :
5462-260117
(xi). Mobile No. :
7860563333
(xii). Website (if any) :
NIL
(xiii). Legal status of User Agency :
Central Government
A-3.
Details of Person Making Application
(i). First Name:
Pradeep
(ii). Middle Name:
Kumar
(iii). Last Name:
Srivastava
(iv). Gender:
Male
(v). Designation:
PD
(vi). Address 1:
Project Implementation Unit.20/104, 1st Floor,Harbanspur,Azamgarh UP
(vii). Address 2:
NIL
(viii). State:
Uttar Pradesh
(ix). District:
Azamgarh
(x). Tehsil:
Azamgarh
(xi). Pin:
276001
(xii). Landmark:
NIL
(xiii). Email Address:
piuazamgarh@nhai.org
(xiv). Landline Telephone No.:
5462-260117
(xv). Fax No.:
05462260117
(xvi). Mobile No.:
9936101899
(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 Ballia
0.49
420.17
Total
0.49
420.17
B-2.2
Details of Districts involved
District wise breakup
S.no
District Name
Forest Land(ha.)
Non-Forest Land(ha.)
1.
Ballia
0.49
420.17
Total
0.49
420.17
B-2.3
Village wise breakup
Villages wise breakup
S.no
Village
Forest Land(ha.)
Non-Forest Land(ha.)
1
Akoni
0.49
4.735
2
Ibrahimabad Uparwar
0
25.574
3
Oujha Kacchua
0
4.209
4
Chanddiar
0
24.272
5
Bairiya
0
16.657
6
Shahapur
0
4.675
7
Lakra
0
2.067
8
Badhwalia
0
1.513
9
Awagilva
0
1.69
10
Hardarpur
0
4.778
11
Bankapur
0
5.086
12
Tikapur
0
0.362
13
Tikari
0
6.4
14
Mustafabad
0
0.058
15
Basaratpur
0
5.999
16
Sultanpur
0
9.811
17
Kotwari
0
4.024
18
Kalyanpur
0
0.809
19
Kuruchunda Akoni
0
2.013
20
TeteDad
0
0.407
21
Pahteekha
0
1.938
22
Teekha
0
6.772
23
Birpur
0
0.051
24
Cheruia
0
3.565
25
Narhi
0
5.097
26
Gangahara
0
10.019
27
Baina
0
0.148
28
Baghe ji
0
2.68
29
Sagarpalli
0
9.822
30
Darampur
0
2.275
31
Khap Nasirabad
0
1.904
32
Sarfuddinpur Urf Mubarakpur
0
3.106
33
Devariyakurdh
0
1.067
34
Khap Surfuddinpur
0
1.994
35
Khap Khori Pakar
0
0.978
36
Haibatpur Khap
0
0.73
37
Haibatpur
0
5.021
38
Parsipatti
0
1.042
39
Maldepur
0
0.525
40
Vijaipur
0
6.902
41
Bankata
0
4.791
42
Makdhumi
0
0.207
43
Bedua
0
1.794
44
Hirpur
0
5.671
45
Neori Taluka Jamuaon
0
1.556
46
Chandan pur
0
0.907
47
Kanspur
0
1.889
48
Palwarhi
0
2.138
49
Moorki
0
4.95
50
Jamuan
0
3.581
51
JamuanKishun Nagar
0
3.403
52
Mohan Chhapra
0
3.403
53
Nagwa
0
8.895
54
Harlal Chhapra
0
2.23
55
Janari
0
7.637
56
Janari Mafi
0
1.589
57
Bhel Sarh
0
8.455
58
Bhimpatti
0
0.687
59
Urgasenpur
0
1.343
60
Kachha Khas
0
5.729
61
Rampur Tithi
0
7.014
62
Pochhari
0
3.475
63
Pindari
0
5.968
64
Sihakhund
0
5.913
65
Bharkoka
0
9.46
66
Kathai
0
1.492
67
Mudadih
0
15.48
68
Laakhpur
0
3.592
69
Bolthari
0
9.33
70
Malikpura Mu. Jagchhapra
0
3.709
71
Dudaila
0
4.971
72
Khajuhati
0
12.017
73
Varuna Mu.Dighar
0
3.65
74
Raghunathpur Mu.Dighar
0
0.714
75
Kanchanpur
0
4.855
76
Kewa
0
4.582
77
Rampur
0
3.793
78
Cherdhi
0
7.335
79
Nauka Gao
0
6.116
80
Balihar
0
0.337
81
Daya Chhapra
0
14.837
82
Dalpatpur
0
0.847
83
Jagdev
0
1.066
84
Harakhpur
0
4.934
85
Tengarahi
0
6.026
86
Bhojapur
0
6.469
87
Sonabarsa
0
2.313
88
Kurchanda Mu singhur
0
8.245
Total
0.49
420.17
B-2.4
Component wise breakup
Component wise breakup
S.no
Component
Forest Land(ha.)
Non-Forest Land(ha.)
1
Road
0.49
420.17
Total
0.49
420.17
C.
Maps of forest land proposed to be diverted
Division 1. : Social Forestry Division Ballia
(i). Area of forest land proposed to be diverted(in ha.) :
0.49
(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.
0.49
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:
Yes
(a). Copy of map indicating location of alternative examined:
E.
Employment likely to be generated
(i). Whether the Project is likely to generate employment ?:
Yes
(ii). Permanent/Regular Employment(Number of persons):
100
(iii). Temporary Employment(Number of person-days):
150000
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 ? :
Yes
(a). Status of the Environmental Clearance to the Project:
EC under process
(ii). Environmental Clearance File No.:
10/43/2021-IA.III
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
1
Typical Cross Sections of the prposed road
2
Index Map of the proposed project
3
Project sanction letter from the ministry.
4
Justification by the UA for locating the project in forest area
5
Undertaking to pay for CA cost
6
Undertaking to pay for additional NPV if any
7
Undertaking to pay for exploitation of tree growth by the UA
8
Undertaking to submit the FRA certificate from the district collector by UA
9
Undertaking to demarcate the diverted land as part of the project by UA
10
Undertaking to comply with any condition imposed by the forest department by UA
11
Undertaking to establish no labor camp in side the forest area by UA
12
Certificate to state that no archaeologically important site is falling in the project area by UA
13
Document Verification certificate
14
Checklist
15
No work till stage - I is accorded
16
No work in non forest area till stage - I is accorded
17
No alternative land is available for the project
18
Muck disposal Plan
19
Undertaking to pay for tree transplantation
20
Undertaking to pay for tree plantation on either side of the project road
21
Undertaking to adher to standard conditions stipulated by the MoEF and CC
22
Gazette notification highlighting the forest area under consideration
23
UP forest Gazette notification
24
Hard copy received by DFO
25
Hard copy received by District Magistrate
26
Proposed Area is the barest minimum
27
Proposed Forest area for diversion
28
Details of Non forest area required for the project
29
Form - A of part 1
30
To pay for the cost of NPV
31
To pay for the cost of additional NPV if any
32
Approval letter from the land owner
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