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/156552/2022   (ii). Name of Project for which Forest Land is required : Proposal for upgradation and rehabilitation of Agra Jalesar Etah road NH 321G from chainage 0.00 to 75.700 Km. in District Agra and Etah in the State of Uttar Pradesh   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Proposal for diversion of forest land for upgradation & rehabilitation of Agra-Jalesar- Etah Road (NH-321G) from chainage 0.00 Km. to 75.700 Km. in district Agra and Etah in the state of Uttar Pradesh for up-gradation to Two Lanes with paved shoulder /Four lane configurations.   (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) : 57685   (viii). Area of forest land proposed for diversion(in ha.): 1.7526   (ix). Non-forest land required for this project(in ha.): 81.0282   (x). Total period for which the forest land is proposed to be diverted(in years): 99
A-2. Details of User Agency
  (i). Name : MORTH (NH-UP)   (ii). Address1 : Executive Engineer, PWD, NH Division, Near SSB Chauraha, Etawah   (iii). Address2 : NIL   (iv). State : Uttar Pradesh   (v). District : Etawah   (vi). Pin : 206001   (vii). Landmark : NIL   (viii). Email address : eenhpwdetw@gmail.com   (ix). Landline Telephone No. : 91-0-94120642   (x). Fax No. : 91-   (xi). Mobile No. : 9412064230   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : Central Government
A-3. Details of Person Making Application
  (i). First Name: Mukesh   (ii). Middle Name: Kumar   (iii). Last Name: Thakur   (iv). Gender: NIL   (v). Designation: Executive Engineer   (vi). Address 1: Executive Engineer, PWD, NH Division, Near SSB Chauraha, Etawah   (vii). Address 2: NIL   (viii). State: Uttar Pradesh   (ix). District: Etawah   (x). Tehsil: NIL   (xi). Pin: 206001   (xii). Landmark: NIL   (xiii). Email Address: eenhpwd123@gmail.com   (xiv). Landline Telephone No.: 0-   (xv). Fax No.: NIL   (xvi). Mobile No.: 9412064230   (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 Etah1.738853.3193
2.Social Forestry Division Agra0.013827.7089
Total1.752681.0282
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Etah1.738853.3193
1.Agra0.013827.7089
Total1.752681.0282
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1naraich0.01383.3541
2Poiya02.0013
3Nadau03.1491
4Mundi Jahangirpur03.4664
5uncha01.5078
6Agarpur00.5701
7Chirhauli00.5362
8Usmanpur01.8809
9Anwal khera03.0616
10Khanda03.4883
11Jamalnagar Bhains02.4598
12Amanabad04.6931
13Ranausa01.7376
14saraineew0.018750.6048
15Mukutpur00.9301
16Bichpuri00.7878
17Shahnagar Timarua02.9959
18Gudau02.6906
19Arabgadh00.6018
20Salwahanpur01.1697
21Jalesar1.45811.7687
22Daulatpur Mushki02.0013
23Budhera01.8097
24Hasangarh02.0921
25rejua02.5178
26Narhauli02.021
27Khera Nuh02.3885
28Nuhkhas02.3744
29Khairara0.116781.9372
30Dalshahpur01.4991
31pawha00.6226
32Dastampur03.0298
33Sorkha00.3064
34margaya0.08821.2948
35Tatarpur doyam00.8852
36Nidhauli kalan02.6141
37kunwarpur chandrabhanpur00.7441
38Horchi01.9039
39Jitauli01.324
40Mukhrana01.0603
41Arthara0.0250.296
42umraypur Arthara00.638
43Jawarpur Arthara01.8667
44Kakrawali00.4377
45Nagla kewal00.6166
46Etah00.3489
47Barathar00.2166
48Dhauleshwar0.031970.7257
Total 1.7526 81.0282
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1rahbillitation and upgradation of Agra jalesar Eta1.752681.0282
Total 1.7526 81.0282
C. Maps of forest land proposed to be diverted
Division 1. : Social Forestry Division Etah
  (i). Area of forest land proposed to be diverted(in ha.) : 1.7388   (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).
1.1.7388    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. : Social Forestry Division Agra
  (i). Area of forest land proposed to be diverted(in ha.) : 0.0138   (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).
1.0.0138    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: Site Specific Project 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): 20   (iii). Temporary Employment(Number of person-days): 24000
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? : 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
1project sanction latter
2Typical Cross section plan of proposed up gradation of the road.
3gezzet notification duly signed by DFO
4manak shate
5muck disposal plan
6NO felling of trees in TTZ area without the permission of Hon'ble supreme court
7undertaking for no violation
8undertaking for minimum tree cutting
9undertaking for Entire tree transplant
10undertaking for obtain no objection certificate from other department
11undertaking for project in forest area
12AGRA EDS reply 07-07-2022
13certificate for minimum use
14undertaking for CA
15undertaking for NPV
16undertaking for Additional NPV
17No labour camp in forest area
18undertaking for Lease
19Area Calculation
20EDS Reply Etah 27.09.2022
21undertaking for strip Plantion
22EDS agra reply 02-10-2022
23enclosers Agra EDS 21-06-2023
24enclosers Etah EDS 21-06-2023
25EDS reply of MoEFCC