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/153349/2022   (ii). Name of Project for which Forest Land is required : Proposed Diversion for Construction of 4-lane green field highway from Km. 49.155 to Km. 74.700 (Singraur Uparhar to Baranpur Kadipur Ichauli) Crossing on NH-731A on Hybrid Annuity Mode in District:- Kaushambi.   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Proposed Protected Forest Land to be diverted for Construction of 4-lane green field highway from Km. 49.155 to Km. 74.700 (Singraur Uparhar to Baranpur Kadipur Ichauli) Crossing on NH-731A on Hybrid Annuity Mode in District:- Kaushambi.   (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) : 115672   (viii). Area of forest land proposed for diversion(in ha.): 15.461   (ix). Non-forest land required for this project(in ha.): 91.6701   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : OFFICE OF THE EXECUTIVE ENGINEER   (ii). Address1 : NH Division-1, UP PWD 26, Kasturba Gandhi Marg, Allahabad 211002   (iii). Address2 : NIL   (iv). State : Uttar Pradesh   (v). District : PRAYAGRAJ   (vi). Pin : 211002   (vii). Landmark : In front of SSP Office   (viii). Email address : eenhallahabad1@gmail.com   (ix). Landline Telephone No. : 532-2548066   (x). Fax No. : 532-2548066   (xi). Mobile No. : 9452243698   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : State Government
A-3. Details of Person Making Application
  (i). First Name: Praveen   (ii). Middle Name: NIL   (iii). Last Name: KUMAR   (iv). Gender: Male   (v). Designation: Executive Engineer   (vi). Address 1: Office of the Executive Engineer NH Division-1, UP PWD 26, Kasturba Gandhi Marg, Allahabad 211002   (vii). Address 2: NIL   (viii). State: Uttar Pradesh   (ix). District: PRAYAGRAJ   (x). Tehsil: Allahabad   (xi). Pin: 211002   (xii). Landmark: In front of SSP Office   (xiii). Email Address: eenhallahabad1@gmail.com   (xiv). Landline Telephone No.: 532-2548066   (xv). Fax No.: 05322548066   (xvi). Mobile No.: 9415164914   (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 Kaushambi15.46191.6701
Total15.46191.6701
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Kaushambi15.46191.6701
Total15.46191.6701
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Meerjaharnpur Uparhar01.3341
2Basedhi Uparhar00.1401
3Mohiuddinpur Gous Uparhar00.0628
4Adampur Nadir Ali Kachhar05.4028
5Adampur Nadir Ali Uparhar01.3703
6Patti Narwar Uparhar08.4399
7Gangsari04.1808
8Ibrahimpur Nougira Uparhar07.1011
9Palhana Uparhar05.29
10Sakadha Uparhar0.219455.8327
11Dhani0.09310.3365
12Sainta07.5349
13Asad Ullapur Rohi1.0544.5122
14Darbespur1.589551.7549
15Chakmahpur0.040.0825
16Mohmmadpur Aswan3.6399.8728
17Parsara2.7377.3373
18Rasulpur Girchha1.466.0967
19Bisara1.4113.9925
20Rarampur Suhela Urf Allipur0.4520.2576
21Chaknyamatpur1.360.2779
22Badanpur Kajipur1.4060.4597
Total 15.461 91.6701
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Construction of 4-lane Green FieldHighway15.46191.6701
Total 15.461 91.6701
C. Maps of forest land proposed to be diverted
Division 1. : Forest Division Kaushambi
  (i). Area of forest land proposed to be diverted(in ha.) : 15.461   (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).
1.15.461    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: No Alternate
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): 10000
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?: 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
1UNDERTAKING FOR CA DEPOSIT
2UNDERTAKING FOR ETT
3UNDERTAKING FOR MINIMUM TREE FELLING
4UNDERTAKING FOR NPV DEPOSIT
5PROJECT SANCTION LETTER
6STANDARD CONDITIONS
7UNDERTAKING FOR VANYA JEEV VIHAR
8UNDERTAKING FOR NOT START WORK BEFORE FOREST APPROVAL
9AREA CALCULATION SHEET
10MUCK DISPOSAL PLAN
11VAIKALPIC VAN BHOOMI CERTIFICATE
12UNDERTAKING FOR ROAD SIDE PLANTATION
13STRIP PLAN
14REPLY LETTER
15FOREST NOTIFICATION
16CERTIFICATE FOR EXISTING ROAD PRIOR TO 1980
17REPLY LETTER 28-7-2023
18REPLY LETTER 01 NOV 2023