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/22374/2016   (ii). Name of Project for which Forest Land is required : Diversion of Protected Forest Land for Rehabilitation and Up-gradation to 4-lane with paved shoulders configuration from Bhadwas to Kalyanpur section (Km 186.000 to Km 229.000 )Package-II section of National Highway-91 in Etah District in the State of Uttar Pradesh   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : The Project involves capacity augmentation to 4 lane with paved Shoulders configuration from Bhadwas to Kalyanpur section of NH-91.Road side Plantation Bhadwas(Km 186.000) to Kalyanpur (229.000)except Bypasses & Realignment in Etah District is notified as Protected Forest, required for the project   (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) : 159914   (viii). Area of forest land proposed for diversion(in ha.): 65.8249   (ix). Non-forest land required for this project(in ha.): 149.823   (x). Total period for which the forest land is proposed to be diverted(in years): 20
A-2. Details of User Agency
  (i). Name : NHAI   (ii). Address1 : Project Director, National Highway Authority of India, 47, Dream City Colony, Opp. Bal Jivan Ghutti,Sarsol, G.T. Road, Aligarh   (iii). Address2 : 47 & 48, Dream City Colony, Opp. Bal Jivan Ghutti,Sarsol, G.T. Road, Aligarh   (iv). State : Uttar Pradesh   (v). District : Aligarh   (vi). Pin : 202001   (vii). Landmark : Near Bal Jivan Gutti   (viii). Email address : nhaipiubsr001@gmail.com   (ix). Landline Telephone No. : 571-2900697   (x). Fax No. : 571-2900697   (xi). Mobile No. : 9412159580   (xii). Website (if any) : www.nhai.org   (xiii). Legal status of User Agency : Central Government
A-3. Details of Person Making Application
  (i). First Name: Sunil   (ii). Middle Name: NIL   (iii). Last Name: Jindal   (iv). Gender: Male   (v). Designation: General Manager (T) cum Projec   (vi). Address 1: Village- Bhikampur, Post- Jirolidor,   (vii). Address 2: Infront of Reliance Petrol Pump, G.T. Road, Aligarh   (viii). State: Uttar Pradesh   (ix). District: Aligarh   (x). Tehsil: NIL   (xi). Pin: 202001   (xii). Landmark: Infront of Reliance Petrol Pump   (xiii). Email Address: aligarh@nhai.org   (xiv). Landline Telephone No.: 2571-2900697   (xv). Fax No.: 05712900697   (xvi). Mobile No.: 9412159580   (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 Etah65.8249149.823
Total65.8249149.823
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Etah65.8249149.823
Total65.8249149.823
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Bhadwas2.7762.053
2Bhadua2.120.839
3Songara4.3831.864
4Barai4.3431.526
5Pilua2.31214.445
6Tatarpur Abbal1.9182.246
7Sunnasihoni4.2453.705
8Bamnai1.5390.934
9Vikrampur Etah1.2315.915
10Chhituani05.018
11Doolhepur06.352
12Kaseti0.065.905
13Rarpatti014.297
14Nagla Farid012.108
15Rampur Ghansham09.853
16Narahara02.473
17Kusari08.039
18Manpur3.1499.488
19Harchandpur Kalan3.3651.182
20Chhachhaina1.6080.21
21Milk Chhachhaina1.2353.047
22Manikpur2.1860.545
23Aaspur5.0982.12
24Puraw1.4783.722
25Dundwara1.1183.563
26Madhupura3.1570.733
27Akbarpur1.9281.2
28Malawan2.58920.531
29Kangraul2.7591.745
30Mahua Khera4.5631.945
31Senthari6.66492.22
Total 65.8249 149.823
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road Work (Bypasses & Realignments)5.127112.551
2Road Work (Existing Road)60.697937.272
Total 65.8249 149.823
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.) : 65.8249   (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).
1.65.8249    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: NIL
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 1000   (iii). Temporary Employment(Number of person-days): 146000
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? : Yes
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
1Typical Cross Section
23A Detail
3PF land Notification
4Project Section Letter
5Protected forest area detail
6etah revised tree detail
7Letter of submission of hard copies of revised forest proposal in hard copies.
8Presasnik & Vittey swikrti complaince of Nodal observation point no. 2
9Undertaken for Balance PRoW for plantation
10Project RoW detail
11Project Proposed RoW detail
12NHAI Nodal observation compliance letter submitted in ETAH Forest Division
13letter detail
14undertaken for compliance of Stage-I and stage-II of NH-91 2 lane project
15Brief Summary of NH-91 project